مجله اصول بهداشت روانی

مجله اصول بهداشت روانی

تأثیر آموزش گروهی فعال‌سازی رفتاری خانواده‌محور بر علائم روان‌شناختی بیماران مبتلا به مولتیپل اسکلروزیس

نوع مقاله : مقاله پژوهشی

نویسندگان
Shakila Yousefi 1
Mahdi Nayyeri 2
Mohammad Reza Seirafi 3
1 Department of Health Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran.
2 Department of Psychology, Torbat–e Jam Branch, Islamic Azad University, Torbat–e Jam, Iran.
3 Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.
10.22038/jfmh.2024.82354.3164
چکیده
مقدمه: هدف ما بررسی تأثیر آموزش گروهی فعال سازی رفتاری خانواده محور بر علائم روانشناختی بیماران مبتلا به مولتیپل اسکلروزیس (MS) بود.
روش‌ کار: در این مطالعه 40 بیمار مبتلا به ام اس در شهرستان تربت جام در سال 1403-1402 به روش نمونه‌گیری در دسترس انتخاب و به‌طور تصادفی در دو گروه آزمون و شاهد قرار گرفتند. گروه آزمایش 8 جلسه 90 دقیقه ای آموزش فعال سازی رفتاری خانواده محور به مدت 3 ماه دریافت کردند. از مقیاس استرس اضطراب افسردگی 21 (DASS-21) استفاده شد و داده ها با استفاده از تحلیل واریانس با اندازه گیری مکرر تحلیل شدند.
 یافته‌ها: پس از مداخله، در گروه آزمون در مقایسه با گروه شاهد، تفاوت معنی‌داری در افسردگی (01/0> P)، اضطراب (01/0> P) و استرس (01/0> P) وجود داشت.
نتیجه‌گیری: با توجه به نتایج، آموزش فعال‌سازی رفتاری خانواده‌محور باعث کاهش علائم روان‌شناختی در بیماران ام‌اس می‌شود. بنابراین فعال سازی رفتاری مداخله ای موثر برای بهبود سلامت روان بیماران ام اس است و می تواند در مراقبت های استاندارد این بیماران ادغام شود.
کلیدواژه‌ها
خانواده
فعال سازی رفتاری
علائم روانشناختی
مولتیپل اسکلروزیس
  1. Lorefice L, D’Alterio MN, Firinu D, Fenu G, Cocco E. Impact of menopause in patients with multiple sclerosis: Current perspectives. Int J Womens Health 2023; 15: 103-9.
  2. Maciak K, Dziedzic A, Saluk J. Possible role of the NLRP3 inflammasome and the gut–brain axis in multiple sclerosis‐related depression. FASEB J 2023; 37(1): e22687.
  3. Marck CH, Learmonth YC, Chen J, van der Mei I. Physical activity, sitting time and exercise types, and associations with symptoms in Australian people with multiple sclerosis. Disabil Rehabil 2022; 44(8): 1380-8.
  4. Samari B, Sadeghian E, Sattari M, Aghaie B. [Explaining the dimensions of specific competence in training specialist nurses in multiple sclerosis: A qualitative study]. Frontiers of nursing 2022; 9(3): 311-7. (Persian)
  5. Karhula ME, Kanelisto K, Hämäläinen P, Ruutiainen J, Era P, Häkkinen A, et al. Self-reported reasons for changes in performance of daily activities during a 2-year multidisciplinary multiple sclerosis rehabilitation. Int J MS Care 2022; 24(3): 110-16.
  6. Efendi H, Ünal A, Akçalı A, Altunan B, Bingöl A, Altunrende B, et al. The effect of cognitive performance on self-management behavior of multiple sclerosis patients. Mult Scler Relat Disord 2022; 63: 103880.
  7. AlSaeed S, Aljouee T, Alkhawajah NM, Alarieh R, AlGarni H, Aljarallah S, et al. Fatigue, depression, and anxiety among ambulating multiple sclerosis patients. Front Immunol 2022; 13: 844461.
  8. Carvalho T, Gomes C, Rodrigues A, da Motta C. Neuropathic pain, cognitive fusion, and alexithymia in patients with multiple sclerosis: Cross-sectional evidence for an explanatory model of anxiety symptoms. J Clin Psychol 2023; 79(5): 1342-56.
  9. Yu C, Ruan Y, Sun X, Chen C, Shen T, Liu C, et al. rTMS ameliorates depression/anxiety-like behaviors in experimental autoimmune encephalitis by inhibiting neurotoxic reactive astrocytes. J Affect Disord 2023; 331: 352-61.
  10. Hosseini Z, Homayuni A, Ghanbarnejad A. Determinants of stress coping behaviors in patients with Multiple Sclerosis (MS-DSCB): development and psychometrics of a PRECEDE model-based questionnaire. BMC Psychiatry 2022; 22(1): 578.
  11. Brenner R, Witzig-Brändli V, Vetsch J, Kohler M. Nursing interventions focusing on self-efficacy for patients with multiple sclerosis in rehabilitation: A systematic review. Int J MS Care 2022; 24(4): 189-98.
  12. Whittenbury K, Kroll L, Dubicka B, Bull ER. Exploring barriers and facilitators for mental health professionals delivering behavioural activation to young people with depression: Qualitative study using the Theoretical Domains Framework. BJPsych Open 2022; 8(2): e38.
  13. Kokubun K, Yamakawa Y, Nemoto K. The link between the brain volume-derived index and the determinants of social performance. Current psychology 2023; 42(15): 12309-21.
  14. Gum AM, Jensen C, Schonfeld L, Conner KO, Guerra L. A pilot study of brief, stepped behavioral activation for primary care patients with depressive symptoms. J Clin Psychol Med Settings 2023; 30(1): 17-27.
  15. Ali AM, Alkhamees AA, Hori H, Kim Y, Kunugi H. The depression anxiety stress scale 21: Development and validation of the depression anxiety stress scale 8-item in psychiatric patients and the general public for easier mental health measurement in a post COVID-19 world. Int J Environ Res Public Health 2021; 18(19): 10142.
  16. Henry JD, Crawford JR. The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample. Br J Clin Psychol 2005; 44(2): 227-39.
  17. Kanter JW, Busch AM, Rusch LC. [Behavioral activation distinctive features]. Mirzaei M, Fereidouni S. (translators). Tehran: Arjmand; 2021. (Persian)
  18. Pellas J, Renner F, Ji JL, Damberg M. Telephone-based behavioral activation with mental imagery for depression: A pilot randomized clinical trial in isolated older adults during the Covid-19 pandemic. Int J Geriatr Psychiatry 2022; 37(1): 10.1002/gps.5646.
  19. Colombo D, Suso-Ribera C, Ortigosa-Beltrán I, Fernández-Álvarez J, García-Palacios A, Botella C. Behavioral activation through virtual reality for depression: A single case experimental design with multiple baselines. J Clin Med 2022; 11(5): 1262.
  20. Hosseini Z, Homayuni A, Etemadifar M. Barriers to quality of life in patients with multiple sclerosis: A qualitative study. BMC Neurology 2022; 22(1): 174.
  21. Egede LE, Davidson TM, Knapp RG, Walker RJ, Williams JS, Dismuke CE, et al. HOME DM-BAT: Home-based diabetes-modified behavioral activation treatment for low-income seniors with type 2 diabetes-study protocol for a randomized controlled trial. Trials 2021; 22(1): 787.
  22. Mohr DC, Hart SL, Julian L, Catledge C, Honos-Webb L, Vella L, et al. Telephone-administered psychotherapy for depression. Arch Gen Psychiatry 2005; 62(9): 1007-14.
  23. Thomas S, Thomas PW, Kersten P, Jones R, Green C, Nock A, et al. A pragmatic parallel arm multi-centre randomized controlled trial to assess the effectiveness and cost-effectiveness of a group-based fatigue management programme (FACETS) for people with multiple sclerosis. J Neurol Neurosurg Psychiatry 2013; 84(10): 1092-9.
  24. Hartmann M, Kopke S, Scherer P, Stangel M, Stellmann JP, Calabrese P, et al. Lessons learnt from a family-centred psychoeducational intervention for patients with multiple sclerosis and their caregivers. Patient Educ Couns 2014; 95(1): 98-105.
  25. Gawrysiak M, Nicholas C, Hopko DR. Behavioral activation for moderately depressed university students: Randomized controlled trial. J Couns Psychol 2009; 56(3): 468-75.
  26. Turner AP, Hartoonian N, Hughes AJ, Arewasikporn A, Alschuler KN, Sloan AP, et al. Physical activity and depression in MS: The mediating role of behavioral activation. Disabil Health J 2019; 12(4): 635-40.
  27. von Drathen S, Gold SM, Peper J, Rahn AC, Ramien C, Magyari M, et al. Stress and multiple sclerosis- Systematic review and meta-analysis of the association with disease onset, relapse risk and disability progression. Brain Behav Immun 2024; 120: 620-29.
  28. Bal VH, Wilkinson E, Glascock V, Hastings RP, Jahoda A. Mechanisms of change in behavioral activation: Adapting depression treatment for autistic people. Cogn Behav Pract 2023; 30(4):589-96.
  29. Pott S L, Delgadillo J, Kellett. Is behavioral activation an effective and acceptable treatment for co-occurring depression and substance use disorders? A meta -analysis of randomized controlled trials. J Subst Abuse Treat 2022; 132: 108478.

 

مجله اصول بهداشت روانی
دوره 26، شماره 6
1403
صفحه 399-405