مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد (ACT) با شناخت درمانی مبتنی بر ذهن‌آگاهی (MBCT) بر اضطراب و افسردگی بیماران همودیالیزی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی رشته دکتری مشاوره، واحد علوم تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران

2 استاد گروه مشاوره، دانشکده‌ی روان‌شناسی و علوم تربیتی، دانشگاه علامه طباطبایی، تهران، ایران

3 دانشیار گروه روان‌شناسی عمومی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران

چکیده

مقدمه: هدف این تحقیق مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد (ACT) با شناخت­درمانی مبتنی بر ذهن­آگاهی (MBCT) بر اضطراب و افسردگی بیماران همودیالیزی می­باشد.
روش­کار: در این تحقیق مداخله­ای از بین بیماران مراجعه­کننده به بخش همودیالیز بیمارستان امام خمینی (ره) شیروان و بیمارستان امام علی (ع) بجنورد 42 بیمار همودیالیزی با نمونه­گیری در دسترس انتخاب و به صورت تصادفی در سه گروه ACT، MBCT و شاهد جایگزین شدند. گروه­های ACT و MBCT تحت درمان 8 جلسه­ی 90 دقیقه­ای هفته­ای قرار گرفتند. جهت جمع­آوری داده­ها از پرسش­نامه­های اضطراب و افسردگی بک استفاده شد و داده­ها با تحلیل کوواریانس تحلیل شدند.
یافته­ها: یافته­های پژوهش نشان داد که هر دو روش درمانی بر میزان اضطراب و افسردگی بیماران همودیالیزی مؤثر بوده­اند اما اثربخشی ACT بر متغیر افسردگی بیشتر از MBCT و کارایی MBCT بر متغیر اضطراب بیشتر از ACT بوده است.
  نتیجه­گیری: درمان مبتنی بر پذیرش و تعهد و شناخت­درمانی مبتنی بر ذهن­آگاهی بر اضطراب و افسردگی بیماران همودیالیزی موثر هستند.

کلیدواژه‌ها

مراجع

  1. Asgari MR, Soleymani M. [Special nursing care in CCU, ICU and dialysis]. Tehran: Boshra; 2014. (Persian)
  2. Abasi N. [Renal and urinary tract diseases]. Tehran: Heydari; 2014. (Persian)
  3. Consortium dialysis Iran. Iran Dialysis Calendar 2014. Available from: http://www.iranesrd.com/Content/Upload/pdf
  4. Sajadi M. [The effect of self-care education on depression in patients who treated with hemodialysis]. MS. Dissertation. Mashhad Medical Sciences University, 2006.
  5. Mirzaie M, Akbari Z. Studying prevalence of depression in dialysis patients in Iran (1999-2013). Mazandaran Medical Sciences University Journal 2014; 24: 317-25.
  6. Ahmadzade G, Mahdi M. [Studying prevalence of symptoms of depression, anxiety and psychosis in patients treated-hemodialysis in Noor Hospital and Ali Asghar hospital of Isfahan]. Isfahan Medical School journal 2011; 29: 1819-26. (Persian)
  7. Kimmel PL. Depression in patients with chronic renal disease: what we know and what we need to know. J Psychosom Res 2002; 53(4): 951-6.
  8. Kimmel PL, Peterson RA, Weihs KL, Simmens SJ, Boyle D, Cruz I, et al. Aspects of quality of life in hemodialysis patients. J Am Soc Nephrol 1995; 6(5): 1418-26.
  9. Nazemiyan F. [Stressors factors and coping strategies in hemodialysis patients]. Medical journal of Medical Sciences Mashhad University 2006; 49: 293-8. (Persian)
  10. Molahadi M. [Comparison of depression, anxiety and stress in hemodialysis and renal transplantation]. Critical care nursing journal 2009; 2(4): 153-6. (Persian)
  11. Cukor D, Coplan J, Brown C, Friedman S, Newville H, Safier M, et al. Anxiety disorders in adults treated by hemodialysis: a single-center study. Am J Kidney Dis 2008; 52(1): 128-36.
  12. Hayes S, Luoma JB, Bond F. Acceptance and commitment therapy: Model, processes and outcomes. Behav Res Ther 2006; 44: 1-25.
  13. Gharaie Ardakani S, Azad Falah P, Toolaie SA. [The effectiveness of acceptance and commitment therapy in reducing pain in women with chronic headache disorder]. Clinical psychology journal 2012; 4(2): 39-50. (Persian)
  14. Buhrman M, Skoglund A, Husell J. Guided internet-delivered acceptance and commitment therapy for chronic pain patients: a randomized controlled trial. Behav Res Ther 2013; 51(6): 307-15.
  15. Wetherell JL, Afari N, Rutledge T. A randomized, controlled trial of acceptance and commitment therapy and cognitive-behavioral therapy for chronic pain. Pain 2011; 152(9): 2098-107.
  16. Anvari H. [The effectiveness of acceptance and commitment therapy on accepting the pain, pain-related anxiety and pain in male patients with chronic pain]. Isfahan Medical School journal 2014; 32: 1-10. (Persian)
  17. Matinfar E. [Comparison of ACT effect and behavioral therapy on reducing anxiety and depression in obese women]. MS. Dissertation. Ferdowsi University of Mashhad, 2014. (Persian)
  18. Hor M, Aghaie A, Abedi A. [The role of acceptance and commitment therapy (ACT) in reducing depression in patients with type 2 diabetes]. Behavioral sciences research 2013; 11(2): 121-8. (Persian)
  19. Rajabi S, Yazdkhasti F. [The effectiveness of acceptance and commitment therapy on anxiety and depression in women with MS]. Clinical psychology journal 2014; 6(1): 29-39. (Persian)
  20. Vowles KE, McCracken LM. Acceptance and values-based action in chronic pain: a study of treatment effectiveness and process. J Consult Clin Psychol 2008; 76(3): 397-407.
  21. Kuyken W, Byford S, Taylor RS, Watkins E, Holden E, White K, et al. Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. J Cons Clin Psychol 2008; 76(6): 966-78.
  22. Manicavasgar V, Parker G, Perich T. Mindfulness based cognitive therapy vs cognitive behavior therapy as a treatment for non-melancholic depression. J Affect Disord 2011; 130: 138-44.
  23. Hofmann SG, Sawyer AT, Wit SA, Oh D. The effect of mindfulness-based therapy on anxiety and depression: A Meta-Analytic review. J Cons Clin Psychol 2010; 78(2): 169-83.
  24. Shennan C, Payne S, Fenlon D. What is the evidence for the use of mindfulness-based interventions in cancer care? A review. Psychooncology 2011; 20(7): 681-97.
  25. Evans S, Ferrando S, Findler M, Stowell C, Smart C, Haglin D. Mindfulness-based cognitive therapy for generalized anxiety disorder. J Anxiety Disord 2008; 22(4): 716-21.
  26. Barnhofer T, Crane C, Hargus E, Amarasinghe M, Winder RJ, Williams MG. Mindfulness-based cognitive therapy as a treatment for chronic depression: A preliminary study. Behav Res Ther 2009; 47: 366-73.
  27. Godfrin KA, Van Heeringen C. The effects of mindfulness-based cognitive therapy on recurrence of depressive episodes, mental health and quality of life: A randomized controlled study. Behav Res Ther 2010; 48: 746-68.
  28. Mohammadkhani P, Hasani F, Sepahmansour M, Mahmoudi Gh, Larijani Z. [Comparison of effectiveness of cognitive treatment based on mindfulness and metacognitive treatment on rumination and depressive symptoms]. Quarterly journal of psychological researches 2014; 6: 101-18. (Persian)
  29. Omidi A, Mohammadi A, Zargar F, Akkasheh G. [Comparing the efficacy of combined mindfulness based cognitive therapy with cognitive behavioral therapy and traditional cognitive behavior therapy in reducing dysfunctional attitudes of patients with major depressive disorder]. Journal of Birjand University of Medical Sciences 2014; 20(4): 383-92. (Persian)
  30. Feizeh A, Dabaghi P, Goudarzi P. [The efficacy of mindfulness-based stress reduction training in the stress, anxiety, depression and psychological well-being of military personnel]. Journal of military psychology 2015; 6: 5-14. (Persian)
  31. Tavali A, Allahyari AA, Azadfallah P, Fathi Ashtiani A. [Comparison of interpersonal treatment and cognitive-behavioral therapy on reduction in social anxiety phobia symptoms]. Journal of behavioral sciences 2013; 7: 199-206. (Persian)
  32. Farhadi A, Movahedi Y, Kariminajad K, Movahedi M. [The effect of mindfulness-based cognitive therapy on depression in male patients with coronary artery disease]. Cardiovascular nursing journal 2014; 2(4): 6-14. (Persian)
  33. Ahga Usefi A, Oraki M, Zare M, Imani S. [Effectiveness of mindfulness in decreasing stress, anxiety and depression among the substance abusers]. Journal of thought and behavior in clinical psychology 2013; 7: 17-26. (Persian)
  34. Abdolghaderi M, Kafee M, Saberi A, Aryapouran S. [The effectiveness of mindfulness-based cognitive therapy (MBCT) and cognitive behavior therapy (CBT) on decreasing pain, depression and anxiety of patients with chronic low back pain]. Journal of Shahid Sadoughi University of Medical Sciences 2014; 21(6): 795-807. (Persian)
  35. Issazadegan A, Shiekhi S, Hafeznia M, Khademi A. [The effectiveness of cognitive-behavioral group therapy on reduction of depression symptoms among patients with cancer]. The journal of Urmia University of Medical Sciences 2013; 24(5): 339-46. (Persian)
  36. Jabbarifard F, Masoudi S, Karami Dehkordi A. [Assessment of relaxation technique on depression and anxiety of hemodialysis patients]. Proceeding of the 5th congress of psychosomatic medicine; Chahar Mahal Bakhtiari University of Medical Sciences; 2013. (Persian)
  37. Zare H, Zare M, Khaleghi Delavar F, Amirabadi F, Shahriari H. [Mindfulness and diabetes: evaluation of effectiveness of mindfulness based stress reduction on glycemic control in diabetes]. Razi journal of medical sciences 2013; 20: 39-47. (Persian)
  38. Esmaeilian N, Tahmassian K, Dehghani M, Mootabi F. [Effectiveness of mindfulness-based cognitive therapy on depression symptoms in children with divorced parents]. Quarterly journal of clinical psychology 2013; 5: 47-57. (Persian)
  39. Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin Psychol Rev 1988; 8(1): 77-100.
  40. Marandizadeh E, Yousefi E, Khosravi FA. Comparing the effectiveness of mindfulness-based cognitive therapy and treatment based on acceptance and commitment therapy on reducing anxiety and depression in women with post-traumatic stress disorder caused by the accident Najaf Abad city of Esfahan. International journal of humanities and cultural studies 2016; 2016: 1952-66.
  41. Forman EM, Herbert, J, Moitra E. A randomized controlled effective of acceptance and commitment therapy and cognitive therapy for anxiety and depression. J Behav Modif 2009; 31(6): 772-99.
  42. Segal, ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford; 2002.
  43. Arch JJ, Craske MG. Acceptance and commitment therapy and cognitive behavioral therapy for anxiety disorders: Different treatments, similar mechanisms?. Am Psychol Assoc 2008; 15(4): 263-79.
  44. Bloy S, Oliver JE, Morris E. Using acceptance and commitment therapy with people with psychosis: A case study. Clin Case Stud 2011; 9(3): 347-59.
  45. Biglan A, Hayes SC, Pistorello J. Acceptance and commitment: Implications for prevention science. Prev Sci 2008; 9(3): 139-52.
  46. Eifert GH, Forsyth JP, Arch J, Espejo E, Keller M, Langer D. Acceptance and commitment therapy for anxiety disorders: Three case studies exemplifying a unified treatment protocol. Cogn Behav Pract 2009; 16(4): 368-85.

فایل ها

هم رسانی

ارجاع به این مقاله

آمار