1- isfahan university
Abstract: (1144 Views)
Background &Objectives: Depression is the most common psychiatric disorder. The disorder lasts for at least two weeks, during which there is a feeling of depressed mood, apathy, or loss of pleasure in almost all areas. Psychological capital intervention is a model derived from Luthanschr('39') psychological capitals, which emphasizes the construction and creation of components, the existence of each of them can be used as a powerful tool strengthens individual against the storms of life. An important principle in psychological capital intervention is that the intervention should help people to be able to guide the path of growth and prosperity by increasing psychological capital in addition to reducing the symptoms of their disorder and pain; They can live a fuller, happier and richer life. In most intervention models, the role of positive psychological components such as hope, optimism, self-efficacy and resilience is less considered. The aim of this study was to compare the effectiveness of psychological capital intervention and cognitive-behavioral intervention on depression in patients with mild to moderate depression.
Methods: The present study was a quasi-experimental design of pre-test-post-test and follow-up with a control group. The population of this study consisted of all people with mild to moderate depression who were referred to Aftab Counseling Center in Najafabad, Isfahan in the first half of 2018. Tools study was Beck Depression Inventory-II. Among depressed patients applying for training sessions based on inclusion and exclusion criteria, 45 clients who had a score of 14 to 28 in the Depression Inventory were randomly assigned to two experimental groups and a control group. For patients in one experimental group, psychological capital intervention was conducted in 8 sessions of 90 minutes in a group manner. For the other experimental group, the cognitive-behavioral intervention session was held in 8 sessions of 90 minutes in a group manner. The control group did not receive any intervention. After the training sessions, all three groups were re-evaluated for depression. Two months after the end of the training sessions (post-test), the subjects were re-evaluated in the follow-up phase. To analyze the data, descriptive statistics such as frequency distribution, mean and standard deviation and to analyze data in inferential statistics repeated measures analysis of variance test were used by SPSS version 24.
Results: The results of the group comparison showed that both psychological capital intervention and cognitive behavior intervention led to a reduction in depressive symptoms (p <0.001). Eta square showed that the main effect of the group caused about 29% changes. Also, in examining the effect of time, the results showed that there was a significant difference between the depression scores of psychological capital intervention groups and cognitive-behavior intervention with the control group at each stage of the measurement time (p <0.001). Eta squared also showed that the effect of time caused 76% changes in the mean scores. The interaction between the measurement stage and the group on the mean scores of depression was also significant, which shows that the effect of the group varies according to the time of measurement (p <0.001). The size of the interaction between time and group was 59%. The results of pairwise comparison tests showed that the scores of both cognitive-behavioral intervention group and psychological capital intervention group in post-test and follow-up were significantly different from the control group (p <0.01). The results also showed psychological capital intervention was more effective in reducing mild to moderate depressive syndrome compared to cognitive-behavior intervention (5 p <0.04).
Conclusion: psychological capital intervention by creating strengths of hope, self-efficacy, resilience and optimism over time is more effective than cognitive-behavioral intervention in reducing mild to moderate depressive symptoms.
Methods: The present study was a quasi-experimental design of pre-test-post-test and follow-up with a control group. The population of this study consisted of all people with mild to moderate depression who were referred to Aftab Counseling Center in Najafabad, Isfahan in the first half of 2018. Tools study was Beck Depression Inventory-II. Among depressed patients applying for training sessions based on inclusion and exclusion criteria, 45 clients who had a score of 14 to 28 in the Depression Inventory were randomly assigned to two experimental groups and a control group. For patients in one experimental group, psychological capital intervention was conducted in 8 sessions of 90 minutes in a group manner. For the other experimental group, the cognitive-behavioral intervention session was held in 8 sessions of 90 minutes in a group manner. The control group did not receive any intervention. After the training sessions, all three groups were re-evaluated for depression. Two months after the end of the training sessions (post-test), the subjects were re-evaluated in the follow-up phase. To analyze the data, descriptive statistics such as frequency distribution, mean and standard deviation and to analyze data in inferential statistics repeated measures analysis of variance test were used by SPSS version 24.
Results: The results of the group comparison showed that both psychological capital intervention and cognitive behavior intervention led to a reduction in depressive symptoms (p <0.001). Eta square showed that the main effect of the group caused about 29% changes. Also, in examining the effect of time, the results showed that there was a significant difference between the depression scores of psychological capital intervention groups and cognitive-behavior intervention with the control group at each stage of the measurement time (p <0.001). Eta squared also showed that the effect of time caused 76% changes in the mean scores. The interaction between the measurement stage and the group on the mean scores of depression was also significant, which shows that the effect of the group varies according to the time of measurement (p <0.001). The size of the interaction between time and group was 59%. The results of pairwise comparison tests showed that the scores of both cognitive-behavioral intervention group and psychological capital intervention group in post-test and follow-up were significantly different from the control group (p <0.01). The results also showed psychological capital intervention was more effective in reducing mild to moderate depressive syndrome compared to cognitive-behavior intervention (5 p <0.04).
Conclusion: psychological capital intervention by creating strengths of hope, self-efficacy, resilience and optimism over time is more effective than cognitive-behavioral intervention in reducing mild to moderate depressive symptoms.
Type of Study: Original Research Article |
Subject:
Psychology
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