Middle Eastern Journal of Disability Studies
مجله مطالعات ناتوانی
MEJDS
Medical Sciences
http://jdisabilstud.org
1
admin
2322-2840
2322-2840
10.29252/mejds
14
8888
13
fa
jalali
1398
12
1
gregorian
2020
3
1
0
In Press
online
1
fulltext
fa
مقایسه اثربخشی مداخله مبتنی بر سرمایههای روان شناختی ومداخله شناختی_ رفتاری بر افسردگی
Comparing the effectiveness of psychological capital Intervention and cognitive- behavior Intervention on depression
روانشناسی
Psychology
مقاله پژوهشی اصیل
Original Research Article
<a name="_Hlk52797002"><strong>زمینه و هدف:</strong></a> افسردگی از شایعترین اختلالات روانپزشکی است وعوامل متعددی در کاهش علایم و بهبودی از آن تاثیر گذار هستند. پژوهش حاضربه منظور مقایسه اثربخشی مداخله مبتنی بر سرمایه های روان شناختی و مداخله شناختی- رفتاری بر کاهش افسردگی انجام شد.<br>
<strong>روش بررسی:</strong> این پژوهش از نوع نیمه تجربی با طرح پیش آزمون، پس آزمون و پیگیری با گروه گواه بود. جامعه آماری شامل افرادی بود که در سال 1397به مرکز مشاوره آفتاب شهرستان نجف آباد مراجعه کرده بودند. تعداد45داوطلب واجد شرایط وارد مطالعه شده و بصورت تصادفی در سه گروه 15 نفری، سرمایه های روان شناختی، شناختی رفتاری و گروه گواه جایگزین شدند.به منظور سنجش میزان افسردگی داوطلبین، ازپرسشنامه افسردگی بک<span dir="LTR"> ,</span>ویرایش دوم(1991)استفاده گردید. برای گروه مبتنی بر سرمایه های روان شناختی و گروه شناختی_ رفتاری هرکدام 8 جلسه آموزشی برگزار شد. گروه گواه نیز مداخله ای دریافت نکرد .داده ها با استفاده از آزمون تحلیل واریانس اندازه های تکراری با نرم افزار <span dir="LTR">SPSS</span> نسخه 24 در سطح معناداری 5 درصد تحلیل شدند.<br>
<strong>یافته ها:</strong> نتایج مقایسه گروهها نشان داد هر دو روش مداخله یعنی مداخله مبتنی بر سرمایه های روان شناختی و شناختی رفتاری بر کاهش افسردگی تاثیر داشتند(<em><span dir="LTR">p</span></em><span dir="LTR"><</span><span dir="LTR">0/001</span>). همچنین نتایج مقایسۀ زمان ها نشان دهندۀ تداوم اثربخشی هر دو روش مداخله برکاهش افسردگی در مراحل پس آزمون و پیگیری بود<span dir="LTR"> )</span>001/0><span dir="LTR">p</span>).<br>
<strong>نتیجه گیری:</strong> مداخله مبتنی بر سرمایه های روان شناختی با ایجاد نیرومندیهای امید،خودکارآمدی،تاب آوری و خوش بینی در طول زمان اثربخشی بالاتری نسبت به مداخله شناختی_ رفتاری بر کاهش نشانگان افسردگی دارد.
<strong>Background &Objectives:</strong> 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.<br>
<strong>Methods:</strong> 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.<br>
<strong>Results:</strong> 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). <span dir="RTL"></span><br>
<strong>Conclusion:</strong> 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.
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مداخله مبتنی بر سرمایه های روان شناختی, مداخله شناختی_ رفتاری, افسردگی.
psychological capital Intervention, Cognitive-behavioral intervention, Depression.
0
0
http://jdisabilstud.org/browse.php?a_code=A-10-2266-1&slc_lang=fa&sid=1
abbas
Mokhtari
عباس
مختاری
mokhtari_20001@yahoo.com
100319475328460042736
100319475328460042736
No
isfahan university
دانشگاه اصفهان
Mohammadbagher
Kajbaf
محمد باقر
کجباف
m.kajbaf2006@gmail.com
100319475328460042737
100319475328460042737
Yes
isfahan university
دانشگاه اصفهان
Mohammadreza
Abedi
محمد رضا
عابدی
dr.mr.abedi@gmail.com
100319475328460042738
100319475328460042738
No
isfahan university
دانشگاه اصفهان