مقایسه اثر بخشی درمانگری شناختی– رفتاری(CBT) و درمانگری فعال سازی رفتاری(BAT) در اصلاح عملکرد شناختی ( حافظه کاری و زمان واکنش ساده(SRT)) سوء مصرف کنندگان هروئینی در افغانستان

نویسندگان
1 دانشگاه تربیت مدرس
2 دانشگاه خوارزمی
3 دانشگاه فردوسی مشهد
چکیده
پژوهش حاضر با هدف مقایسه اثربخشی درمانگری شناختی– رفتاری(CBT) و درمانگری فعال سازی رفتاری(BAT) در اصلاح عملکرد شناختی ( حافظه کاری و زمان واکنش ساده(SRT)) سوء مصرف کنندگان هروئین در افغانستان انجام شده است.

بدین منظور در قالب یک طرح شبه آزمایشی دو گروهی با پیش آزمون و آزمون نهایی تعداد 30 نفر از سوء مصرف کنندگان هروئینی مراجعه کننده به مرکز ترک اعتیاد طبیبان جهانی کابل به روش در دسترس انتخاب و با استفاده از روش تصادفی ساده در دو گروه آزمایشی یک (CBT) و آزمایشی دو (BAT) جایگزین شدند. هر دو گروه در ابتدا با استفاده از آزمون حافظه فعال (WMI) از زیر مقیاس­های حافظه وکسلر (ویرایش سوم) و نرم افزار استروپ، حافظه کاری و زمان واکنش آنان ارزیابی گردید. سپس گروه آزمایشی یک درمان شناختی رفتاری و گروه دو درمان فعال سازی رفتاری طی 10 جلسه درمان گروهی را دریافت نمودند. در پایان مجدداً بواسطه آزمون های فوق مورد ارزیابی قرار گرفتند.

تجزیه و تحلیل یافته ها نشان دهنده تفاوت معناداری در عملکرد حافظه کاری و زمان واکنش ساده هر دو گروه می باشد. این یافته‏ها نشان می­دهند که درمانگری رفتاری- شناختی بر بهبود حافظه کاری و درمانگری فعال سازی رفتاری بر کاهش زمان واکنش افراد وابسته به هروئین اثر بخش­تر می­باشد. بنابر این هر دو روش درمانگری در اصلاح عملکرد شناختی برای افراد وابسته به هروئین قابل کاربرد است.
کلیدواژه‌ها

عنوان مقاله English

Comparison of the effectiveness of Cognitive Behavioral Therapy (CBT) and Behavioral Activation Therapy (BAT) in the improvement of cognitive functions (working memory and simple reaction time) in the heroin abusers in Afghanistan

نویسندگان English

D. Hezaree 1
K. Rasulzadeh 1
A. R. Moradi 2
M. J. Asgari 3
چکیده English

The present research aims at comparing the effectiveness of Cognitive Behavioral Therapy (CBT) and Behavioral Activation Therapy (BAT) in the improvement of cognitive functions (working memory and simple reaction time) in the heroin abusers in Afghanistan.

To this end, through a semi-experimental design including two groups with pre test and post test, 30 heroine abusers referring to the abstinence center of Universal Kabul Physicians were selected by the availability sampling and were then divided into the two groups of experimental 1 (CBT) and expeerimental2 (BAT). Both groups were first administered the Working Memory Inventory, one of the subscales of Wexler Memory Test (the third edition) and the Stroop software to be evaluated on the working memory and the reaction time. Then the experimental group1 was administered cognitive behavioral therapy and the experimental group2 was administered behavioral activation therapy within 10 sessions of group therapy.

The analysis of the findings indicates that there is a significant difference between the two groups in terms of working memory and simple reaction time. The findings indicate that behavioral –cognitive therapy is more effective in the improvement of working memory and the behavioral activation therapy is more effective in the decrease of the reaction time of heroine abusers. Therefore, both therapy methods are applicable in the improvement of cognitive functions for heroine abusers.

کلیدواژه‌ها English

cognitive behavioral therapy
behavioral activation therapy
addiction
reaction time
working memory
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