اثربخشی مداخله کوتاه‌مدت کارکرد اجرایی مضاعف بر حل مسئله، تنظیم هیجان و توجه انتخابی در بیماران آسیب مغزی تروماتیک

نویسندگان
سمیرا نصرآبادی 1
سید محمد حسین موسوی نسب 1
قاسم عسکری زاده 1
محسن شهبا 2
1 دانشگاه شهید باهنر کرمان
2 دانشگاه علوم پزشکی کرمان
1052547/jcp.9.3.16
چکیده
بدعملکردی کارکرد اجرایی یکی از مشخصه های آسیب مغزی تروماتیک (TBI) است و با عوارض قابل توجهی همراه است. نقص در حل مسئله،تنظیم هیجان و توجه از متداول‌ترین پدیده‌های بعد از آسیب مغزی می‌باشد. پژوهش حاضر با هدف بررسی اثربخشی مداخله کوتاه‌مدت کارکرد اجرایی مضاعف بر حل مسله، تنظیم هیجان و توجه انتخابی در بیماران آسیب مغزی تروماتیک صورت گرفت. در یک طرح نیمه آزمایشی با پیش آزمون – پس آزمون توام با گروه کنترل، و با استفاده از روش نمونه گیری هدفمند،20 آزمودنی دچار آسیب مغزی به صورت تصادفی در دو گروه آزمایشی و کنترل جایگزین شدند (10نفر در گروه آزمایش و10نفر درگروه گواه). پس از اجرای پیش آزمون گروه آزمایش مداخله کوتاه‌مدت کارکرد اجرایی مضاعف را طی 8 جلسه 90 دقیقه‌ای دریافت کرد در حالی‌که گروه کنترل مداخله‌ای دریافت نکرد. سنجش در دو مرحله ی پیش آزمون– پس آزمون و با استفاده از مجموعه آزمون‌های نرم افزاری برج لندن، استروپ و پرسشنامه تنظیم هیجان جان و گراس(2003) انجام شد. جهت تحلیل داده‌ها از روش تحلیل کواریانس استفاده گردید. نتایج نشان داد که بین گروه آزمایش، نسبت به گروه گواه، تفاوت معناداری در میانگین نمرات، در پس آزمون در تمام متغیرها وجود دارد. بنابراین می‌توان نتیجه گرفت مداخله کوتاه‌مدت کارکرد اجرایی مضاعف، اثر بخشی چشمگیری بر بهبود توجه، تنظیم هیجان و حل مسئله افراد آسیب مغزی تروماتیک دارد.
کلیدواژه‌ها
مداخله کوتاه‌مدت کارکرد اجرایی مضاعف
حل مسئله
تنظیم هیجان
توجه انتخابی
آسیب مغزی تروماتیک

عنوان مقاله English

The Effectiveness of the Short-Term Executive Plus Intervention on Problem Solving, Emotion Regulation and Selective attention in Traumatic Brain Injury Patients

نویسندگان English

Samira Nasr Abadi 1
S. M. Hossein Mousavi Nasab 1
Ghasem Askari Zadeh 1
Mohsen Shahba 2
1 Shahid Bahonar University of Kerman
2 Kerman University of Medical Sciences
چکیده English

Executive dysfunction is a hallmark of traumatic brain injury (TBI) and is associated with significant complications. Deficiency in problem-solving, emotion regulation, and attention is one of the most common phenomena after brain injury. This study aimed to evaluate the effectiveness of short-term intervention of dual executive function on problem-solving, emotion regulation, and selective attention in patients with traumatic brain injury. This quasi-experimental design used pre-test and post-test with a control group. Twenty subjects with brain injury were selected with the Purposive sampling method. They were randomly entered into two experimental and control groups (10 in the experimental group and 10 in the control group). After performing the pre-test, the experimental group received the short-term intervention and double executive function in 8 sessions of 90 minutes, while the control group did not receive any intervention. The assessment was performed in two stages of pre-test-post-test using a set of software tests of the Tower of London, Stroop and John and Gross (2003) Emotion Regulation Questionnaire. Analysis of covariance was used to analyze the data. The results showed a significant difference in the mean scores between the experimental group and the control group in all variables after the test. Therefore, it can be concluded that short-term intervention of dual executive function has a significant effect on improving attention, emotion regulation, and problem-solving in people with traumatic brain injury.

کلیدواژه‌ها English

Short-Term Executive Plus Intervention
problem solving
emotion regulation
Selective attention
Traumatic Brain Injury
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