تاثیر برنامه توان‌بخشی شناختی بر کنترل شناختی و حل مسأله در زنان مبتلا به چاقی

نویسندگان
گروه روانشناسی ،واحد ارومیه، دانشگاه آزاد اسلامی، ارومیه،ایران
چکیده
مشکلات شناختی و عصب روان‌شناختی در سیر، پیش‌آگاهی و درمان بیماری چاقی نقش ویژه‌ای دارند. پژوهش حاضر با هدف طراحی و اعتبار سنجی برنامه توان‌بخشی شناختی و تأثیر آن بر کنترل شناختی و حل مسأله زنان چاق انجام شد. پژوهش حاضر در قالب یک طرح آزمایشی با پیش‌آزمون- پس‌آزمون همراه با گروه کنترل و پیگیری انجام شد. شرکت‌کنندگان در این مطالعه شامل 40 بیمار زن مبتلا به چاقی ساکن شهر ارومیه بودند که به‌طور تصادفی در دو گروه توان‌بخشی شناختی (20n=) و کنترل (20n=) تخصیص یافتند. گروه آزمایش در 16 جلسه مداخله توان‌بخشی شناختی را دریافت و مقیاس درجه‌بندی رفتاری کارکردهای اجرایی- فرم بزرگسال BRIEF-A، آزمون انعطاف‌پذیری شناختی و برج لندن در مراحل پیش‌آزمون، پس‌آزمون و پیگیری برای دو گروه اجرا و یافته‌های به دست آمده با استفاده از آزمون تحلیل واریانس آمیخته مورد تجزیه‌وتحلیل قرار گرفت. همچنین پس از اتمام دوره گروه کنترل نیز مداخله توان‌بخشی شناختی را دریافت کردند. نتایج به دست آمده نشان دهنده عملکرد بهتر گروه آزمایش در متغیرهای کنترل شناختی (بازداری، حافظه کاری و انعطاف‌پذیری شناختی) و زیر مؤلفه‌های حل مسأله در مرحله پس‌آزمون و پیگیری نسبت به گروه کنترل بود. بدین معنا که گروه آزمایش که مداخلۀ توان‌بخشی شناختی را دریافت کردند، در مرحلۀ پس‌آزمون و پیگیری در مؤلفه‌های مطرح شده عملکرد بهتری نشان دادند. درمجموع از یافته‌های به دست آمده می‌توان چنین نتیجه‌گیری کرد که مداخله توان‌بخشی شناختی به عنوان یک گزینه درمانی کارآمد و مؤثر می‌تواند تأثیرات مثبت و پیامدهای شناختی- آموزشی قابل‌توجهی برای بیماران مبتلا به چاقی پی داشته باشد. ازاین‌رو متخصصین، پژوهشگران و درمان گران این حوزه می‌توانند از این مداخله به‌عنوان یک گزینه مؤثر درمانی جهت ارتقاء کارکردهای شناختی و عصب روان‌شناختی بیماران چاق و دارای اضافه‌وزن و به‌تبع آن بهبود شاخص­های سلامت روان و کیفیت زندگی این بیماران استفاده کنند.
کلیدواژه‌ها

عنوان مقاله English

Designing and validating the Cognitive Rehabilitation Program and effect on Cognitive Control and Problem Solving in Women with Obesity

نویسندگان English

shilan Shokri
Farnaz Farshbaf Manisefat
Ali Khademi
Islamic Azad University Branch of Urmia, Iran.
چکیده English

Abstract

Cognitive and neuropsychological problems play a special role in the course, prognosis, and treatment of obesity. The present study was conducted with the aim of designing and validating the Cognitive rehabilitation program and its effect on cognitive control and Problem-solving in women with obesity. The present study was conducted in the form of an experimental design with a pretest-posttest with a control group and follow-up. Participants in this study included 40 female obese patients living in Urmia who were randomly assigned to two groups cognitive rehabilitation (n = 20) and control (n = 20). The experimental group received cognitive rehabilitation intervention in 16 sessions and the BRIEF-A, cognitive flexibility test, and London tower in the pre-test, post-test, and follow-up stages for both groups were used and the findings were analyzed using a mixed analysis of variance test. Took. Also, after completing the course, the control group received cognitive rehabilitation intervention. The results showed better performance of the experimental group in cognitive control variables (inhibition, working memory, and cognitive flexibility) and problem-solving sub-components in the post-test and follow-up stage than the control group. This means that the experimental group that received the cognitive rehabilitation intervention performed better in the proposed components in the post-test and follow-up phase. Taken from the findings, it can be concluded that cognitive rehabilitation intervention as an effective and efficient treatment option can have positive effects and significant cognitive-educational consequences for patients with obesity. Therefore, specialists, researchers, and therapists in this field can use this intervention as an effective treatment option to improve the cognitive functions and psychological neuropathy of obese and overweight patients and consequently improve the mental health and quality of life of these patients.




کلیدواژه‌ها English

Keywords: cognitive rehabilitation
Cognitive Control
problem solving
Obesity
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