اثربخشي شناخت درماني مبتني بر ذهن آگاهي بر افكار خودآيند منفي و مشكلات خواب دانش آموزان دختر داراي اختلال افسردگي

Effectiveness of mindfulness-based cognitive therapy on negative automatic thoughts and sleep problems in female student with Depression Disorder

ﻫﺪف از ﭘﮋوﻫﺶ ﺣﺎﺿﺮ، ﺑﺮرﺳﯽ اﺛﺮﺑﺨﺸﯽ ﺷﻨﺎﺧﺖدرﻣﺎﻧﯽ ﻣﺒﺘﻨﯽ ﺑﺮ ذﻫﻦآﮔﺎﻫﯽ ﺑﺮ اﻓﮑﺎر ﺧﻮدآﯾﻨﺪ ﻣﻨﻔﯽ و ﻣﺸﮑﻼت ﺧﻮاب داﻧﺶآﻣﻮزان دﺧﺘﺮ داراي اﺧﺘﻼل اﻓﺴﺮدﮔﯽ ﺑﻮد. ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﻧﯿﻤﻪآزﻣﺎﯾﺸﯽ ﺑﺎ ﻃﺮح ﭘﯿﺶآزﻣﻮن- ﭘﺲآزﻣﻮن ﺑﺎ ﮔﺮوه ﮐﻨﺘﺮل ﺑﻮد. ﺟﺎﻣﻌﻪ آﻣﺎري ﺷﺎﻣﻞ داﻧﺶآﻣﻮزان دﺧﺘﺮ ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼل اﻓﺴﺮدﮔﯽ ﺷﻬﺮ ﺗﻬﺮان در ﺳﺎل ﺗﺤﺼﯿﻠﯽ 1397-98 ﺑﻮد. در اﯾﻦ ﭘﮋوﻫﺶ، ﺗﻌﺪاد 30 داﻧﺶآﻣﻮز دﺧﺘﺮ ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼل اﻓﺴﺮدﮔﯽ ﺑﺎ روش ﻧﻤﻮﻧﻪﮔﯿﺮي ﻫﺪﻓﻤﻨﺪ اﻧﺘﺨﺎب و ﺑﺎ ﮔﻤﺎرش ﺗﺼﺎدﻓﯽ در ﮔﺮوهﻫﺎي آزﻣﺎﯾﺶ و ﮐﻨﺘﺮل ﮔﻤﺎرده ﺷﺪﻧﺪ )15 داﻧﺶآﻣﻮز در ﮔﺮوه آزﻣﺎﯾﺶ و 15 داﻧﺶآﻣﻮز در ﮔﺮوه ﮐﻨﺘﺮل(. ﮔﺮوه آزﻣﺎﯾﺶ ﻣﺪاﺧﻠﻪ ﺷﻨﺎﺧﺖدرﻣﺎﻧﯽ ﻣﺒﺘﻨﯽ ﺑﺮ ذﻫﻦآﮔﺎﻫﯽ )ﺳﮕﺎل، وﯾﻠﯿﺎﻣﺰ و ﺗﯿﺰدل، 2002( را ﻃﯽ دو ﻣﺎه در 8 ﺟﻠﺴﻪ 75 دﻗﯿﻘﻪاي درﯾﺎﻓﺖ ﻧﻤﻮدﻧﺪ. اﺑﺰارﻫﺎي ﺳﻨﺠﺶ ﺷﺎﻣﻞ ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎي اﻓﺴﺮدﮔﯽ )DS(، ﮐﯿﻔﯿﺖ ﺧﻮاب ﭘﺘﺮزﺑﻮرگ )PSQI( و اﻓﮑﺎر ﺧﻮدآﯾﻨﺪ ﻣﻨﻔﯽ )QNS( ﺑﻮد. دادهﻫﺎي ﺣﺎﺻﻞ از ﭘﮋوﻫﺶ ﺑﻪ ﺷﯿﻮه ﺗﺤﻠﯿﻞ ﮐﻮوارﯾﺎﻧﺲ ﭼﻨﺪﻣﺘﻐﯿﺮي ﺑﺎ اﺳﺘﻔﺎده از ﻧﺮماﻓﺰار آﻣﺎري 23-Spss ﻣﻮرد ﺗﺠﺰﯾﻪوﺗﺤﻠﯿﻞ ﻗﺮار ﮔﺮﻓﺖ. ﻧﺘﺎﯾﺞ ﻧﺸﺎن داد ﮐﻪ ﺷﻨﺎﺧﺖدرﻣﺎﻧﯽ ﻣﺒﺘﻨﯽ ﺑﺮ ذﻫﻦآﮔﺎﻫﯽ ﺑﺮ اﻓﮑﺎر ﺧﻮدآﯾﻨﺪ ﻣﻨﻔﯽ )0/0001

The present study was conducted aiming to investigate the effectiveness of mindfulness-based cognitive therapy on negative automatic thoughts and sleep problems in female students with Depression Disorder. It was a quasi-experimental study with pretest, posttest and control group design. The statistical population of the current study included female students with Depression Disorder in Tehran City in the academic year 2018-19. 30 female students with Depression Disorder were selected through purposive sampling method and they were randomly assigned to experiment and control groups (15 students in the experiment and 15 in the control group). The experiment group received mindfulness-based cognitive therapy intervention (Segal, Williams and Tizdel, 2013) during two months in eight seventy-five-minute sessions. The applied questionnaires in this study included Depression Questionnaire (Goldberg, 1972), Negative Automatic Thoughts Questionnaire (Holon and Kenda, 1980) and Sleep Problems Questionnaire (Bois et.al, 1989). The data from the study were analyzed through MANCOVA method using SPSS23 statistical software. The results showed that mindfulness-based cognitive therapy has significant effect on negative automatic thoughts (p<0.001) and sleep (p<0.001) in the students with Depression Disorder. Findings of the present study reveal that mindfulness-based cognitive therapy can be used as an efficient therapy to decrease negative automatic thoughts and sleep problems in the students with Depression Disorder employing techniques such as mindful thoughts, emotions and behavior.