اثربخشي فوتو توريسم در كنترل علايم اختلال افسردگي فصلي

Effectiveness of phototourism in control of seasonal affective disorder symptom

مطالعات حوزه هواشناسي زيستي بر اساس ديدگاهي ميان‌رشته‌اي به بررسي تاثير رويدادهاي اقليمي بر رفتار انسان مي‌پردازد و گزارش مي‌دهد كه با توجه به شيوع بالاي اختلال افسردگي فصلي به دليل اقليم سرد، باراني و كم آفتاب در بسياري از مناطق اروپايي براي كنترل رنج ناشي از اين مشكل رواني و به دليل عدم دسترسي، به محيط آفتابي طبيعي از شيوه‌هاي پُرعوارض مانند لامپ‌هاي طبي مصنوعي استفاده مي‌كنند. طرح تجربي پيش آزمون، پس آزمون و پيگيري حاضر با هدف مطالعه اثربخشي نور درماني به شيوه ابداعي فوتو توريسم در مناطق جنوبي ايران بر روي مبتلايان به اختلال افسردگي فصلي انجام‌شده و 14 نفر از مبتلايان به اختلال افسردگي فصلي بر اساس شاخص‌هاي غربالگري DSM-IV-TR، ابزار SCID-I و2BDI- به روش نمونه‌گيري هدفمند انتخاب و به 2 گروه تقسيم شدند. نتايج نشان داد كه نور درماني طبيعي به شيوه فوتو توريسم در گروه 7 نفري مورد مطالعه موجب كاهش معنادارتر علايم افسردگي فصلي در اين بيماران شد(با ميانگين اثربخشي درماني 86/64%) كه نتايج درماني از نظر عود اختلال در يك نوبت پيگيري 2 ماهه پس از فرآيند خروج از منطقه گردشگري آفتابي دوام نسبتاً مناسبي داشت. با مقايسه ميزان كارآيي باليني نور درماني طبيعي در زمينه گردشگري در كاهش علايم خلقي و كنترل ميزان عود در بيماران افسرده طي زمان موثرتر از رفتاردرماني شناختي بوده است.

Biometeorology is the interdisciplinary field of science that studies the interactions between the climate and human behavior. seasonal affective disorder (SAD) is a form of depression that occurs in the fall and winter months, rainy and loss of sun light. The present study aimed to examine the effectiveness of photo therapy based on tourism in the control of SAD (seasonal affective disordr). SAD or winter depression is considered a clinical subtype of mood disorder. SAD and photo therapy were identified from basic studies of circadian and seasonal rhythms. A total of 14 patients suffering from seasonal affective disorder, were recruited through the administration of structured DSM-IV (SCID), and using purposive sampling and subsequent to being qualified in accordance with therapeutic conditions, they underwent the treatment process. The study employed a pretest, post-test, follow-up design and the patients in the study received a 5-month. Beck Depression Inventory (BDI-II) and daily mood checklist were the research tools. Repeated single case measurements were employed to analyze the data. Recovery percentage was also applied to measure the clinical significance. The data analysis revealed that photo therapy based on tourism led to significant reductions in winter depression symptoms. Moreover, there was no lessening of effectiveness with recovery rates in the follow-up study, two month after the treatment. The large positive treatment effects found in the photo therapy based on tourism, alleviating the severe symptoms of suffering a relapse in SAD patients and achieving clinically significant and relevant improvement exposed of sun. phototourism on negative mood symptoms and control recurrence in depressed patients during was more effective than cognitive behavioral therapy (CBT).