اثربخشی شناخت درمانی مبتنی بر ذهن آگاهی بر افسردگی، کیفیت زندگی و میزان کورتیزول سرم در افراد افسرده

فصلنامه زیست شناسی جانوری

دوره 14، شماره 4، شهریور 1401، صفحه 153-169   

نوع مقاله: مقالات پژوهشی

شناسه دیجیتال (DOI): 10.22034/ascij.2022.1944394.1336

نویسندگان

زهرا علیایی¹؛ مسعود محمدی^{* 1}؛ کاظم انوری²؛ سید ابراهیم حسینی³

¹گروه روان شناسی بالینی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز، ایران.

²مرکز تحقیقات سرطان، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

³گروه آموزشی فیزیولوژی، واحد شیراز، دانشکده علوم، موسسه آموزش عالی زند شیراز، شیراز، ایران

چکیده

افسردگی در حال حاضر یک بیماری مزمن شایع در اغلب جوامع سراسر جهان است که می‌تواند عملکرد نرمال را مختل کند، افکار افسردگی ایجاد کرده و بر کیفیت زندگی تاثیر منفی بگذارد. هدف از پژوهش حاضر، بررسی اثربخشی شناخت درمانی مبتنی بر ذهن‌آگاهی بر کیفیت زندگی، افسردگی و میزان کورتیزول در افراد مبتلا به افسردگی است.۳۰ زن مبتلا به افسردگی به طور داوطلبانه انتخاب و به صورت تصادفی به دو گروه تجربی(15نفر) و کنترل (15نفر) تقسیم شدند. برای آزمودنی­های گروه تجربی جلسات درمانی به مدت هشت جلسه 90 دقیقه­ای در هفته برگزار گردید و گروه گواه هیچ درمانی دریافت نکردند. برای اندازه گیری متغیرها از پرسش نامه های افسردگی بک ((BDI-II و کیفیت زندگی SF36 در دو نوبت (قبل و بعد درمان) استفاده شد و به منظور بررسی اندازه­گیری سطح کورتیزول، نمونه گیری خون بین ساعت 8 الی 10صبح  قبل از شروع اولین و بعد از آخرین جلسه درمان به عمل آمد. برای تحلیل داده ها از آزمون آماری تحلیل کواریانس استفاده شد. نتایج نشان داد که شناخت درمانی مبتنی بر ذهن آگاهی در مرحله پیش آزمون- پس آزمون باعث کاهش افسردگی و کورتیزول به ترتیب از میزان 87/23 و 48/14 به 13/10 و 95/11 و افزایش کیفیت زندگی از میزان 90/32 به 52/83  در گروه آزمایش شد (001/0 > p). بر اساس یافته­های تحقیق حاضر می­توان چنین نتیجه گیری کرد که شناخت درمانی مبتنی بر ذهن اگاهی می تواند وضعیت روانی و کیفیت زندگی بیماران مبتلا به افسردگی را بهبود بخشد.

کلیدواژه‌ها

شناخت درمانی مبتنی بر ذهن آگاهی؛ کیفیت زندگی؛ کورتیزول؛ افراد افسرده

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