چکیده:
مقدمه: هدف پژوهش حاضر مقایسه درمان مبتنی بر پذیرش و تعهد و توانبخشی شناختی حافظه فعال بر اضطراب و افسردگی در دختران 25 تا 35 سال بود. روش پژوهش نیمه آزمایشی با طرح پیش آزمون- پس آزمون- پیگیری و با گروه گواه بود. روش کار: جامعه آماری این پژوهش شامل تمام دختران مراجعه کننده به مراکز روانشناختی و مشاوره شهرستان سبزوار در سال 1398 بودهاند که از این مراجعان 45 نفر به صورت در دسترس انتخاب و با تصادفی سازی در 2 گروه آزمایش و 1 گروه گواه قرار گرفتند. مشارکت کنندگان در پژوهش حاضر برای پیش آزمون- پس آزمون- پیگیری مورد ارزیابی قرار گرفتند و به پرسشنامه چهار سامانهای اضطراب و پرسشنامه افسردگی بک پاسخ دادند. مشارکت کنندگان دو گروه مداخله تحت 8 جلسه درمان مبتنی بر پذیرش و تعهد و 10 جلسه توانبخشی شناختی حافظه فعال قرار گرفتند. یافتهها: نتایج به دست آمده در پژوهش حاضر نشان داد هردو مداخله درمان مبتنی بر پذیرش و تعهد و توانبخشی شناختی حافظه فعال نسبت به گروه کنترل بر متغیر اضطراب (001/0=P) و متغیر افسردگی (001/0=P) اثر کاهنده داشته است. در مقایسه میان درمان مبتنی بر پذیرش و تعهد و توانبخشی شناختی حافظه فعال در تأثیر بر متغیر اضطراب مشاهده شده است که درمان مبتنی بر پذیرش و تعهد اثربخشی بیشتری نسبت به توانبخشی شناختی حافظه فعال بر کاهش اضطراب دختران داشته است. نتیجهگیری: نتایج حاصل از پژوهش حاضر نشان داد هر دو مداخله درمان مبتنی بر پذیرش و تعهد و توانبخشی شناختی حافظه فعال بر کاهش اضطراب و افسردگی دختران مؤثر هستند و درمان مبتنی بر پذیرش و تعهد اثربخشی بیشتری نسبت به توانبخشی شناختی حافظه فعال بر کاهش اضطراب دختران داشته است.
Introduction: Severe anxiety and depression lead to deficits in executive functions and cognitive abilities, have a detrimental effect on working memory capacity, and reduce its efficiency. Also cognitive dysfunction; It will lead to depression and anxiety. One of the indirect methods used to improve the level of various cognitive skills is computer cognitive games. Cognitive rehabilitation of working memory is a way to restore lost cognitive capacities; which is done by exercises and providing purposeful stimuli and its purpose is to improve the individualchr(chr(chr('39')39chr('39'))39chr(chr('39')39chr('39')))s cognitive function. Acceptance and commitment therapy, which is used to treat depression and anxiety, focuses on accepting pain rather than avoiding and suppressing distressing factors based on personal values. The goal of this intervention is to create more flexible responses to lifechr(chr(chr('39')39chr('39'))39chr(chr('39')39chr('39')))s challenges, pain, and acceptance of symptoms instead of eliminating them themselves. The aim of this study was to compare the acceptance and commitment based therapy and cognitive rehabilitation of working memory on anxiety and depression in girls aged 25 to 35 years. The research method was quasi-experimental with pre-test-post-test design and follow-up with a control group.
Methods: The statistical population of this study included all girls referred to psychological and counseling centers in Sabzevar in 2019 that of these clients 45 people were randomly selected and randomly divided into 2 experimental groups and 1 control group. Participants in the present study were evaluated for pre-test-post-test-follow-up and answered the Four Anxiety Systems Questionnaire and the Beck Depression Inventory. Participants of the two intervention groups underwent 8 session of acceptance and commitment based therapy and 10 session rehabilitation cognitive rehabilitation of working memory.
Results: The results of the present study showed that both therapies based on acceptance and commitment and cognitive rehabilitation of working memory compared to the control group had a reducing effect on anxiety (P=0.001) and depression (P=0.001). In comparison between acceptance and commitment-based therapy and cognitive rehabilitation of working memory in affecting the anxiety variable, it has been observed that acceptance and commitment-based therapy has been more effective than cognitive rehabilitation of working memory in reducing anxiety in girls.
Conclusion: The results of the present study showed that both interventions, acceptance and commitment based therapy and cognitive rehabilitation of working memory are effective in reducing anxiety and depression in girls and acceptance and commitment-based therapy has been more effective than cognitive rehabilitation of working memory in reducing girlschr(chr(chr('39')39chr('39'))39chr(chr('39')39chr('39'))) anxiety. One of the practical implications of the present study is the effectiveness of commitment and acceptance therapy and cognitive rehabilitation of working memory on anxiety and depression and its correlations, so it is suggested that these therapies be used in the treatment of anxious and depressed people. Today, cognitive rehabilitation of working memory is more widely used due to the side effects of taking drugs and their high cost. Also, it seems that computer cognitive games are a new chapter in developing the skills of anxious and depress people in early interventions and can affect their cognitive, behavioral and emotional skills. Therefore, enriching the environment and laying the groundwork for computer cognitive games is likely to help grow and improve executive functionality.