دستاوردهای روانشناسی بالینی

اثربخشی توان‌بخشی شناختی با تحریک الکتریکی مستقیم فرا جمجمه‌ای بر بهبود حافظه کاری دیداری و شنیداری نوجوانان مبتلابه اختلال وسواسی-جبری

https://doi.org/10.22055/jacp.2025.49519.1474
دوره 11، شماره 3
تابستان 1404
صفحه 59-70
دستاوردهای روانشناسی بالینی

نوع مقاله : مقاله پژوهشی

نویسندگان

مجتبی احمدی فارسانی 1
احمد عسگری 2

1 دانش آموخته دکتری، گروه روان شناسی، دانشکده علوم تربیتی و روان شناسی، دانشگاه شهید چمران اهواز، اهواز، ایران

2 کارشناس ارشد، گروه روان شناسی، دانشکده علوم تربیتی و روان شناسی، دانشگاه آزاد اسلامی واحد خوراسگان، اصفهان، ایران

چکیده
پژوهش حاضر باهدف بررسی اثربخشی توان‌بخشی شناختی همراه با تحریک الکتریکی مستقیم فرا جمجمه‌ای بر بهبود حافظه کاری دیداری و شنیداری در نوجوانان مبتلا به اختلال وسواسی- جبری انجام گرفت. روش پژوهش حاضر آزمایشی و از نوع پیش آزمون-پس‌آزمون و پیگیری با گروه کنترل و تخصیص تصادفی آزمودنی‌ها بود. جامعه آماری پژوهش عبارت بود از نوجوانان دختر و پسر (14 تا 18 سال) مبتلابه اختلال وسواسی- جبری شهر اهواز در سال 1401-1400 که از این میان 30 نفر انتخاب و در 2 گروه، آزمایش و کنترل (هر گروه 15 نفر) به‌صورت تصادفی تخصیص داده شدند. شرکت‌کنندگان از طریق آزمون بلوک‌های Corsi و فراخنای ارقام Wechsler مورد ارزیابی قرار گرفتند. پس از ارزیابی، افراد گروه آزمایش 12 جلسه و هر جلسه 45 دقیقه تحت درمان توان‌بخشی شناختی قرار گرفتند که در طول این 45 دقیقه همزمان با انجام تکالیف توان‌بخشی شناختی به مدت 20 دقیقه تحریک الکتریکی مستقیم فرا جمجمه‌ای نیز صورت می‌گرفت. افراد گروه کنترل مداخله‌ای دریافت نکردند. پس از اتمام مداخلات و همچنین پس از 3 ماه شرکت‌کنندگان دوباره مورد ارزیابی قرار گرفتند. برای تحلیل داده‌ها و پاسخ به فرضیه‌های پژوهش از روش تحلیل کوواریانس چند متغیری و همچنین تحلیل کوواریانس تک متغیری استفاده شد. نتایج نشان داد که درمان توان‌بخشی شناختی همراه با تحریک الکتریکی مستقیم فرا جمجمه‌ای می‌تواند به‌صورت معنی‌داری منجر به بهبود حافظه کاری دیداری و شنیداری گردد (05/0>P). توان‌بخشی شناختی همراه با تحریک الکتریکی مستقیم فرا جمجمه‌ای می‌تواند به‌عنوان یکی از درمان‌ها در اختلال وسواسی- جبری مورداستفاده قرار گیرد.

کلیدواژه‌ها

حافظه کاری دیداری
حافظه کاری شنیداری
اختلال وسواسی-جبری
توان‌بخشی شناختی
تحریک الکتریکی مستقیم فرا جمجمه‌ای
نوجوانان
موضوعات

عنوان مقاله English

The Efficacy of Cognitive Rehabilitation Therapy combined with Transcranial Direct Current Stimulation on improving Visual and Auditory Working Memory in Adolescents with Obsessive–compulsive disorder

نویسندگان English

mojtaba ahmadi farsani 1
Ahmad Asgari 2
1 Phd in psychology, department of psychology, shahid chamran university of Ahvaz, Ahvaz, Iran.
2 M. A, Department of psychology, College of Education and Psychology, Islamic Azad University Isfahan (Khorasgan) Branch, Isfahan, Iran.
چکیده English

The present study aimed to investigate the efficacy of cognitive rehabilitation therapy combined with transcranial direct current stimulation (tDCS) on improving visual and auditory working memory in adolescents with obsessive–compulsive disorder (OCD). The research method was experimental, using a pretest–posttest and follow-up design with a control group and random assignment of participants. The statistical population included male and female adolescents (aged 14–18) with OCD in Ahvaz city during the 2021–2022 academic year. A total of 30 participants were selected and randomly assigned to experimental and control groups (15 participants each). Participants were assessed using the Corsi Block-Tapping Test and the Wechsler Digit Span subtest. After the initial assessment, the experimental group underwent 12 sessions (45 minutes each) of cognitive rehabilitation, during which 20 minutes of simultaneous transcranial direct current stimulation was applied in each session. The control group did not receive any intervention. After completing the interventions, as well as three months later, participants were reassessed. Data were analyzed using multivariate and univariate analysis of covariance (MANCOVA and ANCOVA). The results indicated that cognitive rehabilitation combined with transcranial direct current stimulation significantly improved visual and auditory working memory (p < 0.05). Thus, cognitive rehabilitation combined with tDCS can be considered a potential therapeutic approach for treating OCD.
 

کلیدواژه‌ها English

  • Visual working memory
  • Auditory working memory
  • Obsessive–compulsive disorder (OCD)
  • Cognitive rehabilitation
  • Transcranial direct current stimulation (tDCS)
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