تأثیر روش بهزیستی درمانی بر نشانگان بالینی بیماران مبتلا به اختلال افسردگی اساسی

نویسندگان
1 گروه علوم تربیتی، دانشکده علوم انسانی، دانشگاه آزاد اسلامی، واحد نیشابور، نیشابور، ایران
2 گروه مشاوره و روانشناسی، دانشگاه آزاد اسلامی، واحد قوچان، قوچان، ایران
چکیده
مقدمه

هدف از این مطالعه بررسی اثر بخشی روش درمانی "بهزیستی درمانی" بر نشانگان بالینی در بیماران مبتلا به افسردگی اساسی به صورت یک کارآزمایی بالینی تصادفی شده بود. مواد و روش­ها

این مطالعه کارآزمایی بالینی تصادفی شده بر روی بیماران دارای افسردگی اساسی مراجعه کننده به کلینیک روانشناختی شمیم شهر بجنورد در بازه زمانی آبان تا بهمن 1397 انجام شد. افراد دارای معیار ورود به مطالعه با روش تصادفی سازی بلوکی در دو گروه مداخله و کنترل قرار گرفتند. شرکت کنندگان در گروه مداخله تحت آموزش با روش بهزستی درمانی در 8 جلسه 50 دقیقه ای 1 بار در هفته قرار گرفته و گروه کنترل تحت هیچ آموزشی قرار نگرفت. هر دو گروه قبل و بعد از مطالعه و دو ماه پس از آن با پرسشنامه افسردگی بک ویرایش دوم (BDI-II) مورد بررسی قرار گرفتند. داده ها با روش T-test مستقل و Generalized Estimating Equation (GEE) در برنامه آماری STATA12 تحلیل شدند.

یافته­ها

در کل 24 نفر معیار های ورود به مطالعه را دارا بودند که در هر گروه 12 نفر به طور تصادفی قرار گرفتند. نتایج آزمون T-test مستقل تفاوت آماری معنی داری بین میانگین نمره افسردگی گروه های تحت مطالعه پس از انجام مطالعه، و در دوره پیگیری نشان داد (P-value<0.05). همچنین نتایج آزمون GEE نشان داد که در گروه بهزیستی درمانی متوسط کاهش نمره افسردگی نسبت به گروه کنترل 90/10 نمره است (p-value<0.001).

نتیجه­گیری

نتایج این مطالعه نشان داد که بهزیستی درمانی می تواند در کاهش افسردگی بیماران مبتلا به افسردگی اساسی اثر بخش باشد.
کلیدواژه‌ها

عنوان مقاله English

The Effect of well-being therapy method on the clinical syndrome of patients with major depressive disorder

نویسندگان English

Hasan Sarabandi 1
Hassan Toozandehjani 1
Hamid Nejat 2
1 Department of Psychology, School of Humanities, Neyshabur Branch, Islamic Azad University, Neyshabur, Iran
2 Department of Psychology, Quchan Branch, Islamic Azad University, Quchan, Iran
چکیده English

Introduction

This study aimed to evaluate the effectiveness of the “well-being therapy" method on the clinical syndrome in patients with major depression as a randomized clinical trial.

Materials and Methods

This randomized clinical trial study was performed on patients with major depression who referred to the psychological clinic of Shamim, Bojnurd city in the period from November 2018 to February 2019 years. Participants eligible to enter the study were assigned to the intervention and control groups with a random block method. In the intervention group, Well-being therapy was performed in 8 sessions of 50 minutes and once a week, and the control group did not receive any treatment. Both groups were evaluated before and after the study and two months later by the Second Depression Beck Depression Inventory (BDI-II). Data were analyzed by T-test independent and generalized estimation equations (GEE) in STATA12 statistical.

Results

A total of 24 subjects had inclusion criteria in which 12 participants were randomly assigned to each group. Independent T-test results showed a significant difference between the mean depression scores of the groups after the study and the follow-up period (P-value <0.05). The results of the GEE test showed that in the well-being group, the mean depression scores decreased 10.90 rather than the control group (p-value <0.0001).

Conclusion

The results of this study showed that well-being therapy can be effective in reducing depression in patients with major depression.

کلیدواژه‌ها English

Major Depression
Well-being Therapy
Positive psychology
Clinical syndrome
1. Veerman JL, Dowrick C, Ayuso-Mateos JL, Dunn G, Barendregt JJ. Population prevalence of depression and mean Beck Depression Inventory score. Br J Psychiatry. 2009;195(6):516-9.
2. American Psychological Association. Summit on women and depression: Proceedings and recommendations. Washington, DC: Am Psychol. 2002.
3. Berardi D, Leggieri G, Ceroni GB, Rucci P, Pezzoli A, Paltrinieri E, et al. Depression in primary care. A nationwide epidemiological survey. Fam Pract. 2002;19(4):397-400.
4. Compton WM, Conway KP, Stinson FS, Grant BF. Changes in the prevalence of major depression and comorbid substance use disorders in the United States between 1991–1992 and 2001–2002. Am J Psychiatry. 2006;163(12):2141-7.
5. Bromet E, Andrade LH, Hwang I, Sampson NA, Alonso J, De Girolamo G, et al. Cross-national epidemiology of DSM-IV major depressive episode. BMC med. 2011;9(1):90.
6. Otte C, Gold SM, Penninx BW, Pariante CM, Etkin A, Fava M, et al. Major depressive disorder. Nat Rev Dis Primers. 2016;2:16065.
7. Whooley MA, Wong JM. Depression and cardiovascular disorders. Annu Rev Clin Psychol. 2013;9:327-54.
8. Seedat S, Scott KM, Angermeyer MC, Berglund P, Bromet EJ, Brugha TS, et al. Cross-national associations between gender and mental disorders in the World Health Organization World Mental Health Surveys. Arch Gen Psychiatry. 2009;66(7):785-95.
9. Chesney E, Goodwin GM, Fazel S. Risks of all-cause and suicide mortality in mental disorders: a meta-review. World Psychiatry. 2014;13(2):153-60.
10. World Health Organization. WHO releases progress in national suicide prevention strategies 2016. Available from: https://www.who.int/mental_health/suicide-prevention/en/.
11. Cuijpers P, Smit F, Bohlmeijer E, Hollon SD, Andersson G. Efficacy of cognitive-behavioural therapy and other psychological treatments for adult depression: meta-analytic study of publication bias. Br J Psychiatry. 2010;196(3):173-8.
12. Cuijpers P, Geraedts AS, van Oppen P, Andersson G, Markowitz JC, van Straten A. Interpersonal psychotherapy for depression: a meta-analysis. Am J Psychiatry. 2011;168(6):581-92.
13. Barth J, Munder T, Gerger H, Nuesch E, Trelle S, Znoj H, et al. Comparative efficacy of seven psychotherapeutic interventions for patients with depression: a network meta-analysis. PLoS Med. 2013;10(5):e1001454.
14. Jahoda M. Current concepts of positive mental health. 1958. Stratford: Ayer Company Publishers. 1999.
15. Fava GA, Rafanelli C, Cazzaro M, Conti S, Grandi S. Well-being therapy. A novel psychotherapeutic approach for residual symptoms of affective disorders. Psychol Med. 1998;28(2):475-80.
16. Sin NL, Lyubomirsky S. Enhancing well‐being and alleviating depressive symptoms with positive psychology interventions: A practice‐friendly meta‐analysis. J Clin Psychol. 2009;65(5):467-87.
17. Ryan RM, Deci EL. On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. Annu Rev Psychol. 2001;52(1):141-66.
18. Moeenizadeh M, Kumar SKK. Well-being therapy (WBT) for depression. Int J Psychol Stud. 2010;2(1):107.
19. Fava GA, Cosci F, Guidi J, Tomba E. Well-being therapy in depression: New insights into the role of psychological well-being in the clinical process. Depress Anxiety. 2017;34(9):801-8.
20. Moeenizadeh M, Zarif H. The Efficacy of Well-Being Therapy for Depression in Infertile Women. Int J Fertil. 2017;10(4):363-70.
21. Pirnia B, Mansour S, Najafi E, Reyhani R. Effectiveness of Well Being Therapy on Symptoms of Anxiety, Stress and Depression in Men on Therapeutic-Community. Community Health Journal. 2016;10(4):47-56. [Persioan].
22. Schulz KF, Altman DG, Moher D. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMC med. 2010;8(1):18.
23. Beck AT, Steer RA, Ball R, Ranieri W. Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients. J Pers Assess. 1996;67(3):588-97.
24. Dobson KS. Parvaneh MK. Psychometric Co-ordinates of Beck Depression Inventory in patients with major depressive disorder during Relapse 8. 2007.[Persion].
25. Wood AM, Joseph S. The absence of positive psychological (eudemonic) well-being as a risk factor for depression: a ten year cohort study. J Affect Disord. 2010;122(3):213-7.
26. Fava GA, Ruini C, Rafanelli C, Finos L, Salmaso L, Mangelli L, et al. Well-being therapy of generalized anxiety disorder. Psychother Psychosom. 2005;74(1):26-30.
27. Fava GA, Rafanelli C, Cazzaro M, Conti S, Grandi S. Well-being therapy. A novel psychotherapeutic approach for residual symptoms of affective disorders. Psychological medicine. 1998;28(2):475-80.
28. Fava GA. Well-being therapy: Treatment manual and clinical applications: Karger Medical and Scientific Publishers; 2016.