اثربخشی آموزش گروهی شناختی- رفتاری مهارت های مراقبت از خود بر علائم مثبت، منفی و آسیب شناسی روانی کلی در بیماران مبتلا به اسکیزوفرنی در بیماران مبتلا به اسکیزوفرنی
محورهای موضوعی : بالینی
مسعود کاشانی لطف آبادی
1
(دانشجوي دکتراي روانشناسي عمومي، گروه روانشناسي، واحد تربت جام، دانشگاه آزاد اسلامي، تربت جام، ايران)
محمد حسین بیاضی
2
(دانشيار، گروه روانشناسي، واحدتربت جام ، دانشگاه آزاد اسلامی، تربت جام ، ایران.)
علی رضا رجایی
3
(دانشیار، گروه روانشناسي، واحد تربت جام، دانشگاه آزاد اسلامی، تربت جام، ایران.)
کلید واژه: درمان شناختی- رفتاری, اسکیزوفرنی, خود- مراقبتی, آموزش,
چکیده مقاله :
این پژوهش با هدف تعیین اثربخشی آموزش گروهی شناختی – رفتاری مهارت های مراقبت از خود بر علائم مثبت، منفی و آسیب شناسی روانی کلی بیماران مبتلا به اسکیزوفرنی انجام گردید. در این پژوهش نیمه تجربی از بین بیماران بستری در بیمارستان روانپزشکی ابن سینا در مشهد که واجد ملاک های ورود به مطالعه بودند، 50 نفر به طور تصادفی انتخاب و به دو گروه مداخله (26 نفر) و کنترل (24 نفر) تقسیم شدند.گروه مداخله تحت آموزش گروهی شناختی – رفتاری مهارت های مراقبت از خود براساس پروتکل Kashani-Lotfabadi & et al (2020) و گروه کنترل در لیست انتظار قرار گرفتند. پژوهش با استفاده از روش نمونه گیری در دسترس به صورت پیش آزمون – پس آزمون و پیگیری با گروه کنترل انجام گرفت. داده ها توسط مقیاس درجه بندی نشانگان بالینی مثبت و منفی (Kay, Fiszbein, Opler. 1987) در طی سه مرحله جمع آوری و مورد ارزیابی قرار گرفتند. برای تحلیل داده ها از آزمون تحلیل کواریانس استفاده گردید. یافته ها نشان داد که آموزش گروهی شناختی – رفتاری مهارت های مراقبت از خود می تواند بر کاهش علائم منفی بیماران مبتلا به اسکیزوفرنی مؤثر باشد (05/0 >p). ولی بین دو گروه از نظر میانگین نمرات علائم مثبت و آسیب شناسی روانی کلی تفاوت معناداری وجود نداشت (05/0 <P).
The aim of this study was to determine the effect of cognitive-behavioral group training of self-care skills on positive and negative signs, and general psychopathology of patients with schizophrenia. In this quasi-experimental study, among the patients admitted to Ebn'e Sina Psychiatric Hospital in Mashhad who met the inclusion criteria, 50 people were randomly selected and divided into two groups of intervention (26 people) and control (24 people). The intervention group received cognitive-behavioral group training of self-care skills based on the protocol of Kashani-Lotfabadi & et al (2020) and the control group were placed on a waiting list. The research was conducted using available sampling method as pretest-posttest and follow up with a control group. Data were collected and evaluated by the Positive and Negative Clinical Syndrome Rating Scale (Kay, Fiszbein, Opler. 1987) in three stages. Analysis of covariance was used to analyze the data. The results showed that cognitive-behavioral group training of self-care skills can be effective in reducing the negative symptoms of patients with schizophrenia (p<0.05). But there was no significant difference between the two groups in terms of changes in positive symptoms and general psychopathology (P <0.05).
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