اثربخشی نوروفیدبک بر ناقرینگی الگوی فعالیت امواج آلفا در قطعه پیشانی، عملکرد اجرایی و شدت علایم در بیماران افسرده

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی دانشگاه محقق اردبیلی، اردبیل، ایران

2 استاد، گروه روانشناسی دانشگاه گیلان، رشت، ایران

3 دانشیار، گروه روانشناسی دانشگاه محقق اردبیلی، اردبیل، ایران

4 استاد، گروه روانشناسی دانشگاه محقق اردبیلی، اردبیل، ایران

چکیده

مقدمه: هدف از پژوهش حاضر بررسی اثربخشی نوروفیدبک بر عدم تقارن امواج آلفا در قطعه پیشانی، عملکردهای اجرایی و علائم بیماران مبتلا به اختلال افسردگی بود.
روش: این پژوهش از نوع آزمایشی کنترل شده تصادفی با طرح پیش­آزمون-پس­آزمون و پی گیری با گروه کنترل بود. جامعه آماری شامل افراد مراجعه کننده در فاصله زمانی 5 ماهه به درمانگاه روانپزشکی مرکز بهداشت شهر تبریز که مبتلا به اختلال افسردگی تشخیص داده شده اند، بود.  از این بین نمونه­ای به حجم 30 نفر انتخاب شدند  و به صورت تصادفی در دو گروه 15 نفری آزمایش و کنترل گمارده شدند. گروه آزمایش تحت 10 هفته (هر هفته دو جلسه 30 دقیقه ای) درمان نوروفیدبک و گروه کنترل تحت نوروفیدبک غیر واقعی (پلاسیبو) قرار گرفتند و سپس در لیست انتظار جای گرفتند. برای تجزیه و تحلیل داده­ها حاصله از آزمون تحلیل کواریانس چندمتغیری استفاده شد.
یافته‌ها: نتایج نشان داد که نوروفیدبک منجر به افزایش فعالیت آلفای نیم­کره چپ، کاهش فعالیت آلفای نیم کره راست، افزایش انعطاف­پذیری شناختی و کاهش علایم افسردگی در مرحله پس­آزمون شد. توجه انتخابی تغییری  در پس آزمون نداشت،  اما در مرحله پیگیری تغییرات معنی­دار بود.
نتیجه‌گیری: بر اساس این نتایج درمان نوروفیدبک در اصلاح ناقرینگی امواج آلفای ناحیه ی پیشانی و بهبود توجه انتخابی و علایم افسردگی بیماران مبتلا به اختلال افسردگی مؤثر می باشد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effectiveness of Neurofeedback on the Asymmetry Pattern of the Frontal Alpha Wave Activity, Executive Function and Symptoms Severity in Depression Patients

نویسندگان [English]

  • S Ansarhossein, 1
  • A Abolghasemi, 2
  • N Mikaeili, 3
  • N. Hajloo, 4
چکیده [English]

Introduction: The aim of this research was to study  the ffectiveness of the neurofeedback therapy for improvement of the frontal alpha asymmetry, executive functioning and symptoms severity in depressed patients.
Method: The study conducted with a randomized control trial design with pretest- posttest and follow- up plan. The study population included the referred persons to the psychiatry section of the Tabriz Hygiene Center with depression disorder diagnosis during a 5 months interval. Among these 30 patients were selected and randomly divided to experimental and control groups (n=15). The experimental group received 20 neurofeedback training sessions, whereas the control group received unreal neurofeedback training (placebo). The collected data were analyzed by a MANCOVA analysis.
Results: Increased activity of the left hemisphere, decreased activity of the right hemisphere, as well as, increased cognitive flexibility and decreased depression severity in the post-test stage were evident. A significant selective attention change was revealed in the follow-up stage as well.
Conclusion: According to the results on this research, neurofeedback could be an effective intervention to modify the asymmeric frontal alpha activity  and improvement of the selective attention and depression symptoms in depressed patients.

کلیدواژه‌ها [English]

  • neurofeedback
  • alpha waves
  • frontal lobe
  • executive function
  • depression

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