اثربخشی تلفیق دستگاه تحریک الکتریکی جمجمه با درمان شناختی رفتاری و دارودرمانی بر نشخوار فکری و نشانگان افسردگی در زنان

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشگاه آزاد اسلامی واحد تهران مرکز

2 دانشگاه آزاد اسلامی واحد کرج

3 دانشگاه آزاد اسلامی، واحد آستارا

چکیده

هدف: افسردگی شایع­ترین اختلال روان­پزشکی است که با توجه به شیوع بالا و هزینه­‌های بهداشتی توجه بسیاری از متخصصان بهداشت روانی را به خود جلب کرده است. هدف پژوهش حاضر تعیین اثربخشی تحریک الکتریکی جمجمه، تلفیق تحریک الکتریکی جمجمه با دارو درمانی و تحریک الکتریکی جمجمه با درمان شناختی رفتاری بر نشخوار فکری، عواطف و نشانگان افسردگی در زنان بود. روش: در قالب یک طرح نیمه آزمایشی از نوع پیش آزمون- پس آزمون- پیگیری با گروه کنترل از میان تمام زنان مبتلا به افسردگی مراجعه کننده به کلینیک­‌های مشاوره و روان­درمانی استان البرز تعداد 60 نفر واجد شرایط وارد مطالعه شدند و در شش گروه به صورت تصادفی تقسیم شدند. داده‌­ها با استفاده از پرسشنامة افسردگی بک (1961) و مقیاس پاسخ‌­های نشخواری نولن-هوکسیما و همکاران (1989) جمع آوری و سپس با روش تحلیل واریانس با اندازه­‌گیری مکرر تحلیل شدند. نتایج نشان داد تحریک الکتریکی جمجمه، دارو درمانی و درمان شناختی- رفتاری و همین طور تلفیق تحریک الکتریکی جمجمه با دارو درمانی و تلفیق تحریک الکتریکی جمجمه با درمان شناختی- رفتاری بر نشخوار فکری اثر کاهنده داشتند (001/0=P). تحریک الکتریکی جمجمه، دارو درمانی و درمان شناختی- رفتاری و همین طور تلفیق تحریک الکتریکی جمجمه با دارو درمانی و تلفیق تحریک الکتریکی جمجمه با درمان شناختی- رفتاری بر نشانگان افسردگی اثر کاهنده داشتند (001/0=P). پیشنهاد می­شود از تحریک الکتریکی جمجمه به عنوان یک روش مکمل به همراه دارو درمانی و شناختی رفتاری استفاده شود.

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Combining Cranial Electrical Stimulation with Cognitive-Behavioral Therapy and Drug Therapy on Rumination and Depressive Syndrome in Women

نویسندگان [English]

  • leila majidpour tehrani 1
  • Fatemeh Golshani 1
  • Javid Peimani 2
  • Baghdasarian Anita 1
  • Sadegh Taghiloo 3
1 IislamiC Azad University
2 Azad University
3 Azad University
چکیده [English]

Aim: Depression is the most common psychiatric disorder that has attracted the attention of many mental health professionals due to its high prevalence and health costs. The aim of this study was to determine the effectiveness of electrical cranial stimulation, combining cranial electrical stimulation with drug therapy and cranial electrical stimulation with cognitive-behavioral therapy on rumination, emotions, and depressive symptoms in women. Method: In the form of a quasi-experimental design of pre-test-post-test-follow-up with a control group among all women with depression referred to counseling and psychotherapy clinics in Alborz province, 60 eligible people entered the study and were randomly divided into six groups. Data were collected using Beck Depression Inventory (1961) and Ruminative Response Scale by Nolen-Hoeksema et al. (1989) and then they were analyzed by repeated-measures analysis of variance. Results: The results showed cranial electrical stimulation, drug therapy, and cognitive-behavioral therapy as well as the combination of cranial electrical stimulation with drug therapy and the combination of cranial electrical stimulation with cognitive-behavioral therapy had a reducing effect on rumination (P=0.001). Cranial electrical stimulation, drug therapy, and cognitive-behavioral therapy as well as the combination of cranial electrical stimulation with drug therapy and the combination of cranial electrical stimulation with cognitive-behavioral therapy had a reducing effect on depressive symptoms (P=0.001). Conclusion: It is suggested that cranial electrical stimulation be used as a complementary method along with drug therapy and cognitive-behavioral therapy.

کلیدواژه‌ها [English]

  • Cognitive Behavioral Therapy
  • Depression
  • Drug
  • Electrical Stimulation
  • Rumination

مراجع

Adair, D., Truong, D., Esmaeilpour, Z., Gebodh, N., Borges, H., Ho, L., Bremner, J. D., Badran, B. W., Napadow, V., Clark, V. P., & Bikson, M. (2020). Electrical stimulation of cranial nerves in cognition and disease. Brain stimulation, 13(3), 717–750. [Link]
Akechi, T., Mantani, A., Kurata, K. i., Hirota, S., Shimodera, S., Yamada, M., Furukawa, T. A. (2019). Predicting relapse in major depression after successful initial pharmacological treatment. Journal of Affective Disorders, 250, 108-113. [Link]
Ali, Z. A., Nuss, S., & El-Mallakh, R. S. (2019). Antidepressant discontinuation in treatment resistant depression. Contemporary Clinical Trials Communications, 15, 100383. [Link]
Arnone, D. (2019). Functional MRI findings, pharmacological treatment in major depression and clinical response. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 91, 28-37. [Link]
Barclay, T. H., & Barclay, R. D. (2014). A clinical trial of cranial electrotherapy stimulation for anxiety and comorbid depression. Journal of Affective Disorders, 164, 171-177. [Link]
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory: second edition manual. San Antonio (TX): The Psychological Corporation. [Link]
Bhardwaj, M., Arumugam, N., & Gambhir, S. (2018). Efficacy of Cranial Electrical Stimulation and Rational Emotive Behavior Therapy in Improving Psychological Illness among Chronic Stroke Survivors: A Pilot Randomized Controlled Trial. Annals of Indian Academy of Neurology, 21(3), 188–192. [Link]
Bowden, C. L., & Melissa, M. (2016). Antidepressants☆. In Reference Module in Biomedical Sciences. Elsevier. 801238-3.99517-5 [Link]
Cameron, S., Brown, V. J., Dritschel, B., Power, K., & Cook, M. (2017). Understanding the relationship between suicidality, current depressed mood, personality, and cognitive factors. Psychology and Psychotherapy: Theory, Research and Practice, 90(4), 530–549. [Link]
Carlson, N. (2014). Foundations of behavioral neuroscience. Pearson publisher. [Link]
Clark, D. A., & Beck, A. T. (2011). Cognitive Therapy of Anxiety Disorders: Science and Practice. Guilford Press. [Link]
De Raedt, R., & Koster, E. H. (2010). Understanding vulnerability for depression from a cognitive neuroscience perspective: A reappraisal of attentional factors and a new conceptual framework. Cognitive, affective & behavioral neuroscience, 10(1), 50–70. [Link]
Fain, J., & Gad, S. E. (2014). SSRIs (Selective Serotonin Reuptake Inhibitors). In P. Wexler (Ed.), Encyclopedia of Toxicology (Third Edition) (pp. 373-378). Academic Press. [Link]
Fenigstein, A. (2012). Paranoia. In V. S. Ramachandran (Ed.), Encyclopedia of Human Behavior (Second Edition) (pp. 14-20). San Diego: Academic Press. [Link]
Feusner, J. D., Madsen, S., Moody, T. D., Bohon, C., Hembacher, E., Bookheimer, S. Y., & Bystritsky, A. (2012). Effects of cranial electrotherapy stimulation on resting state brain activity. Brain and behavior, 2(3), 211–220. [Link]
Gilula, M. F., & Kirsch, D. L. (2005). Cranial Electrotherapy Stimulation Review: A Safer Alternative to Psychopharmaceuticals in the Treatment of Depression. Journal of Neurotherapy, 9(2), 7-26. [Link]
Godlewska, B. R. (2019). Cognitive neuropsychological theory: Reconciliation of psychological and biological approaches for depression. Pharmacology & Therapeutics, 197, 38-51. [Link]
Hollon, S. D., Cohen, Z. D., Singla, D. R., & Andrews, P. W. (2019). Recent Developments in the Treatment of Depression. Behavior Therapy, 50(2), 257-269. [Link]
Hvenegaard, M., Watkins, E. R., Poulsen, S., Rosenberg, N. K., Gondan, M., Grafton, B., Aet al. (2015). Rumination-focused cognitive behaviour therapy vs. cognitive behaviour therapy for depression: study protocol for a randomized controlled superiority trial. Trials, 16(1), 344. Doi: 10.1186/s13063-015 0875-y [Link]
Jonas, W. B. (2018). Cranial Electrical Stimulation: What is it, and should we use it in practice? Annals of Internal Medicine, 168(6), 446-447. [Link]
Kirkegaard Thomsen, D. (2006). The association between rumination and negative affect: A review. Cognition and Emotion, 20(8), 1216-1235. [Link]
Lopresti, A. L. (2019). It is time to investigate integrative approaches to enhance treatment outcomes for depression? Medical Hypotheses, 126, 82-94. [Link]
Mandell, D., Siegle, G. J., Shutt, L., Feldmiller, J., & Thase, M. E. (2014). Neural substrates of trait ruminations in depression. Journal of abnormal psychology, 123(1), 35–48. [Link]
Ng, C. H., Kato, T., Han, C., Wang, G., Trivedi, M., Ramesh, V., . . . Kasper, S. (2019). Definition of treatment-resistant depression – Asia Pacific perspectives. Journal of Affective Disorders, 245, 626-636. Retrieved from http://www.sciencedirect.com/science/article/pii/S0165032718314125. [Link]
Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression & posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake. Journal of Personality & Social Psychology, 61(1), 115-121. [Link]
Nolen-Hoeksema, S., Larson, J., & Grayson, C. (1999). Explaining the gender difference in depressive symptoms. Journal of Personality and Social Psychology, 77 (5), 1061–1072. [Link]
Pisner, D. A., Shumake, J., Beevers, C. G., & Schnyer, D. M. (2018). A Reproducible Neurobiology of Depressive Rumination. BioRxiv, 365759. [Link]
Schepers, R., Keulers, E. H., & Markus, C. R. (2019). Effects of 5-HTTLPR genotype and cognitive rumination on long-term cortisol reactivity measured in human hair. Stress (Amsterdam, Netherlands), 22(2), 221–227. [Link]
Shekelle, P., et al. (2018). The Effectiveness and Risks of Cranial Electrical Stimulation for the Treatment of Pain, Depression, Anxiety, PTSD, and Insomnia: A Systematic Review. Washington (DC). [Link]
Siever, D. (2014). Two Earclips, Wires, a Little Box and Presto- the Wonderful World of Cranio-electro Stimulation. Mind Alive Inc. [Link]
Smith, J. M., Alloy, L. B., & Abramson, L. Y. (2006). Cognitive vulnerability to depression, rumination, hopelessness, and suicidal ideation: multiple pathways to self-injurious thinking. Suicide & life-threatening behavior, 36(4), 443–454. [Link]
Thibodeau, P. H., Fein, M. J., Goodbody, E. S., Flusberg, S. J. (2015). The Depression Schema: How Labels, Features, and Causal Explanations Affect Lay Conceptions of Depression. Frontiers in psychology, 6, 1728. [Link]
VanVoorhis, C. R. W., & Morgan, B. L. (2007). Understanding power and rules of thumb for determining sample sizes. Tutorials in Quantitative Methods for Psychology, 3(2), 43-50. [Link]
Varma, D. (2017). Relationship of Positive and Negative Affect with Depression in Clinical and Normal Group. Psychology and Behavioral Science, 2(1), 001-006. [Link]
Yovel, I., Mor, N., & Shakarov, H. (2014). Examination of the Core Cognitive Components of Cognitive Behavioral Therapy and Acceptance and Commitment Therapy: An Analogue Investigation. Behavior Therapy, 45(4), 482-494. [Link]
Zrenner, B., Zrenner, C., Gordon, P. C., Belardinelli, P., McDermott, E. J., Soekadar, S. R., Fallgatter, A. J., Ziemann, U., & Müller-Dahlhaus, F. (2020). Brain oscillation-synchronized stimulation of the left dorsolateral prefrontal cortex in depression using real-time EEG-triggered TMS. Brain Stimulation, 13(1), 197-205. [Link]

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