fa مقایسه اثربخشی مداخله درمان شناختی با تحریک فرا‌جمجمه ای مغز(TDCS) بر کیفیت خواب در افراد دارای اختلال وسواس فکری-عملی آسیب‌های مرتبط با فعاليت انتظامی Police Related Trauma پژوهشی اصيل Original Research <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:13.0pt"><span b="" style="font-family:" zar=""><span style="color:black">چکیده: </span></span></span></b></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""><span style="color:black">هدف:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""><span style="color:black"> این پژوهش با هدف مقایسه اثربخشی مداخله درمان شناختی با تحریک فرا&shy;جمجمه ای مغز(</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="color:black">TDCS</span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""><span style="color:black">) بر کیفیت خواب در افراد دارای اختلال وسواس فکری-عملی انجام گرفت.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""><span style="color:black">روش:</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""><span style="color:black">روش این پژوهش نیمه&shy; آزمایشی با طرح دو گروه آزمایش و یک گروه کنترل با پیش آزمون و پس آزمون می باشد. &nbsp;جامعه آماری پژوهش کلیه افراد مبتلا به اختلال وسواس فکری و عملی مراجعه کننده به مراکز مشاوره شهر تهران در سال 1404 می باشد، 45 &nbsp;نفر از مراجعه کنندگان مبتلا به اختلال وسواس فکری- عملی بر اساس راهنمای تشخیصی </span></span></span><span dir="LTR" lang="X-NONE" style="font-size:12.0pt"><span arial="" style="font-family:"><span style="color:black">DSM5-TR</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""><span style="color:black">&nbsp;به روش نمونه&shy;گیری هدفمند انتخاب و در دو گروه آزمایش و گواه اختصاص داده &nbsp;شدند، گروه های آزمایش در جلسات درمانی </span></span></span><span dir="LTR" style="font-size:12.0pt">tDCS</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar=""><span style="color:black">&nbsp; و شناخت درمانی بک بر اساس مداخله انتخاب شده شرکت کردند در حالی که اعضای گروه گواه مداخله&shy;ای دریافت نکردند. آزمودنی های پژوهش </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">پرسشنامه کیفیت خواب پترزبورگ (1989) </span></span><span lang="FA" style="font-size:12.0pt"><span b="" style="font-family:" zar="">را به عنوان پیش آزمون و پس آزمون تکمیل کردند</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">نتایج:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""> نتایج تحلیل کواریانس چندمتغیره نشان داد که </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">درمان شناختی و تحریک فرا&shy;جمجمه ای مغز(</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="color:black">TDCS</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">) بر کیفیت خواب و مولفه ها آن(</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">توصیف کلی فرد از خواب</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span arial="" style="font-family:">، </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">تاخیر در بخواب رفتن</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span arial="" style="font-family:">، </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">طول مفید خواب</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span arial="" style="font-family:">، </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">کیفیت خواب</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span arial="" style="font-family:"> و </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">اختلالات خواب</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">) در افراد دارای اختلال وسواس فکری-عملی اثربخشی معنی داری دارد</span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">(05/0></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">P</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">). آزمون تعقیبی بنفرنی </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">درمان شناختی بک در مقایسه با تحریک فراجمجمه‌ای </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">(TDCS)</span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">اثربخشی بیشتری در نمره کلی کیفیت خواب دارد</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""> و اثر شناخت‌درمانی بک بر مولفه میزان مصرف دارو و عملکردصبحگاهی معنی دار نیست.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""> (05/0></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">P</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">).</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"Arial","sans-serif""></span></span></span></span></span></span></span></span><br> <b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar="">نتیجه گیری:</span></span></span></b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""> براساس نتایج پژوهش می تون نتیجه گرفت که هر چند تفاوت مشهودی بین اثربخشی </span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">درمان شناختی و تحریک فرا&shy;جمجمه ای مغز(</span></span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"><span calibri="" style="font-family:"><span style="color:black">TDCS</span></span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" style="font-family:" zar=""><span style="color:black">) بر کیفیت خواب در افراد دارای اختلال وسواس فکری-عملی وجود ندارد ولی هر دو درمان بر بهبود کیفیت خواب موثر بوده اند و پیشنهاد می شود در درمان بیماران درای اختلال وسواس فکری-عملی مورد استفاده قرار گیرند.</span></span></span></span> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Abstract</span></span></span></b></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Objective:</span></span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> This study aimed to compare the effectiveness of cognitive therapy intervention with transracial brain stimulation (tDCS) on sleep quality in people with obsessive-compulsive disorder.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Method:</span></span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> The method of this study is a quasi-experimental design with two experimental groups and a control group with pre-test and post-test. The statistical population of the study is all people with obsessive-compulsive disorder referring to counseling centers in Tehran in 1404. 45 people with obsessive-compulsive disorder were selected based on the DSM5-TR diagnostic guide using purposive sampling and were assigned to two experimental and control groups. The experimental groups participated in tDCS and Beck cognitive therapy sessions based on the selected intervention, while the members of the control group did not receive any intervention. The study subjects completed the Petersburg Sleep Quality Questionnaire (1989) as a pre-test and post-test. </span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Results:</span></span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> The results of multivariate analysis of covariance showed that cognitive therapy and transcranial brain stimulation (TDCS) have a significant effect on sleep quality and its components (general description of sleep, latency to fall asleep, useful sleep duration, sleep quality, and sleep disorders) in people with obsessive-compulsive disorder (P<0.05). The post hoc test of Benferney&#39;s Beck cognitive therapy has a greater effect on the overall score of sleep quality compared to transcranial stimulation (TDCS), and the effect of Beck cognitive therapy on the components of medication use and morning performance is not significant. (P<0.05).</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Conclusion:</span></span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> Based on the results of the study, it can be concluded that although there is no obvious difference between the effectiveness of cognitive therapy and transcranial brain stimulation (TDCS) on sleep quality in people with obsessive-compulsive disorder, both treatments were effective in improving sleep quality and it is recommended that they be used in the treatment of patients with obsessive-compulsive disorder.</span></span></span></span></span></span><br> &nbsp; درمان شناختی، تحریک فرا‌جمجمه ای مغز(TDCS) ، کیفیت خواب ،اختلال وسواس فکری-عملی Cognitive therapy, transcranial brain stimulation (TDCS), sleep quality, obsessive-compulsive disorder 0 0 http://jpmed.ir/browse.php?a_code=A-10-1505-1&slc_lang=fa&sid=1 roya afraye رویا افرایی royaafraee@gmail.com Yes