مقایسه اثربخشی آموزش تنظیم شناختی هیجانی و تحریک الکتریکی مستقیم فراجمجمه‌ای بر کارکردهای اجرایی، ادراک سربار بودن و احساس تنهایی در دانش‌آموزان دارای افسردگی اساسی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری تخصصی مشاوره، دانشکده علوم‌تربیتی و روان‌شناسی، دانشگاه محقق اردبیلی، اردبیل، ایران.

2 دانشجوی کارشناسی ارشد روان‌شناسی بالینی، دانشکده علوم‌تربیتی و روان‌شناسی، دانشگاه محقق اردبیلی، اردبیل، ایران.

3 استادگروه مشاوره، دانشکده علوم‌تربیتی و روان‌شناسی، دانشگاه محقق اردبیلی، اردبیل، ایران.

4 استاد گروه روان‌شناسی، دانشکده علوم‌تربیتی و روان‌شناسی ، دانشگاه محقق اردبیلی، اردبیل، ایران.

5 کارشناسی ارشد روان‌شناسی و آموزش کودکان استثنایی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه محقق اردبیلی، اردبیل، ایران.

چکیده

مقدمه: افسردگی اساسی یکی از اختلالات روان‌شناختی شایع است که می‌تواند علاوه‌بر کاهش عملکرد تحصیلی، بر جنبه‌های مهم زندگی دانش‌آموزان نیز تأثیر منفی بگذارد. این پژوهش با هدف مقایسه اثربخشی «آموزش تنظیم شناختی - هیجانی» (CERT) و «تحریک الکتریکی مستقیم فراجمجمه‌ای» (tDCS) بر کارکردهای اجرایی، ادراک سربار بودن و احساس تنهایی در دانش‌آموزان مبتلا به افسردگی اساسی در شهر اردبیل انجام شد.
روش: این پژوهش یک مطالعه نیمه‌آزمایشی با طرح پیش‌آزمون، پس‌آزمون و گروه کنترل بود. در این مطالعه، ۴۵دانش‌آموز مبتلا به افسردگی اساسی که از مراکز مشاوره روان‌شناسی معرفی شده بودند، به روش نمونه‌گیری در دسترس انتخاب شدند. سپس به‌طور تصادفی در دو گروه مداخله (آموزش تنظیم شناختی هیجانی و تحریک الکتریکی مستقیم فراجمجمه‌ای) و یک گروه گواه تقسیم شدند. برای گردآوری داده‌ها از ابزارهای زیر استفاده شد: پرسش‌نامه کارکرد اجرایی کولیج (CEFI)؛ پرسشنامه نیازهای بین‌فردی (INQ) و فرم کوتاه مقیاس احساس تنهایی اجتماعی - عاطفی (SELSA-S) . داده‌ها پس از گردآوری با استفاده از تحلیل کوواریانس عاملی و آزمون تعقیبی توکی تجزیه‌وتحلیل شدند.
نتایج: نتایج نشان داد که آموزش تنظیم شناختی هیجانی تأثیر معناداری بر هر سه متغیر مورد بررسی داشت: کارکردهای اجرایی‌(P<0.001, η²=0.888)، ادراک سربار بودن  (P<0.001, η²=0.776)  و احساس تنهایی‌(P<0.001, η²=0.858) . در مقایل تحریک الکتریکی مستقیم فراجمجمه‌ای تنها برکارکردهای اجرایی تأثیر داشت و بر دو متغیز دیگر (ادراک سربار بودن و احساس تنهایی) تأثیر معناداری نشان نداد.
بحث و نتیجه‌گیری: آموزش تنظیم شناختی هیجانی تأثیر مثبت و معنادارتری نسبت به تحریک الکتریکی مستقیم فراجمجمه‌ای بر کارکردهای اجرایی داشت، در خالی که تحریک الکتریکی مستقیم فراجمجمه‌ای بر ادراک سربار بودن و احساس تنهایی تأثیر معناداری نداشت.

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of the Effectiveness of Cognitive Emotion Regulation Training and Transcranial Direct Current Stimulation on Executive Functions, Perceived Burden, and Loneliness in Students with Major Depression

نویسندگان [English]

  • Mohammadreza Noroozi Homayoon 1
  • Ali Nasiri 2
  • Esmaeil Sadri Damirchi 3
  • Mohammad Narimani 4
  • Mahsa Razmi 5
1 PhD student in counseling, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
2 Master's student in clinical psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
3 Professor, Department of Counseling, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
4 Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
5 Master of Psychology and Education of Exceptional Children, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
چکیده [English]

Introduction: Major depressive disorder (MDD) is a psychological condition that can negatively impact students' academic performance and various aspects of their lives. This study aimed to compare the effectiveness of Cognitive Emotion Regulation Training (CERT) and Transcranial Direct Current Stimulation (tDCS) on executive functions, perceived burdensomeness, and loneliness in students with MDD in Ardabil.
Method: This study employed a quasi-experimental design with pretest-posttest measures and a control group. A total of 45 students diagnosed with Major Depressive Disorder (MDD), referred by psychological counseling centers, were selected through convenience sampling and randomly assigned to two intervention groups (CERT and tDCS) and a control group. Data were collected using the Coolidge Executive Function Inventory (CEFI), the Interpersonal Needs Questionnaire (INQ), and the Short Version of the Social and Emotional Loneliness Scale (SELSA-S). Data analysis was performed using factorial ANCOVA and Tukey's post-hoc test.
Results: The results indicated that CERT had a significant effect on executive functions (P < 0.001, η² = 0.888), perceived burdensomeness (P < 0.001, η² = 0.776), and loneliness (P < 0.001, η² = 0.858). However, tDCS had a significant effect only on executive functions and did not show a significant impact on perceived burdensomeness or loneliness.
Conclusion: CERT demonstrated a greater and more meaningful impact on executive functions compared to tDCS. However, tDCS did not have a significant effect on perceived burdensomeness or loneliness.

کلیدواژه‌ها [English]

  • Cognitive Emotion Regulation Training
  • Transcranial Direct Current Stimulation
  • Executive Functions
  • Perceived Burdensomeness
  • Loneliness
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