Medical Sciences Journal of Islamic Azad University
فصلنامه علوم پزشکی دانشگاه آزاد اسلامی تهران
MEDICAL SCIENCES
Medical Sciences
http://tmuj.iautmu.ac.ir
1
admin
1023-5922
2008-3386
000
10.61882/iau
000
1023-5922
000
fa
jalali
1400
12
1
gregorian
2022
3
1
32
1
online
1
fulltext
fa
توانبخشی شناختی توجه و حافظهفعال در مبتلایان به اختلال دوقطبی مزمن با استفاده از نرمافزار ریهاکام
Cognitive rehabilitation of attention and working memory in patients with chronic bipolar disorder using RehaCom software
مغزو اعصاب
Brain and Nerves System
نيمه تجربي
Quazi-Experimental
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">سابقه و هدف</span></span><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:Nazanin"><span style="font-weight:normal">:</span></span></span></i> <i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">اختلال دوقطبی یکی از بیماری‏های مزمن روانپزشکی است که با فازهای شیدایی و افسردگی همراه است و سبب اختلال در عملکردهای شناختی و مشکلات بهداشتی و اجتماعی می</span></span></span></i><i><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">‎</span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">گردد. لذا این پژوهش با هدف بررسی اثربخشی نرم‏افزار توانبخشی شناختی ریهاکام بر عملکردهای شناختی توجه و حافظه فعال مبتلایان به اختلال دوقطبی مزمن انجام شد</span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">. </span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="font-weight:normal"></span></span></i></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 style="font-family:"Times New Roman",serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt">روش بررسی</span></span></span><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">:</span></span></span></span></i> <i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">این پژوهش مطالعه</span></span></span></span></i><i><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">‎</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">ای نیمه‏تجربی با طرح پیش‏آزمون، پس‏آزمون و گروه کنترل بود. از بین مبتلایان به اختلال دوقطبی مزمن مراجعه‏کننده به مرکز توانبخشی و نگهداری ماهان شهر تهران، به شیوه هدفمند، تعداد 50 نفر انتخاب و در گروه‏های آزمایش (25 نفر) و کنترل (25 نفر) قرار</span></span></span></span></i><i><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">‎</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">گرفتند. داده‏ها با استفاده از چک لیست اطلاعات دموگرافیک-محقق ساخته و توسط آزمون</span></span></span></span></i><i><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">‎</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">های ان بک(</span></span></span></span></i><i><span dir="LTR" style="font-size:12.0pt"><span style="letter-spacing:-.3pt"><span style="font-weight:normal">n-Back</span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">) و پاسات (</span></span></span></span></i><i><span dir="LTR" style="font-size:12.0pt"><span style="letter-spacing:-.3pt"><span style="font-weight:normal">PASAT</span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">) جمع‏آوری شد. برنامه توانبخشی ریهاکام در 10 جلسه و هر جلسه 45 دقیقه برای گروه آزمایش اجرا شد. پس از پایان جلسات آموزشی از گروه</span></span></span></span></i><i><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">‎</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">ها پس</span></span></span></span></i><i><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">‎</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">آزمون گرفته</span></span></span></span></i><i><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">‎</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">شد. داده‏ها با روش‏های آمار توصیفی و تحلیل کواریانس چندمتغیری تحلیل شدند</span></span></span></span></i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.3pt"><span style="font-weight:normal">.</span></span></span></span><i> </i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.3pt"><span style="font-weight:normal"></span></span></span></i></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 style="font-family:"Times New Roman",serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt">یافته </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt">ها:</span></span></span> <i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">نرم‏افزار توانبخشی ریهاکام بر بهبود عملکرد توجه (65/0=</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">Eta</span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">، 006/0</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">=P</span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal"> و 92/13=</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">F</span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">) و حافظه فعال (87/0=</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">Eta</span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">، 002/0</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">=P</span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal"> و 58/43=</span></span></span></span></i><i><span dir="LTR" style="font-size:10.0pt"><span style="letter-spacing:-.2pt"><span style="font-weight:normal">F</span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">) آزمودنی‏های گروه آزمایش تأثیر مثبت و معنی­داری داشت</span></span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">.</span></span></span></span></i></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 style="font-family:"Times New Roman",serif"><span style="font-weight:bold"><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">نتیجه </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin"">گیری</span></span><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="font-weight:normal">:</span></span></span></i> <i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">نتایج نشان داد که می­توان از برنامه توانبخشی شناختی ریهاکام برای بهبود عملکرد توجه و حافظه</span></span></span></span></i><i><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">‎</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">فعال مبتلایان به اختلال دوقطبی مزمن استفاده کرد. از این رو برای استفاده از نرم</span></span></span></span></i><i><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">‎</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">افزار درجهت بهبود عملکردهای شناختی پیشنهاد می‏شود مطالعات دقیق‏تری در این راستا بر روی تعداد نمونه­های بیشتر از این طیف بیماران صورت</span></span></span></span></i><i><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">‎</span></span></span></span></i><i><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">پذیرد</span></span></span></span></i><i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""><span style="letter-spacing:-.2pt"><span style="font-weight:normal">.</span></span></span></span></i><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Koodak""><span style="font-weight:normal"></span></span></span></span></span></span></span></span></span>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:11.0pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:11.0pt">Background</span></b><span style="font-size:11.0pt">: Chronic bipolar disorder (CBD) impairs cognition, leads to depression, and deteriorates patients’ quality of life. This study assessed the usefulness of RehaCom cognitive rehabilitation software on attention and working memory functions in patients with CBD. </span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:11.0pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:11.0pt">Materials and methods</span></b><span style="font-size:11.0pt">: This was a pre-test, post-test, quasi-experimental study. In this study, 50 patients with CBD at Mahan Rehabilitation Center, Tehran, Iran were selected using purposive sampling technique and were randomly divided into the control and intervention group. Both groups were pre-tested using Beck Depression Inventory, SDMT, PASAT, and n-BACK tests. The intervention group received 10 sessions (45 min each) of RehaCom software intervention. The participants in the control group were waiting-list controls. Data analyzed using descriptive statistics and multivariate analysis of covariance. Significance level was set at 0.05. </span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="line-height:11.0pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:11.0pt">Results</span></b><span style="font-size:11.0pt">: Cognitive rehabilitation by RehaCom software improved attention (F = 13.92, P = 0.006, </span><span style="font-size:11.0pt"><span style="font-family:Symbol">h</span></span><sup><span style="font-size:11.0pt">2</span></sup><span style="font-size:11.0pt"> = 0.53) and working memory (F = 43.58, P = 0.002, </span><span style="font-size:11.0pt"><span style="font-family:Symbol">h</span></span><sup><span style="font-size:11.0pt">2</span></sup><span style="font-size:11.0pt"> = 0.77) as compared to the control group.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:11.0pt"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:11.0pt">Conclusion</span></b><span style="font-size:11.0pt">: The results showed that cognitive rehabilitation program by RehaCom software can be used to improve attention function and working memory in patients with chronic bipolar disorder. Therefore, in order to use the software to improve cognitive functions, it is suggested that more detailed studies be conducted on a larger number of these types of patients.</span></span></span></span></span></span><br>
نرم افزار ریهاکام, نواقص شناختی, اختلال دوقطبی مزمن
Chronic bipolar disorder, RehaCom cognitive rehabilitation software, Cognitive impairments.
75
82
http://tmuj.iautmu.ac.ir/browse.php?a_code=A-10-1429-1&slc_lang=fa&sid=1
Atefe
Saeb
عاطفه
صائب
atefe.saeb@yahoo.com
100319475328460010143
100319475328460010143
No
MSc of Clinical Psychology, Faculty of Psychology, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
کارشناس ارشد روانشناسی بالینی، گروه روانشناسی، دانشکده پزشکی، علوم پزشکی تهران، دانشگاه آزاداسلامی، تهران، ایران
Peyman
Hassani-Abharian
پیمان
حسنی ابهریان
abharian1972@yahoo.com
100319475328460010144
100319475328460010144
No
Assistant Professor, Institute for Cognitive Science Studies (IRICSS), Department of Cognitive Rehabilitation, Brain and Cognition Clinic, Tehran, Iran
استادیار، پژوهشکده علوم شناختی، دپارتمان توانبخشی شناختی، کلینیک مغز و شناخت، تهران، ایران
Shahram
Zarrabian
شهرام
ضرابیان
szarrabian@gmail.com
100319475328460010145
100319475328460010145
Yes
Assistant Professor, Department of Anatomical Sciences & Cognitive Neuroscience, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
استادیار، گروه علوم تشریحی و علوم اعصاب شناختی، دانشکده پزشکی، علوم پزشکی تهران، دانشگاه آزاداسلامی، تهران، ایران