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اثربخشی تحریک مکرر دوطرفه مغناطیسی فراجمجمه‌ای بر بی‌لذتی و علائم افسردگی در مبتلایان به افسردگی اساسی | ||
| روان شناسی بالینی | ||
| مقاله 3، دوره 10، شماره 3 - شماره پیاپی 39، آذر 1397، صفحه 23-33 اصل مقاله (497.14 K) | ||
| نوع مقاله: مقاله پژوهشی | ||
| شناسه دیجیتال (DOI): 10.22075/jcp.2018.14673.1415 | ||
| نویسندگان | ||
| رضا کاظمی1؛ فیروزه غضنفری* 2؛ سیمین غلامرضایی3 | ||
| 1دانشجوی دکتری روانشناسی عمومی دانشگاه لرستان، خرم آباد، ایران | ||
| 2دانشیار، گروه روانشناسی دانشگاه لرستان، خرم آباد، ایران | ||
| 3استادیار، گروه روانشناسی دانشگاه لرستان، خرم آباد، ایران | ||
| تاریخ دریافت: 10 اردیبهشت 1397، تاریخ پذیرش: 09 آبان 1397 | ||
| چکیده | ||
| مقدمه: هدف پژوهش حاضر بررسی اثربخشی تحریک دوطرفه مکرر مغناطیسی فراجمجمه‌ای (rTMS) بر بی‌لذتی و نشانه‌های افسردگی بیماران مبتلا به افسردگی اساسی بود. روش: این مطالعه کار آزمایی بالینی از نوع پیشآزمون پسآزمون با گروه کنترل بود. از میان بیماران مبتلا به افسردگی اساسی مراجعه‌کننده به مرکز علوم اعصاب آتیه از دی 1395 تا شهریور 1396، 58 نفر به‌صورت تصادفی انتخاب شدند. سپس به طور تصادفی در دو گروه آزمایش و کنترل قرار گرفتند. گروه آزمایش به مدت 10 جلسه rTMS را بر روی قشر پشتی جانبی پیش پیشانی چپ(DLPFC) با فرکانس 10 هرتز و بر روی قشر DLPFC راست با فرکانس 1 هرتز دریافت کردند. گروه کنترل نیز rTMS ساختگی را دریافت کردند. بیماران از طریق مقیاس خوش‌کامی اسنیت همیلتون، مقیاس درجه‌بندی افسردگی همیلتون در قبل و در بعد از درمان ارزیابی شدند. یافته‌ها: نتایج تحلیل کوواریانس چندمتغیره نشان داد که تحریک دوطرفه rTMS به گونه معنادار باعث کاهش نمرات میانگین بی‌لذتی و نشانه‌های افسردگی در افراد نمونه می‌شود. نتیجه‌گیری: این مطالعه نشان داد که rTMS می‌تواند به عنوان یک رویکرد مؤثر برای درمان بی‌لذتی و نشانگان افسردگی در بیماران مبتلا به افسردگی اساسی در نظر گرفته شود. | ||
| کلیدواژه‌ها | ||
| بی‌لذتی؛ تحریک مغناطیسی فراجمجمه‌ای؛ rTMS؛ اختلال افسردگی اساسی | ||
| عنوان مقاله [English] | ||
| Effectiveness of Bilateral Repetitive Transcranial Magnetic Stimulation on Anhedonia and Depression Symptoms in Major Depressive Disorder Patients | ||
| نویسندگان [English] | ||
| R Kazemi,1؛ F Ghazanfari,2؛ S Gholamrezaei, .3 | ||
| 1Department of psychology, Faculty of Literature and Human Science, Khoram Abad, Iran | ||
| 2Department of Psychology, Faculty of Literature and Human Sciences, Lorestan University, Khoramabad, Lorestan, Iran | ||
| 3Department of Psychology, Faculty of Literature and Human Sciences, Lorestan University, Khoramabad, Lorestan, Iran | ||
| چکیده [English] | ||
| Introduction: The aim of this study was to investigate the effectiveness of a bilateral repetitive transcranial magnetic stimulation (rTMS) on anhedonia among patients with MDD. Method: In a randomized controlled trial study with pre-post test design and control group among referred MDD patients to Atieh Clinical Neuroscience Center, a total sample of 58 patients were selected and were randomized into two experimental and control groups. The experimental group patients were received 10 sessions of a 10-Hz rTMS on the left dorsolateral prefrontal cortex (DLPFC) and a 1-Hz rTMS on the right DLPFC. Control group received a sham rTMS. The Snaith-Hamilton Pleasure Scale (SHAPS) and the Hamilton Depression Rating Scale (HDRS)) were used to evaluation participants both before and after treatment. Results: Results of a Multivariate Analysis of Covariance showed that a bilateral rTMS significantly decreased the mean scores for anhedonia and depression symptoms in the experimental group than control. Conclusion: This study indicated that rTMS could be considered as an effective approach in the treatment of anhedonia and depression symptoms of the MDD patients. | ||
| کلیدواژه‌ها [English] | ||
| anhedonia, transcranial magnetic stimulation, major depressive disorder | ||
| مراجع | ||
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