نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانش آموخته کارشناسی ارشد، دانشکده ادبیات و علوم انسانی، دانشگاه شهید باهنر کرمان، کرمان، ایران

2 دانشیار گروه روان‏شناسی، دانشگاه شهید باهنر کرمان، کرمان، ایران

3 استاد گروه روان‏شناسی، دانشگاه شهید باهنر کرمان، کرمان، ایران

چکیده

هدف: هدف این مطالعه مقایسه‌ی اثربخشی آموزش حافظه‎ی کاری با آموزش حافظه‎ی رقابتی بر علائم روان‏شناختی و عملکردهای شناختی مبتلایان به افسردگی اساسی بود.
روش: مطالعه روی 60 بیمار مبتلا به اختلال افسردگی اساسی که به‌صورت تصادفی در سه گروه آموزش حافظه‎ی رقابتی، آموزش حافظه‎ی کاری و کنترل تقسیم شدند، به مدت 8 جلسه انجام‏شده است. ابزار سنجش شامل چهار تکلیف رایانه‏ای: دووال انبک، فراخنای تقارن، فراخنای خواندن، حرف-عدد، سه پرسشنامه: سیاهه افسردگی بک، نشخوار ذهنی نولن هوکسما، عزت‏نفس روزنبرگ، و آزمون فراخنای ارقام حافظه بزرگسالان هوش وکسلر بود. داده‏ها از طریق تحلیل کوواریانس تجزیه‌وتحلیل شدند.
یافته‏ ها: در هر سه گروه، عملکرد در تمام متغیر‏ها به‌جز نشخوار ذهنی در طول کارآزمایی در مقایسه با پیش‏آزمون افزایش داشت. آموزش حافظه‎ی کاری نتوانست منجر به بهبودی افسردگی و عزت‏نفس شود، اما منجر به بهبودی مؤلفه‏های جابه‏جایی، به‏روزرسانی و بازداری شد. آموزش حافظه‎ی رقابتی نتوانست منجر به بهبود کارکردهای شناختی افراد افسرده شود، اما منجر به بهبود افسردگی و عزت ‏نفس شد. آموزش حافظه‎ی کاری به‏ تنهایی نمی ‏تواند بر افسردگی اساسی، عزت‏ نفس و نشخوار ذهنی اثرگذار باشد؛ همچنین آموزش حافظه‎ی رقابتی به‌تنهایی نمی‏تواند بر نشخوار ذهنی و تمام کارکردهای شناختی در افراد افسرده مؤثر باشد. با توجه به حیطه‌ی اثرگذاری متفاوت این دو درمان و بر اساس اهداف درمانی مختلف، می‏توان یکی از این دو درمان را انتخاب کرد و یا به‌صورت همزمان با یک درمان دیگر به کاربرد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

A Comparison of the Effectiveness of Working Memory Training with Competitive Memory Training on the Psychological Symptoms and Cognitive Functions of People with Major Depressive Disorder

نویسندگان [English]

  • Maryam Vatankhah 1
  • Sayed Mohammad Hossein Mousavi Nasab 2
  • Abbas Rahmati 3

1 Graduated from Master's degree, Faculty of Literature and Humanities, Shahid Bahonar University of Kerman, Kerman, Iran

2 Associate Professor, Faculty of Literature and Humanities, Shahid Bahonar University of Kerman, Kerman, Iran

3 Professor, Faculty of Literature and Humanities, Shahid Bahonar University of Kerman, Kerman, Iran

چکیده [English]

Purpose: This research aimed to compare the effectiveness of working memory training with competitive memory training on the psychological symptoms and cognitive functions of patients with major depression.
Method: This study was performed on 60 patients with the major depressive disorder who were randomly divided into three groups: control, competitive memory training, and working memory training. The instruments used in this study included four computer tasks: asymmetry span, reading span, letter-number, dual n-back, three questionnaires: BECK Depression Inventory, Nolen -Hoeksema rumination Questionnaire, Rosenberg Self-Esteem Questionnaire, and the Wechsler intelligence Scale for Adult-Memory for Digit Span. Data were analyzed by using ANCOVA.
Findings: In all three experiments, performance during the training task significantly increased, but this performance gain did not transfer to the rumination. In working memory training group no positive effect of training on depression and self-esteem was found. But it did lead to improvements in the components of shifting, updating, and inhibition. Also, competitive memory training failed to improve cognitive functions in depressed individuals but led to improved depression and self-esteem. overall, results show that stand alone Working Memory tra
ining can not be effective on low self esteem and does not result in reduced rumination nor in reduced symptoms of major depression. Also, stand alone competitive memory training can not be effective on rumination, and cognitive functions in depressed maple Due to the different effectiveness of these two treatments and based on different therapeutic goals, one of these two treatments can be selected or used simultaneously with another treatment.

کلیدواژه‌ها [English]

  • major depressive disorder
  • competitive memory training
  • working memory training
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