عصب روان شناسی

با همکاری مشترک دانشگاه پیام نور و انجمن عصب روان‌شناسی

شماره جاری

بر اساس شماره‌های نشریه

بر اساس نویسندگان

بر اساس موضوعات

نمایه نویسندگان

نمایه کلیدواژه ها

درباره نشریه

اهداف و چشم انداز

اعضای هیات تحریریه

اصول اخلاقی انتشار مقاله

بانک ها و نمایه نامه ها

پرسش‌های متداول

فرایند پذیرش مقالات

اطلاعات آماری نشریه

اثربخشی توانبخشی شناختی و بازی درمانی بر بهبود کارکردهای اجرایی کودکان دارای تومور مغزی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشکده روان‌شناسی و علوم تربیتی، دانشگاه تهران، تهران، ایران

2 استادیار گروه روانشناسی و آموزش کودکان استثنایی،دانشکده روانشناسی و علوم تربیتی، دانشگاه تهران، تهران، ایران

3 دانشیار رشته روانشناسی، دانشگاه پیام نور، تهران، ایران.

4 استاد ممتاز گروه روانشناسی و آموزش کودکان استثنایی،دانشکده روانشناسی و علوم تربیتی، دانشگاه تهران، تهران، ایران

چکیده

هدف: این پژوهش با هدف تعیین اثربخشی توانبخشی شناختی و بازی درمانی بر بهبود کارکردهای اجرایی کودکان دارای تومور مغزی انجام گرفته است. روش: پژوهش حاضر، یک مطالعــه کاربردی و نیمه آزمایشی با طرح سری های زمانی با چند گروه است. نمونه پژوهش، شامل 45 کودک 7 تا 10 ساله مبتلا به تومور مغزی بود که به صورت هدفمند و با در نظر گرفتن ملاک هایی برای ورود و خروج از بیمارستان محک انتخاب شدند. این افراد به روش تصادفی در 3 گروه 15 نفره (گروه 1: توانبخشی شناختی، گروه 2: توانبخشی شناختی همراه با بازی درمانی، گروه 3: گروه کنترل) جایگزین شدند. گروه‌های آزمایش در 8 جلسه مداخلات مربوطه را اخذ کردند و گروه کنترل مداخله‌ای دریافت نکرد. پیش‌آزمون، پس‌آزمون و پیگیری 1 ماهه ازگروه ها، با پرسشنامه کارکردهای اجرایی بریف (BRIEF) انجام یافت. جهت تحلیل داده ها از تحلیل واریانس بین- درون آزمودنی های آمیخته (SPANOVA) با نرم افزار spss21 استفاده شد. یافته ها: طبق نتایج حاصل، نقص کارکردهای اجرایی، در کودکان هر دو گروه آزمایش نسبت به گروه کنترل کاهش یافته بود و در پیگیری ثبات داشت. نتیجه گیری: نتایج نشان داد، این مداخلات می توانند برای کودکان دارای تومور مغزی به کار روند. البته درمان توانبخشی ادغام شده با بازی درمانی، برای بهبود مهارت های شناختی کودکان دارای تومور مغزی مناسب تر است.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Effectiveness of Cognitive Rehabilitation and Play Therapy on Improving the Executive Functions of Children with Brain Tumors

نویسندگان [English]

  • AIDA FARSHAM 1
  • sogand ghasemzadeh 2
  • ahmad alipour 3
  • Gholam ALI Afrooz 4

1 Department of Psychology, psychology and Educational Science Faculty, University of Tehran, Tehran, Iran.

2 Assistant Professor, Department of Psychology, psychology and Educational Science Faculty, University of University of Tehran, Tehran, Iran

3 Professor, Department of Health Psychology, Faculty of Psychology, Payame Noor University, Tehran, Iran

4 4. Distinguished Professor, Department of Psychology, psychology and Educational Science Faculty, University of University of Tehran, Tehran, Iran.

چکیده [English]

Aim: This research was conducted with the aim of determining the effectiveness of cognitive rehabilitation and play therapy on improving the executive functions of children with brain tumors. Method: The study was a practical research and a time series quasi-experimental design with multiple groups. The sample included 45 children between 7 and 10 years old with brain tumors selected from Mahak Hospital purposefully and by considering the inclusion and exclusion criteria. The subjects were randomly replaced in 3 groups of 15 people (group 1: cognitive rehabilitation; group 2: cognitive rehabilitation with play therapy; group 3: control group). The experimental groups received relevant interventions in 8 sessions, and the control group did not receive any intervention. The pre-test, post-test and 1-month follow-up of the participants of all 3 groups were conducted with the Executive Function questioner (BRIEF). In order to analyze the data, split-plot ANOVA design (SPANOVA) with spss21 software was used.
Findings: According to the results, the deficit of executive functions in children of both experimental groups was reduced compared to the control group and was stable in the follow-up. Conclusion: The result showed these interventions can be used for children with brain tumors. Of course, the use of rehabilitation therapy integrated with play therapy is more suitable for improving the cognitive skills of children with brain tumors.

کلیدواژه‌ها [English]

  • Play Therapy
  • Cognitive Rehabilitation
  • Brain Tumors
  • Executive Functions
مراجع
Amin Nasab, V; Banijamali, S.A; Hatami, H.R. (2019). The effectiveness of cognitive-motor learning training on social adjustment, motor skills and ADHD symptoms reduce in preschool children aged 5 and 6 years. Journal of Psychological Science. 17(72), 883-892. (in Persian).
Araujo, G.C., Antonini, T.N., Anderson, V., Vannatta, K.A., Salley, C.G., Bigler, E.D., Taylor, H. G., Gerhardt, C., Rubin, K., Dennis, M., Lo, W., Mackay, M.T., Gordon, A., Koterba, C.H., Gomes, A., Greenham, M., & Owen Yeates, K. (2017). Profiles of executive function across children with distinct brain disorders: traumatic brain injury, stroke, and brain tumor. Journal of the International Neuropsychological Society. 23(7), 529-538.
Ashford, J., Schoffstall, C., Reddick, W. E., Leone, C., Laningham, F. H., Glass, J. O., Pei, D., Cheng, C., Pui, C. H., & Conklin, H. M. (2010). Attention and working memory abilities in children treated for acute lymphoblastic leukemia. Cancer Research. 116(19), 4638-45.
Ashori, M; Ghasemzadeh, S; Dallalzadeh Bidgoli, F. (2019). The Impact of Play Therapy Based on Cognitive-Behavioral Model on the Social Skills of Preschool Children with Attention Deficit/Hyperactivity Disorder. Journal of Child Mental Health. 6(2), 27-39. (in Persian).
Azadimanesh, P; Khanzadeh, A.A; Hakim-Javadi, M; Vatankhah, M. (2017). Effect of puppet play therapy on aggression of children with ADHD. The Journal of Urmia University of Medical Sciences. 28(2), 83-90. (in Persian).
Barimani, S; Asadi, J; Khajevand, A. (2018). The effectiveness of play therapy on deaf children's social adaptation and communication skills. Rehabilitation. 19(3), 250-261. (in Persian).
Blanco, P., & Ray, D. (2011). Play therapy in elementary schools: A best practice for improving academic achievement. Journal of Counseling and Development. 89,235-43.
Bohl, V., & Gangopadhyay, N. (2013). Theory of mind and the observability of other minds. Philosophy Explorer. 17, 203–222.
Cicerone, K. D., Langenbahn, D. M., Braden, C., Malec, J. F., Kalmar, K., Fraas, M., & Azulay, J. (2011). Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008. Archives of Physical Medicine and Rehabilitation. 92(4), 519-530.
Collins, B., Mac Kenzie, J., Tasca, G.A., Scherling, C., & Smith, A. (2013). Cognitive effects of chemotherapy in breast cancer patients: a dose-response study. Psycho Oncology. 22(7), 1517–1527.
Correa, D.D. (2010). Neurocognitive function in brain tumors. Curr Neurol Neurosci Rep. 10, 232–239.
Day, A.M., Slomine, B.S., Salama, C., Quinton, T.L., Suskauer, S.J., & Salorio, C.F. (2021). Functional gains in children receiving inpatient rehabilitation after brain tumor resection. Archives of physical medicine and rehabilitation. Arch Phys Med Rehabil. 102(11), 2134-2140.
Desjardins, L., Solomon, A., Janzen, L., Bartels, U., Schulte, F., Chung, J., Cataudella, D., Downie, A., & Barrera, M. (2018). Executive functions and social skills in pediatric brain tumor survivors. Applied Neuropsychology: Child. 9(1), 83-91.
Fritz, A., Percy, C., Jack, A., Shanmugaratnam, K., Sobin, L., Parkin, D.M. & Whelan, S.L. (Eds). (2000). International classification of diseases for oncology (3rd edition). World Health Organization, Geneva.
Gordon, D. (2016). Cognitive, academic, and neuropsychological effects of treatment for childhood acute lymphocytic leukemia. Dissertation of Doctor of Philosophy in Special Education, Syracuse University, USA.
Guay, F., Marsh, H., Mcinerney, D.M., Craven, R.G. (2017). Self driving positive psychology and wellbeing. Charlotte, North Carolina: Information Age Publishing Incorporated.
Jacola, L. M., Krull, K. R., Pui, C. H., Pei, D., Cheng, C., Reddick, W. E., & Conklin, H. M. (2016). Longitudinal assessment of neurocognitive outcomes in survivors of childhood acute lymphoblastic leukemia treated on a contemporary chemotherapy protocol. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology. 34, 1239– 1247.
Josefi, O., Ryan, V. (2004). Non-directive play therapy for young children with autism: A case study. Clinical Child Psychology and Psychiatry. 9(4), 533-51.
Kahrizi, S; Moradi, A; Moemeni, Kh. (2016). The effectiveness of sand play therapy on reducing behavioral disorders of preschool children. Journal of Clinical Psychology and Counseling Research. 5(1), 154-174. (in Persian).
Kesler, S. R., Ogg, R., Reddick, W. E., Phillips, N., Scoggins, & M., Glass, J. O. (2018). Brain network connectivity and executive function in long-term survivors of childhood acute lymphoblastic leukemia. Brain Connectivity. 8(6), 333-342.
Lyer, N. S., Balsamo, L. M., Bracken, M. B., & Kadan-Lotticz, N. S. (2015) .Chemotherapy-only treatment effects on long-term neurocognitive functioning in childhood ALL survivors: a review and meta-analysis. Blood Journal. 126(3), 346-353.
McCloskey, G., Perkins, L.A., & Van Divner, B. (2009). Assessment and intervention for executive function difficulties. (School-based practice in action series). (1th ed). Routledge.
Milton, H. (2010). Effects of a computerized working memory training program on attention, working memory, and academics, in Adolescents with severe ADHD/LD, psychology journal. 1(14), 120 – 122.
Morris, J. (2007). Cognitive rehabilitation: where we are and what is on the horizon. Physical Medicine and Rehabilitation Clinics of North America. 18(1), 27–42.
Narimani, M; Soleimani, E. (2013). The effectiveness of cognitive rehabilitation on executive functions (working memory and attention) and academic progress of students with math learning disorders. Journal of Learning Disabilities. 2(3), 91-115. (in Persian).
Nazifi, M. (2013). Comparing the effectiveness of computer-aided cognitive restoration and medicine therapy in the treatment of attention deficit hyperactivity disorder. PhD thesis in psychology, Department of psychology, Tarbiat Modares University, Tehran, Iran. (in Persian).
Nodei, Kh; Sarami, Gh; Keramati, H. (2016). The relation between executive function and working memory capacity and students' reading performance: The role of age, sex and intelligence. Journal of Cognitive Psychology. 4(3), 11-14. (in Persian).
Pozo Munoz, C., Bretones Nieto, B., Vazquez Lopez, M.A. (2021). When your child has cancer: a path-analysis model to show the relationships between flourishing and health in parents of children with cancer. International Journal of Environmental Research and Public Health. 18(23), 12587.
Ventura, L.M., Grieco, J.A., Evans, C.L., Kuhlthau, K.A., MacDonald, S.M., Tarbell, N.J., Yock, T.I., & Pulsifer, M.B. (2018). Executive functioning, academic skills, and quality of life in pediatric patients with brain tumors post-proton radiation therapy. Journal Neuro Oncol. 137, 119–126.
Raghubar, K.P., Mahone, E.M., Yeates, K.O., Cecil, K.M., Makola, M., & Ris, M.D. (2016). Working memory and attention in pediatric brain tumor patients treated with and without radiation therapy. Child Neuropsychology. 23(6), 642-654.
Reddick, W.E., Shan, Z.Y., Glass, J.O., Helton, S., Xiong, X., Wu, S. (2006). Smaller white‐matter volumes are associated with larger deficits in attention and learning among long‐term survivors of acute lymphoblastic leukemia. Journal Cancer. 106(4), 941-949.
Swan K.L., Ray D.C. (2014). Effects of child centered play therapy on irritability and hyperactivity behaviors of children with intellectual disabilities. The Journal of Humanistic Counseling. 53(2), 120-33.
Williams, P.D., Piamjariyakul, U., Shanberg, R., & Williams, A.R. (2015). Monitoring and alleviation of symptom occurrence and severity among Thai children and adolescents during cancer treatments. Journal Pediatric Oncol Nurs. 32, 417–28. 
عصب روان شناسی
دوره 8، شماره 31 - شماره پیاپی 31
بهمن 1401
صفحه 56-76
فایل ها
هم رسانی
ارجاع به این مقاله
آمار