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تاثیرتوان بخشی شناختی بر کارکرد های اجرایی، تنظیم شناختی هیجان و ولع مصرف زندانیان مرد تحت درمان نگهدارنده متادون

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استاد گروه روان شناسی، دانشگاه پیام نور، تهران، ایران.

2 دانشجوی دکتری گروه روانشناسی، دانشگاه پیام نور، تهران، ایران.

3 دانشیار گروه روان شناسی، دانشگاه پیام نور، تهران، ایران.

چکیده

هدف: پژوهش حاضر با هدف تعیین تاثیرتوانبخشی شناختی بربهبودکارکرد های اجرایی، تنظیم شناختی هیجان وکاهش ولع مصرف زندانیان مرد تحت درمان نگهدارنده متادون انجام شد. روش: پژوهش حاضر به روش نیمه آزمایشی پیش آزمون-پس آزمون با گروه کنترل نابرابر اجرا شد. جامعه آماری شامل زندانیان تحت درمان با متادون زندان قزلحصار در سال 1402 بود.نمونه شامل 80 نفرکه در طرح 2ماهه کارآزمایی بالینی با پیگیری 2ماهه قرار گرفتند. گروه آزمایش برنامه توانبخشی شناختی را در 16 جلسهِ 90 دقیقه ای گروهی دریافت نمود. جهت جمع آوری اطلاعات از شـاخص شـدت اعتیـاد ، آزمون طبقه بندی کارتهای ویسکانسین، مقیاس کوتاه ولع مصرف مواد سوموزا و آزمون تنظیم شناختی هیجان گازنفسکی استفاده شده است.  یافته: نتایج با استفاده از آزمون تحلیل کوواریانس اندازه گیری مکرر با پیگری 2ماهه نشان داد که درمان توانبخشی شناختی در بهبود کارکرد اجرایی ، تنظیم شناختی هیجان و کاهش ولع مصرف زندانیان تحت درمان با متادون موثربوده و بین دو گروه آزمایش و گواه تفاوت معناداری وجود داشت. البته در پیگیری 2ماهه نتیجه آزمایش ادرار آمفتامین و متامفتامین 1نفر از گروه تحت درمان و 15 نفر از گروه گواه مثبت بود. نتیجه گیری: با توجه به یافته های حاضر می توان از توانبخشی شناختی در راستای درمان اعتیاد (بهبود کارکردهای اجرایی و تنظیم شناختی هیجان و کاهش ولع مصرف) زندانیان تحت درمان با متادون استفاده نمود.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Effectiveness Cognitive Rehabilitation in Executive Functioning, Cognitive Emotion of Regulation and Craving for Men Incarceration Under Methadone Maintenance Therapy

نویسندگان [English]

  • hussein zare 1
  • hussein ghasemi 2
  • amin rafiepoor 3
  • nasrollah erfani 3

1 Professor, Department of Psychology, Payam Noor University, Tehran, Iran.

2 PhD student, Department of Psychology, Payam Noor University, Tehran, Iran.

3 Associate Professor, Department of Psychology, Payam Noor University, Tehran, Iran.

چکیده [English]

Aim: The present study was conducted to determine the effect of cognitive rehabilitation on improving executive functions, cognitive emotion of regulation, and reducing drug craving among male prisoners undergoing methadone maintenance therapy. Method: The present study was conducted using a quasi-experimental pretest-posttest design with an unequal control group. The statistical population included prisoners undergoing methadone therapy at Qazalhessar Prison in 2023. The sample consisted of 80 individuals who were enrolled in a 2-month clinical trial with a 2-month follow-up period. The experimental group received a cognitive rehabilitation program in 16 group sessions of 90 minutes. In order to collect data, the addiction severity index, the Wisconsin card classification test, the Somoza substance craving short scale, and the Garnefsky cognitive emotion regulation test were used. Findings: The results using repeated analysis of covariance test with follow-up2 months showed that cognitive rehabilitation treatment was effective in improving executive function, cognitive regulation of emotions and reducing cravings in prisoners treated with methadone and there was a significant difference between the two experimental and control groups However, in the 2-month follow-up, the urine test results for amphetamines and methamphetamines were positive for 1 individual in the treatment group and 15 individuals in the control group. Conclusion According to the present findings, cognitive rehabilitation can be used in addiction treatment (improving executive functions and cognitive regulation of emotions and reducing cravings) of prisoners treated with methadone.

کلیدواژه‌ها [English]

  • Cognitive Rehabilitation
  • Executive Functions
  • Cognitive Regulation of Emotion
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عصب روان شناسی
دوره 10، شماره 37 - شماره پیاپی 37
مرداد 1403
صفحه 53-76
فایل ها
هم رسانی
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