fa اثربخشی درمان مبتنی بر ذهن‌آگاهی بر اضطراب و افسردگی بیماران مبتلا به پارکینسون سالمند مسائل اجتماعی سالمندان elderly social issues پژوهشي اصیل Original research <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">مقدمه:</span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"> شیوع مشکلات روانشناختی در بیماران مبتلا به پارکینسون سالمند بالاست که بـرای رفـع ایـن مشکلات بـه مداخلاتی نیاز مـی&shy;باشـد. این پژوهش با هدف تعیین اثربخشی درمان مبتنی بر ذهن آگاهی بر اضطراب و افسردگی بیماران مبتلا به پارکینسون سالمند انجام شد. </span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">روش کار:</span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"> ر</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">وش پژوهــش از نــوع نیمــه تجربــی و پیش&shy;آزمــون، پس&shy;آزمــون بــا گــروه کنتــرل بــود. جامعــه آمــاری شــامل </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">کلیه بیماران مبتلا به پارکینسون</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">دچاراضطراب و افسردگی مراجعه کننده به مراکز روانپزشکی و روان شناسی شهر یزد&nbsp; در سال 1402 </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">بودنــد کــه 30 نفــر (15 نفر گــروه آزمایــش و 15 نفــر گــروه کنتــرل) بــه روش نمونــه&shy;گیــری در دســترس انتخــاب شــدند. ابــزار گــردآوری داده&shy;هــا پرسشـنامه&shy;هـای </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">اضطراب بک (1961)</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">و پرسشـنامه </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">افسردگی بک (1961)</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">بـود. مداخلـه </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">درمان مبتنی بر ذهن آگاهی</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">در 12 جلسه 20 الی 90 دقیقه&shy;ای و هفته&shy;ای دو بار بـر روی گـروه آزمـایش انجـام شـد و گـروه کنتـرل هیـچ&shy;گونـه مداخلـه&shy;ای دریافـت نکردنـد. تجزیـه و تحلیـل داده&shy;هـا بـا آزمـون&shy;هـای توصیفـی (میانگیـن و انحـراف اسـتاندارد) و تحلیـل کوواریانـس و بـا اسـتفاده از نـرم افـزار</span></span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">SPSS</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">نسـخه 24 انجـام شـد. میـزان</span></span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">کمتـر از 05/0 معنـی&shy;داری در نظـر گرفتـه شـد</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="color:black">.</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">یافته&shy;ها:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"> در متغیـر اضطراب، میانگیـن و انحـراف اسـتاندارد گـروه آزمایـش در پیـش آزمـون 77/17</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="color:black">&plusmn;</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">93/36 و در پـس آزمـون </span></span></span></span>&nbsp;<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">77/11</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="color:black">&plusmn;</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">73/13 و در متغیـر افسردگی، میانگیـن و انحـراف اسـتاندارد گـروه آزمایـش در پیـش آزمـون 95/13</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="color:black">&plusmn;</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">67/30 و در پـس آزمـون </span></span></span></span>&nbsp;<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">02/4</span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="color:black">&plusmn;</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">80/20 بـه دسـت آمـد. (01/0</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="color:black">P <</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">). </span></span></span></span>&nbsp;<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">نتیجه&shy;گیری:</span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"> بـر اسـاس یافتـه&shy;هـای پژوهـش، از </span></span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">درمان مبتنی بر ذهن آگاهی برای کاهش اضطراب و افسردگی بیماران مبتلا به پارکینسون سالمند </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black">مـی تـوان اسـتفاده کـرد</span></span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"><span style="color:black">.</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><br> <br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></b></span></span></span></span></span><br> &nbsp; <br> <br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Introduction:</span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> The prevalence of psychological problems in elderly Parkinson&#39;s patients is high, and interventions are needed to alleviate these problems. This study was conducted to determine the effectiveness of mindfulness-based therapy on anxiety and depression in elderly Parkinson&#39;s patients. </span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Methods:</span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> The research method was a quasi-experimental, pre-test, post-test design with a control group. The statistical population included all patients with Parkinson&#39;s disease with anxiety and depression who referred to psychiatric and psychological centers in Yazd in 2023, of which 30 people (15 in the experimental group and 15 in the control group) were selected by convenience sampling. The data collection tools were Beck Anxiety Inventory (1961) and Beck Depression Inventory (1961). Mindfulness-based therapy intervention was performed in 12 sessions of 20 to 90 minutes, twice a week, on the experimental group, and the control group did not receive any intervention. Data analysis was performed using descriptive tests (mean and standard deviation) and analysis of covariance using SPSS version 24. A P value of less than 0.05 was considered significant. </span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results:</span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> In the anxiety variable, the mean and standard deviation of the experimental group before the test was 93.36&plusmn;17.77 and after the test was 73.13&plusmn;11.77, and in the depression variable, the mean and standard deviation of the experimental group before the test was 67.30&plusmn;13.95 and after the test was 80.20&plusmn;4.02. (P <0.01). </span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></b><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> Based on the findings of the study, mindfulness-based therapy can be used to reduce anxiety and depression in elderly patients with Parkinson&#39;s disease. </span></span></span></span></span><br> <br> &nbsp; کلید واژه­ها: ذهن­آگاهی, اضطراب, افسردگی, پارکینسون, سالمند. Keywords: Mindfulness, Anxiety, Depression, Parkinson's, Elderly. 24 32 http://joge.ir/browse.php?a_code=A-10-846-1&slc_lang=fa&sid=1 Zahra mansour moghaddam زهرا منصورمقدم mansor@gmail.com 10031947532846008942 10031947532846008942 No Somayeh Hadad ranjbar سمیه حداد رنجبر roosta@gmail.com 10031947532846008943 10031947532846008943 Yes Alireza Manzari Tavakoli علیرضا منظری توکلی 10031947532846008944 10031947532846008944 No