fa اثربخشی درمان فراتشخیصی پروتکل یکپارچه بر نشانه‌های اضطرابی و افسردگی همایند در مادران خانه‌دار تخصصي Special پژوهشي Research <strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مقدمه:</span></span></strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> هدف پژوهش پیش رو تعیین اثربخشی درمان فراتشخیصی پروتکل یکپارچه</span></span><span dir="LTR"><span style="font-size:12.0pt;"> (Unified Protocol) </span></span>&nbsp;<span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بر نشانه‌های اضطرابی و افسردگی همایند در مادران ‌خانه‌دار بود</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">.</span></span><br> <strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">روش‌ کار:</span></span></strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> تعداد</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">30 نفر از زنان خانه‌دار مدارس استان البرز</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">که به روش نمونه&shy;‌گیری در دسترس انتخاب شدند</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">، </span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">پس</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">از</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ارزیابی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بالینی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">اولیه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">احراز</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شرایط</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">پژوهش،</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> با نشانه&shy;‌های</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">افسردگی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">اضطراب</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">همبود،</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">دو</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">گروه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">درمان</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">فراتشخیصی (15 نفر) </span></span>&nbsp;<span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">کنترل</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">(15 نفر) </span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">گماشته</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شدند</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">. گرو</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آزمایشی،</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">12</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">جلسه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">درمان</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">هفتگی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">فراتشخیصی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">را</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">دریافت</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">کرد و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">با استفاده از مقیاس</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">اضطراب</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بک</span></span><span dir="LTR"><span style="font-size:12.0pt;">(BAI) </span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">&nbsp;و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">افسردگی</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">بک</span></span><span dir="LTR"><span style="font-size:12.0pt;">(BDI-II) </span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">، در </span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">دو</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مرحله</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">پیش</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آزمون </span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">پس</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">آزمون</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">پیگیری</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">3</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">ماهه</span></span> <span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">شدند</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">. جهت تحلیل داده&shy;ها از تحلیل کوواریانس یک متغیری (</span></span><span dir="LTR"><span style="font-size:12.0pt;">ANCOVA</span></span><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">) استفاده شد. </span></span><br> <strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">یافته‌ها: </span></span></strong><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">مقایسه میانگین‌های دو گروه آزمایش و کنترل در پس آزمون نشان داد که اجرای پروتکل یکپارچه بر نشانه‌های اضطراب و نشانه‌های افسردگی در گروه آزمایش موثر واقع شده است. </span></span><br> <strong><span dir="RTL"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;">نتیجه‌گیری:</span></span></span></strong><span dir="RTL"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> نتایج نهایی نشان داد که اجرای پروتکل یکپارچه، نشانه‌های افسردگی و اضطراب را به صورت معناداری به ترتیب در سطح 01/0></span></span></span><span style="font-family:Calibri,sans-serif;"><span style="font-size:12.0pt;">p</span></span><span dir="RTL"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> و 05/0></span></span></span><span style="font-family:Calibri,sans-serif;"><span style="font-size:12.0pt;">p</span></span><span dir="RTL"><span style="font-family:B Nazanin;"><span style="font-size:12.0pt;"> در مادران خانه‌دار شرکت ‌کننده در این پژوهش کاهش داده است.</span></span></span> <strong>Introduction:</strong> The aim of the present study was to determine the efficacy of the Unified Protocol (UP) for transdiagnostic treatment on comorbid symptoms of depression and anxiety of housewife mothers.&nbsp;<br> <strong>Methods:</strong> This investigation was carried out as a semi experimental test on 30 housewives mothers from a schools in the Alborz province with comorbid depression and anxiety, subsequent to primary clinical assessment and obtaining study requirements were selected and randomly assigne to either transdiagnostic treatment (n =15) or a waiting list control group (n =15). The experimental group received 12 weekly transdiagnostic sessions. The Beck Depression Inventory (BDI-II) and Beck Anxiety Inventory (BAI) were used as outcome measures. The questionnaires were administered immediately before and after the intervention and 3 months following the termination of the intervention. For analyzing the achieve data, Analysis of Covariance (ANCOVA) was used.<br> <strong>Results:</strong> The final results showed that by implementing the Unified Protocol, depression and anxiety symptoms of the participating housewife mothers, significantly decreased with p< 0.01 and p< 0.05, respectively. <span dir="RTL"></span><br> <strong>Conclusion:</strong> The comparison between experimental and control group shows that, using Unified Protocol leads to reduction in anxiety and depression symptoms in the experimental group rather than control group.<span dir="RTL"></span> پروتکل یکپارچه, درمان فراتشخیصی, اضطراب, افسردگی Anxiety, Depression, Transdiagnostic Treatment, Unified Protocol, Cognitive Behavioral Therapy. 82 92 http://npwjm.ajaums.ac.ir/browse.php?a_code=A-10-1242-13&slc_lang=fa&sid=1 زهرا بهادری 10031947532846003330 10031947532846003330 No سمیه رباط میلی 10031947532846003331 10031947532846003331 Yes رضا قربان جهرمی 10031947532846003332 10031947532846003332 No