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تاثیرتوان بخشی شناختی بر کارکرد های اجرایی، تنظیم شناختی هیجان و ولع مصرف زندانیان مرد تحت درمان نگهدارنده متادون | ||
| عصب روان شناسی | ||
| مقاله 4، دوره 10، شماره 37، مرداد 1403، صفحه 53-76 اصل مقاله (755.26 K) | ||
| نوع مقاله: مقاله پژوهشی | ||
| شناسه دیجیتال (DOI): 10.30473/clpsy.2024.11381 | ||
| نویسندگان | ||
| حسین زارع* 1؛ حسین قاسمی2؛ امین رفیع پور3؛ نصراله عرفانی3 | ||
| 1استاد گروه روان شناسی، دانشگاه پیام نور، تهران، ایران. | ||
| 2دانشجوی دکتری گروه روانشناسی، دانشگاه پیام نور، تهران، ایران. | ||
| 3دانشیار 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 | ||
| توانبخشی شناختی؛ کارکردهای اجرایی؛ تنطیم شناختی هیجان؛ ولع مصرف | ||
| 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 zare1؛ hussein ghasemi2؛ amin rafiepoor3؛ nasrollah erfani3 | ||
| 1Professor, Department of Psychology, Payam Noor University, Tehran, Iran. | ||
| 2PhD student, Department of Psychology, Payam Noor University, Tehran, Iran. | ||
| 3Associate 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 | ||
| مراجع | ||
|
Aharonovich, E., Nunes, E., & Hasin, D. (2003). Cognitive impairment, retention and abstinence among cocaine abusers in cognitive–behavioral treatment. Substance Use & Misuse, 38(14), 1–12. https://doi.org/10.1016/S0376-8716(03)00092-9 Anderson, A. C., Youssef, G. J., Robinson, A. H., Lubman, D. I., & Verdejo-García, A. (2021). Cognitive boosting interventions for impulsivity in addiction: A systematic review and meta-analysis of cognitive training, remediation and pharmacological enhancement. Addiction, 116, 3304–3319. https://doi.org/10.1111/add.15469 Barkley, R. A. (2012). Executive functions: What they are, how they work, and why they evolved. Guilford Press. Bates, M. E., & Buckman, J. F. (2013). A role for cognitive rehabilitation in increasing the effectiveness of treatment for alcohol use disorders. Neuropsychology Review, 23(1), 27–47. https://doi.org/10.1007/s11065-013-9228-3 Bloom, D. E., et al. (2012). [Neurobiological mechanisms in addiction]. Fernández-Serrano, M. J., Pérez-García, M., & Verdejo-García, A. (2011). What are the specific vs. generalized effects of drugs of abuse on neuropsychological performance? Neuroscience & Biobehavioral Reviews, 35, 377–406. https://doi.org/10.1016/j.neubiorev.2010.04.008 Fernández-Serrano, M. J. (2017). Neurocognition and inhibitory control in polysubstance use disorders: Comparison with alcohol use disorders and changes with abstinence. Journal of Clinical and Experimental Neuropsychology, 39(1), 22–34. https://doi.org/10.1080/13803395.2016.1196165 Fish, J., Wilson, B. A., & Manly, T. (2010). The assessment and rehabilitation of prospective memory problems in people with neurological disorders: A review. Neuropsychological Rehabilitation, 20(2), 161–179. https://doi.org/10.1080/09602010903126029 Garofalo, C., & Neumann, C. S. (2018). Psychopathy and emotion regulation: Taking stock and moving forward. In M. DeLisi (Ed.), Routledge international handbook of psychopathy and crime (pp. 58–79). Routledge. George, O., & Koob, G. F. (2010). Individual differences in prefrontal cortex function and the transition from drug use to drug dependence. Neuroscience & Biobehavioral Reviews, 35, 232–247. https://doi.org/10.1016/j.neubiorev.2010.05.002 Hancock, M., Tapscott, J. L., & Hoaken, P. N. (2010). Role of executive dysfunction in predicting frequency and severity of violence. Aggressive Behavior, 36, 338–349. https://doi.org/10.1002/ab.20353 Jesse Meijers, J. M., Harte, J. M., Jonker, F. A., & Meynen, G. (2015). Prison brain? Executive dysfunction in prisoners. Frontiers in Psychology, 6, 43. https://doi.org/10.3389/fpsyg.2015.00043 Jovanovski, D., Erb, S., & Zakzanis, K. K. (2005). Neurocognitive deficits in cocaine users: A quantitative review of the evidence. Journal of Clinical and Experimental Neuropsychology, 27(2), 189–204. https://doi.org/10.1080/13803390490515694 Lau, M. J. (2009). Executive cognitive functioning as a risk factor in recidivism: A longitudinal study of federally incarcerated offenders (Doctoral dissertation, University of Western Ontario). https://ir.lib.uwo.ca/digitizedtheses/4044 Lezak, M. D. (2004). Neuropsychological assessment (4th ed.). Oxford University Press. Luther, J. B., Reichert, E. S., Holloway, E. D., Roth, A. M., & Aalsma, M. C. (2011). An exploration of community reentry needs and services for prisoners. AIDS Patient Care and STDs, 25, 475–481. https://doi.org/10.1089/apc.2010.0372 Moreno-López, L., Stamatakis, E. A., Fernández-Serrano, M. J., Gómez-Río, M., Rodríguez-Fernández, A., Pérez-García, M., & Verdejo-García, A. (2012). Neural correlates of hot and cool executive functions in poly-substance addiction. Psychiatry Research: Neuroimaging, 203(2–3), 214–221. https://doi.org/10.1016/j.pscychresns.2012.01.006 Morgan, A. B., & Lilienfeld, S. O. (2000). A meta-analytic review of the relation between antisocial behavior and executive function. Clinical Psychology Review, 20(1), 113–136. https://doi.org/10.1016/S0272-7358(98)00096-8 Noel, X. (2002). Contribution of frontal cerebral blood flow and executive deficits to predicting outcome in alcohol-dependent patients. Alcohol and Alcoholism, 37(4), 347–354. https://doi.org/10.1093/alcalc/37.4.347 O’Connor, A. M., Cousins, G., Durand, L., Barry, J., & Boland, F. (2020). Retention of patients in opioid substitution treatment: A systematic review. PLOS ONE, 15(5), e0232086. https://doi.org/10.1371/journal.pone.0232086 Potvin, S., Stavro, K., Rizkallah, E., & Pelletier, J. (2014). Cocaine and cognition: A systematic quantitative review. Journal of Addiction Medicine, 8, 368–376. https://doi.org/10.1097/ADM.0000000000000066 Rezapour, T., DeVito, E. E., Sofuoglu, M., & Ekhtiari, H. (2016). Neurocognitive rehabilitation as an adjunct treatment for addictive disorders: From cognitive improvement to relapse prevention. Progress in Brain Research, 224, 345–369. https://doi.org/10.1016/bs.pbr.2015.07.022 Rezapour, T., Hatami, J., Farhoudian, A., Sofuoglu, M., Noroozi, A., Daneshmand, R., Samiei, A., & Ekhtiari, H. (2015). NEuro COgnitive REhabilitation for Disease of Addiction (NECOREDA) program: From development to trial. Basic and Clinical Neuroscience, 6(4), 291–298. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4668876/ Rezapour, T., Hatami, J., Farhoudian, A., Sofuoglu, M., Noroozi, A., Daneshmand, R., Samiei, A., & Ekhtiari, H. (2019). Cognitive rehabilitation for individuals with opioid use disorder: A randomized controlled trial. Neuropsychological Rehabilitation, 29(8), 1273–1289. https://doi.org/10.1080/09602011.2017.1391103 Schultz, W., Dayan, P., & Montague, P. R. (1997). A neural substrate of prediction and reward. Science, 275(5306), 1593–1599. https://doi.org/10.1126/science.275.5306.1593 Stevens, L., Verdejo-García, A., Goudriaan, A. E., Roeyers, H., Dom, G., & Vanderplasschen, W. (2014). Impulsivity as a vulnerability factor for poor addiction treatment outcomes: A review of neurocognitive findings. Journal of Substance Abuse Treatment, 47, 58–72. https://doi.org/10.1016/j.jsat.2014.01.008 Stringer, H. (2019). Improving mental health for inmates. Monitor on Psychology, 50(3), 46. https://www.apa.org/monitor/2019/03/mental-heath-inmates Torres, A., Catena, A., Megías, A., Maldonado, A., Cándido, A., Verdejo-García, A., & Perales, J. C. (2013). Emotional and non-emotional pathways to impulsive behavior and addiction. Frontiers in Human Neuroscience, 7, 43. https://doi.org/10.3389/fnhum.2013.00043 Tiffany, S. T., Friedman, L., Greenfield, S. F., Hasin, D. S., & Jackson, R. (2012). Beyond drug use: A systematic consideration of other outcomes in evaluations of treatments for substance use disorders. Addiction, 107(4), 709–718. https://doi.org/10.1111/j.1360-0443.2011.03581.x UNODC. (2019). World drug report 2019. United Nations Office on Drugs and Crime. Verdejo-García, A. (2020). Cognition and addiction: A researcher’s guide from mechanisms towards interventions. Academic Press. https://doi.org/10.1016/C2017-0-03135-X Walmsley, R. (2013). World prison population list (10th ed.). Institute for Criminal Policy Research. http://www.prisonstudies.org Yücel, M., Oldenhof, E., Ahmed, S. H., Belin, D., Billieux, J., Bowden-Jones, H., et al. (2019). A transdiagnostic dimensional approach towards a neuropsychological assessment for addiction: An international Delphi consensus study. Addiction, 114, 1095–1109. https://doi.org/10.1111/add.14424 Ekhtiari, H., Verdejo-García, A., Moeller, S. J., Baldacchino, A. M., & Paulus, M. P. (Eds.). (2021). Brain and cognition for addiction medicine: From prevention to recovery. Frontiers Media SA. https://doi.org/10.3389/978-2-88966-377-4 | ||
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