
تعداد نشریات | 41 |
تعداد شمارهها | 1,153 |
تعداد مقالات | 9,923 |
تعداد مشاهده مقاله | 18,481,854 |
تعداد دریافت فایل اصل مقاله | 12,836,490 |
اثربخشی تحریک الکتریکی فراجمجمه ای بر خودکارآمدی و تصویر بدنی در افراد مبتلا به چاقی و اضافه وزن | ||
روانشناسی سلامت | ||
دوره 13، شماره 51، آذر 1403، صفحه 155-168 اصل مقاله (1.34 M) | ||
نوع مقاله: علمی- پژوهشی | ||
شناسه دیجیتال (DOI): 10.30473/hpj.2025.52229.5972 | ||
نویسندگان | ||
نجمه حمید* 1؛ اصغر محمدزاده2؛ کیومرث بشلیده1 | ||
1استاد، گروه روانشناسی، دانشگاه شهید چمران اهواز، اهواز، ایران. | ||
2دانشجوی دکتری، گروه روانشناسی، دانشگاه شهید چمران اهواز، اهواز، ایران. | ||
چکیده | ||
مقدمه: هدف پژوهش حاضر، بررسی اثربخشی درمان مبتنی بر تحریک الکتریکی فراجمجمهای بر خودکارامدی و تصویر بدنی در مبتلایان به اضافه وزن و چاقی بوده است. روش: روش پژوهش حاضر آزمایشی و از نوع پیشآزمون- پسآزمون با گروه کنترل بوده است. جامعه آماری این پژوهش شامل کلیه مبتلایان به اضافه وزن و چاقی شهر اهواز در سال 1398 بودند که با روش نمونه گیری در دسترس و با در نظر گرفتن معیارهای ورود و خروج، نهایتا 63 نفر به عنوان نمونه انتخاب شدند و به صورت تصادفی تعداد40 نفر از آنها انتخاب و به طور تصادفی در دو گروه آزمایش و کنترل گمارده شدند. ابزار پژوهش شامل مقیاس تصویر بدن (لیتلتون) و مقیاس خودکارآمدی (کلارک) بود. گروه آزمایش، سیزده جلسه 20 دقیقهای هفتگی دو بار تحریک آندی نقطه DLPFC را دریافت نمودند، در حالیکه گروه کنترل هیچگونه مداخلهای دریافت ننمودند. داده ها با نرم افزار SPSS-21 و آزمون تحلیل کوواریانس چند متغیره تجزیه و تحلیل شدند. یافتهها: نتایج حاصل نشان داد که تفاوت معنیداری میان گروه آزمایش و کنترل از لحاظ کارامدی (000/0F=124.4, P<) با اندازه اثر 89/0 و تصویر بدنی (000/0F=6.9, P<) با اندازه اثر 32/0 بوده است، همچنین میزان خودکارآمدی وزن در گروه آزمایش نسبت به پیشآزمون و گروه کنترل بهطور معنیداری افزایش یافت. میزان ترس از تصویر بدنی در گروه آزمایش نسبت به پیشآزمون و گروه کنترل بهطور معنیداری کاهش یافت. نتیجهگیری: تحریک الکتریکی فراجمجمه ای میتواند برای درمان اضافه وزن و چاقی سودمند و کارآمد باشد و در کلینیک های تغذیه، روانشناسی و مشاوره مورد استفاده قرار گیرد. | ||
کلیدواژهها | ||
اضافه وزن؛ تصویر بدنی؛ تحریک الکتریکی فراجمجمهای؛ خودکارآمدی | ||
عنوان مقاله [English] | ||
The Effectiveness of Transcranial Direct Current Stimulation on Self-Efficacy and Body Image in Obese and Overweight People | ||
نویسندگان [English] | ||
Najmeh Hamid1؛ Asghar Mohamadzadeh2؛ Kumars Beshlideh1 | ||
1Professor of Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran. | ||
2Ph.D. Student of Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran. | ||
چکیده [English] | ||
Objective: Today, obesity is known as a chronic disease and is a risk factor for many diseases such as diabetes, blood lipid disorders, liver disease and heart diseases. Overweight or obesity is actually a weight that is higher than what is defined as a healthy weight index. The aim of the present study was to study the effectiveness of transcranial direct current stimulation therapy on self-efficacy and body image in overweight patients. The research method of the current research was experimental and pre-test-post-test type with a control group. Method: The method of the current research was experimental and pre-test-post-test type with a control group. The statistical population of this research included all overweight and obese patients in Ahvaz city in 2018, By the available sampling method and taking into account the inclusion and exclusion criteria, inclusion criteria: 1- Being overweight or obese (body mass index above 25) 2- Age range from 20 to 50 years 3- Diploma education and above 4- Not suffering from acute mental and physical disorders (psychosis and mental retardation) 5- Obtaining a standard deviation less than the average in the efficiency and body image scale and the exclusion criteria include: 1- pregnancy 2- use of a heart battery or pacemaker 3- use of transcranial electrical stimulation 4- scratches and wounds on the skin Head 5- Brain surgery 9- Electroshock therapy (ECT) has been used in the last three months. finally, 63 women were selected as sample members and 40 subjects were randomly selected. They were randomly assigned to two experimental and control groups. Research instruments included body image scale (Littleton) and self-efficacy scale (Clark). After the initial assessment, the experimental group received three sessions of DLPFC anodic stimulation tthirteens 20-minute sessions twice a week, while the control group did not receive any intervention. Data were analyzed using SPSS-21 software by multivariate analysis of covariance. Results: The results showed that there was a significant difference between the experimental and control groups in efficiency and body image. In terms of efficiency (F=124.4, P<0.000) with an effect size of 0.89 and body image (F=6.9, P<0.000) with an effect size of 0.32. The level of self-efficacy in the experimental group increased significantly compared to the pre-test and the control group. Also, the level of fear of body image in the experimental group decreased significantly compared to the pre-test and the control group. These results have shown that transcranial electrical stimulation has been effective on self-efficacy and body image in overweight and obese patients. Transcranial electrical stimulation has increased self-efficacy and reduced fear of body image. Conclusion: Therefore, it can be said that transcranial electrical stimulation (tDCS) can be useful and efficient for the treatment of overweight and obesity and can be used as interventions in nutrition, psychology and counseling clinics. | ||
کلیدواژهها [English] | ||
Body Image, Overweight, Self-Efficacy, Transcranial Electrical Stimulation | ||
مراجع | ||
Ajlouni, A. O., Wahba, F. A. A., & Almahaireh, A. S. (2023). The Intensity Use of health Apps and its Relation to Nutrition Knowledge, Healthy Eating Self-Efficacy, and Positive Body Image. International Journal of Online & Biomedical Engineering, 19(6).Doi: 10.3991/ijoe. v19i06.38533 Anastasiadou, D., Herrero, P., Garcia-Royo, P., Vázquez-De Sebastián, J., Slater, M., Spanlang, B., & Lusilla-Palacios, P. (2024). Assessing the Clinical Efficacy of a Virtual Reality Tool for the Treatment of Obesity: Randomized Controlled Trial. Journal of Medical Internet Research, 26, e51558. doi:10.2196/51558 Aynehchi, A., Saleh-Ghadimi, S., & Dehghan, P. (2023). The association of self-efficacy and coping strategies with body mass index is mediated by eating behaviors and dietary intake among young females: A structural-equation modeling approach. Plos one, 18(1), e0279364. doi.org/10.1371/journal.pone.0279364 Basharat, Mohammad Ali, Rostami, Reza, Karimi, Masoumeh, Farahani, Hajja Elah. (2014). The effectiveness of an augmented tDCS and ABMT on reducing food craving in obese individuals. Applied Psychological Research Quarterly, 6(3), 19-37. https://www.researchgate.net/publication/312589138 Bandura, A. (1997). Self-Efficacy: Toward a Unifying Theory of Behavioral Change. Psychological Review.84(2):191-215. https://doi.org/10.1016/0146-6402(78)90002-4 Bas, M. Donmez, S. )2009(. Self-efficacy and restrained eating in relation to weight loss among overweight men and women in Turkey. Appetite. 52(1): 209-216. doi.org/10.1016/j.appet.2008.09.017 Byrne, S. Barry, D. Petry, NM. )2012(. Predictors of weight loss success, Exercise vs. dietary, self-efficacy and treatment attendance. Appetite, 58(2):695-698. https://doi.org/10.1016/j.appet.2012.01.005 Burgess, E E. Sylvester, M D. Morse, K E. Amthor, F R. Mrug, S. Lokken, K L. Boggiano, M (2016). Effects of transcranial direct current stimulation (tDCS) on being eating disorder. The International Journal of Eating Disorders, 49(10): 930-936. https://doi.org/10.1002/eat.22554 Brunoni, A R. Nitsche, M A. Bolognini, N. Bikson, M. Wagner, T. Merabet, L. Ferrucci, R. (2012). Clinical research with transcranial direct current stimulation (tDCS): challenges and future directions. Brain stimulation, 5(3): 175-195. https://doi.org/10.1016/j.brs.2011.03.002 Brar, L., Wassenaar, E., & O’Melia, A. M. (2020). Novel Treatments for Patients with Severe and Enduring Eating Disorders. Tipping the Scales: Ethical and Legal Dilemmas in Managing Severe Eating Disorders, 119. Carl, E., Shevorykin, A., Liskiewicz, A., Alberico, R., Belal, A., Mahoney, M., & Sheffer, C. E. (2021). Increasing Physical Activity among Breast Cancer Survivors by Modulating Temporal Orientation with rTMS: Feasibility and Potential Efficacy. International Journal of Environmental Research and Public Health, 18(19), 10052. https://doi.org/10.3390/ijerph181910052 Clark, M M. Abrams, DB. Niaura, RS. Eaton, CA. Rossi, JS. (1991). Self-Efficacy in Weight Management. Journal of Consulting and Clinical Psychology, 59(5):739-744. Doymaz, F., TOPUKÇU, Ö. Ç., ATALAY, O., Özkeskin, M., & Şenol, H. (2024). The relationship between physical activity and self-esteem among Turkish university students: a gender perspective; a multidisciplinary and multi-center study. Anatolian Current Medical Journal, 6(1), 17-22. DOI:10.38053/acmj.1343019 Dane, A., & Bhatia, K. (2023). The social media diet: A scoping review to investigate the association between social media, body image and eating disorders amongst young people. PLOS Global Public Health, 3(3), e0001091. https://doi.org/10.1371/journal.pgph.0001091 Fecteau, S. Agosta, S. Hone-Blanchet, A. Fregni, F. Boggio, P. Ciraulo, D. Pascual-Leone, A. (2014). Modulation of smoking and decision-making behaviors with transcranial direct current stimulation in tobacco smokers: A preliminary study. Drug and Alcohol Dependence.140:78-84. doi: 10.1016/j.drugalcdep.2014.03.036 Gao, X., Cheng, M., & Zhang, R. (2024). The relationship between physical activity and the health of primary and secondary school teachers: the chain mediating effects of body image and self-efficacy. BMC Public Health, 24(1), 562. https://doi.org/10.1186/s12889-024-17914-2 Ghosh, E., Mukherjee, P., & Ghosh, S. (2024). A comparative study on objectified body image and self-efficacy among young adult and middle aged women from urban area. IJPR, 6(1), 05-09. https://doi.org/10.33545/26648903.2024.v6.i1a.42 Grogan, S. (2007). understanding body dissatisfaction men, women and children, Body image, London and New York: Routledge press. https://doi.org/10.4324/9781003100041 Gunstad, J., Sanborn, V., & Hawkins, M. (2020). Cognitive dysfunction is a risk factor for overeating and obesity. American Psychologist, 75(2), 219. https://doi.org/10.1037/amp0000585 Gordon, G., Brockmeyer, T., Schmidt, U., & Campbell, I. C. (2019). Combining cognitive bias modification training (CBM) and transcranial direct current stimulation (tDCS) to treat binge eating disorder: study protocol of a randomized controlled feasibility trial. BMJ open, 9(10), e030023. doi.org/10.1136/bmjopen-2019-030023 Harvey, A. J., Madden, S., Rodgers, A., Bull, M., Chatterton, M. L., Hadzi-Pavlovic, D., & Martin, D. M. (2023). Randomized controlled trial of neuro stimulation for symptoms of anorexia nervosa (TRENA study): study protocol. Journal of Eating Disorders, 11(1), 218. DOI: 10.1186/s40337-023-00940-7 Liebetanz, D. Nitsche, M A. Tergau, F. Paulus, W. (2002). Pharmacological approach to the mechanisms of transcranial DC‐stimulation‐induced after‐effects of human motor cortex excitability. Brain, 125(10): 2238-2247. https://doi.org/10.1093/brain/awf238 Littleton, H. L., Axom, D. S. and Pury, C. L. (2005). Development of the Body Image Concern Inventory. Behavior Research and Therapy. 43, 229- 241. DOI: 10.1016/j.brat.2003.12.006 Mousavi, Seyyed Abulfazl. Pourhossein, Reza, Zare Moghadam, Ali, Mousaviyan Hejazi, Seyyed Ahmed, Anonymous, Azam (2015). Body image and perspectives and schools of psychology. Development of Psychology, 5, 2, 209-236. http://frooyesh.ir/article-1-345-fa.html Mansourieh, Nastern, Mahmoud Alilou, Majid, Rostami, Reza, and Hashemi, Toraj (2013). Effectiveness of repeated supracortical magnetic stimulation in reducing cravings in methamphetamine abusers. Applied Psychology Quarterly, 6, 4(24), 56-43. https://sid.ir/paper/113859/en Mohammadi, Nurullah, Marzieh Al Sadat Sajjadinia (2007). The Evaluation of psychometric properties of Body Image Concern Inventory and examination of a model about the relationship between body mass index, body image dissatisfaction and self-esteem in adolescent girls, sychological Studies, 3, 1, 85-96.https://sid.ir/paper/67744/fa Martin, P. D. Dutton, G R. Brantley, P J. )2004(. Self-efficacy as a predictor of weight change in African-American women. Obesity Research, 12(4): 646-651. DOI: 10.1038/oby.2004.74 Mohamadzadeh, A., Beshlideh, K., Hamid, N., & Arshadi, N. (2019). The effectiveness of transcranial direct current stimulation on emotion cognitive regulation in obesity and overweight women. Psychological Methods and Models, 10(37), 25-44. 20.1001.1.22285516.1398.10.37.2.1 Noorian, Lili, Aghaei, Asghar and Ghorbani, Maryam (2014). Investigating the effectiveness of acceptance and commitment-based therapy on weight-related lifestyle self-efficacy in women with obesity. Journal of Mazandaran University of Medical Sciences, 25(123), 159-169. http://jmums.mazums.ac.ir/article-1-5534-fa.html Navidian, Ali, Abedi, Mohammad Reza, Baghban, Iran, Fatehizadeh, Maryam and Poursharifi, Hamid (2009). The effect of motivational interviewing on weight-related lifestyle self-efficacy in men with overweight and obesity problems. Journal of Behavioral Sciences, 14(2). 149-154. http://nsft.sbmu.ac.ir/article-1-325-en.html Nitsche, MA. Liebetanz, D. Antal, A. Lang, N. Tergau, F. Paulus, W. (2003). Modulation of cortical excitability by weak direct current stimulation–technical, safety and functional aspects. Supplements to Clinical neurophysiology, 56: 255-276. http://dx.doi.org/10.1016/S1567-424X(09)70230-2 Pushpa, B. S., Abdul Latif, S. N., Sharbini, S., Murang, Z. R., & Ahmad, S. R. (2024). Nutrition education and its relationship to body image and food intake in Asian young and adolescents: a systematic review. Frontiers in Nutrition, 11, 1287237. https://doi.org/10.3389/fnut.2024.1287237 Ramzankhani, Marzieh, Golpour, Reza (1402). The Relationship between Meta cognitive Beliefs and Self-Compassion with Nutritional Problems of Patients with Diabetes, Journal of Health Psychology, 46, 12, 63-76. https://doi.org/10.30473/hpj.2023.62528.5454 Rahmanian, M. International Journal of Applied Behavioral Sciences (IJABS) volume 7number 3Summer2020. Journals. smbu. ac. ir/ijabs 47 Effect of Cognitive-Behavioral Therapy (CBT) and Transcranial Direct Current Stimulation (tDCS) on Body Mass Index and Self-Control in. International Journal of Applied Behavioral Sciences, 7(3), 47-59. https://doi.org/10.22037/ijabs.v7i3.28703 Safarzadeh, Sahar, Sawari, Karim. (1400). Prediction of Therapeutic Daily Dietary Intake Based on Body Image Concern, Difficulties in Emotion Regulation and Self-Concept in Students. Journal of Health Psychology, 40, 10, 63-76. https://doi.org/10.30473/hpj.2022.45474.4336 Shin, H. Shin, J. Liu, P Y. Dutton, GR. Abood, D A. (2011). Self-efficacy improves weight loss in overweight/Obese postmenopausal women during a month weight loss prevention. Nutrition Research, 31:822-828. DOI: 10.1016/j.nutres.2011.09.022 So, B., & Kwon, K. H. (2023). The impact of Thin-Ideal internalization, appearance comparison, social media use on body image and eating disorders: a literature review. Journal of Evidence-Based Social Work, 20(1), 55-71. DOI:10.1080/26408066.2022.2117582 Therrien-Blanchet, J. M., Ferland, M. C., Badri, M., Rousseau, M. A., Merabtine, A., Boucher, E., & Théoret, H. (2023). The neurophysiological aftereffects of brain stimulation in human primary motor cortex: A Sham-controlled comparison of three protocols. Cerebral Cortex, 33(11), 7061-7075.https://doi.org/10.1093/cercor/bhad021 Wiedenman, E. M., Kruse-Diehr, A. J., Bice, M. R., McDaniel, J., Wallace, J. P., & Partridge, J. A. (2023). The role of sport participation on exercise self-efficacy, psychological need satisfaction, and resilience among college freshmen. Journal of American College Health, 1-8. DOI: 10.1080/07448481.2023.2177817 | ||
آمار تعداد مشاهده مقاله: 71 تعداد دریافت فایل اصل مقاله: 72 |