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اثربخشی رواندرمانی کمککننده به روانگردانی ذهن بر بهبود نشانههای بیخوابی و تواناییهای شناختی افراد مصرفکننده کانابیس | ||
عصب روان شناسی | ||
دوره 10، شماره 38، آبان 1403 | ||
نوع مقاله: مقاله پژوهشی | ||
شناسه دیجیتال (DOI): 10.30473/clpsy.2025.74408.1783 | ||
نویسنده | ||
عزتاله کردمیرزا نیکوزاده* | ||
دانشیار گروه روانشناسی، دانشگاه پیام نور،تهران، ایران. | ||
چکیده | ||
پژوهش حاضر با هدف بررسی اثربخشی رواندرمانی کمککننده به روانگردانی ذهن بر بهبود نشانههای بیخوابی و تواناییهای شناختی در مصرفکنندگان مزمن کانابیس انجام شد. روش پژوهش از نوع نیمهآزمایشی با طرح پیشآزمون-پسآزمون با گروه کنترل و دوره پیگیری سهماهه بود. جامعه آماری شامل افراد مصرفکننده کانابیس مراجعهکننده به مراکز درمان اعتیاد شهر تهران در سال ۱۴۰۳ بود. تعداد ۳۰ نفر بر اساس روش نمونهگیری در دسترس انتخاب و بهصورت تصادفی در دو گروه آزمایش و کنترل (هر کدام ۱۵ نفر) گمارش شدند. مداخله مشتمل بر هفت جلسه ۹۰ دقیقهای گروهی (هفتگی) با رویکرد مبتنی بر روانگردانی ذهن و مطابق پروتکل رواندرمانی کمککننده به روانگردانی ذهن (وگت و همکاران، 2019) بود. ابزار جمعآوری دادهها شامل پرسشنامه کیفیت خواب پیتزبورگ و پرسشنامه تواناییهای شناختی (نجاتی، 1392) بود که در سه مرحله تکمیل شد. نتایج با آزمون تحلیل واریانس اندازهگیری مکرر و به کمک نرمافزار SPSS نسخه ۲۶ تحلیل شد. یافتههای این پژوهش نشان داد که رواندرمانی کمککننده به روانگردانی ذهن میتواند به بهبود کیفیت خواب و ارتقاء تواناییهای شناختی در مصرفکنندگان مزمن کانابیس کمک کند. این مداخله به عنوان روشی مؤثر در فرآیند درمان اعتیاد به کانابیس قابل توصیه است. | ||
کلیدواژهها | ||
رواندرمانی کمککننده به روانگردانی ذهن؛ نشانههای بیخوابی؛ تواناییهای شناختی؛ کانابیس | ||
عنوان مقاله [English] | ||
The Effectiveness of Mentalization-Based Supportive Psychotherapy on Improving Insomnia Symptoms and Cognitive Abilities in Cannabis Users | ||
نویسندگان [English] | ||
ezzatollah kordmirza nikoozadeh | ||
Associate Professor, Department of Psychology, Payam Noor University, Tehran, Iran. | ||
چکیده [English] | ||
The present study aimed to investigate the effectiveness of mentalization-based supportive psychotherapy on improving insomnia symptoms and cognitive abilities in chronic cannabis users. The research method was a quasi-experimental design with a pre-test-post-test design with a control group and a three-month follow-up period. The statistical population included cannabis users referring to addiction treatment centers in Tehran in 1403. 30 people were selected based on the convenience sampling method and randomly assigned to two experimental and control groups (15 people each). The intervention consisted of seven 90-minute group sessions (weekly) with a mentalization-based approach and according to the mentalization-based supportive psychotherapy protocol (Vogt et al., 2019). The data collection tools included the Pittsburgh Sleep Quality Questionnaire and the Cognitive Abilities Questionnaire (Nejati, 2013), which were completed in three stages. The results were analyzed using repeated measures analysis of variance using SPSS version 26. The findings of this study showed that mindfulness-based psychotherapy can help improve sleep quality and enhance cognitive abilities in chronic cannabis users. This intervention can be recommended as an effective method in the treatment of cannabis addiction. | ||
کلیدواژهها [English] | ||
Mentalization-Based Psychotherapy, Insomnia Symptoms, Cognitive Abilities, Cannabis | ||
مراجع | ||
عباس پور اسفدن، شادملک؛ غنی فر، محمد حسن؛ آهی، قاسم. (1403). نقش میانجی خودکارآمدی در رابطه تواناییهای شناختی و سازگاری اجتماعی دانشجویان. رویش روان شناسی، ۱۳ (۸)، ۱۷۰-۱۶۳.
گلچین، آسیه، اکبری امرغان حسین، نجات حمید، مسعودی شاهد. مقایسه اثربخشی درمان مبتنی بر هیجان با درمان مبتنی بر ذهن مشفق بر کیفیت خواب در بیماران بستریشده بهبودیافته از کرونا رویش روان شناسی ۱۴۰۳; ۱۳ (۱۱) :۱۸۴-۱۷۵
Bell, A. D., MacCallum, C., Margolese, S., Walsh, Z., Wright, P., Daeninck, P. J., ... & External Review Panel. (2024). Clinical practice guidelines for cannabis and cannabinoid-based medicines in the management of chronic pain and co-occurring conditions. Cannabis and Cannabinoid Research, 9(2), 669-687. https://doi.org/10.1089/can.2021.0156 Benzi, I. M. A., Carone, N., Parolin, L., Martin-Gagnon, G., Ensink, K., & Fontana, A. (2023). Different epistemic stances for different traumatic experiences: Implications for mentalization. Research in Psychotherapy: Psychopathology, Process, and Outcome, 26(3), 708. https://pmc.ncbi.nlm.nih.gov/articles/PMC10772857/ Bidwell, L. C., Sznitman, S. R., Martin-Willett, R., & Hitchcock, L. H. (2024). Daily associations with cannabis use and sleep quality in anxious cannabis users. Behavioral Sleep Medicine, 22(2), 150-167. https://doi.org/10.1080/15402002.2023.2217969 Bottiroli, S., Rosi, A., Sances, G., Allena, M., De Icco, R., Lecce, S., ... & Cavallini, E. (2023). Social cognition in chronic migraine with medication overuse: a cross-sectional study on different aspects of mentalization and social relationships. The Journal of Headache and Pain, 24(1), 47. https://doi.org/10.1186/s10194-023-01578-1 Bourque, J., & Potvin, S. (2021). Cannabis and cognitive functioning: from acute to residual effects, from randomized controlled trials to prospective designs. Frontiers in psychiatry, 12, 596601. https://doi.org/10.3389/fpsyt.2021.596601 Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research, 28(2), 193–213. Chevalier, V., Simard, V., & Achim, J. (2023). Meta-analyses of the associations of mentalization and proxy variables with anxiety and internalizing problems. Journal of Anxiety Disorders, 95, 102694. https://doi.org/10.1016/j.janxdis.2023.102694 Connor, J. P., Stjepanović, D., Le Foll, B., Hoch, E., Budney, A. J., & Hall, W. D. (2021). Cannabis use and cannabis use disorder. Nature Reviews Disease Primers, 7(1), 16. https://doi.org/10.1038/s41572-021-00247-4 Dawson, D., Stjepanović, D., Lorenzetti, V., Cheung, C., Hall, W., & Leung, J. (2024). The prevalence of cannabis use disorders in people who use medicinal cannabis: A systematic review and meta-analysis. Drug and alcohol dependence, 257, 111263.https://doi.org/10.1016/j.drugalcdep.2024.111263 Fitzgerald, M. (2024). Serial indirect effects from childhood maltreatment to adult chronic health conditions through contemporary family relationships and mental health problems: Inquiry into sleep disturbances and stress. Psychological trauma: theory, research, practice, and policy, 16(S1), S215. https://doi.org/10.1037/tra0001469 Hajek Gross, C., Oehlke, S. M., Prillinger, K., Goreis, A., Plener, P. L., & Kothgassner, O. D. (2024). Efficacy of mentalization‐based therapy in treating self‐harm: A systematic review and meta‐analysis. Suicide and Life‐Threatening Behavior, 54(2), 317-337. https://onlinelibrary.wiley.com/doi/full/10.1111/sltb.13044 Imperatori, C., Corazza, O., Panno, A., Rinaldi, R., Pasquini, M., Farina, B., ... & Bersani, F. S. (2020). Mentalization impairment is associated with problematic alcohol use in a sample of young adults: A cross-sectional study. International journal of environmental research and public health, 17(22), 8664. https://doi.org/10.3390/ijerph17228664 Jańczak, M. (2021). Polish adaptation and validation of the Mentalization Scale (MentS)—A self-report measure of mentalizing. Psychiatria Polska, 55(6), 1257-1274. https://doi.org/10.12740/PP/125383 Kroon, E., Kuhns, L., & Cousijn, J. (2021). The short-term and long-term effects of cannabis on cognition: recent advances in the field. Current Opinion in Psychology, 38, 49-55. https://doi.org/10.1016/j.copsyc.2020.07.005 Locati, F., Benzi, I. M. A., Milesi, A., Campbell, C., Midgley, N., Fonagy, P., & Parolin, L. (2023). Associations of mentalization and epistemic trust with internalizing and externalizing problems in adolescence: a gender‐sensitive structural equation modeling approach. Journal of adolescence, 95(8), 1564-1577. https://doi.org/10.1002/jad.12226 MacBeth, A., Christie, H., Golds, L., Morales, F., Raouna, A., Sawrikar, V., & Gillespie‐Smith, K. (2024). Thinking about the next generation: The case for a mentalization‐informed approach to perinatal and intergenerational mental health. Psychology and Psychotherapy: Theory, Research and Practice, 97, 1-15. https://bpspsychub.onlinelibrary.wiley.com/doi/full/10.1111/papt.12483 Manning, B., Downey, L. A., Narayan, A., & Hayley, A. C. (2024). A systematic review of oculomotor deficits associated with acute and chronic cannabis use. Addiction Biology, 29(1), e13359. https://doi.org/10.1111/adb.13359 Meier, M. H., Olive, M. F., Jenks, O. A., & Wernik, S. R. (2024). Cannabis use and cognitive functioning across the lifespan. Current Addiction Reports, 11(3), 384-395. https://doi.org/10.1007/s40429-024-00571-1 Midgley, N., Sprecher, E. A., & Sleed, M. (2021). Mentalization-based interventions for children aged 6-12 and their carers: A narrative systematic review. Journal of Infant, Child, and Adolescent Psychotherapy, 20(2), 169-189. https://www.tandfonline.com/doi/full/10.1080/15289168.2021.1915654 Miranda, A., Peek, E., Ancoli-Israel, S., Young, J. W., Perry, W., & Minassian, A. (2024). The role of cannabis and the endocannabinoid system in sleep regulation and cognition: a review of human and animal studies. Behavioral Sleep Medicine, 22(2), 217-233. https://doi.org/10.1080/15402002.2023.2232497 Murphy, M., Erridge, S., Holvey, C., Coomber, R., Rucker, J. J., & Sodergren, M. H. (2024). A cohort study comparing the effects of medical cannabis for anxiety patients with and without comorbid sleep disturbance. Neuropsychopharmacology reports, 44(1), 129-142. https://doi.org/10.1002/npr2.12407 Nolte, T., Hutsebaut, J., Sharp, C., Campbell, C., Fonagy, P., & Bateman, A. (2023). The role of epistemic trust in mentalization-based treatment of borderline psychopathology. Journal of Personality Disorders, 37(5), 633-659. https://doi.org/10.1521/pedi.2023.37.5.633 Parolin, L., Milesi, A., Comelli, G., & Locati, F. (2024). The interplay of mentalization and epistemic trust: a protective mechanism against emotional dysregulation in adolescent internalizing symptoms. Research in Psychotherapy: Psychopathology, Process, and Outcome, 26(3), 707. https://pmc.ncbi.nlm.nih.gov/articles/PMC10849069/ Sagar, K. A., & Gruber, S. A. (2025). The Complex Relationship Between Cannabis Use and Mental Health: Considering the Influence of Cannabis Use Patterns and Individual Factors. CNS drugs, 39(2), 113-125. https://doi.org/10.1007/s40263-024-01148-2 Smits, M. L., Luyten, P., Feenstra, D. J., Bales, D. L., Kamphuis, J. H., Dekker, J. J., ... & Busschbach, J. J. (2022). Trauma and outcomes of mentalization-based therapy for individuals with borderline personality disorder. American journal of psychotherapy, 75(1), 12-20. https://doi.org/10.1176/appi.psychotherapy.20210027 Tanzilli, A., Di Giuseppe, M., Giovanardi, G., Boldrini, T., Caviglia, G., Conversano, C., & Lingiardi, V. (2021). Mentalization, attachment, and defense mechanisms: a Psychodynamic Diagnostic Manual-2-oriented empirical investigation. Research in Psychotherapy: Psychopathology, Process, and Outcome, 24(1), 531. https://pmc.ncbi.nlm.nih.gov/articles/PMC8082535/ Theßen, L., Sulz, S. K., Theßen, L., & Sulz, S. K. D. (2024). What is mentalization supporting therapy (MST)? A metacognitive-psychotherapeutic approach based on developmental psychology. European Psychotherapy 2024. Veitch, M. R., Jairam, S., Gurges, P., Cohen, E., Kendzerska, T., Murray, B. J., & Boulos, M. I. (2024). Cannabinoid use and obstructive sleep apnea: a retrospective cohort study. Canadian Journal of Neurological Sciences, 51(6), 828-835. https://www.cambridge.org/core/journals/ Vogt, K. S., & Norman, P. (2019). Is mentalization‐based therapy effective in treating the symptoms of borderline personality disorder? A systematic review. Psychology and Psychotherapy: Theory, Research and Practice, 92(4), 441-464. Walsh, C. A., Euler, E., Do, L. A., Zheng, A., Eckel, S. P., Harlow, B. L., ... & Harlow, A. F. (2025). Cannabis use and sleep problems among young adults by mental health status: A prospective cohort study. Addiction, 120(4), 688-696. https://doi.org/10.1111/add.16705 Wang, X. (2022). Intergenerational effects of childhood maltreatment: The roles of parents’ emotion regulation and mentalization. Child Abuse & Neglect, 128, 104940. https://doi.org/10.1016/j.chiabu.2021.104940 | ||
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