مقایسه اثربخشی درمان رفتاری بارکلی، خانواده درمانی ساختاری مینوچین و نوروفیدبک بر نشانگان کودکان مبتلا به اختلال نقص توجه – بیش فعالی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، روانشناسی، دانشگاه آزاد اسلامی واحد گرگان، گرگان، ایران

2 نویسنده مسئول، استادیار روانشناسی، دانشگاه آزاد اسلامی واحد کرج، کرج، ایران، btajeri@Yahoo.com

3 استادیار روانشناسی، دانشگاه آزاد اسلامی واحد گرگان، گرگان، ایران

4 استادیار روانشناسی و علوم آموزشی، دانشگاه آزاد اسلامی واحد آزادشهر، آزادشهر، ایران

چکیده

مقدمه: با توجه به پیامدهای ناشی از اختلال نقص توجه – بیش فعالی، رویکردهای درمانی مختلف برای بهبود این اختلال شکل گرفته­اند. این پژوهش با هدف مقایسه تأثیر درمان رفتاری بارکلی، خانواده درمانی ساختاری مینوچین و آموزش نوروفیدبک بر نشانگان کودکان مبتلا به اختلال نقص توجه – بیش فعالی (ADHD) انجام شد.
روش پژوهش: روش پژوهش نیمه آزمایشی از نوع پیش​آزمون – پس​آزمون با گروه گواه بود. جامعه آماری شامل کلیه دانش آموزان ابتدایی شهر کرج در سال 1397 بود. پس از غربال­گری و با استفاده از نمونه­گیری خوشه­ای تصادفی، 40 نفر با توجه به معیارهای ورود و خروج انتخاب و به صورت تصادفی در دو گروه آزمایش و گواه جایگزین شدند. ابزارها شامل مصاحبه تشخیصی نیمه ساختار یافته (K-SADS) و مقیاس تشخیصی کوتاه اختلال نقص­توجه/ بیش­فعالی کانرز بوده است. اعضای گروه­های آزمایش (سه گروه) در جلسات درمان رفتاری بارکلی (9 جلسه 90 دقیقه­ای)، خانواده درمانی ساختاری مینوچین (8 جلسه 90 دقیقه­ای) و آموزش نوروفیدبک (25 جلسه 30 دقیقه­ای) شرکت کردند. تحلیل داده­ها با آزمون­های تحلیل کوواریانس یک و چندمتغیره و تی وابسته انجام شد.
یافته ­ها: نتایج نشان داد درمان رفتاری بارکلی (01/0>P)، خانواده درمانی ساختاری مینوچین (01/0>P) و نوروفیدبک (01/0>P) بر نشانگان کودکان مبتلا به اختلال نقص توجه – بیش فعالی اثربخش است. نتایج آزمون تعقیبی نشان داد میزان اثربخشی درمان­ها بر نشانگان اعضای گروه آزمایش متفاوت است. تحلیل نتایج پیگیری سه ماهه نشان دهنده پایدار بودن اثرات درمانی بود.
نتیجه­ گیری: استفاده از این روش­های درمانی برای کاهش نشانگان کودکان مبتلا به اختلال نقص توجه – بیش فعالی قابل کاربرد است.

کلیدواژه‌ها


عنوان مقاله [English]

A Comparison Between Barkley Behavioral Therapy, Minuchin Structural Family Therapy and Neuro-feedback on Syndrome among children Suffering from Attention Deficit – Hyperactivity Disorder

نویسندگان [English]

  • Narges Dolatyari 1
  • Biyuk Tajeri 2
  • Afsaneh Khajevand Khoshli 3
  • Hamzeh Akbari 4
1 Ph.D. student of Health Psychology, Islamic Azad University, Gorgan branch, Gorgan, Iran.
2 Corresponding Author Assistant professor of General Psychology, Islamic Azad University, Karaj branch, Karaj, Iran. btajeri@Yahoo.com).
3 Assistant professor of Psychology, Islamic Azad University, Gorgan branch, Gorgan, Iran.
4 Assistant professor of Psychology and Educational Science, Islamic Azad University, Azadshar branch, Azadshar, Iran
چکیده [English]

Introduction: Due to the consequences of attention deficit - hyperactivity disorder, various therapy approach has been formed. This research aimed to investigate a comparative study between Barkley behavioral therapy, Minuchin structural family therapy and neuro-feedback on syndrome among children suffering from attention deficit – hyperactivity disorder.
Methods: This study was a quasi-experimental pretest-posttest with a control group. The study population consisted of all primary school student in Karaj in 2018. By using cluster sampling method, 400 students selected and screening conducted for hyperactivity. The sample consisted of 40 (10 for each group) students and their mothers were selected by as an available method and randomly recruits to each of groups. Instruments for gathering data were semi-structured diagnostic interview, short diagnostic scale for hyperactivity and attention deficit disorder and multidimensional child anxiety scale. Then, the participants in the experimental groups (Three groups) participated in Barkley behavioral therapy, Minuchin structural family therapy and neuro-feedback, while the control group did not receive any intervention. Then, the data were analyzed using SPSS.v21 software and statistical tests such as MANCOVA and ANCOVA.
Results: The results indicate that Barkley behavioral therapy, Minuchin structural family therapy and neuro-feedback have significant impact on syndrome among children suffering from attention deficit – hyperactivity disorder, generally. Furthermore, post-hoc test revealed that the efficacy of therapies on syndrome of experiment groups is different. Three months follow-up results represent resistance of therapies.
Conclusion: using of these therapies for reduction of syndrome among children suffering from attention deficit – hyperactivity disorder.

کلیدواژه‌ها [English]

  • Attention deficit – hyperactivity disorder" Barkley behavioral therapy" Minuchin structural family therapy" neuro-feedback
  • Syndrome
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