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تأثیر ترکیب فعالیت بدنی و تصویرسازی کارکردی بر شاخص‌های روانی-حرکتی و کیفیت خواب در بیماران مبتلا به افسردگی اساسی

نوع مقاله : مقاله پژوهشی Released under CC BY-NC 4.0 license I Open Access I

نویسندگان

1 گروه آموزش تربیت بدنی، دانشگاه فرهنگیان، تهران، ایران

2 گروه روانپزشکی ، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران

چکیده

مقدمه: پژوهش‌های متعدد نشان داده‌اند که فعالیت بدنی می‌تواند به‌عنوان یک مداخلۀ درمانی مؤثر برای افسردگی عمل کند. با این حال، تحقیقات اخیر بر اهمیت افزودن تکنیک‌های روانشناختی مانند تصویرسازی کارکردی به برنامه‌های ورزشی تأکید کرده‌اند. از این‌رو هدف پژوهش حاضر بررسی اثربخشی برنامۀ ترکیب فعالیت بدنی و تصویرسازی کارکردی بر شاخص‌های روانی-حرکتی و کیفیت خواب در افراد مبتلا به افسردگی اساسی بود.
روش پژوهش: در این مطالعۀ کارآزمایی بالینی، 60 بیمار مبتلا به افسردگی (میانگین سنی 32/92 سال و انحراف معیار 4/7 سال) به‌طور تصادفی به سه گروه تقسیم شدند: گروه فعالیت بدنی، گروه ترکیبی (فعالیت بدنی و تصویرسازی کارکردی)، و گروه کنترل. همۀ شرکت‌کنندگان در چهار مرحلۀ پیش‌آزمون، مداخلۀ هشت‌هفته‌ای، پس‌آزمون و پیگیری یک‌ماهه ارزیابی شدند. متغیرهای اندازه‌گیری‌شده شامل علائم افسردگی (مقیاس سنجش افسردگی بک)، اضطراب (مقیاس سنجش اضطراب بک)، کیفیت خواب (مقیاس کیفیت خواب پیتزبورگ) و زمان واکنش (سنجش سرعت حرکت نلسون) بود. داده‌های جمع‌آوری‌شده با استفاده از تحلیل واریانس ترکیبی (درون‌گروهی شامل پیش‌آزمون، پس‌آزمون و پیگیری و بین‌گروهی شامل فعالیت بدنی، ترکیبی و کنترل) دوراهه و آزمون‌های تعقیبی بنفرونی تحلیل شد.
یافته‌ها: نتایج نشان داد که گروه ترکیبی به‌طور شایان توجهی علائم افسردگی و اضطراب را کاهش داده و زمان واکنش را بهبود بخشیده‌اند. هر دو گروه مداخله‌ای (فعالیت بدنی و ترکیبی) در کاهش علائم افسردگی مؤثر بودند، اما تنها گروه ترکیبی در بهبود کیفیت خواب مؤثر بود.
نتیجه‌گیری: یافته‌های این تحقیق نشان می‌دهد که ترکیب فعالیت بدنی و تصویرسازی کارکردی رویکرد درمانی جامع و مؤثری برای افسردگی است. این روش علاوه بر کاهش علائم افسردگی و اضطراب، شاخص روانی-حرکتی را نیز بهبود می‌بخشد. نتایج این تحقیق می‌تواند به بهبود برنامه‌های درمانی برای بیماران مبتلا به افسردگی کمک کند.

کلیدواژه‌ها

عنوان مقاله [English]

Effect of Combining Physical Activity and Functional Imagery on Psychomotor and Sleep Quality in Patients with Major Depressive Disorder

نویسندگان [English]

  • ebrahim norouzi 1
  • Habibolah Khazaie 2

1 Assistant Professor, Department of Physical Education, Farhangian University, Tehran, Iran

2 Department of Psychiatry, Kermanshah University of Medical Sciences (KUMS), Kermanshah, Iran

چکیده [English]

Introduction: Numerous studies have shown that physical activity can serve as an effective therapeutic intervention for depression. However, recent research has emphasized the importance of integrating psychological techniques such as functional imagery into exercise programs. Therefore, the aim of the present study was to investigate the effectiveness of a combined program of physical activity and functional imagery on psychomotor indices and sleep quality in individuals with major depressive disorder.
Methods: In this clinical trial, 60 patients with major depressive disorder (mean age = 32.92 years, SD = 4.7) were randomly assigned to three groups: a physical activity group, a combined group (physical activity and functional imagery), and a control group. All participants were evaluated at four stages: pretest, an 8‑week intervention, posttest, and a 1‑month follow‑up. The measured variables included depressive symptoms (Beck Depression Inventory), anxiety (Beck Anxiety Inventory), sleep quality (Pittsburgh Sleep Quality Index), and reaction time (Nelson Movement Speed Test). Data were analyzed using two‑way mixed analysis of variance (within‑subjects factors: pretest, posttest, and follow‑up; between‑subjects factors: physical activity, combined, and control) and Bonferroni post hoc tests.
Results: The results showed that the combined group significantly reduced symptoms of depression and anxiety and improved reaction time compared to the control group. Both intervention groups were effective in reducing depressive symptoms, but only the combined group was effective in improving sleep quality.
Conclusion: The findings of this study suggest that the combination of physical activity and functional imagery is a comprehensive and effective therapeutic approach for depression. This method not only alleviates symptoms of depression and anxiety but also improves psychomotor indices. The results of this study could contribute to improving treatment programs for patients with major depressive disorder.

کلیدواژه‌ها [English]

  • Depression
  • Anxiety
  • Functional Imagery
  • Physical Activity
  • Reaction Time
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رشد و یادگیری حرکتی ورزشی
دوره 18، شماره 1
فروردین 1405
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  • تاریخ دریافت: 13 اسفند 1403
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