تصمیم‌گیری و توجه در زنان مبتلا به اختلال افسردگی پس از زایمان و همتایان سالم

نوع مقاله : Original Article(s)

نویسندگان

1 دانشیار، گروه روان‌پزشکی، مرکز تحقیقات روان‌پزشکی و علوم رفتاری، دانشگاه علوم پزشکی تبریز، تبریز، ایران

2 دانشجوی دکتری روانشناسی، واحد علوم تحقیقات آ.شرقی، دانشگاه آزاد اسلامی، واحد تبریز، تبریز، ایران

3 استاد، گروه روان‌پزشکی، مرکز تحقیقات روان‌پزشکی و علوم رفتاری، دانشگاه علوم پزشکی تبریز، تبریز، ایران

چکیده

مقاله پژوهشی




مقدمه: افسردگی پس از زایمان، شایع‌ترین عارضه‌ی روان‌پزشکی فرزندآوری است و تأثیرات جدی بر سلامت روانشناختی و جسمانی مادر و کودک دارد و در صورت عدم درمان، تأثیرات ناگواری بر تکامل روانی، شناختی، اجتماعی کودک داشته و موجب اختلال در روابط مادر- شیرخوار خواهد شد، لذا هدف از مطالعه‌ی حاضر، مقایسه‌ی تصمیم‌گیری و توجه در زنان مبتلا به اختلال افسردگی پس از زایمان و همتایان سالم بود.
روش‌ها: پژوهش حاضر از نوع طرح‌های کیس کنترل و علی- مقایسه‌ای، است. جامعه‌ی آماری این پژوهش، همه‌ی مادران مراجعه‌کننده به مراکز بهداشت شهر تبریز بود و از مدت زایمان آن‌ها 30-40 روز می‌گذشت. 35 نفر با روش نمونه‌گیری هدفمند، انتخاب و پس از غربالگری با پاسخ به پرسش‌نامه‌ی افسردگی پس از زایمان، تعداد 16 نفر مادران مبتلا به افسردگی پس از زایمان و 19 نفر همتایان سالم، از لحاظ سن و میزان تحصیلات همتاسازی شده و در دو گروه قرار گرفتند. ابزارهای مورد سنجش عبارت بودند از: آزمون رایانه‌ای قمار آیوا برای سنجش تصمیم‌گیری و آزمون رایانه‌ای رنگ- واژه‌ای استروپ برای سنجش توجه. داده‌ها با استفاده از روش تحلیل واریانس چند متغیره (MANOVA) تجزیه و تحلیل شدند.
یافته‌ها: نتایج نشان داد که به صورت کلی در متغیر توجه، بین دو گروه تفاوت معنی‌داری وجود ندارد اما در زیرمقیاس‌های زمان واکنش همخوان و زمان واکنش ناهمخوان، در دو گروه زنان افسرده پس از زایمان و همتایان سالم، تفاوت معنی‌داری وجود دارد (0/05 > P). همچنین یافته‌های پژوهش نشان داد که در متغیر تصمیم‌گیری هر دو گروه تفاوت معنی‌داری نداشته و عملکرد ضعیفی را نشان دادند.
نتیجه‌گیری: یافته‌های این پژوهش نشان داد که احتمالاً افسردگی پس از زایمان با مشکلاتی در توجه همراه باشد و با شناخت این همبسته می‌توان در جهت پیشگیری و ارایه‌ی خدمات روانشناختی به افراد مبتلا، گام‌های مؤثرتری برداشت.

تازه های تحقیق

بهزاد شالچی: PubMed, Google Scholar 

رقیه بحری: PubMed, Google Scholar 

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Decision-Making and Attention in Women with Postpartum Depression Disorder and Healthy Peers

نویسندگان [English]

  • Behzad Shalchi 1
  • Rogayeh Bahri 2
  • Fatemeh Ranjbar 3
  • Ali Reza Shafiee- Kandjani 3
1 Associate Professor, Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
2 PhD Student of Psychology, East Azerbaijan Research Sciences Branch, Islamic Azad University, Tabriz, Iran
3 Professor of Psychiatry, Research Center of Psychiatry And Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
چکیده [English]

Background: Postpartum depression is the most common psychiatric complication of childbirth, imposing serious impacts on the psychological and physical health of the mother and child. This study aimed to compare decision-making and attention in women with postpartum depression and their healthy counterparts.
Methods: The current research was conducted using case-control and causal-comparative research designs. The statistical population of this research was all the mothers referred to the health centers of Tabriz, and 30-40 days had passed since their delivery. Purposeful sampling was employed to select 35 individuals, who were screened by the Postpartum Depression Scale and divided into two groups consisting of mothers with postpartum depression (n = 16) and their healthy counterparts (n = 19), matched in terms of age and education level. The research tools included the Iowa gambling and the Stroop color-word computer tests to measure decision-making and attention, respectively. The data were analyzed using multivariate analysis of variance (MANOVA).
Findings: The results showed that, overall, there is no significant difference between the two groups in the attention variable. Still, there is a significant difference in some of the subscales of congruent reaction time and incongruent reaction time in the two groups of postpartum depressed women and healthy peers. There is (P < 0.05). Also, the research findings indicate that there was no significant difference in the decision-making variable of both groups, and they showed poor performance.
Conclusion: The findings of this research show that postpartum depression is likely to be associated with problems in attention, and by knowing this correlation, more effective steps can be taken to prevent and provide psychological services to affected people.

کلیدواژه‌ها [English]

  • Attention
  • Decision-making
  • Postnatal depression
  • Women
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