چکیده: (13 مشاهده)
Background: Bipolar disorder (BD) is characterized by severe mood fluctuations and maladaptive coping strategies such as cognitive avoidance. This quasi-experimental study aimed to compare the effectiveness of a neurobehavioral model-based psychological rehabilitation package and mental imagery-based therapy on manic symptom severity and cognitive avoidance in patients with BD.
Methods: The study was conducted during the first half of 2025. Forty-five inpatients with BD at Golestan Hospital (Ahvaz, Iran) were selected through purposive sampling and randomly assigned to three groups (n=15 each): neurobehavioral rehabilitation, mental imagery-based therapy, and control. The experimental groups received eight 90-minute sessions. Data were collected using the Mania Symptom Checklist (MSC) and Cognitive Avoidance Questionnaire (CAQ). Repeated measures ANOVA and Bonferroni post-hoc tests were used for data analysis.
Results: Both interventions were associated with significant reductions in manic symptom severity compared to the control group (P<0.001), with no significant difference between the two experimental groups. Regarding cognitive avoidance, significant differences were observed across subscales (P<0.05), with the neurobehavioral rehabilitation package showing greater improvement than mental imagery-based therapy in four out of five subscales.
Conclusion: The findings suggest that both neurobehavioral rehabilitation and mental imagery-based therapy may be beneficial as adjunctive interventions for reducing manic symptoms and cognitive avoidance in patients with BD. Larger controlled trials are needed to confirm these results.
Methods: The study was conducted during the first half of 2025. Forty-five inpatients with BD at Golestan Hospital (Ahvaz, Iran) were selected through purposive sampling and randomly assigned to three groups (n=15 each): neurobehavioral rehabilitation, mental imagery-based therapy, and control. The experimental groups received eight 90-minute sessions. Data were collected using the Mania Symptom Checklist (MSC) and Cognitive Avoidance Questionnaire (CAQ). Repeated measures ANOVA and Bonferroni post-hoc tests were used for data analysis.
Results: Both interventions were associated with significant reductions in manic symptom severity compared to the control group (P<0.001), with no significant difference between the two experimental groups. Regarding cognitive avoidance, significant differences were observed across subscales (P<0.05), with the neurobehavioral rehabilitation package showing greater improvement than mental imagery-based therapy in four out of five subscales.
Conclusion: The findings suggest that both neurobehavioral rehabilitation and mental imagery-based therapy may be beneficial as adjunctive interventions for reducing manic symptoms and cognitive avoidance in patients with BD. Larger controlled trials are needed to confirm these results.
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