Volume 23, Issue 3 (7-2024)
JRUMS 2024, 23(3): 105-121 |
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Ethics code: IR.UMA.REC.1402.084
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Senobar L, Atadokht A, Narimani M, Hajloo N. Comparison of the Effectiveness of Transcranial Direct Current Stimulation of the Brain from the Skull and Psychodrama on Neuropsychological Skills in Adolescents with Mild Traumatic Brain Injury: A Quasi-Experimental Study. JRUMS 2024; 23 (3) :105-121
URL: http://journal.rums.ac.ir/article-1-7271-en.html
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Comparison of the Effectiveness of Transcranial Direct Current Stimulation of the Brain from the Skull and Psychodrama on Neuropsychological Skills in Adolescents with Mild Traumatic Brain Injury: A Quasi-Experimental Study
Leili Senobar[1], Akbar Atadokht[2], Mohammad Narimani[3], Nader Hajloo[4]
Received: 13/01/24 Sent for Revision: 12/02/24 Received Revised Manuscript: 05/06/24 Accepted: 08/06/24
Background and Objectives: The most common problems of concussions are disorders of neuropsychological skills. Therefore, the aim of this study was to compare the effectiveness of direct electrical stimulation of the brain from the skull and psychodrama on the neuro-psychological skills of adolescents with mild concussions.
Materials and Methods: In this quasi-experimental study, the statistical population was all teenagers with brain damage in Ardabil Province who referred to Fatemi Hospital in Ardabil City in 2021-2022 and received a score of 13-15 on the Glasgow Coma Scale (GCS). Forty five people were selected from this statistical population by convenience sampling method and were randomly divided into 3 groups of 15 people (experimental groups 1 and 2 and a control group). The experiment group 1 underwent electrical stimulation intervention (10 sessions of 15 minutes), the experiment group 2 underwent psychodrama intervention (13 sessions of 90 minutes), and the control group did not receive any training. Continuous Performance Test, Tower of London Test, and Crawford et al.'s Retrospective and Prospective Memory Questionnaire were used to collect data. Data were analyzed using multivariate analysis of covariance (MANCOVA).
Results: The findings showed that there was a statistically significant difference across the treatment methods. Electrical stimulation sessions were able to positively affect the components of sustained attention (correct response F=4.961, p=0.012 and response time F=2.398, p=0.001), Tower of London Test (errors F=6.518, p=0.004), and dimensions of memory functioning (prospective memory F=12.943, p<0.001 and retrospective memory F=5.984, p=0.005) and improve cognitive dysfunction.
Conclusion: Based on the findings of the current study, the use of electrical stimulation of the brain as a neuro-rehabilitation intervention is recommended to improve the neuropsychological skills of adolescents with mild concussions.
Keywords: Brain stimulation, Psychodrama, Neuropsychological, Mild traumatic brain injury
Funding: This study was funded by University of Mohaghegh Ardabili
Conflict of interest: None declared.
Ethical considerations: The Ethics Committee of University of Mohaghegh Ardabili approved the study (IR.UMA.REC.1402.084)
Authors’ contributions:
Conceptualization: Akbar Atadokht, Leli Senobar
Methodology: Akbar Atadokht, Leli Senobar
Data collection: Leli Senobar
Formal analysis: Nader Hajloo
Supervision: Akbar Atadokht
Project administration: Akbar Atadokht, Mohammad Narimani
Writing - original draft: Leli Senobar
Writing - review & editing: Akbar Atadokht, Leli Senobar
Leili Senobar[1], Akbar Atadokht[2], Mohammad Narimani[3], Nader Hajloo[4]
Received: 13/01/24 Sent for Revision: 12/02/24 Received Revised Manuscript: 05/06/24 Accepted: 08/06/24
Background and Objectives: The most common problems of concussions are disorders of neuropsychological skills. Therefore, the aim of this study was to compare the effectiveness of direct electrical stimulation of the brain from the skull and psychodrama on the neuro-psychological skills of adolescents with mild concussions.
Materials and Methods: In this quasi-experimental study, the statistical population was all teenagers with brain damage in Ardabil Province who referred to Fatemi Hospital in Ardabil City in 2021-2022 and received a score of 13-15 on the Glasgow Coma Scale (GCS). Forty five people were selected from this statistical population by convenience sampling method and were randomly divided into 3 groups of 15 people (experimental groups 1 and 2 and a control group). The experiment group 1 underwent electrical stimulation intervention (10 sessions of 15 minutes), the experiment group 2 underwent psychodrama intervention (13 sessions of 90 minutes), and the control group did not receive any training. Continuous Performance Test, Tower of London Test, and Crawford et al.'s Retrospective and Prospective Memory Questionnaire were used to collect data. Data were analyzed using multivariate analysis of covariance (MANCOVA).
Results: The findings showed that there was a statistically significant difference across the treatment methods. Electrical stimulation sessions were able to positively affect the components of sustained attention (correct response F=4.961, p=0.012 and response time F=2.398, p=0.001), Tower of London Test (errors F=6.518, p=0.004), and dimensions of memory functioning (prospective memory F=12.943, p<0.001 and retrospective memory F=5.984, p=0.005) and improve cognitive dysfunction.
Conclusion: Based on the findings of the current study, the use of electrical stimulation of the brain as a neuro-rehabilitation intervention is recommended to improve the neuropsychological skills of adolescents with mild concussions.
Keywords: Brain stimulation, Psychodrama, Neuropsychological, Mild traumatic brain injury
Funding: This study was funded by University of Mohaghegh Ardabili
Conflict of interest: None declared.
Ethical considerations: The Ethics Committee of University of Mohaghegh Ardabili approved the study (IR.UMA.REC.1402.084)
Authors’ contributions:
Conceptualization: Akbar Atadokht, Leli Senobar
Methodology: Akbar Atadokht, Leli Senobar
Data collection: Leli Senobar
Formal analysis: Nader Hajloo
Supervision: Akbar Atadokht
Project administration: Akbar Atadokht, Mohammad Narimani
Writing - original draft: Leli Senobar
Writing - review & editing: Akbar Atadokht, Leli Senobar
[1]- PhD Student in Psychology, Dept. of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Ardabil, Iran
[2]- Prof. of Psychology, Dept. of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Ardabil, Iran
(Corresponding Author) Tel: (045) 31505629, E-Mail: ak_atadokht@yahoo.com
(Corresponding Author) Tel: (045) 31505629, E-Mail: ak_atadokht@yahoo.com
[3]- Prof. of Psychology, Dept. of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Ardabil, Iran
[4]- Prof. of Psychology, Dept. of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Ardabil, Iran
Type of Study: Applicable |
Subject:
روانپزشكي
Received: 2024/01/12 | Accepted: 2024/06/8 | Published: 2024/07/20
Received: 2024/01/12 | Accepted: 2024/06/8 | Published: 2024/07/20
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