fa مقایسه‌ی اثربخشی ترکیب دارو درمانی با فراشناخت درمانی و دارو درمانی در کاهش علائم اختلال استرس پس از سانحه کارآزمایی بالینی Clinical Trials <p style="text-align: justify;"><span style="font-size:16px;"><span style="font-family:Times New Roman;"><span style="color:#008080;"><strong><em>Background and Objective</em></strong>: </span>The Post traumatic stress disorder (PTSD) is an acute psychological reaction to severe traumatic events. Non-pharmacological treatments are considered as the first line treatment for PTSD and should be basically complementary to the treatment plans for patients with PTSD. However, some patients do not respond adequately to non-pharmacological treatments. The purpose of this study was to compare the efficiency and effectiveness of drug combination with meta-cognitive and drug therapy alone in reducing the severity and symptoms of PTSD.<br> <span style="color:#008080;"><strong><em>Materials and Methods</em></strong>:</span> The samples of this study were the people who referred to the Shahid Beheshti Hospital of Zanjan, Iran. The type of clinical trial was single case and multiple baseline type. Six male subjects were selected by available sampling method and were then randomly assigned to two groups. The subjects in&nbsp; the pre-treatment stage (baseline) and during the fourth, eighth and post-treatment sessions, as well as follow-up (1 month and 2 months) and after the treatment and follow up (1 month and 2 months), completed the questionnaires of Clinical Executive Scale for post-traumatic stress disorder (CAAI), Beck anxiety (BAI), negative meta-cognitive (MCQ-30), SUDS and Function Psychology (GAFS).<br> <span style="color:#008080;"><strong><em>Results</em></strong><em>:</em></span> The results showed that both methods (combination of drug therapy with meta-cognitive therapy) were effective in the treatment of post-traumatic stress disorder and this effect was higher in the first method (combination of drug therapy with meta-cognitive therapy).<br> <span style="color:#008080;"><strong><em>Conclusion</em></strong><em>:</em></span> The results of this study indicate that both methods (Combination of drug therapy with meta-cognitive therapy)&nbsp;were effective in reducing symptoms and anxiety symptoms in patients with PTSD than drug therapy&nbsp;alone. Also, combination therapy reduces the amount of discomfort and improves overall performance of the patients.</span></span></p> Meta-cognitive therapy, Drug therapy, Post traumatic stress disorder 1 11 http://journal.zums.ac.ir/browse.php?a_code=A-10-4-1067&slc_lang=fa&sid=1 Mohsen Dadashi محسن داداشی 5200319475328460051367 5200319475328460051367 No Dept. of Clinical Psychology, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran. دکترای روان‌شناسی بالینی، استادیار گروه روان‌شناسی بالینی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی زنجان، زنجان Saeid Momtazi سعید ممتازی 5200319475328460051368 5200319475328460051368 No Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran دکترای روان‌شناسی بالینی، استادیارمرکز تحقیقات عوامل اجتماعی موثر بر سلامت، دانشگاه علوم پزشکی زنجان، زنجان Vida Yousefi Asl ویدا یوسفی اصل 5200319475328460051369 5200319475328460051369 No Dept. of Clinical Psychology, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran. متخصص روان‌پزشکی، استادیار گروه روان‌پزشکی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی زنجان، زنجان Banafsheh Gharaei بنفشه غرایی gharraee.b@iums.ac.ir 5200319475328460051370 5200319475328460051370 Yes Dept. of Psychiatry, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran دانشجوی کارشناسی ارشد روان‌شناسی بالینی، گروه روان‌شناسی بالینی، دانشگاه علوم پزشکی زنجان، زنجان Ali Asghar Asghar Nejad علی اصغر اصغر نژاد 5200319475328460051371 5200319475328460051371 No Dept. of Clinical Psychology, Faculty of Behavioral Sciences and Mental Health Iran University of Medical Sciences, Tehran, Iran. کترای تخصصی روان‌شناسی عمومی، دانشیار گروه روان‌شناسی بالینی، دانشکده‌ی علوم رفتاری و سلام