ARTICLE INFO

Article Type

Original Research

Authors

Ghorbani   S. (1 )
Kazemi Zahrani   H. (* )






(* ) Psychology Department, Human Sciences Faculty, Payame Noor University, Tehran, Iran
(1 ) Clinical Psychology Department, Human Sciences Faculty, Najafabad Branch, Islamic Azad University, Najafabad, Iran

Correspondence

Address: Yas Clinic, No. 408. 4th Floor, Jahan-Nama Building, Darvazeh Dowlat, Isfahan, Iran. Postal Code: 81366-13689
Phone: +983142292720
Fax: +983132121261
kazemi_psyc@yahoo.com

Article History

Received:   December  31, 2014
Accepted:   April 11, 2015
ePublished:   April 20, 2015

ABSTRACT

Aims Memory is one of the psychological processes that plays a major role in creating and sustaining post-traumatic stress disorder. The purpose of this study was to determine the effectiveness of Metacognitive therapy on working memory and verbal memory in veterans with post-traumatic stress disorder patients.
Materials & Methods This quasi-experimental research was conducted with pretest-posttest design in all post-traumatic stress disorder patients who were referred to the consultant centers of Esfahan and Najafabad cities, Iran, in spring and summer 2014. Among these, 30 patients were selected by available sampling and were randomly divided into experimental and control groups. All patients were assessed by demographic information questionnaire, Beck Depression Inventory, Beck Anxiety Inventory, Wechsler test of verbal memory WMS-II & N-back at pretest and posttest. The experimental group received 8 metacognitive therapy sessions. Subjects in each group were tested before and after the intervention. Data were analyzed by MANCOVA in SPSS 18 software.
Findings At posttest, the experimental group showed a significant improvement in working memory and verbal memory (p<0.05). Also the experimental group did not show significant differences in the components of a simple verbal memory and second level of working memory.
Conclusion Metacognitive therapy improves the working memory and verbal memory of post-traumatic stress disorder patients.


CITATION LINKS

[1]Ganji M. Psychopathology based on DSM-5. Tehran: Savalan; 2013. [Persian]
[2]Rosenhan DL, Seligman MEP. Psychopathology. Volume 2. Seyyed Mohammadi Y, translator. Tehran: Savalan; 2004. [Persian]
[3]Sadock BJ, Sadock VA. Kaplan and Sadock's synopsis of psychiatry. 10th edition. Rezaei M, translator. Tehran: Arjmand; 2007. [Persian]
[4]Jelinek L, Jacobsen D, Kellner M, Larbig F, Biesold KH, Barre K, et al. Verbal and nonverbal memory functioning in posttraumatic stress disorder (PTSD) Clin Exp Neuropsychol. 2006;28(6):940-8.
[5]Eysenck MW, Hunt E, Ellis A, Johnson-Laird PN. The Blackwell dictionary of cognition psychology (Blackwell Reference). New York: Wiley-Blackwell; 1991.
[6]Basden BH, Reysen MB. Transmitting false memories in social groups. Am J Psychol. 2002;115(2):211-31.
[7]Yasseri G, Moradi AR, Shahraray M. Autobiographical memory performance and PTSD symptoms in survivors of cancer. J Psychol Res. 2006;8(3-4):84-97. [Persian]
[8]Sumpter RE, McMillan TM. Errors in self-report of post-traumatic stress disorder after sever traumatic brain injury. Brain Inj. 2006;20(1):93-9.
[9]Brewin CR, Andrews B. Psychological defense mechanisms: The example of repression. Psychology. 2000;13:615-7.
[10]Brewin CR, Andrews B, Valentine JD. Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. J Consult Clin Psychol. 2000;68(5):748-66.
[11]Mahmoudi-Gharaei J, Mohammadi MR, Bina M, Yasami MT, Fakour Y. Supportive and cognitive behavioral group interventions on Bam earthquake related PTSD symptoms in adolescents. Tehran Univ Med J. 2006;64(8):57-67. [Persian]
[12]Bennett H, Wells A. Metacognition, memory disorganization, and rumination in posttraumatic stress symptoms. J Anxiety Disord. 2010;24(3):225-318.
[13]Lovwll K, Marks I, Noshiravani H, Thrasher S. Cognitive and exposure treatment in various PTSD symptoms: A randomized controlled trial. Cog Behav Psychother. 2001;29(1):107-12.
[14]Khodaii Ardekani M, Faraji S, Mirabzadeh A, Rezai O, Kafashi M. Prazosin effects on clinical symptoms in combat related post-traumatic stress disorder. Iran J War Public Health. 2011;3(11):54-62. [Persian]
[15]Mosavi E, Kalantari M, Esmaeili M. Investigating the effect of psychological debriefing and behavioral interventions on post-traumatic stress disorder (PTSD) symptoms on veterans of Yasuj. Armaghane Danesh. 2013;18(7):568-77. [Persian]
[16]Wells A, Sembi S. Metacognitive therapy for PTSD: A core treatment manual. Cogn Behav Pract. 2004;11(4):365-77.
[17]Abolmaali Kh, Kamal A. Effect of schema-based learning on reducing the symptoms of secondary traumatic stress in wives of post-traumatic stress disorder veterans. Iran J War Public Health. 2015;7(1):21-8. [Persian]
[18]Aghayousefi A, Amirpour B, Alipour A, Zare H. Effect of cognitive processing therapy on cardiovascular biomarkers of veterans with post-traumatic stress disorder. Iran J War Public Health. 2015;7(1):43-8.[Persian]
[19]Wells A. Emotional disorders and metacognition Innovative cognitive therapy. Chichester: Wiley; 2000.
[20]Moradi A, Salimi M, Fathi-Ashtiani A. Memory performance of war veterans with PTSD. J Behav Sci. 2011;4(4):5-6. [Persian]
[21]Chen YN, Mitra S, Schlaghecken F. Sub-processes of working memory in the N-back task: An investigation using ERPs. Clin Neurophysiol. 2008;119(7):1546-59.
[22]Jaeggi SM, Buschkuehl M, Perrig WJ, Meier B. The concurrent validity of the N-back task as a working memory measure. Memory. 2010;18(4):394-412.
[23]Westerberg H. Working memory: Development, disorders and training. J Am Academy Child Adolesc Psychiatry. 2004;44(2):177-86.
[24]Kane MJ, Conway ARA, Miura TK, Colflesh GJH. Working memory, attention control, and the n-back task: A question of construct validity. J Exp Psychol Learn Mem Cogn. 2007;33(3):615-22.
[25]Shokri O, Farahani MN, Farzad V, Safaei P, Sangari AA, Daneshvarpour Z. Factorial validity and reliability of Farsi version of the student life stress inventory. Res Psychol Health. 2008;2(1):17-27. [Persian]
[26]Wells A. Matthews G. Modeling cognition in emotional disorder: The S-REF model. Behav Res Ther. 1996;32(11-12):881-8.
[27]Harvey AG, Bryant TA. Cognitive behavior therapy for post-traumatic stress disorder. Clin Psychol Rev. 2003;23(3):501-22.
[28]Buckley TC, Blanchard EB, Neill WT. Information processing and PTSD: A review of the empirical literature. Clin Psychol Rev. 2000;20(8):1041-65.
[29]Mirdoraghi F, Ghanbari Hashemabadi B, Mashhadi A. Deficiencies of executive functions in patients with post-traumatic stress disorder. Iran J War Public Health. 2012;5(1):27-35. [Persian]
[30]Shaw ME, Moores KA, Clark RC, McFarlane AC, Strother SC, Bryant RA, et al. Functional connectivity reveals inefficient working memory systems in post-traumatic stress disorder. Psychiatry Res. 2009;172(3):235-41.
[31]Schweizer S, Dalgleish T. Emotional working memory capacity in posttraumatic stress disorder (PTSD). Behav Res Ther. 2011;49(8):498-504.
[32]Rachman S. Emotional Processing. Behav Res Ther. 1980;18(1):51-60.