اثربخشی تحریک الکتریکی فراجمجمه‌ای بر آشفتگی روان‌شناختی و کیفیت زندگی سالمندان

Elderly appears to be a sensitive period of human life, which causes people to experience psychological distress and lower quality of life, through creating many challenges. Therefore, this study aims to investigate the effectiveness of transcranial direct-current stimulation on psychological distress and quality of Life in the elderly. The research method was quasi-experimental with pretest-posttest control group design. The population includes all the elderly who referred to counseling centers in Tehran in 2019, among whom 30 were selected using convenience sampling and according to the including and excluding criteria, and randomly assigned into experimental and control groups equally. In order to measure the variables, Mason et al.’s psychological distress questionnaire as well as Ware and Sherbourne’s quality of life questionnaire were used. The participants of the experimental group underwent transcranial direct-current stimulation for ten 120-minute sessions. The data were analyzed using univariate covariance analysis (ANCOVA). The findings showed that after controlling the effect of the pre-test, there was a significant difference between the mean score of the experimental and control groups in terms of psychological distress and the components of quality of life including social functioning, physical role playing, emotional role playing, mental health and vitality in post-test. However, no significant difference was observed in the components of physical performance, physical pain and general health. In general, according to the results of this research, transcranial direct-current stimulation can be applied as a method to reduce psychological distress and to improve the elderly’s quality of life, along with other treatment methods.
References
Abhar Zanjani, F. (2022). The Effectiveness of quality of life skills training on hope, vitality and resilience of the Elderly. 7th National Conference on Positive Psychology News, Bandar Abbas. [Persian]
Antal, A., & Paulus, W. (2013). Transcranial alternating current stimulation (tads). Frontiers in Human Neuroscience, 7, 317-325.
Asghari Moghaddam, M., & Faghehi, S. (2003). Validity of the sf-36 health survey questionnaire in two iranian samples. Clinical Psychology and Personality, 1(1), 1-10. [Persian]
Bagheri, M., Asgharnejad Farid, A., & Nasrolahi, B. (2022). The Relationship between self-efficacy and quality of life through the mediating role of psychological well-being in the Elderly. Journal of Aging Psychology, 8(1), 54-39. [Persian]
Barkhori, E., Kashaninia, Z., & Haghani, H. (2021). The Relationship between social health and general self-efficacy in the elderly of jiroft in 2018. Journal of Jiroft University of Medical Sciences, 7 (4), 532-542. [Persian]
Bettio, L. E., Rajendran, L., & Gil-Mohapel, J. (2017). The Effects of aging in the hippocampus and cognitive decline. Neuroscience & Biobehavioral Reviews, 79, 66-86.
Ciullo, V., Spalletta, G., Caltagirone, C., Banaj, N., Vecchio, D., Piras, F., & Piras, F. (2020). Transcranial direct current stimulation and cognition in neuropsychiatric disorders: Systematic review of the evidence and future directions. The Neuroscientist, 27(3), 285-309.
Demura, S., & Sato, S. (2014). Relationships between depression, lifestyle and quality of life in the community dwelling elderly: A Comparison between gender and age groups. Journal of Physiological Anthropology and Applied Human Science, 3, 159-166.
Escolano, C., Aguilar, M., & Minguez, J. (2011, August). EEG-based upper alpha neurofeedback training improves working memory performance. In 2011 annual international conference of the IEEE engineering in medicine and biology society (pp. 2327-2330). IEEE.
Fassino, S., Leombruni, P., & Abbate Daga, G. (2002). Quality of life in dependent older adults living at home. Arch Gerontol Geriatr, 35(1), 9-20
Fraley, R. C., & Roisman, G. I. (2019). The Development of adult attachment styles: Four lessons. Current Opinion in Psychology, 25(3), 26-30.
Ganji, H. (2019). Psychological tests (theoretical and practical basics). Tehran: Salavan Publications. [Persian]
Goudarz, M., Foroughan, M., Makarem, A., & Rashedi, V. (2015). Relationship between social support and subjective well-being in older adults. Iranian Journal of Ageing, 10(3), 110-119.‏
Hasslinger, J., Jonsson, U., & Bölte, S. (2022). Immediate and sustained effects of neurofeedback and working memory training on cognitive functions in children and adolescents with ADHD: A Multi-Arm pragmatic randomized vontrolled trial. Journal of Attention Disorders, 16(9), 63-37.‏
Haukedal CL, Lyxell B, Wie OB. (2020). Health-related quality of life with cochlear implants: The Children’s perspective. Ear and Hearing, 41(2), 330-343.
Ho ‐yin Lai, F. (2020). Application of transcranial direct current stimulation (tDCS) to enhance attention, visuo ‐motor coordination and executive function in older adults with mild cognitive impairment: Neuropsychology/Neuropsychological correlates of physiologic markers of cognitive decline/Dementia. Alzheimer's & Dementia, 16(6), 36 -49.
Hosseini, R. S., Ebrahimi, M. E., Khalkhali, V., & Zamani, N. (2019). The Relationship between the Fear of death and religious beliefs and mental disor ders in the Elderly living in karaj nursing homes (2014). Salmand: Iranian Journal of Ageing, 14 (2), 144-161. [Persian]
Im, J. J., Jeong, H., Bikson, M., Woods, A. J., Unal, G., Oh, J. K., Na, S., Park, J, S., Song, I, U., & Chung, Y. A. (2019). Effects of 6 -month at -home transcranial direct current stimulation on cognition and cerebral glucose metabolism in Alzheimer's disease. Brain Stimulation, 12(5), 1222 -1228
Jabalameli, S., Neshat doost, H. T., & Moulavi, H. (2010). Efficacy of cognitive-behavioral stress management intervention on quality of life and blood pressure in female patients with hypertension. Scientific Journal of Kurdistan University of Medical Sciences, 15(2), 88-97. [Persian]
Jaramillo, E. T., & Willging, C. E. (2021). Producing insecurity: Healthcare access, health insurance, and wellbeing among american indian elders. Social Science & Medicine, 268, Article 113384.
Jenkinson, C., Coulter, A., & Wright, L. (1993). Short form 36 (SF36) health survey questionnaire: normative data for adults of working age. British Medical Journal, 306, 1437-1440.
Kazemi, N., Sajjadi, H., & Bahrami, G. (2019). Quality of life in iranian elderly. Salmand: Iranian Journal of Ageing, 13 (5), 518-533. [Persian]
Kim, S. J., & Park, E. H. (2018). Relationship of working memory, processing speed, and fluid reasoning in psychiatric patients. Psychiatry investigation, 15(12), 1154-1161.‏
Mahmoudi aghdam, M., Soleymani, E., Issazadegan, A. (2021). The Effect and Comparison of working Memory Rehabilitation and Cognitive-Metacognitive Strategies on Visual Memory and Memory Span in Elderly. Biquarterly Journal of Cognitive Strategies in Learning, 9(16), 159-181. [Persian]
Mahmoudi Philabadi, A., & Nikrahang, R. (2017). The Effectiveness of quality of life therapy on general health, life satisfaction, happiness and hope of the Elderly. The Third national conference on new studies and research in the field of educational sciences and psychology in Iran. [Persian]
Malakuoti, K., Niksolat, M., Kianmehr, N., & Zandie Z. (2019). The Effects of anodal stimulation of primary motor cortex pain among older adults with fibromyalgia: A randomized, double-blind, placebo-controlled trial. Razi Journal of Medical Sciences, 26 (7),124-130. [Persian]
Marsa, R., Bahmani, B., & Barekati, S. (2020). Demoralization syndrome in elderly people living in nursing homes, community-dwelling elderly people and those receiving day care services from rehabilitation centers. Salmand: Iranian Journal of Ageing, 14 (4), 436-449. [Persian]
Marsa, R., Younesi, S. J., Barekati, S., Ramshini, M., Ghyasi, H. (2020). A Comparative study on stress, anxiety and depression between nursing-home elderly residents and home-dwelling elderly people. Salmand: Iranian Journal of Ageing, 15 (2),176-187. [Persian]
Mason, O., Claridge, G., & Jackson, M. (1995). New scales for the assessment of schizotypy. Personality and Individual Differences, 18(3), 7–13.
Miri, M., Salehiniya, H., Tiyuri, A., Bahlgerdi, M., & Taghizadeh, A. (2016). Prevalence of mental disorders and its related factors among elderly of Birjand. Salmand: Iranian Journal of Ageing, 2 (2), 94-103. [Persian]
Mohammadkhani, M., Masjidi, A., Pourshahbaz, A. & Dolatshahi, B. (2016). The Effectiveness of forgiveness-based group therapy on depression symptoms and mental disturbance symptoms in elderly women. Journal of Psychological Research, 2(2), 7-13. [Persian]
Mohaqeqi Kamal, S. H., & Basakha, M. (2022). Prevalence of chronic diseases among the older adults in iran: Does socioeconomic status matter? Salmand: Iranian Journal of Ageing, 16 (4), 468-481. [Persian]
Mousavi Sadati, S., & Rashidzadeh, P. (2019). Effect of cerebellar transcranial direct current stimulation on balance and sensory system of the elderly. The Scientific Journal of Rehabilitation Medicine, 8(4), 195-205. [Persian]
Mousavi, S. A., Jarareh, J., & Mohammadiarya, A. R. (2021). Effectiveness of transcranial direct current stimulation (tdcs) over the prefrontal cortex on cognitive function in the elderly with Alzheimer. Rooyesh, 10 (7),1-12. [Persian]
Park, L.T., & Zarate, C.A. (2019). Depression in the primary care setting. The New England Journal of Medicine, 380(6), 559-568.
Pellicciari, M. C., & Miniussi, C. (2018). Transcranial direct current stimulation in neurodegenerative disorders. The Journal of ECT, 34(3), 193 -202.
Pyae, A., Liukkonen, T. N., Mika, L., Kattimeri, C., & Smed, J. (2017). Investigating the finnish elderly people’s user experiences in playing digital game-based skiing exercise: A Usability study. Gerontechnology, 16, 65-80.‏
Report of Iran Statistics Center (2016). 2015 census. [Persian]
Sharifi, A. H., Bakhtiarpour, S., Naderi, F., & Askari, P. (2022). Testing and comparing the causal relationship between spiritual and social capital and depression with the mediating role of death anxiety in the elderly with and without a spouse. Salmand: Iranian Journal of Ageing, 17 (1), In Press. [Persian]
Shouhani, M., Jalilian, M., Parsaei, S., Modara, F., & Seidkhani, H. (2020). The Effect of unilateral and bilateral electrical stimulation of the brain on improving the balance of the elderly. Salmand: Iranian Journal of Ageing, 15 (3), 312-323. [Persian]
Wang, C. S. M., Cheng, K. S., Tang, C. H., Hou, N. T., Chien, P. F., & Huang, Y. C. (2020). Effects of Transcranial Direct Current Stimulation (tDCS) on Cognitive Function in Alzheimer’s Dementia. International Psychogeriatrics, 32(S1), 72 -72.
Ware, JE., & Sherbourne, CD. (1992). The MOS 36-Item Short-Form Health Survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30, 473–83.
Westwood, S. J., Criaud, M., Lam, S. L., Lukito, S., Wallace-Hanlon, S., Kowalczyk, O. S., Fong, S., & Rubia, K. (2020). Transcranial direct current stimulation (tDCS) combined with cognitive training in adolescent boys with ADHD: A Double -blind, randomised, sham-controlled trial. MedRxiv, 12(7), 202-2010.
World Health Organization. (2019). Integrated care for older people (‎‎‎‎‎‎‎‎‎ICOPE)‎‎‎‎‎‎‎‎‎: guidance for person-centred assessment and pathways in primary care (No. WHO/FWC/ALC/19.1).
Yacoubi, H., Qaidi, G. H., Omid, A., Kahani, Sh. A., & Zafar, M. (2011). A preliminary study on the validation and determination of the Cut-off score of the GHQ-28 and GHQ-12 questionnaires on new students of Shahid University. The Fourth Seminar on Mental Health of Students, Shiraz, Iran. [Persian]
Yousefi Afrashteh, M., & Rezaei, S. (2021). The Spirituality and Quality of Life in the Elderly: The Mediating Role of Self-Compassion and Sense of Cohesion. Aging Psychology, 7(2), 151-137. [Persian]
Zahmatkeshan, N., Bagherzadeh, R., Akaberian, S. H., Yazdankhah Fard, M., Mirzaei, K., Yazdanpanah, S., Khorram Roudi, R., Gharibi, T., Kamali Dasharzhani, F., & Vajmand, T. (2012). Study of quality of life and related aspects of it in the elderly in Boushehr. Journal of Fasa University of Medical Sciences, 2(1), 53-58. [Persian]