بررسی فعالیت سیستم های مغزی رفتاری و مکانیسم‎های دفاعی در افراد مبتلا به فشارخون و افراد عادی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد روانشناسی بالینی، دانشگاه آزاد اسلامی،واحد رودهن ،شهرستان رودهن

2 کارشناسی ارشد مشاوره ،دانشگاه فرهنگیان

3 کارشناس ارشد مشاوره دانشگاه آزاد ،واحد اهواز

4 کارشناس ارشد روانشناسی تربیتی

5 مرکز تحقیقات روان‌پزشکی و علوم رفتاری، دانشگاه علوم پزشکی مشهد، مشهد، ایران

چکیده

مقدمه
 بیماری فشارخون به عنوان یک بیماری جسمانی تحت تاثیر مسائل روانشناختی قرار دارد. مطالعه‌ی حاضر با هدف مقایسه‌ی فعالیت سیستم مغزی رفتاری و مکانیسم‌های دفاعی در افراد مبتلا به فشار خون و افراد عادی انجام شد.
روش کار
به منظور انجام پژوهش تعداد 30 نفر بیمار مبتلا به فشارخون اساسی، مراجعه کننده به کلینیک‎های تخصصی و مطب‎های پزشکان متخصص در این زمینه در شهر مشهد  با روش نمونه‌گیری غیر تصادفی و در دسترس انتخاب شدند و با 30 نفر از افراد عادی و غیر مبتلا مقایسه شدند. شرکت کنندگان از طریق ابزار سنجش تحقیق شامل مقیاس مکانیسم دفاعی (DSQ) (1993) اندروز و همکارانش، و پرسشنامه‌ی جکسون(مقیاس‎های نظریه تجدید نط شده حساسیت به تقویت) ارزیابی شدند. داده‌ها با آزمون تی مستقل تجزیه و تحلیل شد.
نتایج
 بین دو گروه در دو سیستم فعال‌ساز رفتاری و بازداری رفتاری تفاوت معنا دارد وجود دارد (05/0 < p) ولی در سیستم ستیز و گریز تفاوتی مشاهده نشد (05/0 > p) .هم‌چنین میانگین نمرات گروه بیماران فشار خون در مولفه مکانیسم دفاعی به طور معنی‌دار بیشتر از میانگین گروه افراد عادی بود(05/0 < p).
نتیجه‌گیری
 نتایج این پژوهش نشان داد که بیماری فشارخون با مولفه‎های هردو متغیر مکانیسم‎های دفاعی و سیستم‎های مغزی رفتاری در ارتباط است و بین دوگروه مبتلا و غیر مبتلا تفاوت معنی داری وجود دارد.

کلیدواژه‌ها


عنوان مقاله [English]

Investigating the Activity of Brain-Behavioral Systems and Defensive Mechanisms in Patients With Blood pressure and normal people

نویسندگان [English]

  • Sahar Sadeghian 1
  • Khosrow Behrang 2
  • Parvaneh Gerdab 3
  • Sareh Khademion 4
  • Morteza Rostaie 5
1 Master of Clinical Psychology, Islamic Azad University, Roodehen Branch, Roodehen County
2 M.Sc, Counseling, Farhangian University
3 M.Sc., Azad University, Ahvaz Branch
4 M.Sc., Educational Psychology
5 Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده [English]

Introduction: Hypertension is a psychological disorder as a physical illness. The purpose of this study was to compare the behavior of brain and defense mechanisms in people with hypertension and normal people.                                                                                                                                      
Methods: In this research, 30 patients with essential hypertension referred to specialized clinics and specialized physicians' offices in this field were selected by non-random sampling method and with 30 normal and non-infected individuals Were compared. Participants were evaluated through a research tool including the Defense Mechanism Scale (DSQ) (1993), Andrews et al., And the Jackson Questionnaire (RASI Scale of Sensitivity to Strengthening). Data were analyzed by independent t-test.
Results: There was a significant difference between the two groups in the two systems of behavioral activation and behavioral inhibition (P <0.05), but there was no difference in the system of conflict and escape (P> 0.05). Also, the mean score of the blood pressure group in the defense mechanism component was significantly higher than that of the normal group. (P <0/05)                      Conclusion: The results of this study showed that hypertension is associated with both components of defense mechanisms and behavioral brain systems, and there is a significant difference between the two groups.                                                                                    

کلیدواژه‌ها [English]

  • Cognitive Behavioral Systems
  • Defense Mechanism
  • Blood Pressure
References                                                            
1-Garnefski, N., Kraaij, V. & Spinhoven, P. (2002) CERQ: Manual for the use of the Cognitive Emotion Regulation       Questionnaire. Datec, Leiderdorp, The Netherlands
2-Moazen, S., Fallah, P. A., Flett, G., & Saafi, M (2009). The Comparison of Brain/Behavioral Activity & Dimensions of Perfectionism in CHD & Normal Subjects.
3-Nyklı́ček, I., & Vingerhoets, A. J. (2000). Alexithymia is associated with low tolerance to experimental painful stimulation. Pain, 85(3), 471-475.
4-Liss, M., Mailloux, J., & Erchull, M. J. (2008). The relationships between sensory processing sensitivity, alexithymia, autism, depression, and anxiety. Personality and individual differences, 45(3), 255-259.
5-Dennis, T. A., & Chen, C. C. (2007). Neurophysiological mechanisms in the emotional modulation of attention: the interplay between threat sensitivity and attentional control. Biological psychology, 76(1-2), 1-10.
6-Fribrig b, Stailz k, Chang j, Gold J.(2006) Adolescent pain, emotional functioning, and quality of life: effects of pain management group. The Journal of Pain 2012; 13( 4): 9
7-McFarland, B. R., Shankman, S. A., Tenke, C. E., Bruder, G. E., & Klein, D. N. (2006). Behavioral activation system deficits predict the six-month course of depression. Journal of affective disorders, 91(2-3), 229-234.
8-Newman, J. P., MacCoon, D. G., Vaughn, L. J., & Sadeh, N. (2005). Validating a distinction between primary and secondary psychopathy with measures of Gray's BIS and BAS constructs. Journal of abnormal psychology, 114(2), 319.
9-Aldao, A., & Nolen-Hoeksema, S. (2010). Specificity of cognitive emotion regulation strategies: A transdiagnostic examination. Behaviour Research and Therapy, 48, 974-983.
10-Aldao, A., & Nolen-Hoeksema, S. (2012). When are adaptive strategies most predictive of psychopathology? Journal of Abnormal Psychology, 121, 276-281.
11-Gorg.wailant، Do pain problems in young school children persist into early adulthood? A 13-year follow-up. European Journal of Pain 2004; 8(3):187–99.
12-Degnan, K. A., & Fox, N. A. (2007). Behavioral inhibition and anxiety disorders: Multiple levels of a resilience process. Development and psychopathology, 19(3), 729-746.
13-Nam, C., Lee, D., Lee, J., Choi, A., Chung, S., Kim, D. J., ... & Choi, J. S. (2018). The Role of Resilience in Internet Addiction among Adolescents between Sexes: A Moderated Mediation Model. Journal of clinical medicine, 7(8), 222.
14- Ianovous, L. B., Abramson, L.Y., Walshaw, P. D., Cogswell, A., Grandin, L. D., Hughes, M. E. et al. (2008). Behavioral    approach system and behavioral inhibition system sensitivities and bipolar
15-Gray JA, McNaughton N. The neuropsychology of anxiety: An enquiry into the  functions of the septohippocampal system. New York: Oxford University; 2000.53-98                                                              
16-Gary, J. A., Mc Naughtan, N. (2000). The neuropsychology of anxiety. Oxford psychology series, 33(4).
17-Andero، M, Sing&Band. (2008). The relationships between sensory processing sensitivity, alexithymia, autism, depression, and anxiety. Personality and individual differences, 45(3), 255-259.
18-- Heidarinasab L. Comparison defense mechanisms in clinical and nonclinical samples according to (DSQ-40). [Ph.D. Dissertation]. Tarbieat Moddares University; 2006. p. 65-143. [Persian].
19-Rughay،e Atashkar, Ali Fathi, Parviz Azad (2012) Relationship of Basis Defense Styles and Mechanisms
Behavioral Brain Theory
20-Jafar Hasani.(2011). The reliability and validity of the short form of the cognitive emotion regulation questionnaire.  , Volume 9 , Number 4 (20); Page(s) 229 To 240.
21-Mayer, H. R., Salmona, M.. (2003). Development of a short form of the Gray–Wilson personality questionnaire: its use in measuring personality and adjustment among Russian adolescents. Personality and Individual Differences, 35(5), 1049-1059.
22- Ging$ Show. P.(2013)Determinants Of Hypertension In The Urban Population Of Jaipor In Western India. Journal Of Hypertension 1995;13:1193- 1200.
23-Amckarti, M., Finocchiaro, R., & Canavesio, Y. (2015). Reward sensitivity (behavioral activation system), cognitive, and metacognitive control in gambling behavior: evidences from behavioral, feedback-related negativity, and P300 effect. The Journal of neuropsychiatry and clinical neurosciences, 27(3), 219-227.
24- Garnefski, N., Kraaij, V. & Spinhoven, P.h. (2001). Negative life events, cognitive emotion regulation and depression. Personality and Individual Differences, 30, 1311-1327.