الگوی ساختاری ادراک بیماری بیماری در زنان مبتلا به آرتریت روماتوئید براساس سبک‎های دلبستگی و نگرش‎های ناکارآمد؛ نقش میانجی ناگویی هیجانی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران.

2 دانشیار گروه روانشناسی، دانشگاه الزهرا، تهران، ایران.

3 استادیار گروه روانشناسی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران.

چکیده

مقدمه
این پژوهش به تبیین الگوی ساختاری ادراک بیماری در زنان مبتلا به آرتریت روماتوئید بر اساس سبک‎های دلبستگی و نگرش‎های ناکارآمد با میانجی گری متغیر ناگویی هیجانی با استفاده از مدل یابی معادلات ساختاری (SEM) پرداخته است.
روش کار
در این پژوهش 250 شرکت کننده(زن) حضور داشتند که به شیوه‎ی نمونه گیری در دسترس از بین بیماران مراجعه کننده به درمانگاه بیمارستان البرز کرج انتخاب شدند، برای سنجش متغیرهای پژوهش از پرسشنامه­های ادراک بیماری بردبنت و همکاران فرم بلند(IPQ)، سبک‎های دلبستگی بزرگسالان فرم تجدید نظر شده کالینز و رید(RAAS)، نگرش‎های ناکارآمد فرم بلند ویسمن وبک (DAS)  و پرسشنامه ناگویی هیجانی تورنتو(TAS)استفاده شده است. داده­های پژوهش با استفاده از تحلیل مسیر و مدل معادلات ساختاری تحلیل شد.
نتایج
داده­های به دست­آمده از مدل اولیه، برازش خوبی از مدل نشان دادند به عنوان مثال شاخص برازش CFI و IFI در مدل حاضر برابر با 941/0 و 942/0 بود که چون این میزان بالاتر از معیار 90/0 برای این شاخص­ها بود نشان دهنده­ی برازش خوب مدل بود. همچنین شاخصGFI در پژوهش حاضر 924/0 به دست آمد که این میزان بالاتر از معیار 90/0 است و از این نظر نیز مدل دارای برازش خوبی است. در نهایت شاخص برازشRMSEA و SRMR که برخی متخصصان آن­ها را از مهمترین شاخص برازش مدل می­دانند برابر با 064/0 بود که کمتر از معیار 08/0 بود و از این رو نشان دهنده­ی برازش خوب مدل می­باشد.
نتیجه­گیری
با توجه به نتایج بدست آمده از پژوهش اثر مستقیم متغیر سبک دلبستگی اضطرابی و نگرش‎های ناکارآمد بر متغیر ادراک بیماری معنی­دار است اما اثر مستقیم متغیر سبک‎های دلبستگی و نگرش‎های ناکارآمد ازطریق واسطه‎ای متغیر ناگویی هیجانی معنی دار نمی­باشد.

کلیدواژه‌ها

عنوان مقاله [English]

Structural Model Illness Perception in Women with Arthritis Rheumatoid On Attachment Styles and Dysfunctional Attitudes: Mediating Alexythimia

نویسندگان [English]

  • Somayeh Arabi 1
  • Shokohoasadat Banijamali 2
  • Shirin Kooshki 3
  • Mahnaz Estaki 3
1 PhD student, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
2 Associate Professor, Department of Psychology, Al-Zahra University, Tehran, Iran.
3 Associate Professor, Department of Psychology, Al-Zahra University, Tehran, Iran.
چکیده [English]

Introduction: Drug addiction as a phenomenon occurs in any country, whether developed or developing, and due to its consequences, this phenomenon is classified as a social harm, which is the basis for many other harms. The present study was conducted with the aim of determining the effectiveness of cognitive therapy based on mindfulness on the attitude to drug use and impulsivity of drug dependent adolescents.
Method: In this research, a semi-experimental method and a pre-test and post-test design with a control group were used. The statistical population of this research was made up of adolescents who referred to addiction treatment clinics in the 1st district of Tehran. From this community, 34 people were randomly selected and randomly replaced in the experimental and control groups. The implementation method was as follows: after the pre-test of attitude towards substance use and impulsivity, cognitive therapy based on mindfulness was implemented for the experimental group and the post-test was performed for both groups. The research findings were analyzed using covariance.
Results: The findings showed that the average attitude towards substance use and impulsivity of the experimental group increased and decreased respectively in the post-test compared to the pre-test. The result of covariance analysis showed that after removing the pre-test effect, the mean post-test scores of the two groups had a statistically significant difference (p<0.001).
Conclusion: This study shows that cognitive therapy based on mindfulness can be used to improve the attitude towards drug use and impulsivity of drug dependent adolescents.

کلیدواژه‌ها [English]

  • impulsivity
  • mindfulness
  • attitude towards drug use
  • drug-dependent adolescents

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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 64، شماره 5
آذر و دی 1400
صفحه 4012-4021

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