Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.61186/jrums
fa
jalali
1394
4
1
gregorian
2015
7
1
14
5
online
1
fulltext
fa
نقش اجتناب تجربی و ذهن آگاهی در پیشبینی علائم اختلال استرس پس از مواجهه با رویداد آسیبزا در افراد آسیب دیده تحت حمایت کمیته امداد و بنیاد شهید شهرستان گیلانغرب در نیمه اول سال 1393
The Role of Experiential Avoidance and Mindfulness in Predicting the Symptoms of Stress Disorder after Exposure to Trauma in Traumatized People Supported by Emdad Committee and Bonyade Shahid Organization of Gilan Gharb in the First Half of 2014
روانپزشكي
Psychiatry
كاربردي
Applicable
<p class="MsoNormal" dir="RTL" style="margin-top: 0cm margin-right: 2.85pt margin-left: 10.5pt margin-bottom: 0.0001pt text-align: justify line-height: 117% "><b><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">چکیده</span></b><b><span lang="AR-SA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "><o:p /></span></b></p>
<p class="MsoNormal" dir="RTL" style="margin-top: 0cm margin-right: 2.85pt margin-left: 10.5pt margin-bottom: 0.0001pt text-align: justify line-height: 117% "><b><span lang="AR-SA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">زمینه و هدف:</span></b><span lang="AR-SA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "> </span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">اجتناب از افکار مرتبط با رویدادهای آسیبزا در افراد آسیبدیده میتواند در
بروز و تداوم اختلال استرس پس از سانحه </span><span lang="AR-SA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">نقش
داشته باشد. با توجه به اهمیت این امر پژوهش حاضر با هدف تعیین نقش اجتناب تجربی و
ذهنآگاهی در پیشبینی علائم اختلال استرس پس از </span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">مواجهه با رویداد آسیبزا </span><span lang="AR-SA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">انجام گرفت.</span><span dir="LTR" style="font-size: 12pt line-height: 117% font-family: 'Times New Roman', serif "><o:p /></span></p>
<p class="MsoNormal" dir="RTL" style="margin-top: 0cm margin-right: 2.85pt margin-left: 10.5pt margin-bottom: 0.0001pt text-align: justify line-height: 117% "><b><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">مواد و روشها:</span></b><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "> </span><span lang="AR-SA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">در این مطالعه توصیفی، تعداد 100 آزمودنی
که از بین افراد آسیب دیده تحت حمایت کمیتۀ امداد و بنیاد شهید شهرستان گیلانغرب در
نیمۀ اول سال </span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">13</span><span lang="AR-SA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">93 به طور
تصادفی طبقهای انتخاب شده بودند، شرکت داشتند. برای جمعآوری اطلاعات از </span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">مقیاس اختلال استرس
پس از سانحه </span><span dir="LTR" style="font-size: 12pt line-height: 117% font-family: 'Times New Roman', serif ">Mississippi</span><span dir="RTL"></span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "><span dir="RTL"></span>، پرسشنامه پذیرش و
عمل و پرسشنامه ذهنآگاهی استفاده شد. </span><span lang="AR-SA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">دادههای
جمعآوری شده با استفاده از آزمون ضریب همبستگی پیرسون و رگرسیون خطی چندگانه تحلیل
شد.</span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "><o:p /></span></p>
<p class="MsoNormal" dir="RTL" style="margin-top: 0cm margin-right: 2.85pt margin-left: 10.5pt margin-bottom: 0.0001pt text-align: justify line-height: 117% "><b><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">یافتهها:</span></b><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "> </span><span lang="AR-SA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">نتایج همبستگی نشان
داد علائم اختلال استرس پس از سانحه با اجتناب تجربی ارتباط مثبت (768/0=</span><span dir="LTR" style="font-family: 'Times New Roman', serif ">r</span><span dir="RTL"></span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "><span dir="RTL"></span>؛ 001/0></span><span dir="LTR" style="font-family: 'Times New Roman', serif ">p</span><span dir="RTL"></span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "><span dir="RTL"></span>)، ولی با نمره کلی ذهنآگاهی (351/0-
=</span><span dir="LTR" style="font-size: 12pt line-height: 117% font-family: 'Times New Roman', serif ">r</span><span dir="RTL"></span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "><span dir="RTL"></span>؛ 001/0</span><span lang="AR-SA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">></span><span dir="LTR" style="font-family: 'Times New Roman', serif ">p</span><span dir="RTL"></span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "><span dir="RTL"></span>)
و مؤلفههای مشاهدهگری (328/0- =</span><span dir="LTR" style="font-size: 12pt line-height: 117% font-family: 'Times New Roman', serif ">r</span><span dir="RTL"></span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "><span dir="RTL"></span>؛ 001/0</span><span lang="AR-SA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">></span><span dir="LTR" style="font-family: 'Times New Roman', serif ">p</span><span dir="RTL"></span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "><span dir="RTL"></span>)، توصیف عمل (420/0-
=</span><span dir="LTR" style="font-family: 'Times New Roman', serif ">r</span><span dir="RTL"></span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "><span dir="RTL"></span>؛ 001/0</span><span lang="AR-SA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">></span><span dir="LTR" style="font-family: 'Times New Roman', serif ">p</span><span dir="RTL"></span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "><span dir="RTL"></span>)، عمل از روی
آگاهی (263/0- =</span><span dir="LTR" style="font-size: 12pt line-height: 117% font-family: 'Times New Roman', serif ">r</span><span dir="RTL"></span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "><span dir="RTL"></span>؛ 009/0=</span><span dir="LTR" style="font-family: 'Times New Roman', serif ">p</span><span dir="RTL"></span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "><span dir="RTL"></span>) ارتباط منفی دارد.</span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "> </span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">نتایج تحلیل رگرسیون خطی نشان داد 63٪ از
کل واریانس علائم اختلال استرس پس از سانحه به طور مسقیم به وسیلۀ اجتناب تجربی و به
طور معکوس به به وسیله ذهنآگاهی تبیین میشود و </span><span lang="AR-SA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">از میان مؤلفههای ذهنآگاهی توصیف عمل از روی آگاهی 21% </span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">از کل واریانس علائم
اختلال استرس پس از سانحه را به</span><span lang="AR-SA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">
طور معکوس تبیین کند.<o:p /></span></p>
<p class="MsoNormal" dir="RTL" style="margin-top: 0cm margin-right: 2.85pt margin-left: 10.5pt margin-bottom: 0.0001pt text-align: justify line-height: 117% "><b><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">نتیجهگیری:</span></b><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "> ن</span><span lang="AR-SA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">تایج این مطالعه نشان میدهد اجتناب از افکار
مربوط به رویدادهای آسیبزا</span><span lang="AR-SA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "> </span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">و ذهنآگاهی پایین میتواند در علائم اختلال استرس پس از
سانحه در افراد آسیب دیده نقش داشته باشد.</span><span dir="LTR" style="font-size: 12pt line-height: 117% font-family: 'Times New Roman', serif "><o:p /></span></p>
<p class="MsoNormal" dir="RTL" style="margin-top: 0cm margin-right: 2.85pt margin-left: 10.5pt margin-bottom: 0.0001pt text-align: justify line-height: 117% "><b><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">واژههای کلیدی: </span></b><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' ">اجتناب تجربی، ذهنآگاهی، اختلال استرس، مواجهه، رویداد آسیبزا</span><span lang="FA" style="font-size: 12pt line-height: 117% font-family: 'B Nazanin' "><o:p /></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 145% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Background
and Objective</span></b><span style="font-family: 'Times New Roman', serif ">: </span><span class="hps"><span style="font-family: 'Times New Roman', serif ">Avoidance of thoughts related to</span></span><span style="font-family: 'Times New Roman', serif "> <span class="hps"><span lang="EN">traumatic</span></span><span lang="EN"> <span class="hps">events
in traumatized people can play a role in incidence and </span></span></span><span style="font-family: 'Times New Roman', serif ">persistence of posttraumatic
stress disorder (PTSD). </span><span class="hps"><span lang="EN" style="font-family: 'Times New Roman', serif ">Given the importance of</span></span><span lang="EN" style="font-family: 'Times New Roman', serif "> <span class="hps">this</span> <span class="hps">issue, the current study was conducted in
order to determine the</span> <span class="hps">role of</span> <span class="hps">experiential</span>
<span class="hps">avoidance</span> <span class="hps">and</span> <span class="hps">mindfulness</span>
in <span class="hps">predicting</span> the </span><span style="font-family: 'Times New Roman', serif ">symptoms of the </span><span style="font-family: 'Times New Roman', serif ">PTSD</span><span class="hps"><span lang="EN" style="font-family: 'Times New Roman', serif "> in people exposed to trauma.<o:p /></span></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 145% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Materials and Methods:</span></b><span style="font-family: 'Times New Roman', serif "> In this
descriptive study, 100 subjects were selected through the stratified random sampling
from traumatized people who are supported by Emdad Committee and Bonyade Shahid
organization located in Gilan Gharb city. </span><span class="hps"><span lang="EN" style="font-family: 'Times New Roman', serif ">Mississippi
Scale</span></span><span style="font-family: 'Times New Roman', serif "> for PTSD</span><span lang="EN" style="font-family: 'Times New Roman', serif ">, </span><span class="hps"><span style="font-family: 'Times New Roman', serif ">A</span></span><span class="hps"><span lang="EN" style="font-family: 'Times New Roman', serif ">cceptance</span></span><span lang="EN" style="font-family: 'Times New Roman', serif "> <span class="hps">and Action</span>
<span class="hps">Questionnaire and</span> <span class="hps">Mindfulness</span> <span class="hps">Questionnaire</span> <span class="hps">were used for gathering data. </span></span><span style="font-family: 'Times New Roman', serif ">Collected data were analyzed by
Pearson’s correlation coefficient test and multiple linear regression. </span><span style="font-family: 'Times New Roman', serif "><o:p /></span></p>
<p class="MsoNormal" style="margin-right: 0.2pt text-align: justify line-height: 145% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Results:</span></b><span style="font-family: 'Times New Roman', serif "> The
correlation results showed that the symptoms of PTSD have positive relationship
with experiential avoidance (r=0.768 p<0.001) and negative relationship
with total score of mindfulness</span><span style="font-family: 'Times New Roman', serif ">(r=-0.351
p<0.001) and components of observing (r=-0.328 p<0.001), mindful
describing (r=-0.420 p<0.001), non-judgmental acceptance (r=-0.263
p=0.009). </span><span style="font-family: 'Times New Roman', serif ">The results of linear regression analysis showed that 63% of variance of
posttraumatic symptoms was positively explained by experiential avoidance and
negatively by mindfulness (</span><span style="font-family: 'Times New Roman', serif ">mindful
describing)</span><span style="font-family: 'Times New Roman', serif ">. <o:p /></span></p>
<p class="MsoNormal" style="margin-right: 0.2pt text-align: justify line-height: 145% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Conclusion:</span></b><span dir="RTL"></span><span dir="RTL" style="font-family: 'Times New Roman', serif "><span dir="RTL"></span> </span><span style="font-family: 'Times New Roman', serif ">The results of the current
study show that the </span><span class="hps"><span lang="EN" style="font-family: 'Times New Roman', serif ">avoidance</span></span><span lang="EN" style="font-family: 'Times New Roman', serif "> <span class="hps">of</span> <span class="hps">thoughts related to</span> <span class="hps">the
traumatic</span> <span class="hps">events</span> <span class="hps">and</span> <span class="hps">low</span> <span class="hps">mindfulness</span> can play a role in
predicting the </span><span style="font-family: 'Times New Roman', serif ">symptoms of </span><span style="font-family: 'Times New Roman', serif ">PTSD</span><span class="hps"><span lang="EN" style="font-family: 'Times New Roman', serif "> in</span></span><span lang="EN" style="font-family: 'Times New Roman', serif "> traumatized <span class="hps">people</span>.<span> </span><span class="hps"><o:p /></span></span></p>
<p class="MsoNormal" style="margin-right: 0.2pt text-align: justify line-height: 145% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Key
words:</span></b><span style="font-family: 'Times New Roman', serif ">
Experiential avoidance, Mindfulness, Posttraumatic stress disorder
(PTSD),Exposure, Traumatic event </span><span style="font-family: 'Times New Roman', serif "><o:p /></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 145% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Funding:</span></b><span style="font-family: 'Times New Roman', serif "> This research was funded by Research Committee of
University of Mohaghegh Ardabili.<o:p /></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 145% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Conflict of
interest</span></b><span style="font-family: 'Times New Roman', serif ">: None declared.<o:p /></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 145% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Ethical
approval: </span></b><span style="font-family: 'Times New Roman', serif ">The Ethics Committee of the University of Mohaghegh
Ardabili approved the study.<o:p /></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 145% direction: ltr unicode-bidi: embed "><b><span style="font-size: 4pt line-height: 145% font-family: 'Times New Roman', serif color: black "><!--stripped--> <!--stripped--></span></b></p>
<p class="MsoNormal" style="text-align: justify line-height: 145% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif color: black ">How to cite this article</span></b><b><span style="font-family: 'Times New Roman', serif ">:</span></b><span style="font-size: 9pt line-height: 145% font-family: 'Times New Roman', serif "> Basharpoor S,
Shafiei M, Atadokht A</span><span style="font-size: 9pt line-height: 145% font-family: 'Times New Roman', serif ">,</span><span style="font-size: 9pt line-height: 145% font-family: 'Times New Roman', serif ">
Narimani M.The Role of Experiential Avoidance and Mindfulness in Predicting the
Symptoms of Stress Disorder </span><span class="hps"><span lang="EN" style="font-size: 9pt line-height: 145% font-family: 'Times New Roman', serif color: rgb(34, 34, 34) ">after Exposure to</span></span><span class="shorttext"><span lang="EN" style="font-size: 9pt line-height: 145% font-family: 'Times New Roman', serif color: rgb(34, 34, 34) "> </span></span><span class="hps"><span lang="EN" style="font-size: 9pt line-height: 145% font-family: 'Times New Roman', serif color: rgb(34, 34, 34) ">Trauma<span dir="RTL"></span><span dir="RTL"><span dir="RTL"></span> </span>in Traumatized People
Supported by </span></span><span style="font-size: 9pt line-height: 145% font-family: 'Times New Roman', serif ">Emdad Committee and
Bonyade Shahid Organization of Gilan Gharb in the first Half of 2014</span><span style="font-size: 9pt line-height: 145% font-family: 'Times New Roman', serif ">.
<i><span style="color: black ">J Rafsanjan Univ
Med Sci</span></i><span style="color: black "> </span></span><span style="font-size: 9pt line-height: 145% font-family: 'Times New Roman', serif color: black ">2015 14(5):</span><span style="font-size: 9pt line-height: 145% font-family: 'Times New Roman', serif color: black "> 405-16.
[Farsi]<o:p /></span></p>
اجتناب تجربی, ذهنآگاهی, اختلال استرس, مواجهه, رویداد آسیبزا
Experiential avoidance, Mindfulness, Posttraumatic stress disorder (PTSD),Exposure, Traumatic event
405
416
http://journal.rums.ac.ir/browse.php?a_code=A-10-1938-2&slc_lang=fa&sid=1
S.
Basharpoor
سجاد
بشرپور
basharpoor_sajjad@yahoo.com
6900319475328460016641
6900319475328460016641
Yes
university of mohaghegh ardabili
اردبیل، دانشگاه محقق اردبیل، دانشکده علوم تربیتی و روان شناسی
M.
Shafiei
معصومه
شفیعی
6900319475328460016642
6900319475328460016642
No
university of mohaghegh ardabili
اردبیل، دانشگاه محقق اردبیل، دانشکده علوم تربیتی و روان شناسی
A.
Atadokht
اکبر
عطادخت
6900319475328460016643
6900319475328460016643
No
university of mohaghegh ardabili
اردبیل، دانشگاه محقق اردبیل، دانشکده علوم تربیتی و روان شناسی
M.
Narimani
محمد
نریمانی
6900319475328460016644
6900319475328460016644
No
university of mohaghegh ardabili
اردبیل، دانشگاه محقق اردبیل، دانشکده علوم تربیتی و روان شناسی