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
10.66224/jrums
fa
jalali
1401
4
1
gregorian
2022
7
1
21
4
online
1
fulltext
fa
مدلیابی علی نشانههای اختلال سلوک بر اساس بدرفتاری دوره کودکی و طرد همسال با نقش میانجی نشخوار خشم: یک مطالعه توصیفی
Causal Modeling of Conduct Disorder Signs Based on Childhood Maltreatment and Peer Rejection with the Mediating Role of Anger Rumination: A Descriptive Study
روانپزشكي
Psychiatry
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">زمینه و هدف: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">اختلال سلوک یکی از اختلالات شایع دوره نوجوانی است که عامل خطری برای آسیبشناسی روانی در دوره بزرگسالی میباشد. هدف مطالعه حاضر مدلیابی علی نشانه­های اختلال سلوک </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">بر اساس بدرفتاری دوره کودکی</span></span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">و طرد همسال با بررسی نقش میانجی نشخوار خشم در دانشآموزان دورههای اول و دوم متوسطه شهر ارومیه بود. </span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">مواد و روشها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> در این مطالعه توصیفی که به روش همبستگی انجام گرفت، جامعه آماری شامل تمامی دانشآموزان دورههای اول و دوم متوسطه شهر ارومیه در سال تحصیلی 1400-1399 بود. تعداد 220 نفر به روش نمونهگیری تصادفی چندمرحلهای انتخاب و به </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">پرسشنامه تواناییها و مشکلات، مقیاس</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> آسیبهای دوره کودکی، </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">مقیاس طرد اجتماعی همسال و مقیاس نشخوار خشم پاسخ دادند. دادههای به دست آمده با استفاده از مدلیابی معادله ساختاری تجزیه و تحلیل شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">یافتهها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> نتایج مدلیابی معادلات ساختاری نشان داد که ضرایب مسیر مستقیم بدرفتاری دوره کودکی (001/0</span></span></span>p<<span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">، </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">458/0</span></span></span>β<b>=</b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">) و نشخوار خشم </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">(012/0</span></span></span><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">=</span></span></span></b>p<span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">، </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">240/0</span></span></span>β<b>=</b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">) به نشانههای اختلال سلوک معنیدار میباشد. علاوه بر این،</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> بدرفتاری دوره کودکی و طرد همسال با میانجیگری نشخوار خشم اثر غیرمستقیمی بر نشانههای اختلال سلوک داشت. </span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin""> نتایج این مطالعه نشان میدهد که بدرفتاری دوره کودکی و نشخوار خشم میتوانند از جمله عوامل خطر برای بروز اختلال سلوک در نظر گرفته شوند، طرد اجتماعی از طرف همسالان نیز با افزایش نشخوار خشم منجر به اختلال سلوک میگردد. این نتایج میتواند در طراحی برنامههای پیش­گیرانه و مداخلهای اختلال سلوک کاربرد داشته باشد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">واژههای کلیدی:</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">اختلال سلوک، </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">بدرفتاری کودکی</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span style="font-family:"B Nazanin"">، طرد همسال، نشخوار خشم</span></span></span><span dir="LTR" style="line-height:125%"></span></span></span></span></span></span>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%">Background and Objectives:</span></b> <span style="line-height:150%">Conduct disorder is one of the most common disorders in adolescence that is a risk factor for psychopathology in adulthood. The aim of this study was the causal modeling of conduct disorder signs based on childhood maltreatment and peer rejection with the mediating role of anger rumination. </span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%">Materials and Methods:</span></b><span style="line-height:150%"> In this descriptive</span><span dir="RTL" lang="AR-SA" style="line-height:150%">-</span><span style="line-height:150%">correlational study, the statistical population included all first and second periods of high school students in Urmia in the 2020-</span><span style="line-height:150%"><span style="font-family:"Calibri","sans-serif"">2021</span></span><span style="line-height:150%"> academic year. Two hundred and twenty people were selected by multistage random sampling method and answered the Strengths and Difficulties Questionnaire, Childhood Trauma Questionnaire, Peer Social Rejection Scale, and Anger Rumination Scale. Data were analyzed using structural equation modeling.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%">Results:</span></b><span style="line-height:150%"> The results of structural equation modeling showed that the coefficients of direct path of childhood abuse<br>
</span><span style="line-height:150%">(β=</span><span style="line-height:150%"><span style="font-family:"Calibri","sans-serif"">0.458</span></span><span style="line-height:150%">, p<</span><span style="line-height:150%"><span style="font-family:"Calibri","sans-serif"">0.001</span></span><span style="line-height:150%">) and anger rumination (</span><span style="line-height:150%">β=</span><span style="line-height:150%"><span style="font-family:"Calibri","sans-serif"">0.240</span></span><span style="line-height:150%">, p=</span><span style="line-height:150%"><span style="font-family:"Calibri","sans-serif"">0.012</span></span><span style="line-height:150%">) to the signs of conduct disorder were significant. In addition, childhood maltreatment and peer rejection had an indirect effect on the signs of conduct disorder with the mediating role of anger rumination.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%">Conclusion:</span></b><span style="line-height:150%"> The results of this study reveal that childhood maltreatment and rumination of anger can be considered as risk factors for conduct disorder. Social rejection by peers also leads to conduct disorder with increased rumination of anger. These results can be used in designing preventive and intervensional programs of conduct disorder.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%">Key words: </span></b><span style="line-height:150%">Conduct disorder, Childhood maltreatment, Peer rejection, Anger rumination</span><span lang="AR-SA" dir="RTL" style="line-height:150%"></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%">Funding:</span></b><span style="line-height:150%"> This study was funded by university of Mohaghegh Ardabili.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%">Conflict of interest:</span></b><span style="line-height:150%"> None declared.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%">Ethical approval:</span></b><span style="line-height:150%"> The Ethics Committee of Ardabil University of Medical Sciences approved the study (IR.ARUMS.REC.1400.088).</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:150%">How to cite this article:</span></b> <span style="font-size:9.0pt"><span style="line-height:150%">Heidari Fazeleh, Narimani Mohammad, Aghajani Seifollah, Basharpoor Sajjad. </span></span><span style="font-size:9.0pt"><span style="line-height:150%">Causal Modeling of Conduct Disorder Signs Based on Childhood Maltreatment and Peer Rejection with the Mediating Role of Anger Rumination: A Descriptive Study. </span></span><i><span style="font-size:9.0pt"><span style="line-height:150%">J Rafsanjan</span></span></i><span style="font-size:9.0pt"><span style="line-height:150%"> <i>Univ Med Sci</i> 2022; 21 (4): 377-96. [Farsi]</span></span><span style="font-size:1.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span dir="RTL"></span>
اختلال سلوک, بدرفتاری کودکی, طرد همسال, نشخوار خشم
Conduct disorder, Childhood maltreatment, Peer rejection, Anger rumination
377
396
http://journal.rums.ac.ir/browse.php?a_code=A-10-1938-4&slc_lang=fa&sid=1
Fazeleh
Heidari
فاضله
حیدری
heidari_fazeleh@yahoo.com
6900319475328460050268
6900319475328460050268
No
University of Mohaghegh Ardabili
دانشگاه محقق اردبیلی
Mohammad
Narimani
محمد
نریمانی
basharpoor_sajjad@yahoo.com
6900319475328460050269
6900319475328460050269
Yes
University of Mohaghegh Ardabili
دانشگاه محقق اردبیلی
Seifollah
Aghajani
سیف اله
اقاجانی
sf_aghajani@yahoo.com
6900319475328460050270
6900319475328460050270
No
University of Mohaghegh Ardabili
دانشگاه محقق اردبیلی
Sajjad
Basharpoor
سجاد
بشرپور
bashrpoor_sajjad@yahoo.com
6900319475328460050271
6900319475328460050271
No
University of Mohaghegh Ardabili
دانشگاه محقق اردبیلی