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
1402
9
1
gregorian
2023
12
1
22
9
online
1
fulltext
fa
مدل معادلات ساختاری رفتار خودکشی بر اساس افسردگی با میانجیگری تعلقپذیری خنثی و ادراک سربار بودن در اقدامکنندگان به خودکشی در شهر تهران: یک مطالعه توصیفی
The Structural Equation Model of Suicidal Behavior Based on Depression with the Mediation of Thwarted Belongingness and Perceived Burdensomeness in Suicide Attempters in Tehran: A Descriptive Study
روانپزشكي
Psychiatry
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:110%"><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:110%"><span style="font-family:"B Nazanin"">زمینه و هدف: </span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">خودکشی یکی از علل مرگ و میر در سراسر دنیا است که موجب تأثیر بلند مدت بر خانواده، اجتماع و اقتصاد میشود. پژوهش حاضر با هدف تعیین رفتار خودکشی در اقدام کنندگان به خودکشی بر اساس افسردگی با میانجیگری تعلقپذیری خنثی و ادراک سربار بودن انجام شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><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:110%"><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:110%"><span style="font-family:"B Nazanin"">پژوهش حاضر توصیفی و از نوع همبستگی است.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> تعداد 365 نفر بیمار اقدام کننده به خودکشی و</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">بستری شده در بیمارستان بهارلو تهران در سال 1401 به طریق نمونه</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">گیری در دسترس انتخاب شدند. ابزارهای مورد استفاده پرسشنامههای افسردگی </span></span></span>Beck<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">-دو (</span></span></span>II<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">-</span></span></span>Beck depression inventory; BDI<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">)، نیازهای بین فردی (</span></span></span>Interpersonal needs questionnaire; INQ<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">) (تعلقپذیری خنثی و ادراک سربار بودن) و رفتار خودکشی-نسخه تجدید نظر شده (</span></span></span>Suicide behaviors questionnaire-revised; SBQ-R<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">) بودند. از روش </span></span></span>Sobel<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> جهت آزمودن فرضیههای میانجی</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">و از الگویابی معادلات ساختاری جهت ارزیابی مدل پیشنهادی استفاده شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><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:110%"><span style="font-family:"B Nazanin"">یافتهها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> یافتههای آماری نشان داد بین نمره افسردگی و رفتار خودکشی (314/0=</span></span></span>r<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">، 001/0</span></span></span>P<span dir="LTR" style="font-family:Symbol"><</span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">)، تعلقپذیری خنثی و رفتار خودکشی (395/0=</span></span></span>r<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">، 001/0</span></span></span>P<span dir="LTR" style="font-family:Symbol"><</span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">) و ادراک سربار بودن و رفتار خودکشی (410/0=</span></span></span>r<span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">، 001/0</span></span></span>P<span dir="LTR" style="font-family:Symbol"><</span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">) ارتباط مثبت و معناداری وجود دارد. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">شاخص­های برازش مدل، مسیر</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin"">افسردگی به رفتار خودکشی و مسیر افسردگی با میانجیگری تعلقپذیری خنثی و ادراک سربار بودن را تأیید کرد که بیانگر برازش مطلوب الگو بود.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:110%"><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:110%"><span style="font-family:"B Nazanin"">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:110%"><span style="font-family:"B Nazanin""> نتایج نشان داد افسردگی به طور مستقیم و غیرمستقیم و با میانجیگری تعلقپذیری خنثی و ادراک سربار بودن در رفتار خودکشی نقش دارد. بنابراین، تشخیص، شناسایی و درمان افراد مبتلا به افسردگی و بررسی نیازهای بین فردی در پیشگیری و کاهش رفتار خودکشی مؤثر خواهد بود.</span></span></span></span></span></span></span></span><br>
<b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">واژه­های کلیدی:</span></span></span></b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""> افسردگی، تعلقپذیری خنثی، ادراک سربار بودن، رفتار خودکشی<b> </b></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"><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:150%">Background and Objectives:</span></span></b></a><span style="font-size:9.0pt"><span style="line-height:150%"> Suicide is one of the causes of death worldwide, which causes a long-term impact on the family, society, and economy. The present study investigated suicidal behavior in suicide attempters based on depression with the mediation of thwarted belongingness and perceived burdensomeness.</span></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="font-size:9.0pt"><span style="line-height:150%">Materials and Methods:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The current study is descriptive and correlational. A total of 365 patients who attempted suicide and were hospitalized at Baharloo Hospital in Tehran in 2022 were selected through convenience sampling. Beck Depression Inventory-II (BDI-II), Interpersonal Needs Questionnaire (INQ) (thwarted belongingness and perceived burdensomeness), and the Suicidal Behaviors Questionnaire-Revised (SBQ-R) were administered to the suicide attempters. The Sobel test was used to examine mediation hypotheses, and structural equation modeling (SEM) was used to evaluate the proposed model.</span></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="font-size:9.0pt"><span style="line-height:150%">Results:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The results showed that there were positive and significant relationships between depression score and suicidal behavior (r=0.314, p<0.001), thwarted belongingness and suicidal behavior (r=0.395, p<0.001), and perceived burdensomeness and suicidal behavior (r=0.410, p<0.001). The model fit indices confirmed the path of depression to suicidal behavior and depression with the mediation of thwarted belongingness and perceived burdensomeness.</span></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="font-size:9.0pt"><span style="line-height:150%">Conclusion:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The results of this study showed that depression plays a crucial role in suicidal behavior directly and indirectly through the mediation of thwarted belongingness and perceived burdensomeness. Therefore, identification, diagnosis, and treatment of people suffering from depression and examining interpersonal needs will effectively prevent and reduce suicidal behavior.</span></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="font-size:9.0pt"><span style="line-height:150%">Key words:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Depression, Thwarted belongingness, Perceived burdensomeness, Suicidal behavior</span></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"><span style="font-size:9.0pt"><span style="line-height:150%"></span></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="font-size:9.0pt"><span style="line-height:150%">Funding:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> This study did not have any funds.</span></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="font-size:9.0pt"><span style="line-height:150%">Conflict of interest:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> None declared.</span></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="font-size:9.0pt"><span style="line-height:150%">Ethical approval:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The Ethics Committee of Ilam University of Medical Sciences, approved the study (IR.MEDILAM.REC.1400.181).</span></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><i><span lang="EN" style="font-size:2.0pt"><span style="line-height:150%"></span></span></i></b></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="font-size:9.0pt"><span style="line-height:150%"></span></span></b></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="font-size:9.0pt"><span style="line-height:150%">How to cite this article:</span></span></b><b> </b><span style="font-size:9.0pt"><span style="line-height:150%">Mahboubi Matboo Mojgan, Ahmadi Vahid, Soleimannejad Homeira, Jafari-Mehdiabad Amirhossein. The tructural Equation Model of Suicidal Behavior Based on Depression with the Mediation of Thwarted Belongingness and Perceived Burdensomeness in Suicide Attempters in Tehran: A Descriptive Study</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">. </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> 2023; 22 (9): 911-28. [Farsi]</span></span> <b><span style="font-size:8.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
افسردگی, تعلقپذیری خنثی, ادراک سربار بودن, رفتار خودکشی
Depression, Thwarted belongingness, Perceived burdensomeness, Suicidal behavior
911
928
http://journal.rums.ac.ir/browse.php?a_code=A-10-6289-1&slc_lang=fa&sid=1
Mojgan
Mahboubi Matboo
مژگان
محبوبی مطبوع
mahboubi.psy@gmail.com
6900319475328460055866
0009-0009-4516-5785
No
Islamic Azad University
دانشگاه آزاد اسلامی
Vahid
Ahmadi
وحید
احمدی
vahid.ahmadi@iau.ac.ir
6900319475328460055867
6900319475328460055867
Yes
Islamic Azad University
دانشگاه آزاد اسلامی
Homeira
Soleimannejad
حمیرا
سلیمان نژاد
soleimannejadh@yahoo.com
6900319475328460055868
6900319475328460055868
No
Islamic Azad University
دانشگاه آزاد اسلامی
Amirhossein
Jafari-Mehdiabad
امیرحسین
جعفری مهدی آباد
ahjafarim@sina.tums.ac.ir
6900319475328460055869
6900319475328460055869
No
Tehran University of Medical Sciences
دانشگاه علوم پزشکی تهران