fa مقایسه مشکلات خواب و خودکارآمدی در افراد مبتلا به نشانه‌های افسردگی اساسی، اضطراب اجتماعی و بهنجار در سال 1401: یک مطالعه توصیفی روانپزشكي روانپزشكي پژوهشي Research <span style="font-size:10pt"><span style="line-height:112%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:">چکیده</span></span></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:112%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><a name="_Hlk113374001"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:">زمینه و هدف: </span></span></span></b></a><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:">اضطراب اجتماعی و افسردگی اساسی از جمله اختلالاتی هستند که با میزان بالای همبودی مشخص می‌شوند. مشکلات خواب و خودکارآمدی از جمله علائم فراتشخیصی بین این دو اختلال هستند. هدف از مطالعه </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:">حاضر </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:">مقایسه مشکلات خواب و خودکارآمدی در افراد مبتلا به نشانه‌های افسردگی اساسی، اضطراب اجتماعی و جمعیت بهنجار است.</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:112%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:">مواد و روش‌ها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:"> پژوهش حاضر به روش توصیفی انجام شده است و جامعه آماری مطالعه حاضر شامل تمام مراجعین </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:">۱۸</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:"> تا </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:">۶۰</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:"> ساله مراکز درمانی شهر بروجرد و تهران در سال 1401 بودند که بر اساس نظر روان‌پزشک و روان‌شناس تشخیص اختلال افسردگی اساسی و اضطراب اجتماعی را دریافت کرده‌ بودند. از </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:">بین شرکت‌کنندگان 159 نفر به صورت هدفمند انتخاب شدند و پرسش&shy;نامه&shy;های پژوهش را تکمیل نمودند. ابزار سنجش در این پژوهش مصاحبه تشخیصی ساختار یافته بر اساس </span></span></span>DSM-5<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:"> (</span></span></span>Diagnostic and Statistical Manual of Mental Disorders<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:">) و پرسش‌نامه&shy;های اضطراب اجتماعی </span></span></span>Connor<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:">، افسردگی </span></span></span>Beck<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:">، پرسش‌نامه مشکلات خواب </span></span></span>Pittsburgh<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:"> و خودکارآمدی </span></span></span>Sherer<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:"> بود. تجزیه و تحلیل داده&shy;ها با استفاده از تحلیل واریانس </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:">چند متغیره </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:">انجام شد.</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:112%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:">یافته‌ها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:"> نتایج نشان داد که بین افراد بهنجار با بیماران مبتلا به افسردگی و اضطراب اجتماعی از لحاظ مشکلات خواب و خودکارآمدی تفاوت معنی&shy;داری وجود دارد (001/0></span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:">). هم&shy;چنین، بین افراد مبتلا به افسردگی و اضطراب اجتماعی از لحاظ خودکارآمدی تفاوت معنی&shy;دار مشاهده شد (001/0></span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:">).</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:112%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:">نتیجه‌گیری:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:"> با توجه به مطالعه حاضر، مشکلات خواب جزء عوامل مشترک در اختلالات افسردگی و اضطراب اجتماعی بوده که به نظر می‌رسد در تداوم آن‌ها نقش دارد. این نتایج می&shy;تواند </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:112%"><span b="" nazanin="" style="font-family:">به درمان هم&shy;زمان این دو اختلال با توجه به پروتکل‌های فراتشخیصی کمک کند.</span></span></span></span></span></span></span></span><br> <b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">واژه‌های کلیدی:</span></span></span></b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> اضطراب اجتماعی، افسردگی اساسی، خودکارآمدی، مشکلات خواب</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 new="" roman="" style="font-family:" times=""><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%"> Social anxiety disorder (SAD) and major depressive disorder (MDD) are among the disorders characterized by a high rate of comorbidity and the transdiagnostic symptoms of which include sleep problems and self-efficacy. The present study aimed to compare sleep problems and self-efficacy in individuals with symptoms of SAD and MDD and normal individuals.</span></span><b><span dir="RTL" lang="FA" 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 new="" roman="" style="font-family:" times=""><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 present study was descriptive. The statistical population included all patients, 18 to 60 years old, in the health centers of Borujerd and Tehran in 2022 who were diagnosed with SAD and MDD by psychiatrists and psychologists. Among the participants, 159</span></span><b> </b><span style="font-size:9.0pt"><span style="line-height:150%">were selected via purposive sampling method and completed the study questionnaires. The measurement tools included Structured Clinical Interview for DSM-5 (SCID-5), </span></span><span lang="EN-GB" style="font-size:9.0pt"><span style="line-height:150%">Social Phobia Inventory by Connor, Beck&#39;s Depression Inventory, Pittsburgh Sleep Quality Index (PSQI), and Self- Efficacy Scale by Sherer and Adams</span></span><span style="font-size:9.0pt"><span style="line-height:150%">. Data analysis was performed using multivariate analysis of variance (MANOVA).</span></span><b><span dir="RTL" lang="FA" 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 new="" roman="" style="font-family:" times=""><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 is a significant difference between normal individuals and those with SAD and MDD in terms of sleep problems and self-efficacy (p<0.001). Also, there is a significant difference between individuals with SAD and MDD in terms of self-efficacy (p<0.001).</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 new="" roman="" style="font-family:" times=""><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%"> Considering the present study, it can be stated that sleep problems are common in social anxiety and major depressive disorders, which leads to their emergence and persistence. These results can have important clinical consequences and aid in the simultaneous treatment of these two disorders with regards to transdiagnostic protocols.</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 new="" roman="" style="font-family:" times=""><b><span lang="EN-GB" style="font-size:9.0pt"><span style="line-height:150%">Key words:</span></span></b> <span lang="EN-GB" style="font-size:9.0pt"><span style="line-height:150%">Social anxiety disorder, </span></span><span style="font-size:9.0pt"><span style="line-height:150%">Major depressive</span></span><span lang="EN-GB" style="font-size:9.0pt"><span style="line-height:150%">, </span></span><span style="font-size:9.0pt"><span style="line-height:150%">Self-efficacy</span></span><span lang="EN-GB" style="font-size:9.0pt"><span style="line-height:150%">, </span></span><span style="font-size:9.0pt"><span style="line-height:150%">Sleep problems</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 new="" roman="" style="font-family:" times=""><span lang="EN-GB" 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 new="" roman="" style="font-family:" times=""><b><span lang="EN-GB" style="font-size:9.0pt"><span style="line-height:150%">Funding: </span></span></b><span lang="EN-GB" 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 new="" roman="" style="font-family:" times=""><b><span lang="EN-GB" style="font-size:9.0pt"><span style="line-height:150%">Conflict of interest: </span></span></b><span lang="EN-GB" 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 new="" roman="" style="font-family:" times=""><b><span lang="EN-GB" style="font-size:9.0pt"><span style="line-height:150%">Ethical approval: </span></span></b><span lang="EN-GB" style="font-size:9.0pt"><span style="line-height:150%">The Ethics Committee of Tehran University of Medical Sciences approved the study (</span></span><span style="font-size:9.0pt"><span style="line-height:150%">IR.TUMS.MEDICINE.REC.1401.256</span></span><span lang="EN-GB" style="font-size:9.0pt"><span style="line-height:150%">).</span></span><b><span style="font-size:8.0pt"><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 new="" roman="" style="font-family:" times=""><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 new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">How to cite this article:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Hamzepour Matoughy Fatemeh, Tavoli Azadeh, Salmanian Maryam</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">. Comparison of Sleep Problems and Self-Efficacy in Individuals with Symptoms of Major Depressive and Social Anxiety and Normal Individuals in 2022: 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> 2023; 22 (7): 691-706. [Farsi]</span></span> <span lang="EN" 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 new="" roman="" style="font-family:" times=""><b><span style="font-size:8.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br> &nbsp; اضطراب اجتماعی, افسردگی اساسی, خودکارآمدی, مشکلات خواب Social anxiety disorder, Major depressive, Self-efficacy, Sleep problems 691 706 http://journal.rums.ac.ir/browse.php?a_code=A-10-6336-1&slc_lang=fa&sid=1 Fatemeh Hamzepour Matoughy فاطمه حمزه‌پور معتوقی fatemehhamzepour6@gmail.com 6900319475328460057104 6900319475328460057104 Yes alzahra university دانشگاه الزهرا تهران Azadeh Tavoli آزاده طاولی a.tavoli@alzahra.ac.ir 6900319475328460057105 6900319475328460057105 No alzahra university دانشگاه الزهرا تهران Maryam Salmanian مریم سلمانیان marysal1981@gmail.com 6900319475328460057106 6900319475328460057106 No Tehran University of Medical Sciences دانشگاه علوم پزشکی تهران