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
11
1
gregorian
2024
2
1
22
12
online
1
fulltext
fa
الگوی روابط ساختاری طرحوارههای هیجانی و همجوشی شناختی با علائم اضطراب اجتماعی در دانشآموزان با تأکید بر نقش میانجی حساسیت اضطرابی: یک مطالعه توصیفی
The Pattern of Structural Relationships between Emotional Schemas and Cognitive Fusion and Social Anxiety Symptoms in Students with the Mediating Role of Anxiety Sensitivity: A Descriptive Study
روانپزشكي
Psychiatry
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><a name="_Hlk113374001"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">زمینه و هدف: </span></span></span></b></a><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">اختلال اضطراب اجتماعی از شایعترین اختلالات روان­پزشکی قلمداد میشود</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">. با توجه به نقش عوامل مختلف در ایجاد و تداوم آن، پژوهش حاضر با هدف تعیین طرحوارههای هیجانی و همجوشی شناختی با علائم اضطراب اجتماعی و نقش میانجی حساسیت اضطرابی انجام گرفت.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><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:120%"><span style="font-family:"B Nazanin"">مواد و</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> <b>روش­ها:</b> پژوهش حاضر از نظر روش­شناسی، توصیفی ­همبستگی از نوع معادلات ساختاری بود. جامعه آماری در این پژوهش از کلیه دانشآموزان متوسطه دوم شهر قزوین که در سال تحصیلی 402-1401 مشغول به تحصیل بودند، تشکیل </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">شد</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">. تعداد 400 نفر از آنها (</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">200</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> نفر دختر و 200 نفر پسر) با استفاده از روش نمونهگیری تصادفی خوشهای چندمرحلهای انتخاب و به پرسشنامههای طرحوارههای هیجانی، همجوشی شناختی، اضطراب اجتماعی و حساسیت اضطرابی نوجوانان پاسخ دادند. تجزیه­ و تحلیل دادهها از طریق مدل­یابی معادلات ساختاری انجام شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><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:120%"><span style="font-family:"B Nazanin"">یافتهها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> نتایج مدل­یابی معادلات ساختاری نشان داد که طرحوارههای هیجانی با ضریب مسیر 35/0 و همجوشی شناختی با ضریب 20/0 به صورت مستقیم با علائم اضطراب اجتماعی ارتباط معنیدار دارند (001/0></span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">). هم­چنین، طرحوارههای هیجانی با ضریب مسیر 19/0 و همجوشی شناختی با ضریب مسیر 09/0 به صورت غیر مستقیم با میانجیگری حساسیت اضطرابی با علائم اضطراب اجتماعی ارتباط معنیداری دارند (001/0></span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">).</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><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:120%"><span style="font-family:"B Nazanin"">نتیجهگیری:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> نتایج مطالعه حاضر نشان داد که طرح­وارههای هیجانی و همجوشی شناختی میتوانند عامل خطری برای علائم اختلال اضطراب اجتماعی در نوجوانان باشند. این متغیرها هم­چنین میتوانند با افزایش حساسیت اضطرابی</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">،</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> اضطراب اجتماعی را تشدید کنند.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> توصیه می­شود متخصصان سلامت روان به منظور بهبود کیفیت و تسریع در درمان در برنامههای درمانی خود به این عوامل دقت نظر داشته باشند.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><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:120%"><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:120%"><span style="font-family:"B Nazanin""> طرحوارههای هیجانی، همجوشی شناختی</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">، </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">علائم اضطراب اجتماعی، حساسیت اضطرابی</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:normal"><span style="font-family:"Times New Roman",serif"><span dir="RTL" lang="AR-SA" style="font-size:1.0pt"><span style="font-family:"B Nazanin""></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"><a name="_Hlk114425361"><b><span style="font-size:9.5pt"><span style="line-height:150%">Background and Objectives:</span></span></b></a><span style="font-size:9.5pt"><span style="line-height:150%"> Social anxiety disorder is considered one of the most common psychiatric disorders. Considering the role of various factors in its creation and continuation, the current research was conducted with the aim of determining the relationships between emotional schemas and cognitive fusion and social anxiety symptoms with the mediating role of anxiety sensitivity.</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:9.5pt"><span style="line-height:150%">Materials and Methods:</span></span></b><span style="font-size:9.5pt"><span style="line-height:150%"> In terms of methodology, the current research was a descriptive-correlational type of structural equations. The statistical population in this research consisted of all secondary school students of Qazvin City who started studying in the academic year 2023-2024. Four hundred of them (200 girls and 200 boys) were selected using a multi-stage cluster random sampling method and answered the questionnaires on emotional schemas, cognitive fusion, social people, and adolescent experiences. The analysis of research data was done through structural equations modeling.</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:9.5pt"><span style="line-height:150%">Results:</span></span></b><span style="font-size:9.5pt"><span style="line-height:150%"> The results of structural equations modeling showed that emotional schemas with a path coefficient of 0.35 and cognitive fusion with a coefficient of 0.20 have a significant direct relationship with the symptoms of social distress (p<0.001). Also, emotional schemas with a path coefficient of 0.19 and cognitive fusion with a path coefficient of 0.09 have a significant indirect relationship with social anxiety symptoms with the mediation of anxiety sensitivity (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 style="font-family:"Times New Roman",serif"><b><span style="font-size:9.5pt"><span style="line-height:150%">Conclusion:</span></span></b><span style="font-size:9.5pt"><span style="line-height:150%"> The results of the present study indicated that emotional schemas and cognitive fusion can be risk factors for the symptoms of social anxiety disorder in adolescents. These variables can also intensify social anxiety by increasing anxiety sensitivity. It is recommended that mental health professionals pay attention to these factors in order to improve the quality and speed up treatment in their treatment plans.</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:9.5pt"><span style="line-height:150%">Key words:</span></span></b><span style="font-size:9.5pt"><span style="line-height:150%"> Emotional schemas, Cognitive fusion, Social anxiety symptoms, Anxiety sensitivity </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:9.5pt"><span style="line-height:150%">Funding:</span></span></b><span style="font-size:9.5pt"><span style="line-height:150%"> This study was funded by Mohaghegh Ardabili University.</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:9.5pt"><span style="line-height:150%">Conflict of interest:</span></span></b><span style="font-size:9.5pt"><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:9.5pt"><span style="line-height:150%">Ethical approval:</span></span></b><span style="font-size:9.5pt"><span style="line-height:150%"> The Ethics Committee of Mohaghegh Ardabili University approved the study (IR.UMA.REC.1401.092).<b><i> </i></b></span></span><b><span style="font-size:4.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="line-height:140%">How to cite this article:</span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Karimi Maryam, Narimani Mohammad, Basharpoor Sajjad. The Pattern of Structural Relationships Between Emotional Schemas and Cognitive Fusion and Social Anxiety Symptoms in Students with the Mediating Role of Anxiety Sensitivity: A Descriptive Study</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:140%">. </span></span><i><span style="font-size:9.0pt"><span style="line-height:140%">J Rafsanjan</span></span></i><span style="font-size:9.0pt"><span style="line-height:140%"> <i>Univ Med Sci</i> 2024; 22 (12): 1297-314. [Farsi]</span></span> <span style="font-size:8.0pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
طرحوارههای هیجانی, همجوشی شناختی, علائم اضطراب اجتماعی, حساسیت اضطرابی
Emotional schemas, Cognitive fusion, Social anxiety symptoms, Anxiety sensitivity
1297
1314
http://journal.rums.ac.ir/browse.php?a_code=A-10-6464-1&slc_lang=fa&sid=1
Maryam
Karimi
مریم
کریمی
maryam.karimi2017@yahoo.com
6900319475328460056584
6900319475328460056584
No
Mohaghegh Ardabili University
دانشگاه محقق اردبیلی
Mohammad
Narimani
محمد
نریمانی
narimani@uma.ac.ir
6900319475328460056585
6900319475328460056585
Yes
Mohaghegh Ardabili University
دانشگاه محقق اردبیلی
Sajjad
Basharpoor
سجاد
بشرپور
basharpoor_sajjad@uma.ac.ir
6900319475328460056586
6900319475328460056586
No
Mohaghegh Ardabili University
دانشگاه محقق اردبیلی