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
1405
3
1
gregorian
2026
6
1
25
3
online
1
fulltext
fa
بررسی نقش واسطهای اجتناب تجربی در رابطه بین پریشانی روانشناختی با اختلال اعتیاد به بازی در نوجوانان: یک مطالعه توصیفی
The Mediating Role of Experiential Avoidance in the Relationship between Psychological Distress and Game Addiction Disorder in Adolescents:
A Descriptive Study
روانپزشكي
Psychiatry
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:105%"><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:105%"><span style="font-family:"B Nazanin"">چکیده</span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><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:115%"><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:115%"><span style="font-family:"B Nazanin""> اعتیاد به بازیهای دیجیتال یکی از چالشهای سلامت روان در نوجوانان است و پریشانی روانشناختی بهعنوان عامل زمینهساز آن شناسایی شده است. هدف پژوهش تعیین نقش میانجی اجتناب تجربی در رابطه پریشانی روانشناختی با اختلال اعتیاد به بازی در نوجوانان بود</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><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:115%"><span style="font-family:"B Nazanin"">مواد و روشها</span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">:</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">پژوهش حاضر توصیفی-همبستگی از نوع مدلسازی معادلات ساختار</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">ی</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">بود. جامعه آماری پژوهش را </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">دانشآموزان دوره دوم متوسطه مدارس دولتی</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">شهر تهران در سال تحصیلی 1405-1404 </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">تشکیل دادند که از میان آنها تعداد 314 نفر به روش نمونهگیری تصادفی خوشهای چندمرحلهای انتخاب شدند. ابزار گردآوری دادهها شامل </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">مقیاس </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">پریشانی روانشناختی</span></span></span> Lovibond<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> و </span></span></span>Lovibond<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> (1995)، پرسشنامه</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> اجتناب تجربی </span></span></span>Bond <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">و همکاران (2011) </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">و مقیاس اعتیاد به بازی دیجیتالی </span></span></span>Matinfar<i> </i><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">و همکاران (1396) </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">بود. دادهها با استفاده از همبستگی </span></span></span>Pearson<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> و مدلیابی معادلات ساختاری تجزیه و تحلیل شدند</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><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:115%"><span style="font-family:"B Nazanin"">یافتهها</span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">:</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">یافتهها نشان داد که پریشانی روانشناختی تأثیر مثبت و معناداری بر اختلال اعتیاد به بازی دارا بود (</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">41/0=</span></span></span>β<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">، 01/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">). </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">هم­چنین، اجتناب تجربی پیشبینیکننده معنادار اختلال اعتیاد به بازی بود (</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">45/0=</span></span></span>β<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">، 01/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">). </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">افزون بر این، بین پریشانی روانشناختی و اجتناب تجربی رابطه مثبت و معناداری مشاهده شد (</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">28/0=</span></span></span>β<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">، 01/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">).</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> نتایج حاکی از اثر غیرمستقیم پریشانی روانشناختی بر اختلال اعتیاد به بازی از طریق اجتناب تجربی در نوجوانان (</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">13/0=</span></span></span>β<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">، 01/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">) و اثر کل پریشانی روانشناختی بر این اختلال </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">(</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">54/0=</span></span></span>β<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">، 01/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">) بود.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><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:115%"><span style="font-family:"B Nazanin"">نتیجهگیری</span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> یافتهها حاکی از نقش میانجی اجتناب تجربی در رابطه پریشانی روانشناختی و اعتیاد به بازی بود. لذا، برنامههای غربالگری و مداخلات مبتنی بر انعطافپذیری روانشناختی در مدارس پیشنهاد میشود.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:115%"><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:115%"><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:115%"><span style="font-family:"B Nazanin""> اختلال اعتیاد به بازی، اجتناب تجربی، پریشانی روانشناختی، نوجوانان</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
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<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">ارجاع:</span></span></span></b> <span lang="FA" style="font-size:11.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">قربانی ش، پورصالحی نویده م. بررسی نقش واسطهای خیالپردازی ناسازگارانه در رابطه بین آسیب‏های دوران کودکی با احتمال خودکشی در بیماران مبتلا به اختلال وسواسی جبری: یک مطالعه توصیفی . سال 1405، دوره 25، شماره 3، صفحات: 252-239.</span></span></span></span></span></span></span></span><br>
<span style="line-height:115%"><a name="_Hlk114425361"><b><span style="line-height:115%">Background and Objectives:</span></b></a> <span style="line-height:115%">Digital gaming addiction is one of the mental health challenges in adolescents, and psychological distress has been identified as its underlying factor. This study aimed to determine the mediating role of experiential avoidance in the relationship between psychological distress and gaming addiction disorder in adolescents.</span><span lang="FA" dir="RTL" style="line-height:115%"></span></span><br>
<span style="line-height:115%"><b><span style="line-height:115%">Materials and Methods:</span></b><span style="line-height:115%"> This is a descriptive-correlational study using structural equation modeling. The statistical population of the study consisted of senior high school students in public schools in Tehran in the academic<br>
year </span><span style="line-height:115%">2025-2026; of them, 314 students were selected using multistage cluster random sampling. The main data collection </span><span style="line-height:115%">instruments included the Psychological Distress Scale (Lovibond & Lovibond, 1995), the Experiential Avoidance Questionnaire (Bond et al., 2011), and the Digital Game Addiction Scale (Matinfar et al., 2017). Data were analyzed using Pearson’s correlation and structural equation modeling.</span><span lang="FA" dir="RTL" style="line-height:115%"></span></span><br>
<span style="line-height:115%"><b><span style="line-height:115%">Results:</span></b><span style="line-height:115%"> The findings indicated that psychological distress had a significant positive effect on game addiction disorder<br>
(β</span><span style="line-height:115%">=</span><span style="line-height:115%">0.41, p<0.01). Also, experiential avoidance was a significant predictor of game addiction disorder (β</span><span style="line-height:115%">=</span><span style="line-height:115%">0.45, p<0.01). Furthermore, a significant positive relationship was observed between psychological distress and experiential avoidance<br>
(β</span><span style="line-height:115%">=</span><span style="line-height:115%">0.28, p<0.01). The results indicated a significant indirect effect of psychological distress on gaming addiction disorder through experiential avoidance (β</span><span style="line-height:115%">=</span><span style="line-height:115%">0.13, p<0.01)</span> <span style="line-height:115%">and a significant total effect of psychological distress on this disorder<br>
(β</span><span style="line-height:115%">=</span><span style="line-height:115%">0.54, p<0.01) among adolescents.</span></span><br>
<span style="line-height:115%"><b><span style="line-height:115%">Conclusion:</span></b><span style="line-height:115%"> The findings indicated the mediating role of experiential avoidance in the relationship between psychological distress and gaming addiction. Accordingly, screening programs and interventions based on psychological resilience are suggested in schools.</span></span><br>
<span style="line-height:115%"><b><span style="line-height:115%">Keywords:</span></b><span style="line-height:115%"> Game addiction disorder, Experiential avoidance, Psychological distress, Adolescents<b> </b></span></span><br>
<span style="line-height:115%"><b><span style="line-height:115%"></span></b></span><br>
<span style="line-height:115%"><b><span style="line-height:115%">Funding:</span></b><span style="line-height:115%"> This study did not receive any funds.</span></span><br>
<span style="line-height:115%"><b><span style="line-height:115%">Conflict of interest:</span></b><span style="line-height:115%"> None declared.</span></span><br>
<span style="line-height:115%"><b><span style="line-height:115%">Ethical considerations:</span></b> <span style="line-height:115%">The Ethics Committee of Islamic Azad University, Tehran Central Branch, approved the study (<span class="MsoHyperlink" style="color:#0563c1"><span style="text-decoration:underline"><span style="text-decoration:none"><span style="text-underline:none"><a href="https://search.eitaa.com/?url=https://IR.IAU.CTB.REC" style="color:#0563c1; text-decoration:underline" target="_blank">IR.IAU.CTB.REC</a></span></span></span></span>.1404.229).</span></span><br>
<span style="line-height:115%"><b><span style="line-height:115%">Authors’ contributions:</span></b></span><br>
<span style="line-height:115%"><b><span style="line-height:115%">- Conceptualization:</span></b><b> </b><span lang="EN" style="line-height:115%">Marzieh Poursalehi Navideh</span><span style="line-height:115%">, Sheida Ghorbani</span></span><br>
<span style="line-height:115%"><b><span style="line-height:115%">- Methodology:</span></b><b> </b><span lang="EN" style="line-height:115%">Marzieh Poursalehi Navideh</span><span style="line-height:115%">, Sheida Ghorbani</span></span><br>
<span style="line-height:115%"><span style="tab-stops:center 252.85pt"><b><span style="line-height:115%">- Data collection: </span></b><span style="line-height:115%">Sheida Ghorbani</span></span></span><br>
<span style="line-height:115%"><b><span style="line-height:115%">- Formal analysis: </span></b><span style="line-height:115%">Sheida Ghorbani</span></span><br>
<span style="line-height:115%"><b><span style="line-height:115%">- Supervision:</span></b><b> </b><span lang="EN" style="line-height:115%">Marzieh Poursalehi Navideh</span><b><span style="line-height:115%"></span></b></span><br>
<span style="line-height:115%"><b><span style="line-height:115%">- Project administration: </span></b><span lang="EN" style="line-height:115%">Marzieh Poursalehi Navideh</span><b><span style="line-height:115%"></span></b></span><br>
<span style="line-height:115%"><b><span style="line-height:115%">- Writing – original draft: </span></b><span lang="EN" style="line-height:115%">Sheida Ghorbani</span><b><span style="line-height:115%"></span></b></span><br>
<span style="line-height:115%"><b><span style="line-height:115%">- Writing – review & editing:</span></b><b> </b><span lang="EN" style="line-height:115%">Marzieh Poursalehi Navideh</span><span style="line-height:115%">, Sheida Ghorbani</span><span style="line-height:115%"></span></span><br>
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<div><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Citation:</span></span></b> <span lang="TR" style="font-size:9.0pt"><span style="line-height:150%">Ghorbani Sh, Poursalehi Navideh M</span></span><span style="font-size:9.0pt"><span style="line-height:150%">. The Mediating Role of Experiential Avoidance in the Relationship between Psychological Distress and Game Addiction Disorder in Adolescents: A Descriptive Study. <i>J Rafsanjan</i> <i>Univ Med Sci</i> 2026; 25 (3): 239-52. </span></span><span style="font-size:9.0pt"><span style="line-height:150%">doi: 10.66224/jrums.25.3.239. </span></span><span style="font-size:9.0pt"><span style="line-height:150%">[Farsi]. </span></span></span></span></span></div>
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</v:textbox> <w:wrap anchorx="margin"> </w:wrap></v:roundrect><b><span style="font-size:9.0pt"><span style="line-height:140%">- </span></span></b><b><span style="line-height:140%">Writing - review and editing:</span></b><span style="line-height:140%"> Marzieh Poursalehi Navideh, Sheida Ghorbani</span><span style="line-height:140%"></span></span></span></span></span></span><br>
اختلال اعتیاد به بازی, اجتناب تجربی, پریشانی روانشناختی, نوجوانان
Game addiction disorder, Experiential avoidance, Psychological distress, Adolescents
239
252
http://journal.rums.ac.ir/browse.php?a_code=A-10-7273-1&slc_lang=fa&sid=1
Sheida
Ghorbani
شیدا
قربانی
sh.ghorbani@iau.ir
6900319475328460063746
0009-0000-0000-0000
No
1. Master's student, Department of Clinical Psychology, Islamic Azad University, Central Tehran Branch, Tehran, Iran.
کارشناسی ارشد، گروه روانشناسی بالینی، دانشگاه آزاد اسلامی، واحد تهران مرکز، تهران، ایران.
Marzieh
Poursalehi Navideh
مرضیه
پورصالحی نویده
Marzieh.Poursalehy@iau.ac.ir
6900319475328460063747
6900319475328460063747
Yes
2. PhD, Department of Clinical Psychology, Islamic Azad University, Tehran East Branch, Tehran, Iran.
دکتری، گروه روانشناسی بالینی، دانشگاه آزاد اسلامی، واحد تهران شرق، تهران، ایران.