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Comparing the Effectiveness of Emotion-Oriented Therapy and the Unified Trans-diagnostic Treatment on Fear of Negative & Positive Evaluation of Patients with Social Anxiety disorder 情绪导向治疗与统一跨诊治疗对消极恐惧的疗效比较社交焦虑障碍患者的正面评价
Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-04-01 DOI: 10.32598/jpcp.11.4.914.1
Shima Zohrabiy, Abbas Abolghasemi, Mousa Kafi Masoole, Mahnaz Khosrojavid
Objective: Most of the research conducted so far on effective treatments for social anxiety disorder has used traditional cognitive-behavioral therapies. However, recent pathological theories emphasize the role of emotion regulation in the formation and continuation of the symptoms of this disorder. Thus, the study has been conducted to compare the efficacy of emotion- oriented therapy and the unified trans-diagnostic treatment for individuals diagnosed with social anxiety disorder. Methods: This was a quasi-experimental study with a pretest-posttest control design and a three-month follow-up. The statistical population of the study included all the people aged 18-40 who diagnosed with social anxiety disorder from September to March of 2021 in Tehran. A total of 21 patients were selected using purposive sampling and assigned to three groups (two experimental groups and one control group (n= 7 patients in each group). The experimental group 1 and 2 received emotion- oriented therapy in five 120-minute sessions (one session every week) and the unified trans-diagnostic treatment in 12, 120-minute sessions (one session every week), respectively, while the control group did not receive therapy intervention during this period. The Brief Fear of Negative Evaluation Scale (BFNE) and the Fear of Positive Evaluation Scale (FPES) were used for data collection. The repeated measures ANOVA were used to analyze the data in SPSS-24. The significance level of the research was considered to be α=0.05. Results: The results indicated that both emotion-oriented therapy and trans-diagnostic treatment effectively reduced fear of positive evaluation, but unified trans-diagnostic treatment had no notable impact on reducing the fear of negative evaluation in this group (P<0.05). Conclusion: Accordingly, emotion-oriented therapy and unified trans-diagnostic treatment were effective and practical methods for reducing the reduced fear of positive and negative evaluation in this group. It is recommended that psychotherapists and counselors employ these approaches in practice.
目的:迄今为止,关于社交焦虑障碍有效治疗的研究大多采用传统的认知行为疗法。然而,最近的病理理论强调情绪调节在这种疾病症状的形成和持续中的作用。因此,本研究旨在比较情绪导向治疗与统一跨诊断治疗对社交焦虑障碍患者的治疗效果。方法:准实验研究,采用前测后测对照设计,随访3个月。该研究的统计人群包括2021年9月至3月期间在德黑兰被诊断患有社交焦虑症的所有18-40岁的人。采用目的抽样法,共选取21例患者分为3组(2个实验组和1个对照组,每组7例)。实验组1和实验组2分别接受5次120分钟的情绪导向治疗(每周1次)和12次120分钟的统一跨诊断治疗(每周1次),对照组在此期间不接受治疗干预。采用简短恐惧消极评价量表(BFNE)和恐惧积极评价量表(FPES)进行数据收集。SPSS-24的数据采用重复测量方差分析。认为本研究的显著性水平为α=0.05。结果:情绪导向治疗和跨诊断治疗均能有效降低患者对积极评价的恐惧,而统一跨诊断治疗对降低本组患者对消极评价的恐惧无显著影响(P<0.05)。结论:因此,情绪导向治疗和统一跨诊断治疗是减少本组患者对正面和负面评价恐惧的有效和实用的方法。建议心理治疗师和咨询师在实践中使用这些方法。
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引用次数: 0
Investigating the Effectiveness of Verbal Self-education Training on Academic Procrastination and Symptoms of Attention Deficit/Hyperactivity Disorder in Adolescent Boys With Attention-deficit/Hyperactivity Disorder 言语自我教育训练对青春期男孩学业拖延和注意缺陷/多动障碍症状的影响
IF 1.1 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-04-01 DOI: 10.32598/jpcp.11.2.851.1
M. Rostami, S. Bakhtiarpour, F. Hafezi
Objective: This research aims to study the effectiveness of verbal self-instruction training on symptoms of attention-deficit/hyperactivity disorder (ADHD) and academic procrastination in male teenagers with ADHD. Methods: This was a quasi-experimental study with a pre-test, post-test, and follow-up with a control group. The statistical population included all male teenagers with ADHD in Tabriz City, Iran. A total of 30 male teenagers with ADHD were selected via the purposive sampling method and were randomly assigned to experimental and control groups. The research tools were the child symptom inventory-4 questionnaire and the Solomon and Rothblum academic procrastination scale. Descriptive statistical indices and the analysis of covariance tests were employed for data description and testing of the research hypotheses. Results: The F ratio of the univariate analysis of covariance for dependent variables showed a significant difference in the variables of academic procrastination and ADHD symptoms between the experimental and the control (P>0.001) group. Accordingly, verbal self-instruction is effective in improving academic procrastination and ADHD. Conclusion: The results showed that verbal self-instruction training affects symptoms of ADHD and academic procrastination.
目的:研究言语自我指导训练对男性青少年注意力缺陷多动障碍(ADHD)和学业拖延症状的影响。方法:本研究为准实验研究,采用前测、后测和对照组随访。统计人群包括伊朗大不里士市所有患有ADHD的男性青少年。采用目的抽样的方法,选取30名患有ADHD的男性青少年,随机分为实验组和对照组。研究工具为儿童症状量表-4和Solomon and Rothblum学业拖延量表。采用描述性统计指标和协方差分析检验进行数据描述和研究假设检验。结果:因变量单变量协方差分析F比显示,实验组与对照组在学业拖延和ADHD症状变量上差异有统计学意义(P < 0.001)。因此,语言自我指导在改善学习拖延症和多动症方面是有效的。结论:言语自我指导训练对ADHD和学业拖延症状有影响。
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引用次数: 1
Investigating the Psychological Risk and Protective Factors Related to Fear of COVID-19 During the COVID-19 Pandemic in Iran 伊朗新冠肺炎大流行期间恐惧心理风险及相关保护因素调查
IF 1.1 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-04-01 DOI: 10.32598/jpcp.11.2.853.1
I. Abasi, Azin Farzin, Amin Sohrabzadeh Fard, Abbas Masjedi Arani, H. Poursharifi, Mohammad Ebrahimzadeh Mousavi, Ali Mehrabi
Objective: The current COVID-19 pandemic is associated with numerous psychological issues, such as anxiety and distress as a result of individual, health-related, social, and economic issues. This study aims to assess the general population in Iran for the negative impacts of the current pandemic on psychological well-being and to find possible protective and risk factors when facing such situations in the current COVID-19 pandemic. Methods: A total of 317 people participated in an online survey in Iran from August 3, 2020, to September 20, 2020. Anxiety, depression, fear of COVID-19, emotion regulation, intolerance of uncertainty, illness perception, neuroticism, social support, and self-efficacy were evaluated. Results: The results showed that measures that assess anxiety, depression, emotion regulation, intolerance of uncertainty, illness perception, neuroticism, social support, and self-efficacy were significantly related to fear of COVID-19. Meanwhile, the results of regression analysis demonstrated that neuroticism, intolerance of uncertainty, and illness perception could predict fear of COVID-19 beyond and above anxiety and depression. Conclusion: Some factors, including neuroticism, illness perception, and intolerance of uncertainty are considered risk factors for mental health during this pandemic.
目的:当前的COVID-19大流行与许多心理问题有关,例如由于个人、健康相关、社会和经济问题而导致的焦虑和痛苦。本研究旨在评估当前大流行对伊朗普通人群心理健康的负面影响,并在当前COVID-19大流行面临此类情况时发现可能的保护和风险因素。方法:在2020年8月3日至2020年9月20日期间,共有317人参加了伊朗的在线调查。评估焦虑、抑郁、对COVID-19的恐惧、情绪调节、对不确定性的不耐受、疾病感知、神经质、社会支持和自我效能感。结果显示,焦虑、抑郁、情绪调节、对不确定性的不耐受、疾病感知、神经质、社会支持和自我效能感的评估指标与对COVID-19的恐惧显著相关。同时,回归分析结果显示,神经质、不确定性耐受性和疾病感知可以预测焦虑和抑郁之外的COVID-19恐惧。结论:一些因素,包括神经质、疾病感知和对不确定性的不耐受,被认为是本次大流行期间精神健康的危险因素。
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引用次数: 0
Predicting Body Image Concerns, Social Isolation, and Mood by the Amount of Social Media Addiction 通过社交媒体成瘾量预测身体形象担忧、社会孤立和情绪
Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-04-01 DOI: 10.32598/jpcp.11.4.856.1
Afsaneh Vosoughi Motlagh, Sara Kamjou, Jalil Etemaad
Objective: The use of the Internet is widely increasing among the new generation, shaping an important aspect of people's lives. The use of the social media can influence body image concerns, social isolation, and social mood. The purpose of the present study is to assess body image concerns, social isolation, and mood based on the amount of social media use. Method: This study has been conducted using a descriptive method in the form of correlation. The study population was all people aged between 20 and 40 in Shiraz, among which 311 people (191 women and 119 men) has been selected by the convenience sampling method. The tools used in this study were body image concerns Inventory (BICI, 2005), Social Isolation Assessment Standard Questionnaire (SIASI, 2013), Positive and Negative Affect Schedule (PANAS, 1988), and social media addiction scale (SMAS_AF, 2017). Correlation coefficients (using the SPSS software) and structural equation modeling analysis (using AMOS statistical software) were employed to investigate the variables of social isolation prediction model. Results: The results of the study showed that mood (β=0.15, p=0.007) and use of social media (β=0.19, p=0.0001) can predict social isolation with the mediating role of body image concerns(β=0.18, p=0.001). The results showed that the mood and use of social media can predict social isolation both directly and with the mediation of body image concern. Conclusion: Based on the results of this study, mood and use of social media can predict social isolation with the mediating role of body image concerns. Negative mood can make people sensitive to their body image. People have a distorted perception of their body image and this concern leads to social isolation.
目的:互联网的使用在新一代中广泛增加,塑造了人们生活的一个重要方面。社交媒体的使用会影响对身体形象的关注、社会孤立和社会情绪。本研究的目的是评估基于社交媒体使用量的身体形象担忧、社会孤立和情绪。方法:本研究采用相关性分析的描述性方法。研究人群为设拉子地区所有年龄在20 - 40岁之间的人群,其中采用方便抽样法抽取311人(女性191人,男性119人)。本研究使用的工具是身体形象关注量表(BICI, 2005)、社会隔离评估标准问卷(SIASI, 2013)、积极和消极影响量表(PANAS, 1988)和社交媒体成瘾量表(SMAS_AF, 2017)。采用相关系数分析(采用SPSS软件)和结构方程建模分析(采用AMOS统计软件)对社会隔离预测模型的变量进行研究。结果:研究结果表明,情绪(β=0.15, p=0.007)和社交媒体使用(β=0.19, p=0.0001)可以预测社会隔离,并且身体形象关注(β=0.18, p=0.001)具有中介作用。结果表明,情绪和社交媒体的使用既可以直接预测社会隔离,也可以在身体形象关注的中介作用下预测。结论:基于本研究的结果,情绪和社交媒体的使用可以预测社会隔离,并以身体形象担忧为中介作用。消极情绪会让人对自己的身体形象很敏感。人们对自己的身体形象有一种扭曲的看法,这种担忧导致了社会孤立。
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引用次数: 0
The Effect Paintball Game on Motor Performance, Neuropsychological and Behavioral Features Children with Attention Deficit/Hyperactivity Disorder 彩弹游戏对注意缺陷/多动障碍儿童运动表现、神经心理和行为特征的影响
Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-04-01 DOI: 10.32598/jpcp.11.4.703.4
Morteza Homayounnia Firoozjah, Mojtaba Dehestani Ardekani
Objective: Poor motor skill performance can place children with ADHD at risk of developing a weak self-concept, high anxiety levels, and a poor social function. The purpose of this study is to explore the effects of a moderate- to high-intensity paintball game program on fitness, cognitive functions, and ADHD-related behavior in children with ADHD. Method: A total of 21 participants (age in years: M = 9.1, SD = 1.1, ranging from 7 to 12) took part in the study. Measuring tools were included Fitness and Motor Tests Measures, Behavioral Measures, Neuropsychological Measures. Fitness level, motor skills, behaviors, and cognitive functions are assessed by standardized tests before and after a 10-week training or control period Results: Findings show that participation in a paintball game program (improves muscular capacities, motor skills, behavior reports by parents and teachers, and level of information processing. Posttest analysis revealed that with the exception of rule breaking behaviors, a tendency for improvements was reported by the teachers in the experimental group for all scales, but all differences did not reach statistical significance. Conclusion: Structured paintball game program may have clinical relevance in the functional adaptation of children with ADHD. This supports the need for further research in the area of physical activity with this population
目的:不良的运动技能表现会使ADHD儿童面临自我概念薄弱、焦虑水平高和社交功能低下的风险。本研究的目的是探讨中高强度的彩弹游戏项目对ADHD儿童健康、认知功能和ADHD相关行为的影响。方法:共有21名参与者参与研究,年龄M = 9.1, SD = 1.1,年龄7 ~ 12岁。测量工具包括体能和运动测试测量、行为测量、神经心理测量。在为期10周的训练或控制期前后,通过标准化测试评估了健康水平、运动技能、行为和认知功能。结果:研究结果表明,参加彩弹游戏项目可以提高肌肉能力、运动技能、父母和老师的行为报告以及信息处理水平。后测分析显示,实验组教师除违反规则行为外,各量表均有改善趋势,但差异均未达到统计学意义。结论:有组织的彩弹游戏项目可能对ADHD儿童的功能适应有临床意义。这支持了对这一人群进行体育活动领域进一步研究的必要性
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引用次数: 0
Role of Types of Inner Speech in the Prediction of Symptoms of Anxiety, Depression, Somatization, and Distress in the Normal Population 内在言语类型对正常人群焦虑、抑郁、躯体化和痛苦症状的预测作用
Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-04-01 DOI: 10.32598/jpcp.11.4.807.2
Hossein Ghamari kivi, Fatemeh Jamshiddoust mianroudi, Sara Mousavi, Effat Ghavibazu
Objective: It is extremely common for adults to use inner speech to regulate their behavior. Despite this, little is known about the underlying processes that may explain why people use inner speech differently. This study aimed to determine the relationship between different types of inner speech with symptoms of anxiety, depression, somatization, and distress in normal people. Methods: The research method herein was descriptive correlation. The statistical population of the study included all 10000 students from the University of Mohaghegh Ardabili Iran, in the academic year 2019-2020. 378 students from the University of Mohaghegh Ardabili through multi-stage cluster sampling method were selected. The Varieties of Inner Speech Questionnaire (VISQ) and Four-Dimensional Symptom Questionnaire (4DSQ) were administered to all subjects. Pearson correlation coefficient and multivariate regression analysis were used step-by-step. Data analysis was performed by SPSS ver. 23. Results: The findings showed the strongest inner speech for predicting anxiety, depression, and somatization disorders is another type of inner speech. On the other hand, in those with distress symptoms, evaluative/critical inner speech was appropriately predictive. Also, positive-regulative inner speech negatively predicts anxiety, depression, and distress. In the normal population, positive regulative inner speech is considered an appropriate predictor. Conclusions: Consequently, there are probably two types of inner speech evaluation-critical and positive-regulative that have more powerful construct validity, and usage of other inner speech is questionable.
目的:成年人用内心语言来调节自己的行为是非常普遍的。尽管如此,人们对可能解释为什么人们使用不同的内心语言的潜在过程知之甚少。本研究旨在探讨不同类型的内在言语与正常人焦虑、抑郁、躯体化和痛苦症状之间的关系。方法:采用描述性相关法进行研究。该研究的统计人群包括2019-2020学年伊朗莫哈吉·阿达比里大学的所有10000名学生。通过多阶段整群抽样的方法,选取了来自阿达比里大学的378名学生。对所有被试进行内心言语变化问卷(VISQ)和四维症状问卷(4DSQ)。逐步采用Pearson相关系数和多元回归分析。数据分析采用SPSS ver软件。23. 结果:对焦虑、抑郁、躯体化障碍的预测能力最强的是另一种类型的内在言语。另一方面,在那些有痛苦症状的人身上,评价性/批判性的内心言语具有适当的预测性。此外,积极调节的内在言语负向预测焦虑、抑郁和痛苦。在正常人群中,积极调节的内心言语被认为是一个适当的预测因子。结论:因此,可能存在两种类型的内在言语评价-批判性和积极调节-具有更强的构念效度,而其他内在言语的使用是值得怀疑的。
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引用次数: 0
The Mediating Role of Postpartum Depression and Childbirth-related PTSD in the Relationship Between Attachment Styles and Postpartum Bonding Among Mothers in Ahvaz City, Iran 产后抑郁和分娩相关创伤后应激障碍在依恋类型与产后依恋关系中的中介作用:伊朗阿瓦士市母亲
IF 1.1 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-04-01 DOI: 10.32598/jpcp.11.2.870.1
Sara Bahrampour, A. Davoodi, N. Fath, G. Naziri
Objective: Several studies have explored the correlation between postpartum depression and a weak mother-infant bond; however, fewer studies have analyzed how other postpartum mental health conditions, such as childbirth-related post-traumatic stress disorder (PTSD), or important personal characteristics, including adult attachment styles, affect the quality of the mother-infant bond. This study aims to examine the association between attachment styles and postpartum bonding in mothers, considering the mediating influence of postpartum depression and childbirth-related PTSD. Methods: A total of 150 mothers, 4 to 12 weeks postpartum, completed a demographic questionnaire, the Edinburgh postpartum depression questionnaire, the posttraumatic stress questionnaire related to the birth of a child, the mother-child bonding questionnaire, and the attachment style questionnaire. The posttraumatic stress related to the birth of a child questionnaire was translated into Persian for the first time and was used after confirming its validity and reliability. The proposed model was examined by the structural equation modeling method. Results: The conceptual model’s results showed that the direct and standardized effect of anxious attachment style (β=0.49, P=0.001) and avoidant attachment style (β=0.47, P=0.001) on postpartum depression were significant. Also, the direct effect of anxious attachment style (β=0.59, P=0.001) on postpartum PTSD was significant. However, the coefficient of avoidant attachment style (β=-0.04, P=0.581) was not significant for postpartum PTSD. Also, the coefficients were investigated from the direct effect of postpartum depression, postpartum PTSD, anxious attachment style, and avoidant attachment style. The obtained results showed that postpartum depression (β=0.27, P=0.001), postpartum PTSD (β=0.43, P=0.001), and anxious attachment style (β=0.39, P=0.001) could predict the mother-child bond. However, the avoidant attachment style (β=0.00, P=0.946) could not predict the mother-child bond. Conclusion: The findings of the study revealed that insecure attachment styles were linked to challenges in forming a strong mother-infant bond. Anxious attachment was also associated with bonding difficulties, which were influenced by symptoms of postpartum depression and childbirth-related PTSD. In contrast, a higher degree of avoidant attachment style was associated with more significant difficulties in bonding, which were mediated by symptoms of depression. Accordingly, if interventions aim to enhance the mother-infant bond, treatment should focus on addressing childbirth-related PTSD, PPD symptoms, and insecure attachment styles.
目的:多项研究探讨了产后抑郁与母婴关系薄弱的关系;然而,很少有研究分析其他产后心理健康状况,如与分娩有关的创伤后应激障碍(PTSD),或重要的个人特征,包括成人依恋类型,如何影响母婴关系的质量。本研究旨在探讨母亲依恋类型与产后依恋之间的关系,并考虑产后抑郁和分娩相关PTSD的中介作用。方法:对150名产后4 ~ 12周的产妇进行人口统计问卷、爱丁堡产后抑郁问卷、分娩相关创伤后应激问卷、母子关系问卷和依恋类型问卷调查。本研究首次将儿童出生创伤后应激问卷翻译成波斯语,并在确认其效度和信度后使用。采用结构方程建模方法对模型进行了验证。结果:概念模型结果显示,焦虑型依恋类型(β=0.49, P=0.001)和回避型依恋类型(β=0.47, P=0.001)对产后抑郁的直接、标准化影响显著。焦虑依恋类型对产后PTSD的直接影响(β=0.59, P=0.001)显著。而逃避型依恋类型的系数在产后PTSD中差异无统计学意义(β=-0.04, P=0.581)。并从产后抑郁、产后创伤后应激障碍、焦虑型依恋类型和回避型依恋类型的直接影响来考察相关系数。结果显示,产后抑郁(β=0.27, P=0.001)、产后创伤后应激障碍(β=0.43, P=0.001)和焦虑依恋类型(β=0.39, P=0.001)对母子关系有预测作用。回避型依恋类型对母子关系的影响不显著(β=0.00, P=0.946)。结论:研究结果表明,不安全的依恋类型与形成牢固的母婴关系的挑战有关。焦虑依恋也与结合困难有关,这受到产后抑郁症和分娩相关PTSD症状的影响。相反,逃避型依恋类型的程度越高,在建立关系时遇到的困难就越大,这是由抑郁症状介导的。因此,如果干预旨在增强母婴关系,治疗应侧重于解决与分娩相关的PTSD、PPD症状和不安全依恋类型。
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引用次数: 0
Investigating the Effective Factors in the Formation of Deliberate Self-harm in Adolescence: Mental Health Professionals’ Viewpoints 青少年故意自残形成的有效因素调查:心理健康专家的观点
IF 1.1 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-04-01 DOI: 10.32598/jpcp.11.2.839.1
M. Yekta, Mohammad Naghy Farahani, H. Khanipour, M. Shahgholian
Objective: This study aims to investigate the issues related to the formation and persistence of deliberate self-harm behavior in adolescents from Iranian mental health professionals’ viewpoints. Methods: The present qualitative study used semi-structured interviews to record the experiences of 9 mental health professionals with work experience in deliberate self-harm behavior in adolescence. The participants were selected via the purposive sampling method. The Sterling content analysis method was used to analyze the transcription of the interviews. Results: The semantic units of the interview were classified into 32 initial codes. The extracted sub-themes were as follows: A rejection of new identities, repression, the disintegration of social identity, materialism, economic poverty, unresolved parental conflicts, the lack of authority, the ambivalency between boundaries and freedom, shame, and guilt, blame, fear of harm, liberation, self-care, escape mechanism, and replacement, affect regulation, coping with self-disintegration and self-esteem, relationship conflicts with adults and peers, identity creation, identity disorder, boundless mental structure, lack of self-confidence, and distorted self-perception. The following four themes were categorized as subcategories of transformational injuries: Traumatic society, vulnerable family, interpersonal impact, and interpersonal effectiveness. Conclusion: Mental health specialists considered deliberate self-harm traumatic; however, they deem it for eliminating negative emotions and controlling the internal and external world of adolescents. Furthermore, they consider this behavior a reaction to cultural conflicts, cultural materialism, and the disintegration of identity and role during adolescence in families not being capable to facilitate low-risk transformation for adolescents because of economic and psychological factors.
目的:本研究旨在从伊朗心理健康专业人员的角度探讨青少年故意自残行为的形成和持续的相关问题。方法:采用半结构化访谈法,对9名有工作经验的心理健康专业人员在青少年故意自残行为中的经历进行定性研究。研究对象采用目的抽样法进行选择。采用Sterling内容分析法对访谈笔录进行分析。结果:访谈的语义单元被划分为32个初始码。摘录的分主题如下:对新身份的拒绝,压抑,社会身份的解体,物质主义,经济贫困,未解决的父母冲突,缺乏权威,边界与自由之间的矛盾,羞耻与内疚,责备,害怕伤害,解放,自我照顾,逃避机制和替代,影响调节,应对自我解体和自尊,与成年人和同龄人的关系冲突,身份创造,身份障碍,无边的心理结构,缺乏自信,扭曲了自我认知。以下四个主题被归类为转化性伤害的子类别:创伤性社会、脆弱家庭、人际影响和人际有效性。结论:心理健康专家认为故意自残是创伤性的;然而,他们认为这是为了消除负面情绪,控制青少年的内部和外部世界。此外,他们认为这种行为是对文化冲突、文化唯物主义以及青春期家庭身份和角色解体的反应,由于经济和心理因素,家庭无法为青少年提供低风险的转变。
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引用次数: 0
Investigating the Effectiveness of Transdiagnostic Treatment on Maladaptive Personality Traits and Mentalized Affectivity of Patients With Generalized Anxiety Disorder Comorbid With Depression: A Case Study 跨诊断治疗对广泛性焦虑障碍伴抑郁患者适应不良人格特征和心理情感的疗效研究
IF 1.1 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-04-01 DOI: 10.32598/jpcp.11.2.862.1
F. Ghaderi, N. Akrami, Koroosh Namdari, A. Abedi
Objective: This study aims to investigate the effectiveness of transdiagnostic treatment on maladaptive personality traits and mentalized affectivity of patients with generalized anxiety disorder comorbid with depression. Methods: This was a quasi-experimental study with a single case method. The statistical population included people with generalized anxiety disorder comorbid with depression who were referred to counseling centers in Isfahan City, Iran in 2020. From this population, 5 people were selected via purposive sampling and they were intervened with transdiagnostic treatment through weekly sessions held individually. The subjects were assessed at the baseline, third, fifth, eighth, and tenth sessions, and during a 1-month follow-up period using the short version of the adult version of the diagnostic and statistical manual of mental disorders, fifth edition, personality questionnaire, and the mentalized affectivity scale. To report the data, we used visual analysis, reliable change index, improvement percentage, and statistical and clinical significance. Results: The visual analysis, percentage of improvement, and reliable change index (RCI≥1/96), showed that transdiagnostic treatment created statistically significant changes and improvement in mentalized affectivity components, negative affectivity, and detachment; however, it did not have a significant effect on other personality traits (antagonism, disinhibition, and psychoticism). Conclusion: Transdiagnostic treatment is an effective treatment to modulate the mentalized affectivity, negative affectivity, and detachment of people with generalized anxiety disorder comorbid with depression.
目的:探讨跨诊断治疗对广泛性焦虑障碍伴发抑郁症患者适应不良人格特征和心理情感的影响。方法:采用单病例法进行准实验研究。统计人群包括在2020年被转介到伊朗伊斯法罕市咨询中心的广泛性焦虑症合并抑郁症患者。从这一人群中,通过有目的的抽样选择了5人,并通过每周单独举行的会议对他们进行了跨诊断治疗干预。在基线、第三、第五、第八、第十期和1个月的随访期间,使用成人版《精神障碍诊断与统计手册》第五版短版、人格问卷和心理情感量表对受试者进行评估。为了报告数据,我们采用了可视化分析、可靠的变化指数、改善百分比、统计和临床意义。结果:目视分析、改善百分比和可靠变化指数(RCI≥1/96)显示,跨诊断治疗对心理情感成分、负性情感和脱离的改变和改善具有统计学意义;然而,它对其他人格特征(对抗性、去抑制性和精神病性)没有显著影响。结论:跨诊断治疗可有效调节广泛性焦虑伴抑郁患者的情绪化情感、负性情感和超脱。
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引用次数: 0
Predicting College Students’ Mental Health Based on Religious Faith Mediated by Happiness, Ambivalent Attachment Style and Locus of Control 宗教信仰对大学生心理健康的预测:幸福感、矛盾依恋类型和控制源的中介作用
Q3 PSYCHOLOGY, CLINICAL Pub Date : 2023-04-01 DOI: 10.32598/jpcp.11.4.884.1
Sara Kamjou, Mohammad Ali Goodarzi, Abdulaziz Aflakseir
Objective: The present study was designed to examine the college student's mental health predication model based on religious faith mediated by happiness, ambivalent attachment style and ‎locus of control. Methods: The method of study was correlational. The statistical population included all college students of the Shiraz University in the academic year of 2013-2014. The sample included 240 college students selected by convenience sampling method. Measures included the General Health Questionnaire (GHQ-28, 1979), the Religious Faith Scale (RFS, 2014), the Oxford Happiness Scale (OHI, 1989), the Collins and Read Attachment Scale (RAAS, 1990), and the Rotter’s Locus of Control Scale (RLCS, 1966). The data were analyzed by multiple regression, path analysis and structural equation modeling methods. Results: The data were analyzed by multiple regression, path analysis and structural equation modeling methods. The results of the study show that the variables of religious faith (ρ = 0.0001, β = 0.29), happiness variable (ρ = 0.0001, β = 0.37) and ambivalent attachment (ρ = 0.0001, β = 0.29) were able to predict mental health in a positive and meaningful way. Likewise, religious faith positively and significantly predicted happiness (ρ = 0.0001, β = 0.54) and ambivalent attachment (ρ = 0.0001, β = -0.21) negatively and meaningfully. The religious faith could not predict the locus of control. The mediating role of happiness was confirmed. However, the mediating role of ambivalent attachment style and locus of control was not confirmed. Conclusion: The modified model confirmed the mediating role of happiness between religious faith and mental health. Therefore, those components of faith that lead to happiness might be a protective marker for mental health.
目的:研究基于宗教信仰的大学生心理健康预测模型,探讨幸福感、矛盾依恋类型和控制源对心理健康的影响。方法:采用相关研究方法。统计人群为设拉子大学2013-2014学年所有在校大学生。采用方便抽样法抽取240名大学生作为调查对象。测量方法包括一般健康问卷(GHQ-28, 1979)、宗教信仰量表(RFS, 2014)、牛津幸福量表(OHI, 1989)、Collins and Read依恋量表(RAAS, 1990)和Rotter控制源量表(RLCS, 1966)。采用多元回归、路径分析和结构方程建模等方法对数据进行分析。结果:采用多元回归、通径分析和结构方程建模等方法对数据进行分析。研究结果表明,宗教信仰变量(ρ = 0.0001, β = 0.29)、幸福变量(ρ = 0.0001, β = 0.37)和矛盾依恋变量(ρ = 0.0001, β = 0.29)对心理健康有正向、有意义的预测作用。同样,宗教信仰对幸福感(ρ = 0.0001, β = 0.54)和矛盾依恋(ρ = 0.0001, β = -0.21)的预测也具有显著的正向和负向意义。宗教信仰不能预测控制的根源。幸福感的中介作用得到了证实。然而,矛盾依恋类型和控制点的中介作用尚未得到证实。结论:修正后的模型证实了幸福感在宗教信仰与心理健康之间的中介作用。因此,那些导致幸福的信仰成分可能是心理健康的保护标志。
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Clinical Practice in Pediatric Psychology
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