مدل یابی معادلات ساختاری رابطه علایم اختلال اضطراب اجتماعی با طرح واره های ناسازگار اولیه و تحریف های شناختی در نوجوانان

نویسندگان
هیمن نادرزاده
مهدیه صالحی
مرجان جعفری روشن
رویا کوچک انتظار
دانشگاه آزاد اسلامی، واحد تهران مرکز
10.52547/rph.13.1.40
چکیده
پژوهشهای بالینی و اپیدمیولوژی نقش فرایندهای شناختی را در شکل گیری و تداوم اختلال اضطراب اجتماعی ثابت کرده اند. هدف پژوهش حاضر پیش بینی اضطراب اجتماعی مبتنی بر طرحواره های ناسازگار اولیه با میانجی گری تحریف های شناختی در میان دانش آموزان متوسطه دوره‌ی دوم بود.جامعه شامل تمام دانش آموزان متوسطه دوم شهرستان مریوان بودند که از میان آنها 400 نفر(200 نفرپسر،200نفردختر) به عنوان نمونه انتخاب شدند. برای گزینش انتخاب نمونه با مراجعه به مدارس، در بین دانش آموزان مشکوک به اضطراب اجتماعی(با تشخیص مشاور مدرسه و منطبق با علائم ذکر شده در راهنمای تشخیصی و آماری اختلالهای روانپزشکی ویرایش پنجم) پرسشنامه اضطراب اجتماعی کانور توزیع و تکمیل و در صورت تائید تشخیص این اختلال در دانش آموزان، بر اساس نمونه گیری تصادفی ساده، نمونه گیری انجام شد. به منظور جمع آوری داده ها از پرسشنامه ی اضطراب اجتماعی کانور، پرسشنامه طرحوار های ناسازگار اولیه یانگ(فرم کوتاه) و پرسشنامه تحریف های شناختی استفاده شد. داده ها با استفاده از روش مدل یابی معادلات ساختاری تحلیل شدند. نتایج نشان داد که مدل ساختاری پژوهش برازش دارد. به طور کلی پنج حوزه طرحواره های ناسازگار اولیه( بریدگی و طرد ، خودگردانی و عملکرد مختل، محدودیت های مختل، دیگر جهت مندی وگوش به زنگی بیش از حد و بازداری) توان پیش بینی 63 درصد از متغیراضطراب اجتماعی را دارند. همبستگی مستقیم معناداری بین متغیرهای طرحواره های ناسازگار اولیه واضطراب اجتماعی وجود دارد. تحلیل بوت استراپ نشان داد تحریف های شناختی میانجی بین طرحواره های ناسازگار اولیه واضطراب اجتماعی است. نتایج این پژوهش از نقش طرحواره های ناسازگار اولیه به عنوان عامل ایجاد آسیب پذیری برای اضطراب اجتماعی و نقش تحریف های شناختی به عنوان مکانیسم مرتبط‌کننده طرحواره‌های ناسازگار اولیه به اضطراب اجتماعی حمایت می کند
کلیدواژه‌ها
اضطراب اجتماعی
طرحوار های ناسازگار اولیه
تحریف های شناختی

عنوان مقاله English

A structural equation model of relationship between Social Anxiety symptoms, Early Maladaptive schemas and Cognitive Distortions in Adolescents

نویسندگان English

himan naderzadeh
mahdea salehy
marjan Jafariroshan
roya kochakentazar
Islamic Azad University, Central Tehran Branch
چکیده English

Clinical and epidemiological studies have proved the role of cognitive processes in the formation and continuity of social anxiety. This study aimed to predict the social anxiety symptoms among adolescents based on the early maladaptive schemas and cognitive distortions. Population included all junior high-school students in Marivan city and among whom 400 students (200 males and 200 females) were selected as samples. To select sample size, the researcher referred to the selected high schools and distributed Connor’s social phobia index questionnaire among students who were suspicious of suffering from social anxiety (diagnosed by schools consultants and consistent with symptoms indicated in DSM-V). Upon the completion of the questionnaire, the students with confirmed social anxiety disorder were randomly selected as the sampling of the study. Data were gathered using social anxiety questionnaire, early maladaptive schemas questionnaire (short form) and cognitive distortions questionnaire. The collected data analyzed using Structural Equation Model. The results showed the structural model was fit. Five areas of the early maladaptive schemas (disconnection and rejection, impaired autonomy and performance, impaired limits, directedness, over-vigilance, and inhibition) can predict 63% of social anxiety. There was a direct and significant correlation between the variables of the early maladaptive schemas and social anxiety. Bootstrapping analysis revealed cognitive distortions served as a mediator between the early maladaptive schemas and social anxiety symptoms. The results of this study supported the role of the early maladaptive schemas as a vulnerability factor in social anxiety and the role of cognitive distortions as a linking mechanism between the early maladaptive schemas and social anxiety.

کلیدواژه‌ها English

social anxiety
Early maladaptive schemas
Cognitive distortions

1. Anshel MH , Brinthaupt TM. Relationships Between Attributional style and anxiety for preadolescent Australian Boys and Girls middle Tennessee astate university. J Edu Develop Psychol Aus. 2006; 6: 26-38.
2. Wittchen H U, Stein M B, Kessler R C. Social fears and social phobia in a community sarnple of adolescents and young adults: Prevalence, nsk factors and CO-morbidity. Psychol Medicine. 1999; 29 (8): 309-323.
3. Kupper N, Denollet J. Social anxiety in the general population. J Affect Disorder. 2012; 136 (1-2): 90-98.
4. Kessler RC, Bergland P,Demeler O,walters EE.Liftime prevalence and age of onset disturbations of DSM-IV disorder in the nation comorbidity survey replication . Arch Gen Psychiatr. 2005; 62 (6):593–602.
5. American psychiatric association.Diagnostic and statistical manual of mental disorder; 5th ed.,Author . 2013.
6. Essau CA, conradt J, petermann F. Course and outcome of anxiety disorder in adolescent . Natio institu heal. 2002 ; 16 (1): 67-81.
7. Furmark T. Social phobia: overview of community survey Acta Psychiatric Scan .2002;105 (2): 84-93.
8. Pinto gouveia J, Castilho paula G, Ana Cunha M. Early maladaptive Schemas and Social Phobia. Cognit Ther Res. 2006; 30 (5): 571-584.
9. Ahmady M, Bagheri M. Mediating role of cognitive distortions In the relationship between body image and social anxiety in adolescents. Journal of Behavioral Sciences. 2013; 7 (6): 321-330. [Persian].
10. Yang J, Kolossko J, Vishar M. Schema Therapy. Translation by Hamid Pour H, Endoz Z. Arjmand Publications. Tehran. 2008. [Persian].
11. Ledley DR, Heimberg RG. cognative vulnerability to social anxiety. J Soc Clin Psychol. 2006; 25 (7): 755-778.
12. Mojalal M, Hakim Javadi M, Khanzadeh A A, Allah Mousavi S V. Initial maladaptive schemas and interpersonal problems in Iranian students. Practice in clinical psychology. 2014; 3 (1): 256-263. [Persian].
13. Emami- Ezzat A, Hashemi T, Mahmoud-Alilo M. Structural Model of Direct and Indirect Role of Early Maladaptive Schemas on Social Anxiety with Mediation of Emotion Regulation. Journal of Behavioral Research. 2016; 14 (3): 339-47. [Persian].
14. Gonzalez ZD, Zumalde E, Sola I. Early maladaptive Schemas and social anxiety : the moderating effect of avoidant Vs .overcompensation coping . J Eur psychiat. university of bilbao . spain. 2012; 27 (1): 1-3.
15. Calvete E, Orue I, Hankin B L. Early maladaptive schemas and social anxiety in adolescents: the mediating role of anxious automatic thoughts. N I H . 2013; 27 (3): 278-288.
16. Shariati S, Shariat‌‌_Nia K, Ghasemian D. Correlation between anxiety and maladaptive schemas in third year high school girl students in Minoodasht. J Eur Biol Test . 2014; 4 (2): 198-203. [Persian].
17. Rafiean P, Husseinpour S, vaghar R, Piran P. Relationship between early maladaptive schemas with aggression and social anxiety in adolescents. Fourth National Conference on Sustainable Development in Education and Psychology. Social and cultural studies. 2016. [Persian].
18. Milligan K. cognitve distortions as a mediator between early maladaptive schema and hopelassness.Pheladelphia College of Osteop Medicine.https://digitalcommons.pcom.edu/psychol_dissertations/256. 2013.
19. LaGrange B, Cole DA, Jacquez F, Ciesla J, Dallaire D, Pineda A, Truss A, Weitlauf A, Tilghman-Osborne C, Felton J. Disentangling the prospective relations between cognitive style and depressive symptoms. J Abnorm Psychol. 2011; 120 (3): 511-527.
20. Young J E, Klosko J S, Weishoar ME. Schema therapy: A practitioner’s guide. Arjmand Press: Tehran. 2003.
21. Beck AT, Weishaar ME. Cognitive therapy. In A. Freeman, K.M. Simon, L.E. Beutler, & H. Arkowitz (Eds.), Comprehensive handbook cognit ther. New York: Plenum Press. 1989; 21-36.
22. Melling TMB, Alden LE. Cognitive processes in social anxiety: The effects of self-focus, rumination and anticipatory processing. J Behav Res Ther. 2000; 38 (3): 243-257.
23. Brown M, Stopa L. Does anticipation help or hinder performance in a subsequent speech? J Behav Cognit Psychother. 2006; 35 (2): 133-147.
24. George L, Stopa L. Private and public self-awareness in social anxiety. J Behav Ther Exp Psychiat. 2008; 39 (1): 57-72.
25. Clark DM, Wells A. A cognitive model of social phobia. In R. G. Heimberg (Ed.), Social phobia: Diagnosis, assessment, and treatment. New York, NY: Guilford Press. 1995.
26. Kocovski NL, Rector NA. Post-event processing in social anxiety disorder: Idiosyncratic priming in the Sciences school of psychology. Doctoral Thesis, 123pp. 2010.
27. Rapee MR, Abbott MJ. Mental representation of observable attributes in people with social phobia. J Behav Ther Exp Psychiatr. 2006; 37 (2): 113-126.
28. Hirsch CR,Clark Dm. Information-processing bias in social anxiety. J Clin psychol. 2004; 24 (7): 799-824.
29. Hofmann GS. Cognitive Factors that Maintain Social Anxiety Disorder: a Comprehensive Model and its Treatment Implications.US National library of medicine.National institutes of Health. J Cognit Behav Therap. 2007; 36 (4): 193–209.
30. Kuru E Y, Safak İ, Özdemir RG, Tulacı K, Özdel NG, Özkulae S. Örsel j. Cognitive distortions in patients with social anxiety disorder: Comparison of a clinical group and healthy controls. J Europ Psychiatr. 2018;32 (2): 97-104.
31. Schwartz JS, Maric M. Negative cognitive errors in youth: specificity to anxious and depressive symptoms and age differences. Behav Cognit Psych ther. 2015; 43 (5): 526-537.
32. Tairi T, Adams B, Zilikis N. Cognitive errors in Greek adolescents: the linkages between negative cognitive errors and anxious and depressive symptoms. J Int Cogn Ther. 2016; 9 (3): 1-18.
33. Wong QJ, Gregory JE, Gaston RM, Rapee JK, Wilson MJ, Abbott g. Development and validation of the Core Beliefs Questionnaire in a sample of individuals with social anxiety disorder. J Affect Disorder. 2017; 1 (207): 121-127.
34. Mokhbirdezfoli A, Rezaei M, Ghazanfari F, Mirdrikvand F, Gholam Razaei S, Moazzani T, Hashemi S. modeling Social phobia disorder based on emotional, cognitive and gender components: application of path analysis. Journal of Psychological Studies. 2015; 11 (3): 29-52. [Persian].
35. Connor KM, Davidson JR, Churchill LE, Sherweed A, Foa EB. “Psychometric properties of the Social Phobia Inventory (SPIN)”. J British Psychiatr. 2000; 176 (4): 379-386.
36. Fathi Ashtiani A. Psychological tests - Personality assessment and mental health. Behesht Publication . Tehran. 2009. [Persian].
37. Zargar F, Mohammadi A, Omidi A, Bagherian R. Societal anxiety disorder etiology models, Journal of Behavioral Sciences Research. 2012; 11 (1): 68-70. [Persian].
38. Ghadaypashah M, SardaiePour M, Khooshravesh S. Comparison of early maladaptive schemas in male offenders with personality disorders and other offenders. Journal of Forensic Science. 2013; 19 (2,3): 283-292. [Persian].
39. Hamamci, Z.Büyüköztürk Ş. The interpersonal cognitive distortions scale: development and psychometric characteristics. Psychological Reports. (2004);95 (1), 291-303.
40. Spanish Government (PSI2010-15714 . ( A test of the vulnerability-stress model with early maladaptive schemas for depressive and social anxiety symptoms in adolescence. grant from the Ministerio de Ciencia y Innovación. 2015.
41. Carr AT. Compulsive neurosis: J rev litera- ture. Psychol Bull. 1974; 81 (5): 311-318.
42. Rebecca c. Understanding the relationship between anxiety ,cognitive processing and school attendance : A development perspective. university of southamton,faculty of medicine ,Health and life Sciences school of psychology. Doctoral Thesis, 123pp. 2010.
43. Beck AT, Emery G, Greenberg RL. Anxiety disorder and phobias: A cognitive perspective. 1985. New Yourk: Basic Books.
44. Williams M, Watts F, macleod c, Mathews A. Cognitive Psychology and emotional disorders.Wiley:London. 1997.