رابطه طرحواره های ناسازگاراولیه با اضطراب بیماری: نقش واسطه‌ای اجتناب تجربی

نویسندگان
کبری قاسمی
طاهره الهی
دانشگاه زنجان
10.52547/rph.13.3.47
چکیده
پژوهش حاضر با هدف بررسی نقش واسطه­ ای اجتناب تجربی در رابطه طرحواره ­های ناسازگار اولیه با اضطراب بیماری انجام شد. پژوهش به روش همبستگی بر روی 308 نفر از دانشجویان دانشگاه قزوین که به روش در دسترس انتخاب شدند انجام شد. اطلاعات مورد نیاز با استفاده از پرسشنامه ­های طرحواره یانگ، خودبیمارانگاری ایوانز و مقیاس پذیرش و عمل هیز جمع آوری شدند. تحلیل داده ­ها با روش رگرسیون گام به گام نقش معنادار طرحواره های حوزه ­های خودگردانی - عملکرد مختل و محدودیت های مختل را در اضطراب بیماری نشان داد. همچنین نقش طرحواره­ های آسیب پذیری نسبت به ضرر و بیماری و استحقاق/ بزرگ منشی در اضطراب بیماری معنادار بود. می توان نتیجه گیری نمود که طرحواره های ناسازگار اولیه و اجتناب تجربه ای مکانیسم های اثرگذار در تداوم اضطراب بیماری هستند
کلیدواژه‌ها
طرحواره‌های ناسازگار اولیه
اضطراب بیماری
اجتناب تجربی

عنوان مقاله English

The relationship between early maladaptive schemas and illness anxiety: The mediating role of experiential avoidance

نویسندگان English

kobra ghasemi
Tahereh Elahi
Zanjan university
چکیده English

The purpose of this study was to investigate the mediating role of experiential avoidance in relationship of early maladaptive schemas with illness anxiety. The research was carried out using correlation method on 308 students of Qazvin University who were selected with convenience sampling method. Data were collected using Early maladaptive Scheme (Young), hypochondrias (Evans) and Acceptance and Action Questionnaires (Hayes). Results showed a significant role of schemas of impaired autonomy - performance and impaired limits domains in illness anxiety. Also, the role of vulnerability to harm or illness and entitlement/undeveloped schemas was significant predictor of illness anxiety. The results of hierarchical regression showed that the mediating role of experiential avoidance in the relationship between vulnerability to harm or illness and entitlement/ undeveloped schemas with illness anxiety severity was significant. It could be concluded the experiential avoidance and early maladaptive schemas were contributed in the maintenance of illness anxiety.

کلیدواژه‌ها English

Early maladaptive schemas
illness anxiety
Experimental avoidance
1. Bakhti M. Relationship between attachment styles and alexithymia with hypochondriasis in non-clinical population the students of ferdowsi university of mashhad. Master's Degree in General Psychology. Mashhad Ferdowsi University; 2011. [Persian].
2. Grossi D, Longarzo M, Quarantelli M, Salvatore E, Cavaliere C, De Luca P, et al. Altered functional connectivity of interoception in illness anxiety disorder. Cortex. 2017;86:22-32.
3. Talaei A, Nasiraei A, Samari AA, Mirshojaeian M, Rezaei Ardani A. Hypochondrias in resident students of mashhad university of medical sciences. Scientific Journal of Ilam University of Medical Sciences. 2009; 17(1):8-18. [Persian].
4. Olatunji BO, Deacon BJ, Abramowitz JS. Is hypochondriasis an anxiety disorder?. Br J Psychiatry. 2009;194(6):481-482.
5. Newby JM, Hobbs MJ, Mahoney AE, Wong SK, Andrews G. DSM-5 illness anxiety disorder and somatic symptom disorder: Comorbidity, correlates, and overlap with DSM-IV hypochondriasis. J Psychosom Res. 2017;101:31-37.
6. Khaje Mansoori A, Mohammadkhani P, Mazidi M, Kami M, Bakhshi Nodooshan M, Shahidi S. The role of metacognition and intolerance of uncertainty in differentiating illness anxiety and generalized anxiety. Pract clin psychol. 2016;4(1):57-65.
7. Kerry L. The interpersonal model of health anxiety: measurement invariance and gender comparisons. Dalhousie university Halifax, nova scotia. 2008.
8. Abramowitz JS, Braddock AE. Hypochondriasis: conceptualization, treatment, and relationship to obsessive-compulsive disorder. Psychiatr Clin. 2006;29(2):503-519.
9. Fergus TA, Valentiner DP. Disease phobia and disease conviction are separate dimensions underlying hypochondriasis. J Behav Ther Exp Psychiatry .2010;41(4):438-444.
10. Young J E, Klosko J S, Weishoar ME. Schema therapy: A practitioner’s guide. Arjmand Press: Tehran. 2003. [Persian].
11. Calvete E, Orue I, Hankin BL. A longitudinal test of the vulnerability-stress model with early maladaptive schemas for depressive and social anxiety symptoms in adolescents. J Psychopathol Behav Assess. 2015;37(1):85-99.
12. Barazandeh H, Kissane DW, Saeedi N, Gordon M. A systematic review of the relationship between early maladaptive schemas and borderline personality disorder/traits. Pers Individ Dif. 2016;94:130-139.
13. Delattre V, Servant D, Rusinek S, Lorette C, Parquet P, Goudemand M, et al. The early maladaptive schemas: a study in adult patients with anxiety disorders. Encephale. 2004;30(3):255-258.
14. Khosravani V, Bastan FS, Ardestani MS, Ardakani RJ. Early maladaptive schemas and suicidal risk in an Iranian sample of patients with obsessive-compulsive disorder. Psychiatry Res. 2017;255:441-448.
15. Oraee Z, neshat dost HT. Relationship between early maladaptive schemas and hypochondria in married women in Tehran. 2nd International Conference on Research in Behavioral and Social Science Sciences. 2016. [Persian].
16. Shorey RC, Elmquist J, Anderson S, Stuart GL. The relationship between early maladaptive schemas, depression, and generalized anxiety among adults seeking residential treatment for substance use disorders. J Psychoact Drugs. 2015;47(3):230-138.
17. Gewelt SE. Early Maladaptive Schemas in Anxiety Disorders-An Investigation of Schemas' Relation to Symptoms in a Complex Sample .2017.
18. Cámara M, Calvete E. Early maladaptive schemas as moderators of the impact of stressful events on anxiety and depression in university students. J Psychopathol Behav Assess. 2012;34(1):58-68.
19. Pinto-Gouveia J, Castilho P, Galhardo A, Cunha M. Early maladaptive schemas and social phobia. Cognit Ther Res. 2006;30(5):571-584.
20. Karimi J, Homayouni A, Homayouni F. The Prediction of Health Anxiety based on Experiential Avoidance and Anxiety Sensitivity among non-clinical Population. Journal of Research in Psychological Health. 2019; 12 (4):66-79 .[Persian].
21. Eifert GH, Forsyth JP, Arch J, Espejo E, Keller M, Langer D. Acceptance and commitment therapy for anxiety disorders: Three case studies exemplifying a unified treatment protocol. Cogn Behav Pract. 2009;16(4):368-85.
22. Yousefi N, Shirbagi N. Validating the young early maladaptive schema questionnaire (YEMSQ) among students. Iran J Psychiatry Behav Sci. 2010; 4(1): 38-46.
23. Abasi E, Fti L, Molodi R, Zarabi H. Psychometric properties of Persian Version of Acceptance and Action Questionnaire –II. Journal of psychological models and methods. 2013;2(2): 65-80. [Persian].
24. Sigre-Leirós V, Carvalho J, Nobre PJ. Rape-related cognitive distortions: Preliminary findings on the role of early maladaptive schemas. Int J Law Psychiatry. 2015;41:26-30.
25. Boudoukha A-H, Przygodzki-Lionet N, Hautekeete M. Traumatic events and early maladaptive schemas (EMS): Prison guard psychological vulnerability. Eur Rev Appl Psychol. 2016;66(4):181-187.
26. González-Jiménez AJ, del Mar Hernández-Romera M. Early maladaptive schemas in adolescence: A quantitative study. Procedia Soc Behav Sci. 2014;132:504-508.
27. Rezaei M, Ghazanfari F. The role of childhood trauma, early maladaptive schemas, emotional schemas and experimental avoidance on depression: A structural equation modeling. Psychiatry research. 2016;246:407-14. .[Persian].
28. Kashdan TB, Goodman FR, Machell KA, Kleiman EM, Monfort SS, Ciarrochi J, et al. A contextual approach to experiential avoidance and social anxiety: Evidence from an experimental interaction and daily interactions of people with social anxiety disorder. Emotion. 2014;14(4):769- 781.