فرآیندهای فراتشخیصی شناختی، رفتاری و هیجانی در افسردگی و اختلال‌های اضطرابی

نوع مقاله: مقاله علمی - پژوهشی

نویسندگان

1 استادیار گروه روانشناسی بالینی دانشگاه خوارزمی تهران

2 دانشیار گروه روان شناسی بالینی دانشگاه خوارزمی

چکیده

هدف پژوهش حاضر، بررسی نقش فرآیندهای فراتشخیصی افکار تکرارشونده منفی، بی­نظمی هیجانی، عدم تحمل بلاتکلیفی، همجوشی شناختی و عدم تحمل پریشانی در اختلال­های اضطرابی و افسردگی بود. پژوهش حاضر از نوع علی- مقایسه­ای بود. 149 نفر بیمار مبتلا به اختلال­های اضطرابی و افسردگی (37 نفر مبتلا به اختلال افسردگی اساسی، 35 نفر مبتلا به اختلال وسواسی- اجباری، 40 نفر مبتلا به اختلال اضطراب فراگیر، 37 نفر مبتلا به اختلال اضطراب اجتماعی) از هشت مرکز روان‌پزشکی و روان‌شناختی شهر تهران به شیوه در دسترس انتخاب شدند و از طریق پرسشنامه افکار تکرارشونده منفی (RNTQ)، پرسشنامه آمیختگی شناختی (CFQ)، مقیاس مشکل در تنظیم هیجانی (DERS)، مقیاس عدم تحمل بلاتکلیفی (IUS) و مقیاس تحمل آشفتگی (DTS) با گروه بهنجار (40 نفر) مورد مقایسه قرار گرفتند. داده­های از طریق آزمون آماری تحلیل واریانس چند متغیره، تحلیل واریانس یک­راهه و آزمون تعقیبی بون­فرنی مورد تجزیه‌وتحلیل قرار گرفتند. نتایج پژوهش نشان داد که افراد شرکت­کنندگان درگروه­های بالینی از لحاظ میزان افکار تکرارشونده منفی، همجوشی شناختی و عدم تحمل پریشانی تفاوت معناداری با همدیگر نداشتند (001/0< p)، ولی تفاوت آن‌ها با گروه بهنجار معنادار بودند (001/0> p). علاوه بر این، علیرغم اینکه نمرات عدم تحمل بلاتکلیفی درگروه اختلال افسردگی اساسی نسبت به گروه بهنجار بیشتر بود، ولی نسبت به گروه­های اختلال­های اضطرابی کمتر بود و این تفاوت معنادار بود (001/0> p). در ارتباط با بی­نظمی هیجانی نیز نتایج پژوهش نشان داد که فقط شرکت­کنندگان مربوط به اختلال‌های افسردگی اساسی و اضطراب فراگیر تفاوت معناداری با هم نداشتند (001/0< p). افکار تکرارشونده منفی، همجوشی شناختی و عدم تحمل پریشانی فرآیندهای فراتشخیصی مشترک در اختلال­های اضطرابی و افسردگی بوده و می­تواند در ایجاد و تداوم اختلال­های اضطرابی و افسردگی مختلف نقش مهم ایفا کنند.

کلیدواژه‌ها


عنوان مقاله [English]

Transdiagnostic Processes of Cognitive, Behavioral and Emotional in Depression and Anxiety Disorders

نویسندگان [English]

  • mehdi akbari 1
  • shahram mohamadkhani 2
1 kharazmi university
2 kharazmi university
چکیده [English]

The aim of the present study was to investigate transdiagnostic role of repetitive negative thoughts, emotional dysregulation, intolerance of uncertainty, cognitive fusion and distress intolerance in depression and anxiety disorders. This study was causal-comparative. 149 patients with depression and anxiety disorders (included 37 patients with Major Depressive Disorder, 35 patients with Obsessive-Compulsive Disorder, 40 patients with Generalized Anxiety Disorder, 37 patients with Social Anxiety Disorder) selected by convenience sampling from eight psychiatric and psychological centers in Tehran. Then they compared with normal group (N=40) through Repetitive Negative Thoughts Questionnaire (RNTQ), Cognitive Fusion Questionnaire (CFQ), Difficulties in Emotion Regulation Scale (DERS), Intolerance Uncertainty Scale (IUS) and Distress Tolerance Scale (DTS). Data was analyzed using multivariate analysis of variance (MANOVA), ANOVA and Bonferroni tests. The results showed that participants in clinical groups weren’t together significant differences of repetitive negative thoughts, cognitive fusion and intolerance distress, but with normal groups were different. In addition, despite the fact that scores of intolerance of uncertainty in group of major depressive disorder was higher than normal group, but lower than anxiety disorders groups. In connection with the emotional dysregulation, results showed that only participants of group of major depressive disorder and generalized anxiety disorder were not different. Repetitive negative thoughts, cognitive fusion and intolerance distress are common transdiagnostic processes and play important role in development and maintenance in different depression and anxiety disorders.

کلیدواژه‌ها [English]

  • Repetitive negative thoughts
  • Emotional dysregulation
  • Intolerance of uncertainty
  • Cognitive fusion
  • Distress intolerance
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