آزمون مدل ساختاری رابطه بین ترومای کودکی با اضطراب مرگ و میانجیگری عدم تحمل بلاتکلیفی در دانشجویان زن از منظر فرهنگی
محورهای موضوعی : روان شناسی
محمدرضا بزرگی خشکچالی
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مرضیه هاشمی
2
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ماندانا نیکنام
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1 - دانشجوی کارشناسی ارشد، گروه روان شناسی و علوم تربیتی، دانشکده علوم انسانی، دانشگاه خاتم، تهران، ایران
2 - استادیار، گروه روان شناسی و علوم تربیتی، دانشکده علوم انسانی، دانشگاه خاتم، تهران، ایران
3 - دانشیار، گروه روان شناسی و علوم تربیتی، دانشکده علوم انسانی، دانشگاه خاتم، تهران، ایران
کلید واژه: ترومای کودکی, اضطراب مرگ, عدم تحمل بلاتکلیفی,
چکیده مقاله :
هدف پژوهش حاضر، آزمون مدل ساختاری رابطه بین ترومای کودکی با اضطراب مرگ و میانجیگری عدم تحمل بلاتکلیفی در دانشجویان زن از منظر فرهنگی بود. جامعه آماری شامل دانشجویان زن دانشگاه آزاد کرج در سال 1403 بود که 249 نفر از آنها به روش نمونهگیری در دسترس انتخاب شدند. روش پژوهش توصیفی-همبستگی با استفاده از معادلات ساختاری بود. شرکتکنندگان به پرسشنامههای اضطراب مرگ کالت-لستر (1969)، عدم تحمل بلاتکلیفی فریستون و همکاران (1994)، و ترومای دوران کودکی برنستاین و همکاران (2003) پاسخ دادند. برای تحلیل داده ها از نرمافزارSPSS برای سنجش همبستگی بین متغیرها و نرمافزار Amos برای تحلیل متغیر میانجی استفاده شد. نتایج نشان داد ترومای کودکی به طور مستقیم بر عملکرد عدم تحمل بلاتکلیفی تاثیر دارد. و عدم تحمل بلاتکلیفی نیز به طور مستقیم بر اضطراب مرگ تاثیر دارد. ترومای کودکی بر اضطراب مرگ از طریق متغیر عدم تحمل بلاتکلیفی تاثیر غیرمستقیم دارد. عدم تحمل بلاتکلیفی رابطه مثبتی با هر دو متغیر دیگر دارد. همچنین نتایج نشان داد که کاهش تجربیات تروماتیک دوران کودکی، به کاهش غیرمستقیم اضطراب مرگ منجر میشود. و عدم تحمل بلاتکلیفی نقش مهمی در این رابطه ایفا کرد. بنابراین مداخلات روانشناختی مبتنی بر فرهنگ بر بهبود تحمل بلاتکلیفی و کاهش تاثیرات ترومای کودکی و کاهش اضطراب مرگ تاثیردارد.
This study was aimed to examine the relationship between childhood trauma and death anxiety with the mediating role of uncertainty intolerance in female students from cultural perspective. The statistical population was particular to all female students of Karaj Islamic Azad University in 2024 academic year. 249 participants were selected via convenient sampling procedure. The research method was descriptive- correlational by utilizing the structural equations model. All the subjects responded to Collet-Lester Death Anxiety Questionnaire (1969), Freeston and colleagues Intolerance of Uncertainty Questionnaire (1994) and the Childhood Trauma Questionnaire by Bernstein and colleagues (2003). SPSS software was used to measure the correlation between variables and Amos software to analyze the mediating variable. The findings indicated that childhood trauma directly impacted uncertainty intolerance. And uncertainty intolerance directly affected death anxiety while childhood trauma impressed death anxiety indirectly through uncertainty intolerance. Uncertainty intolerance had positive relationships with the both variables. The results also revealed that childhood trauma reducing indirectly led to decreasing of death anxiety and uncertainty intolerance played a significant role in this case. It could be concluded that culture oriented intervention improves uncertainty intolerance and decreases childhood trauma impact.
Akçay, S., & Magrebi, T. K. (2020). huzurevinde kalan yaşlılarin ölüm kaygısı ve ölüme ilişkin depresyon düzeylerinin incelenmesi. Elektronik Sosyal Bilimler Dergisi, 19(76), 2100-2118. URL: https://doi.org/10.17755/esosder.631336
Angelakis, I., & Gooding, P. (2022). Associations of anxiety and depression with suicide experiences in individuals with and without childhood trauma: The role of social support. Psychiatry Research, 309, 114424. URL: https://doi.org/https://doi.org/10.1016/j.psychres.2022.114424
Arfaei, A., Garamaleki, R. B., Gholizadeh, H., & Hekmati, I. (2011). Intolerance of uncertainty: comparison between patients with major depression disorder and obsessive-compulsive disorder. Medical Journal of Tabriz University of Medical Sciences, 33(5), 17-22. [Persian] URL: https://mj.tbzmed.ac.ir/Article/7524
Assari, S., & Lankarani, M. M. (2016). Race and gender differences in correlates of death anxiety among elderly in the United States. Iranian Journal of Psychiatry and Behavioral Sciences, 10(2), e2024. URL: https://pmc.ncbi.nlm.nih.gov/articles/PMC5088440/
Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., Stokes, J., Handelsman, L., Medrano, M., & Desmond, D. (2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child abuse & neglect, 27(2), 169-190. URL: https://doi.org/10.1016/S0145-2134(02)00541-0
Carleton, R. N. (2016). Into the unknown: A review and synthesis of contemporary models involving uncertainty. Journal of Anxiety Disorders, 39, 30-43. URL: https://doi.org/10.1016/j.janxdis.2016.02.007
Cho, Y., Kim, D., & Kim, S.-H. (2021). Prevalence and clinical correlates of childhood trauma among inpatients diagnosed with bipolar disorder: a matched comparison with schizophrenia. Psychosis, 13(1), 13-23. URL: https://doi.org/10.1080/17522439.2020.1801818
Dirican, A. H., Kozak, E. D., Kavakcı, Ö., & Sönmez, B. (2023). The association of child abuse experiences and intolerance of uncertainty in young adults. Psychiatry, 86(3), 214-228. URL: https://doi.org/10.1080/00332747.2023.2205800
Ebrahimi, H., Dejkam, M., & Seghatoleslam, T. (2014). Childhood traumas and suicide attempt in adulthood. Iranian Journal of Psychiatry and Clinical Psychology, 19(4), 275–282. [Persian] URL: http://ijpcp.iums.ac.ir/article-1-2090-fa.html
Freeston, M. H., Rhéaume, J., Letarte, H., Dugas, M. J., & Ladouceur, R. (1994). Why do people worry?. Personality and individual differences, 17(6), 791-802. URL: https://doi.org/10.1016/0191-8869(94)90048-5
Gonçalves, G., AL-Dossary, S. A., & Sousa, C. (2024). Measurement invariance and country difference in death anxiety: evidence from Portuguese and arab samples. Current Psychology, 43(5), 4255-4265. URL: https://doi.org/10.1007/s12144-023-04659-1
Groves, D., Clark, L. H., & Clark, G. I. (2020). The relationship between worry and intolerance of uncertainty subtypes. Australian Psychologist, 55(2), 132-142. URL: https://doi.org/10.1111/ap.12421
Hawes, M. T., Farrell, M. R., Cannone, J. L., Finsaas, M. C., Olino, T. M., & Klein, D. N. (2021). Early childhood temperament predicts intolerance of uncertainty in adolescence. Journal of Anxiety Disorders, 80, 102390. URL: https://doi.org/https://doi.org/10.1016/j.janxdis.2021.102390
Hayward, L. E., Vartanian, L. R., Kwok, C., & Newby, J. M. (2020). How might childhood adversity predict adult psychological distress? Applying the Identity Disruption Model to understanding depression and anxiety disorders. Journal of Affective Disorders, 265, 112-119. URL: https://doi.org/https://doi.org/10.1016/j.jad.2020.01.036
Karaoglu, G., Kurcer, M. A., & Erdogan, Z. (2021). Death anxiety of doctors and nurses with levels of depression related to death and the factors affecting them. Annals of Medical Research, 28(8), 1572-1576. DOI: 10.5455/annalsmedres.2020.09.928
Kline, R. B. (2023). Questionable practices in statistical analysis. In H. Cooper, M. N. Coutanche, L. M. McMullen, A. T. Panter, D. Rindskopf, & K. J. Sher (Eds.), APA handbook of research methods in psychology: Data analysis and research publication (2nd ed., pp. 579–595). American Psychological Association. URL: https://doi.org/10.1037/0000320-026
Lähdepuro, A., Savolainen, K., Lahti-Pulkkinen, M., Eriksson, J. G., Lahti, J., Tuovinen, S., Kajantie, E., Pesonen, A.-K., Heinonen, K., & Räikkönen, K. (2019). The impact of early life stress on anxiety symptoms in late adulthood. Scientific Reports, 9(1), 4395. URL: https://doi.org/10.1038/s41598-019-40698-0
Lester, D. (1990). The Collett-Lester fear of death scale: The original version and a revision. Death studies, 14(5), 451-468. URL: https://doi.org/10.1080/07481189008252385
Mahmoudaliloo, M., Shah Joyee, T., & Hashemi, Z. (2010). Comparing intolerance of uncertainty, cognitive avoidance, negative problem orientation, and positive beliefs about worry among patients with generalized anxiety disorder and normal individuals. Quarterly Journal of Psychology, University of Tabriz, 5, 20. [Persian] URL: https://psychologyj.tabrizu.ac.ir/article_4189.html?lang=en
Menzies, R. E., & Menzies, R. G. (2020). Death anxiety in the time of COVID-19: theoretical explanations and clinical implications. The Cognitive Behaviour Therapist, 13(19), 1-11. URL: https://doi.org/10.1017/S1754470X20000215
Menzies, R. E., Sharpe, L., & Dar-Nimrod, I. (2019). The relationship between death anxiety and severity of mental illnesses. British Journal of Clinical Psychology, 58(4), 452-467. URL: https://doi.org/https://doi.org/10.1111/bjc.12229
Michna, G. A., Trudel, S. M., Bray, M. A., Reinhardt, J., Dirsmith, J., Theodore, L., Zhou, Z., Patel, I., Jones, P., & Gilbert, M. L. (2023). Best practices and emerging trends in assessment of trauma in students with autism spectrum disorder. Psychology in the Schools, 60(2), 479-494. URL: https://doi.org/https://doi.org/10.1002/pits.22769
Mooney, D. C., & O'Gorman, J. G. (2001). Construct Validity of the Revised Collett-Lester Fear of Death and Dying Scale. OMEGA - Journal of Death and Dying, 43(2), 157-173. URL: https://doi.org/10.2190/13pw-qpfy-b1pb-2aqa
Naderi, F., & Esmaeili Shah Seyed Ali Akbari, A. (2008). The relationship between death anxiety, suicidal thoughts and well-being in I.A.U students of Ahvaz. Journal of Social Psychology (New Findings in Psychology), 2(8), 35-46. [Persian] URL: https://www.sid.ir/FileServer/SF/9551397H0322
Naeemi Nezam Abad, A., Moghadas Sharif, P., & Shirkhani, M. (2024). The relationship between childhood traumatic experiences and death anxiety: The mediating role of obsessive beliefs. Journal of Fundamentals of Mental Health, 26(2), 115-122. [Persian] URL: https://doi.org/10.22038/jfmh.2024.70215.3041
Osmanağaoğlu, N., Creswell, C., & Dodd, H. F. (2018). Intolerance of Uncertainty, anxiety, and worry in children and adolescents: A meta-analysis. Journal of Affective Disorders, 225, 80-90. URL: https://doi.org/https://doi.org/10.1016/j.jad.2017.07.035
Özdemir, S., Kahraman, S., & Ertufan, H. (2021). Comparison of death anxiety, self-esteem, and personality traits of the people who live in Turkey and Denmark. Omega-Journal of Death and Dying, 84(2), 360-377. URL: https://doi.org/10.1177/0030222819885781
Rabito-Alcon, M. F., Baile, J. I., & Vanderlinden, J. (2021). Mediating factors between childhood traumatic experiences and eating disorders development: a systematic review. Children, 8(2), 114. URL: https://doi.org/10.3390/children8020114
Sharif Nia, H., Pahlevan Sharif, S., Koocher, G. P., Yaghoobzadeh, A., Haghdoost, A. A., Mar Win, M. T., & Soleimani, M. A. (2020). Psychometric properties of the death anxiety scale-extended among patients with end-stage renal disease. OMEGA-Journal of Death and Dying, 80(3), 380-396. [Persian] URL: https://doi.org/10.1177/0030222817733220
Üstükuş, A., & Eskimez, Z. (2021). The effect of death anxiety in nurses on their approach to dying patients: A cross‐sectional study. Perspectives in psychiatric care, 57(4), 1-10. DOI:10.1111/ppc.12768
Van Assche, L., Van de Ven, L., Vandenbulcke, M., & Luyten, P. (2020). Ghosts from the past? The association between childhood interpersonal trauma, attachment and anxiety and depression in late life. Aging & Mental Health, 24(6), 898-905. URL: https://doi.org/10.1080/13607863.2019.1571017
Zarse, E. M., Neff, M. R., Yoder, R., Hulvershorn, L., Chambers, J. E., & Chambers, R. A. (2019). The adverse childhood experiences questionnaire: Two decades of research on childhood trauma as a primary cause of adult mental illness, addiction, and medical diseases. Cogent Medicine, 6(1), 1581447. URL: https://doi.org/10.1080/2331205X.2019.1581447
Zdebik, M. A., Moss, E., & Bureau, J.-F. (2018). Childhood attachment and behavioral inhibition: Predicting intolerance of uncertainty in adulthood. Development and psychopathology, 30(4), 1225-1238. URL: https://doi.org/10.1017/S0954579417001614
Zhang, Z., Meng, Y., Ma, T., & Yang, Z. (2022). Childhood Trauma and Anxiety: The Chain Mediating Effects of Intolerance of Uncertainty and Proactive Coping. Asian Journal of Social Science Studies, 7(6), 89. URL: https://doi.org/10.20849/ajsss.v7i6.1213