الگویابی بومی آسیب پذیری روانی – اجتماعی به افسردگی مداوم در زنان - روش زمینه ای

محورهای موضوعی : زن و جامعه

لطیفه نظامی ¹ , مرضیه علیوندی وفا ^{2 *} , علی خادمی ³ , جلیل باباپور ⁴

1 - دانشجوی دکترای روانشناسی، گروه روانشناسی، واحد تبریز، دانشگاه آزاد اسلامی، تبریز، ایران
2 - استادیار روانشناسی، گروه روانشناسی، واحد تبریز، دانشگاه آزاد اسلامی، تبریز، ایران
3 - دانشیار روانشناسی ، گروه روانشناسی، واحد ارومیه، دانشگاه آزاد اسلامی، ارومیه، ایران
4 - استاد روانشناسی ، گروه روانشناسی ، دانشگاه تبریز – تبریز ، ایران

تاریخ دریافت : 1399/08/21 تاریخ پذیرش : 1400/10/13 تاریخ انتشار : 1400/11/01

کلید واژه: افسردگی مداوم, آسیب پذیری روانی – اجتماعی, الگویابی بومی, روش زمینه ای,

چکیده مقاله :

چکیده   هدف: این پژوهش با هدف الگویابی بومی آسیب پذیری روانی – اجتماعی به افسردگی مداوم در زنان انجام شد. روش­: پژوهش حاضر از نوع کیفی بوده و روش زمینه ای به منظور الگویابی و تدوین نظریه استفاده شد. جامعه آماری شامل زنان 21 الی 50 ساله مبتلا به افسردگی مداوم بود که از این جامعه ، نمونه ای به تعداد 20 نفر بصورت هدفمند و در قالب اشباع داده ای، از مراجعین به 3 مرکز مشاوره شهر تبریز در سال 98-97 ، انتخاب شد. ابزار تحقیق، پرسشنامه 21 سوالی افسردگی بک ، مصاحبه بالینی ساختاریافته و مصاحبه کیفی بود. یافته­ها: تجزیه و تحلیل داده ها بر اساس کدگذاری روش زمینه ای صورت گرفته و3مقوله عمده و یک مقوله هسته بدست آمد و یک نظریه زمینه‌ای در قالب مدل ارائه گردید. نتایج تحقیق نشان داد که دو دسته عوامل یعنی" تجارب روانشناختی آسیب رسان" و "مواجه  با مشکلات غیر روانشناختی " منجر به بد کنشی فردی - بین فردی  گردیده و درنهایت به تجربه افسردگی مداوم ختم می گردد. پیشنهاد می گردد تا در اولویت برنامه درمانی برای اختلال افسردگی مداوم، عوامل زمینه ای و مداخله ای با توجه به  فرهنگ بومی افراد نیز مدنظر قرار گیرد.

چکیده انگلیسی:

Abstract   Introduction: The purpose of this study was to model the indigenous pattern of psychosocial vulnerability to persistent depression in women in Tabriz. The present study was a qualitative research method and used the grounded theory. The study population consisted of 21-50 years old women with persistent depression, 20 of whom were purposefully and data saturated from among referrals to 3 counseling centers in Tabriz in year 2018-2019. The research tool was Beck Depression Inventory 21 Questionnaire, Structured Interview and Qualitative Interview Methods: Data analysis was performed based on the coding of the contextual method and 3 major categories and 1 core category were obtained and a background theory was presented in the form of a model. Findings: The results showed that two categories of factors: "having a traumatic psychological background" and "facing Non psychological challenges" lead to a traumatic individual / interpersonal psychological activity and eventually experience depression. At the end, it is recommended that culture-oriented issues along with treatment plannings should be taken into account.

منابع و مأخذ:

- Cattaruzza, A. (2014).Difficulties in the Treatment of Depression During Pregnancy and Postpartum Depression ,Journal of Infant ,Child and Adolescent Psychotherapy ,13:75-87.

- Kinser,p. & Lyon,D. ( 2014). A conceptual framework of stress vulnerability, depression, and health outcomes in women: potential uses in research on complementary therapies for depression. Brain Behav;4(5):665-674

- Nolen-Hoeksema, S. (2006).The etiology of gender differences in depression. In: Keita GP, editor. Understanding depression in women: applying empirical research to practice and policy. Washington, DC: American Psychological Association;. pp. 9–43.

- Zamani, N., Khodabakhsh, M., Zamani, S., Kiani, F and Khosto Hashjin, H. (2015). Effect of Schema Therapy on Anxiety and Depression in Women Referring to Rehabilitation Specialist in 1394. Health Community: 10 (3): 70 -62. (Persian)

- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5thed). Arlington, VA: American Psychiatric Publishing.

- Basharat, A., Masoudi, M. and Gholamali Lavasani, M. (1393). Emotional Neutralization and Psychosocial Vulnerability, Quarterly Journal of Thought and Thought in Clinical Psychology, 9 (34): 47-59.(Persian)

- Wang, C. E. (2006). "Depression and Cognitive Vulnerability". Department of Psychology, Faculty of Social Sciences, University of Tromsø.

- Ingram, R. E., Miranda, J., & Segal, Z. V. (1998). Cognitive vulnerability to depression. New York: Guilford Press.

- Strauss, A. and Corbin, J. (2011), Principles of Qualitative Research Method (Basic Theory, Procedures and Practices).Translated by:B Mohammadi. (2006). Third Edition, Tehran:  Gisoom Publications. ( Persian)

- Beck, A.T., Steer, R.A. & Garbin, M.G. ( 1988) Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77-100.

- First, M.B., Williams, J., Karg, L.S. and Spitzer, R.L. (2016). Structured Clinical Interview for DSM-5, SCID-5-CV Disorders, translated by Vandad Sharifi, Behrang Shadloo and Zahra Shahrivar, First Edition, Tehran: Ebn Sina Publications. Second Edition. (Persian)

- Glaser, B. & Strauss, A. (1967). The discovery of grounded theory, Aldine Publishing Company. Chicago.

- Montazeri, A., Mousavi, S J., Omidvari, S., Tavousi, M., Hashemi, A. and Rostami, T. (2013). Depression in Iran: A systematic review of research texts, Quarterly Journal. 12 (6), 594-567(Presian)

- Melrose, S. (2017). Persistent Depressive Disorder or Dysthymia: An Overview of Assessment and Treatment Approaches, Open Journal of Depression, 2017, 6, 1-13.

- Abramson, L., Alloy, L. and MetaLasky, G. (1989). Hopelessness Depression. A Theory-Based Subtype of Depression. Psychological Review, 96, (2), 358-872

- Nanni, V., Uher, R. & Danese, A. (2012). Childhood Maltreatment Predicts Unfavorable Course of Illness and Treatment Outcome in Depression: A Meta- Analysis. American Journal of Psychiatry, 169(2), 141-151.

- Wu, W., Wang, Z., Wei, Y., Zhang, G., Shi, S., Gao, J. et al. (2013) Clinical Features of Pa- tients with Dysthymia in a Large Cohort of Han Chinese Women with Recurrent Ma- jor Depression. PLoS ONE, 8, e83490.

- Danese, A., McEwen, B.S. ( 2012). Adverse childhood experiences, allostasis, allostatic load, and age-related disease. Physiol. Behav.;106:29–39.

- Devries, K.M., Mak, J.Y., Bacchus, L.J., Child, J.C., Falder, G., Petzold, M., et al. (2013).Intimate partner violence and incident depressive symptoms and suicide attempts: a systematic review of longitudinal studies. PLoS Med.;10:e1001439.

- Gilman, S. E., Kawachi, I., Fitzmaurice, G. M., & Buka, L. (2003). Socioeconomic status, family disruption and residential stability in childhood: relation to onset, recurrence and remission of major depression. Psychological Medicine, 33(8), 1341-1355.  

- Kendler, K. S., Thornton, L. M., & Prescott, C. A. (2001). Gender differences in the rates of exposure to stressful life events and sensitivity to their depressogenic effects. American Journal of Psychiatry,158(4), 587-593.

- Rush AJ., Fava, M., Wisniewski, SR. (2004). Sequenced Treat- ment Alternatives to Relieve Depression (STAR*D): rationale and design. Control Clin Trials; 25:118–141.

- Birmaher, B., Williamson, D. E., Dahl, R. E., Axelson, D. A., Kaufman, J., Dorn, L. D., & Ryan, N. D. (2004). Clinical presentation and course of depression in youth: does onset in childhood differ from onset in adolescence? Journal of the American Academy of Child & Adolescent Psychiatry, 43(1), 63-70.

- Jacob, K.S. (2014). DSM-5 and culture: The need to move towards a shared model of care within a more equal patient–physician partnership. Asian Journal of Psychiatry, 7, 89-91.

- Zarani, F., Behzadpour, S. and Babaei, Z. (2017). An Analysis of the Role of Culture in Psychopathology. Journal of Psychological Growth, 6 (1), 191-225.

- Kressol, J. (2007). Qualitative Research and Research Design. Translated by:H, Danaeifard and H, Kazemi (1394).Tehran: Saffar Publishing, Second Edition.(Persian)

- Marrnath, G (2005). Psychological Surveillance Guide, Translated by: Pasha Sharifi, H and, Nikkhoo, MR (2016). Tehran, Grodos Publication, Second Edition, p. 1010. (Persian).

- Azkhoosh, M. (2008). Application of Psychological Examination and Clinical Diagnosis, Tehran, Ravan Publication, Third Edition, p. 226-224. (Persian).

- Bita, F.& Mohamadi, N.(2017). the psychometric properties of the Generalized Anxiety Disorder Questionnaire-IV. Journal of Psychological Methods and Models Article 5, Volume 8, Number 29, December and January 2017, pp. 87-104

- Angst, J., Gamma, A., Rossler, W., Ajdacic, V. & Klein, D. (2011). Childhoodadversity and chronicity of mood disorders. European Archives of Psychiatry and Clinical Neuroscience, 261(1), 21-27.

- Haines, B.A., Metalsky, G.I., Cardamone, A.L., & Joiner, T. (1999). Interpersonal and cognitive pathways into the origins of attributional style: A developmental perspective. In T. Joiner & J. C. Coyne (Eds.), The interactional nature of depression: Advances in interpersonal approaches (p. 65–92)

- Moore, R. & Garland, A. (2003). Cognitive therapy for chronic and persistent depression. Wiley Editorial. - Rubin, L.E. (2008). Student mental health in a chiropractic university setting. J Chiropr Educ. 22(1): 6-12.