نقش میانجی شوخ طبعی در رابطه بین رگه های اختلال شخصیت مرزی و گرایش به خودکشی در کارکنان بیمارستانهای دولتی
محورهای موضوعی : روانشناسی و مشاوره
زهرا تنها
1
(نویسنده مسئول: استادیار، گروه روانشناسی، دانشکده ادبیات و علوم انسانی، واحد خرم آباد، دانشگاه آزاد اسلامی، خرم
آباد، ایران. tanha_zahra1986@yahoo.com)
معصومه مومنی مفرد
2
(کارشناس ارشد روانشناسی تربیتی، واحد خرم آباد، دانشگاه آزاد اسلامی، خرم آباد، ایران)
کلید واژه: شوخ طبعی, گرایش به خودکشی, رگه های اختلال شخصیت مرزی,
چکیده مقاله :
چکیدههدف از انجام این مطالعه بررسی نقش میانجی شوخ طبعی در رابطه بین رگههای اختلال شخصیتمرزی با گرایش به خودکشی در کارکنان بیمارستانهای دولتی استان لرستان بود. روش مطالعه از نظرهدف، کاربردی و از حیث نحوه جمعآوری دادهها، توصیفی از نوع همبستگی بود که با روش مدلمعادلات ساختاری انجام شد. جامعه آماری این مطالعه را کلیه کارکنان بیمارستانهای دولتی استانلرستان تشکیل دادهاند که با استفاده از روش نمونهگیری تصادفی خوشهای تعداد 148 نفر بهعنواننمونه تعیین شده و به پرسشنامه گرایش به خودکشی بک ) 1979 ( خرده مقیاس اختلال شخصیتمرزی بر اساس پرسشنامه MCMI و پرسشنامه شوخ طبعی مارتین و همکاران ) 1981 ( پاسخ دادند.تحلیل فرضیههای این مطالعه با روش مدلسازی معادلات ساختاری با نرمافزار اسمارت پی ال اسانجام شد. نتایج نشان داد رگههای اختلال شخصیت مرزی با شوخ طبعی و گرایش به خودکشی رابطهمستقیم معنی دار دارد. همچنین، نتایج حاصل از مدل برازش یافته نهایی نشان داد که رگههایاختلال شخصیت با گرایش به خودکشی با نقش میانجی شوخ طبعی اثر غیر مستقیم دارد. نتایج اینمطالعه با بهدست آمدن برازش مناسب دادهها با مدل، نشان داد که سه چارچوب مفهومی، رگههایاختلال شخصیت مرزی، گرایش به خودکشی و شوخ طبعی دارای نقاط تلاقی نظری در جامعهکارکنان بیمارستانهای استان لرستان هستند و میتوانند در قالب یک مدل بهکار روند و در برنامه-ریزیهای آتی مورد توجه قرار بگیرد.
AbstractThe purpose of this study was to investigate the mediating role of humor in the relationship between the traits of borderline personality disorder and suicidal tendencies in public hospital employees of Lorestan province. This study is applied in terms of purpose and descriptive in terms of data collection, which was conducted using structural equation model method. The statistical population of this study is made up of all the employees of the public hospitals of Lorestan province, using cluster random sampling, the number of 148 people was determined as a sample and according to Beck's suicide tendency questionnaire (1979). The borderline personality disorder subscale was answered based on the MCMI questionnaire and the humor questionnaire of Martin et al. (1981). The analysis of the hypotheses of this study was done by the method of structural equation modeling with SmartPLS software. Results showed that borderline personality disorder traits have a significant direct relationship with humor and suicidal tendencies. Also, the results of the final adjusted model showed that personality disorder traits with suicidal tendencies have an indirect effect with the mediating role of humor. The results of this study, by obtaining a suitable fit of the data with the model, showed that three conceptual frameworks, borderline personality disorder traits, suicidal tendencies and humor have theoretical intersection points in the hospital staff community. Are of Lorestan province and can be used in the form of a model and be taken into consideration in future planning.
منابع
Alberdi-Paramo, I., Saiz-Gonzalez, M.D., Diaz-Marsa, M., & Carrasco-Perera, J. L. (2020). Bullying and childhood trauma events as predictive factors of suicidal behavior in borderline personality disorder: Preliminary findings. Psychiatry research, 285:112730. Baranger, D. A., Few, L. R., Sheinbein, D. H., Agrawal, A., Oltmanns, T. F., Knodt, A. R., Barch, D. M, Hariri, A. R., & Bogdan, R. (2020). Borderline personality traits are not correlated with brain structure in two large samples. Biological Psychiatry: Cognitive Neuroscience and Neuroimaging, 5(7):669-77. Bickford, D., Morin, R. T., Woodworth, C., Verduzco, E., Khan, M., Burns, E., Nelson, J. C., & Mackin, R. S. (2021). The relationship of frailty and disability with suicidal ideation in late life depression. Aging & mental health, 25(3):439-44. Choi, K. W., Jang, E. H., Kim, A.Y., Kim, H., Park, M. J., Byun, S., Fava, M., Mischoulon, D., Papakostas, G. I., Yu, H.Y., & Jeon, H. J. (2021). Predictive inflammatory biomarkers for change in suicidal ideation in major depressive disorder and panic disorder: A 12-week follow-up study. Journal of psychiatric research, 133:73-81. Denivi, V., Muqtada'I, K., Taqwa, A., & Salamat, M. (2013). Relationship between personality disorders and suicidal ideation in soldiers of a military unit. Nurse and doctor in battle, 2 (3): 101-108 Danitz, M. (2001). Suicide an unnecessary death. London: Informa Healthcare. Hill, R. M., Rufino, K., Kurian, S., Saxena, J., Saxena, K., Williams, L. (2021). Suicide ideation and attempts in a pediatric emergency department before and during COVID-19. Pediatrics, 1; 147(3). Golestaneh, S. M. (2012). The role of personality characteristics, creativity and humor styles in prediction of students Subjective well-being. Journal of Personality and Individual Differences, 1(1):98-114. Goueli, T., Nasreldin, M., Madbouly, N., Dziobek, I., & Farouk, M. (2020). Social cognition in adolescent females with borderline personality traits. Psychology and Psychotherapy: Theory, Research and Practice, 93(4):739-53. Ionescu, D.F., Fu, D. J., Qiu, X., Lane. R., Lim, P., Kasper, S., Hough, D., Drevets, W. C., Manji, H., & Canuso, C. M. (2021). Esketamine nasal spray for rapid reduction of depressive symptoms in patients with major depressive disorder who have active suicide ideation with intent: results of a phase 3, double-blind, randomized study (ASPIRE II). International Journal of Neuropsychopharmacology, 24(1):22-31. Martin, R.A., Puhlik-Doris, P., Larsen, G., Gray, J., & Weir, K. (2003). Individual differences in uses of humor and their relation to psychological well-being: development of the humor styles questionnaire. J. Res. Personal, 37: 48–75. Metalsky, G.I., & Joiner, T.E. (1997). The hopelessness depression symptom questionnaire. Cogn. Ther. Res, 21: 359–384. Meyer, N. A., Helle, A. C., Tucker, R. P., Lengel, G. J., DeShong, H. L., Wingate, L. R., & Mullins-Sweatt, S. N. (2017). Humor styles moderate borderline personality traits and suicide ideation. Psychiatry research, 249: 337-342. Schneider, M., Voracek, M., & Tran, U. S. (2018). “A joke a day keeps the doctor away?” Meta‐analytical evidence of differential associations of habitual humor styles with mental health. Scandinavian journal of psychology, 59(3): 289-300. Söderholm, J. J., Socada, J. L., Rosenström, T., Ekelund, J., & Isometsä, E. T. (2020). Borderline personality disorder with depression confers significant risk of suicidal behavior in mood disorder patients—a comparative study. Frontiers in psychiatry, 11: 290.
84 / نقش میانجی شوخطبعی در رابطه بین رگههای اختلال شخصیت مرزی…
Titus, C. E., & DeShong, H. L. (2020). Thought control strategies as predictors of borderline personality disorder and suicide risk. Journal of affective disorders, 266: 349-355. Torres-Marín, J., Navarro-Carrillo, G., & Carretero-Dios, H. (2018). Is the use of humor associated with anger management? The assessment of individual differences in humor styles in Spain. Personality and Individual differences, 120: 193-201. Valikhani, A., & Firoozshahi, A. (2015). Predicting suicidal ideation based on borderline and schizotypal personality components in medical students. Thought and Behavior in Clinical Psychology, 10 (37): 57-66. Vega, D., Torrubia, R., Marco-Pallarés, J., Soto, A., & Rodriguez-Fornells, A. (2020). Metacognition of daily self-regulation processes and personality traits in borderline personality disorder. Journal of affective disorders, 267, 243-250. Vrabel, J. K., Zeigler-Hill, V., & Shango, R. G. (2017). Spitefulness and humor styles. Personality and Individual Differences, 105: 238-243.
منابع
Alberdi-Paramo, I., Saiz-Gonzalez, M.D., Diaz-Marsa, M., & Carrasco-Perera, J. L. (2020). Bullying and childhood trauma events as predictive factors of suicidal behavior in borderline personality disorder: Preliminary findings. Psychiatry research, 285:112730. Baranger, D. A., Few, L. R., Sheinbein, D. H., Agrawal, A., Oltmanns, T. F., Knodt, A. R., Barch, D. M, Hariri, A. R., & Bogdan, R. (2020). Borderline personality traits are not correlated with brain structure in two large samples. Biological Psychiatry: Cognitive Neuroscience and Neuroimaging, 5(7):669-77. Bickford, D., Morin, R. T., Woodworth, C., Verduzco, E., Khan, M., Burns, E., Nelson, J. C., & Mackin, R. S. (2021). The relationship of frailty and disability with suicidal ideation in late life depression. Aging & mental health, 25(3):439-44. Choi, K. W., Jang, E. H., Kim, A.Y., Kim, H., Park, M. J., Byun, S., Fava, M., Mischoulon, D., Papakostas, G. I., Yu, H.Y., & Jeon, H. J. (2021). Predictive inflammatory biomarkers for change in suicidal ideation in major depressive disorder and panic disorder: A 12-week follow-up study. Journal of psychiatric research, 133:73-81. Denivi, V., Muqtada'I, K., Taqwa, A., & Salamat, M. (2013). Relationship between personality disorders and suicidal ideation in soldiers of a military unit. Nurse and doctor in battle, 2 (3): 101-108 Danitz, M. (2001). Suicide an unnecessary death. London: Informa Healthcare. Hill, R. M., Rufino, K., Kurian, S., Saxena, J., Saxena, K., Williams, L. (2021). Suicide ideation and attempts in a pediatric emergency department before and during COVID-19. Pediatrics, 1; 147(3). Golestaneh, S. M. (2012). The role of personality characteristics, creativity and humor styles in prediction of students Subjective well-being. Journal of Personality and Individual Differences, 1(1):98-114. Goueli, T., Nasreldin, M., Madbouly, N., Dziobek, I., & Farouk, M. (2020). Social cognition in adolescent females with borderline personality traits. Psychology and Psychotherapy: Theory, Research and Practice, 93(4):739-53. Ionescu, D.F., Fu, D. J., Qiu, X., Lane. R., Lim, P., Kasper, S., Hough, D., Drevets, W. C., Manji, H., & Canuso, C. M. (2021). Esketamine nasal spray for rapid reduction of depressive symptoms in patients with major depressive disorder who have active suicide ideation with intent: results of a phase 3, double-blind, randomized study (ASPIRE II). International Journal of Neuropsychopharmacology, 24(1):22-31. Martin, R.A., Puhlik-Doris, P., Larsen, G., Gray, J., & Weir, K. (2003). Individual differences in uses of humor and their relation to psychological well-being: development of the humor styles questionnaire. J. Res. Personal, 37: 48–75. Metalsky, G.I., & Joiner, T.E. (1997). The hopelessness depression symptom questionnaire. Cogn. Ther. Res, 21: 359–384. Meyer, N. A., Helle, A. C., Tucker, R. P., Lengel, G. J., DeShong, H. L., Wingate, L. R., & Mullins-Sweatt, S. N. (2017). Humor styles moderate borderline personality traits and suicide ideation. Psychiatry research, 249: 337-342. Schneider, M., Voracek, M., & Tran, U. S. (2018). “A joke a day keeps the doctor away?” Meta‐analytical evidence of differential associations of habitual humor styles with mental health. Scandinavian journal of psychology, 59(3): 289-300. Söderholm, J. J., Socada, J. L., Rosenström, T., Ekelund, J., & Isometsä, E. T. (2020). Borderline personality disorder with depression confers significant risk of suicidal behavior in mood disorder patients—a comparative study. Frontiers in psychiatry, 11: 290.
84 / نقش میانجی شوخطبعی در رابطه بین رگههای اختلال شخصیت مرزی…
Titus, C. E., & DeShong, H. L. (2020). Thought control strategies as predictors of borderline personality disorder and suicide risk. Journal of affective disorders, 266: 349-355. Torres-Marín, J., Navarro-Carrillo, G., & Carretero-Dios, H. (2018). Is the use of humor associated with anger management? The assessment of individual differences in humor styles in Spain. Personality and Individual differences, 120: 193-201. Valikhani, A., & Firoozshahi, A. (2015). Predicting suicidal ideation based on borderline and schizotypal personality components in medical students. Thought and Behavior in Clinical Psychology, 10 (37): 57-66. Vega, D., Torrubia, R., Marco-Pallarés, J., Soto, A., & Rodriguez-Fornells, A. (2020). Metacognition of daily self-regulation processes and personality traits in borderline personality disorder. Journal of affective disorders, 267, 243-250. Vrabel, J. K., Zeigler-Hill, V., & Shango, R. G. (2017). Spitefulness and humor styles. Personality and Individual Differences, 105: 238-243.