تدوین و اعتباریابی مقیاس سلامت روان بر پایه رویکرد کلنگر سیستمی
الموضوعات : آزمونهای روانی
بهمن اسماعیلی انامق
1
,
جابر قاسمی
2
,
سجاد بشرپور
3
1 - دانشکده علوم تربیتی و روانشناسی،دانشگاه محقق اردبیلی،اردبیل،ایران .
2 - گروه روانشناسی، دانشگاه آزاد اسلامی، مرند، ایران
3 - دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیل
الکلمات المفتاحية: روانسنجی, سلامت روان, نظریه سیستمها,
ملخص المقالة :
بر اساس دیدگاه سیستمها، سلامت روان پدیدهای چندسطحی و پویا است که از تعامل میان مؤلفههای زیستی، روانی، خانوادگی، اجتماعی، فرهنگی و محیطی شکل میگیرد. هدف پژوهش حاضر ساخت و اعتباریابی مقیاسی جامع برای سنجش سلامت روان با رویکرد کلنگر سیستمی بود. جامعه آماری شامل کاربران شبکههای اجتماعی در ایران در سال ۱۴۰۴ بود که ۶۹۰ نفر بهصورت نمونهگیری در دسترس انتخاب شدند. ابزار گردآوری داده ها نسخه اولیه مقیاس سلامت روان و مقیاس افسردگی، اضطراب و استرس (لاوی باند، 1995) برای بررسی روایی همگرا بود. مراحل پژوهش شامل تدوین گویهها، بررسی روایی محتوایی و صوری، تحلیل عاملی اکتشافی و تأییدی و بررسی پایایی بود. نتایج تحلیل عاملی پنج عامل اصلی سلامت روان را شامل کارکرد فردی- خانوادگی، کارکرد تعاملی- اجتماعی، حمایت محیطی-ساختاری، انطباق فرهنگی و پویایی و سازگاری نشان داد. شاخصهای برازش در دامنه مطلوب بود. مقیاس دارای روایی ملاکی و تشخیصی مطلوب بود. روایی همگرا و واگرا درونابزاری و پایایی درونی، ترکیبی و بازآزمون مطلوب بود. یافتهها نشان میدهد که مقیاس سلامت روان با رویکرد سیستمی، ابزاری معتبر و جامع برای ارزیابی چندسطحی سلامت روان در بافت فرهنگی ایران است.
Acoba, E. F. (2024). Social support and mental health: the mediating role of perceived stress. Frontiers in psychology, 15, 1330720.
Ahad, A. A., Sanchez-Gonzalez, M., & Junquera, P. (2023). Understanding and addressing mental health stigma across cultures for improving psychiatric care: A narrative review. Cureus, 15(5):e39549.
Bateson, G., Jackson, D. D., Haley, J., & Weakland, J. (1956). Toward a theory of schizophrenia. Behavioral science, 1(4), 251-264.
Berry, K. R., Gliske, K., Schmidt, C., Ballard, J., Killian, M., & Fenkel, C. (2023). The impact of family therapy participation on youths and young adult engagement and retention in a telehealth intensive outpatient program: quality improvement analysis. JMIR formative research. 20;7: e45305.
Boateng, G. O., Neilands, T. B., Frongillo, E. A., Melgar-Quiñonez, H. R., & Young, S. L. (2018). Best practices for developing and validating scales for health, social, and behavioral research: a primer. Frontiers in public health, 6, 149.
Bolton, D. (2023). A revitalized biopsychosocial model: core theory, research paradigms, and clinical implications. Psychological medicine, 53(16), 7504-7511.
Borsboom, D., Haslbeck, J. M., & Robinaugh, D. J. (2022). Systems‐based approaches to mental disorders are the only game in town. World Psychiatry, 21(3), 420.
Bowen, M. (1978). Family therapy in clinical practice. New York: Jason Aronson.
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press.
Carr, A. (2025). Family therapy and systemic interventions for child‐focussed problems: The evidence base. Journal of Family Therapy, 47(1), e12476.
Coronel-Santos, M. A., & Rodríguez-Macías, J. C. (2022). Integral definition and conceptual model of mental health: Proposal from a systematic review of different paradigms. Frontiers in Sociology, 7, 978804.
Daraz, U., Bojnec, Š., Khan, Y., & Hussain, Z. (2025). Cultural narratives, social norms, and psychological stigma: a study of mental health help-seeking behavior in Peshawar, Pakistan. Frontiers in psychiatry, 16, 1560460.
Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196(4286), 129-136.
Faruque, F., Shah, G. H., & Bohler, R. M. (2025). The Association Between Social Determinants of Health (SDoH) and Mental Health Status in the US. European Journal of Investigation in Health, Psychology and Education, 15(5), 87.
Fried, E. I., & Robinaugh, D. J. (2020). Systems all the way down: embracing complexity in mental health research. BMC medicine, 18(1), 205.
Grüning Parache, L., Vogel, M., Meigen, C., Kiess, W., & Poulain, T. (2024). Family structure, socioeconomic status, and mental health in childhood. European child & adolescent psychiatry, 33(7), 2377-2386.
Guy-Evans, O. (2020). Bronfenbrenner’s ecological systems theory. Simply Psychology, 10518-046.
Hill, Y., Dolezal, M. L., Nordbeck, P. C., Den Hartigh, R. J., Pincus, D., Kiefer, A. W., & Ricca, B. P. (2025). Moving from traits to the dynamic process: The next steps in research on human resilience. Journal of Aggression, Maltreatment & Trauma, 34(7), 971-989.
Hobbs, T., Berry, V., & Fonagy, P. (2025). Editorial Perspective: A systems approach to addressing young people's mental health. Journal of Child Psychology and Psychiatry, 66(2), 271-274.
Jang, S., Choi, S. W., Ahn, R., Lee, J. Y., Kim, J., & Seok, J. H. (2022). Relationship of resilience factors with biopsychosocial markers using a comprehensive home evaluation kit for depression and suicide risk: a real-world data analysis. Frontiers in psychiatry, 13, 847498.
Jason, L. A., & Bobak, T. (2022). Using systems theory to improve intervention outcomes. Professional Psychology: Research and Practice, 53(4), 415.
Jeste, D. V., Smith, J., Lewis-Fernández, R., Saks, E. R., Na, P. J., Pietrzak, R. H., ... & Kessler, R. C. (2025). Addressing social determinants of health in individuals with mental disorders in clinical practice: review and recommendations. Translational Psychiatry, 15(1), 120.
Jordans, M. J. D. (2024). Applying systems theory to global mental health. Global Mental Health Journal, 11(2), 123-135.
Kaiser, H. F. (1974). An index of factorial simplicity. Psychometrika, 39(1), 31–36.
Keller, M. N. (2019). Bowen theory: 49A systems model for family research. In Handbook of Bowen family systems theory and research methods (pp. 49-61). Routledge.
Kline, R. B. (2023). Principles and practice of structural equation modeling. Guilford publications. https://www.guilford.com/books/PrinciPrin-and-Practice-of-Structural-Equation- Modeling /Rex-Kline/9781 4 62551 910
Luo, J., Du, R., Wang, X., & Luo, L. (2025). The relationship between social support and mental health in athletes: a systematic review and meta-analysis. Frontiers in Psychology, 16, 1642886.
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy, 33(3), 335-343.
Major, S., & Fisher, A. (2019). Double Bind Theory of Family System. In Encyclopedia of Couple and Family Therapy (pp. 1-4). Springer, Cham.
Minuchin, S. (1974). Families and family therapy. Cambridge, MA: Harvard University Press.
Moore, K. L., Munson, M. R., & Jaccard, J. (2024). Ethnic identity and mechanisms of mental health service engagement among young adults with serious mental illnesses. Journal of racial and ethnic health disparities, 11(6), 3917-3929.
Mohammadi Masiri, F., Shafiee Fard, Y., Davari, M., & Besharat, M. A. (2012). The Role of Self-Control, Quality of Relationship with Parents and School Environment in the Mental Health and Antisocial Behavior of Adolescents. Journal of Developmental Psychology Iranian Psychologists, 8(32), 397-404. [In Persian].
Palla, S., Iyengar, D., Dhankar, S., Junnarkar, M., Chand, T., & Nair, V. S. (2025). Evaluation of the biopsychosocial model of health among emerging adults. BMC Psychology, 13(1), 1-11.
Pullman, J., Molloy, L., Beckett, P., & Campbell, S. (2025). Social work, psychiatry the biopsychosocial model and mental health reform. Social Work in Mental Health, 23(1), 80-96.
Rajabi, M., Saremi, A. A., & Bayazi, M. H. (2012). The relationship between religious coping patterns, mental health and happiness. Journal of Developmental Psychology Iranian Psychologists,8(32), 363-371. [In Persian].
Ramage, M., & Shipp, K. (2020). Ludwig von Bertalanffy. In Systems Thinkers (pp. 53-62). London: Springer London.
Roman, N. V., Balogun, T. V., Butler-Kruger, L., Danga, S. D., Therese de Lange, J., Human-Hendricks, A., ... & Olabiyi, O. J. (2025). Strengthening Family Bonds: A Systematic Review of Factors and Interventions That Enhance Family Cohesion. Social Sciences, 14(6), 371.
Sandra, N. (2022). A systematic review of the role of culture in the mental health service utilisation among ethnic minority groups in the United Kingdom. Journal of Mental Health, 22;9:84-93.
Sahbi A, Asghari MJ, Salari RS.(2005). Validation of the Depression Anxiety Stress Scales (DASS-21) for the Iranian population. Journal of Developmental Psychology Iranian Psychologists. 1(4):36–54. [In Persian].
Scheffer, M., Bockting, C. L., Borsboom, D., Cools, R., Delecroix, C., Hartmann, J. A., ... & Nelson, B. (2024). A dynamical systems view of psychiatric disorders—practical implications: a review. JAMA psychiatry, 81(6), 624-630.
Stracke, M., Heinzl, M., Müller, A. D., Gilbert, K., Thorup, A. A. E., Paul, J. L., & Christiansen, H. (2023). Mental health is a family affair—systematic review and meta-analysis on the associations between mental health problems in parents and children during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 20(5), 4485.
Sutherland, D., Flynn, S., Kurzeja, O., Griffin, J., & Hastings, R. (2023). Family‐systems interventions for families of people with an intellectual disability or who are autistic: a systematic review. Journal of Intellectual Disability Research, 67(10), 1003-1028.
Swinkels, L. T. A., Hoeve, M., Ter Harmsel, J. F., Schoonmade, L. J., Dekker, J. J. M., Popma, A., & van der Pol, T. M. (2023). The effectiveness of social network interventions for psychiatric patients: A systematic review and meta-analysis. Clinical Psychology Review, 104, 102321.
Theron, L., Bergamini, M., Chambers, C., Choi, K., Fawole, O. I., Fyneface, F. D., ... & Ungar, M. (2025). Multisystemic resilience and its impact on youth mental health: reflections on co-designing a multi-disciplinary, participatory study. Frontiers in child and adolescent psychiatry, 4, 1489950.
Vicary, E., Kapadia, D., Bee, P., Bennion, M., & Brooks, H. (2025). The impact of social support on university students living with mental illness: a systematic review and narrative synthesis. Journal of Mental Health, 34(4), 463-475.
Viola, E., Martorana, M., Ceriotti, D., De Vito, M., De Ambrosi, D., & Faggiano, F. (2024). The effects of cultural engagement on health and well-being: a systematic review. Frontiers in public health, 12, 1369066.
von Bertalanffy, L. (1968). General System Theory: Foundations, Development, Applications. New York: George Braziller.
World Health Organization. (2022). World mental health report: Transforming mental health for all. https://www.who.int/publications/i/item/9789240049338
World Health Organization. (2025). Mental health statistics 2024: Global trends in mental disorders. https://www.who.int/news-room/fact-sheets/detail/mental-disorders
Yelton, B., Friedman, D. B., Noblet, S., Lohman, M. C., Arent, M. A., Macauda, M. M., ... & Leith, K. H. (2022). Social determinants of health and depression among African American adults: a scoping review of current research. International journal of environmental research and public health, 19(3), 1498.
Zięcina, M., Sokołowski, W., & Ficoń, K. (2022). Maritime safety in the approach of L. von Bertalanffy’s general system theory. Systemy Logistyczne Wojsk, 57(2), 101-126.
