A structural model in explaining the relationship between attachment styles and obsessive-compulsive symptoms in female students of Talented( Farzangan) high schools based on the mediating role of self-compassion
Subject Areas : general PsychologyFereshteh Najjarpoor 1 , Mahmood Sharifi Esfahani 2
1 - Master of Family Counseling, Counseling Department, Khomeini Shahr Branch, Islamic Azad University, Khomeini Shahr, Isfahan, Iran. fereshteh.najarpoor.1361@gmail.com
2 - (Corresponding Author) PhD in Family Counseling, Assistant Professor, Counseling Department, Khomeini Shahr Branch, Islamic Azad University, Khomeini Shahr, Isfahan, Iran, es.sharifi@iakhsh.ac.ir, tell: 09132172196
Keywords: attachment styles, self-compassion, Symptoms of obsessive-compulsive,
Abstract :
Abstract Introduction: Considering the importance of the occurrence of obsessive-compulsive symptoms among students in terms of the fact that it affects their academic, behavioral and social performance and its prevalence, the present study aims to provide a structural model to explain the relationship between attachment styles and obsessive-compulsive symptoms. Intellectual-practical in adolescent girls of gifted schools (Farzangan) took place with the mediating role of self-compassion. Researh method: This study is of correlational type, and the structural equation method (Amos26) was used to analyze the data. The statistical population of this research included the female students of the first and second year of Farzanegan Khomeinishahr schools in the academic year of 1402-1401, from which 220 people were selected as a Maudsley was used by Hodgson-Rachman, the 26-question self-compassion questionnaire by Neff et al. and the attachment questionnaire by Collins and Reed. Results: The results of the research showed that the total path coefficient (sum of direct and indirect path coefficients) between anxious attachment and obsessive-compulsive symptoms (β= 0.371, P=0.001)was positive and the total path coefficient between secure attachment and obsessive-compulsive symptoms (β=-0.398, P=0.001) is negative and significant. The path coefficient between self-compassion and obsessive-compulsive symptoms (β=-0.429, P=0.001) was also negative and significant. Conclusion: the results based on the proposed model showed that self-compassion has a significant mediating role in the relationship between secure and anxious attachment styles with obsessive-compulsive symptoms. By emphasizing the indicators of self-compassion as much as possible, the intensity of the symptoms of intellectual-practical obsession in gifted school students can be reduced. © 2020 The Author(s). This work is published by family and health as an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/4.0/). Non-commercial uses of the work are permitted, provided the original work is properly cited.
1- Ghafoori Asar T., Tajalli P., Ebrahimpoor M. Determining the relationship between life expectancy and self-regulation with academic performance mediated by students' academic vitality. Family and Health, 2021; 11(3): 48-59. (In Persian) https://dorl.net/dor/20.1001.1.23223065.1400.11.3.3.0
2- Dunne M.P., Sun J., Do N., Truc T.T., Loan K.X., Dixon J. The influence of educational pressure on the mental health of adolescents in East Asia: Methods and tools for research. Journal of Sciences, 2010; 61:109-122. https://www.researchgate.net
3- Fallahiyeh S, Fatehizadeh M, Abedi A, Diyarian M.M. The Effect of Intervention Based on Dweck’s Mind Set on Academic Expectations Stress among Gifted and Talented School Students. Journal of cognitive psychology (in Persian). 2020; 8(2):46-57. Available from: https://sid.ir/paper/400881/en.
4- Karimi J., Homayouni A., Homayouni F. The prediction of health anxiety based on experiential avoidance and anxiety sensitivity among non-clinical population. Journal of Research in Psychological Health, 2019; 12(4): 66-79.(text in persian) http://rph.khu.ac.ir/article-1-3305-en.html
5- Rohrs BR, Gangewere B, Kaplan AL, Chopra AM. Anxiety, obsessive-compulsive, and related disorders. Management of Sleep Disorders in Psychiatry. 2020 Oct 27:318. books.google.com
6- Segalàs C, Labad J, Salvat-Pujol N, Real E, Alonso P, Bertolín S, Jiménez-Murcia S, Soriano-Mas C, Monasterio C, Menchón JM, Soria V. Sleep disturbances in obsessive-compulsive disorder: influence of depression symptoms and trait anxiety. BMC psychiatry. 2021 Dec; 21:1-0.https://link.springer.com/article/10.1186/s12888-021-03038-z
7- Adams TG, Kelmendi B, Brake CA, Gruner P, Badour CL, Pittenger C. The role of stress in the pathogenesis and maintenance of obsessive-compulsive disorder. Chronic Stress. 2018 Feb; 2:2470547018758043. https://doi.org/10.1177/2470547018758043
8- Ameri N, Najafi M. Prediction of obsession and compulsion symptoms based on anxiety sensitivity, psychological distress and psychological flexibility in students. Rooyesh-e-Ravanshenasi Journal (RRJ). 2021 Feb 10; 9(12):85-96. (In Persian) http://dorl.net/dor/20.1001.1.2383353.1399.9.12.13.8
9- Ameri N., Najafi M. The Mediating Role of Psychological Distress (stress, anxiety and depression) in the Relationship between Experiential Avoidance and Obsessive-Compulsive Symptoms. Journal of Psychological Studies, 2022; 17(4): 11-31. (In Persian) .doi: 10.22051/psy.2021.34131.2367
10- Nuckols CC, Nuckols CC. The diagnostic and statistical manual of mental disorders, (DSM-5). Philadelphia: American Psychiatric Association. 2013. http://www.cnuckols.com/
11- Najafi Fard T, Gholami M, Mohammadi Malek Abadi A. Obsessive Compulsive Disorder in Adolescents. J Except Educ 2018; 4 (153): 65-72. (In Persian). https://exceptionaleducation.ir/article-1-1414-en.html
12- Hazan C, Shaver PR. Attachment as an organizational framework for research on close relationships. Psychological inquiry. 1994 Jan 1; 5(1):1-22. https://doi.org/10.1207/s15327965pli0501_1
13- Hazan C, Shaver P. Romantic love conceptualized as an attachment process. InInterpersonal development, 2017; 30: 283-296. Routledge. taylorfrancis.com
14- Hodny F, Prasko J, Ociskova M, Vanek J, Holubova M, Sollar T, Nesnidal V. Attachment in patients with an obsessive-compulsive disorder. Neuroendocrinology Letters. 2021 Jan 1; 22(5):283-91. researchgate.net
15- Johnson SM, Makinen JA, Millikin JW. Attachment injuries in couple relationships: A new perspective on impasses in couple's therapy. Journal of marital and family therapy. 2001 Apr; 27(2): 145-55. https://doi.org/10.1111/j.1752-0606.2001.tb01152.x
16- Ahadi B. Relationship between loneliness and self-esteem with students’ attachment styles. Journal of Psychological Studies, 2009•psychstudies.alzahra.ac.ir 2009 Mar 21; 5(1):95-112. (In Persian)
17- FitzGerald KM. Attachment and Reassurance Seeking in Obsessive-Compulsive Disorder, Doctoral dissertation, Swinburne University of Technology. 2018, researchbank.swinburne.edu.au
18- Pakoofteh A, Akhlaghi H. The relationship between attachment style, defense mechanisms and rumination with obsessive beliefs in women. Rooyesh 2018; 6 (4): 197-216. (In Persian) .URL: http://frooyesh.ir/article-1-326-en.html
19- Ahadi B., Azizinezhad F, Narimani M., Berahmand O.. Explaining the Role of Attachment styles and Defensive Mechanisms in Obsession--Compulsion Disorder. Internationa Jornal of Behavioral Sciences.2009; 2(4): 339-343.(in persian)
20- Falsafi SH, Asgari M, Kordestani D. Development of a structural model of obsessive-compulsive disorder based on early maladaptive schemas, attachment styles and defense mechanisms. Medical journal of Mashhad university of medical sciences. 2022 May 22; 65(2):579-92. (In Persian). https://doi.org/10.22038/mjms.2022.63844.3745.
21- Eichholz A, Schwartz C, Meule A, Heese J, Neumüller J, Voderholzer U. Self‐compassion and emotion regulation difficulties in obsessive–compulsive disorder. Clinical psychology & psychotherapy. 2020 Sep; 27(5):630-9. https://doi.org/10.1002/cpp.2451
22- Chase TE, Chasson GS, Hamilton CE, Wetterneck CT, Smith AH, Hart JM. The mediating role of emotion regulation difficulties in the relationship between self-compassion and OCD severity in a non-referred sample. Journal of Cognitive Psychotherapy. 2019 Apr 24; 33(2): 157-68, https://connect.springerpub.com/content/sgrjcp/33/2/157. Doi: 10.1891/0889-8391.33.2.157.
23- Gilbert P. Introducing compassion-focused therapy. Advances in Psychiatric Treatment. 2009; 15(3):199–208. doi:10.1192/apt.bp.107.005264
24- Ataei Nasab M, Safarzadeh S, Talebzadeh Shoushtari M. Academic Well-Being in Students with Physical-Motor Disabilities: Examining the Mediating Role of School Belonging, Self-Compassion, and Academic Self-Efficacy. International Journal of School Health. 2023 Oct 1; 10(4):189-96. (In Persian). https://doi.org/10.30476/intjsh.2023.99096.1316
25- Neff KD, Rude SS, Kirkpatrick KL. An examination of self-compassion in relation to positive psychological functioning and personality traits. Journal of research in personality. 2007 Aug 1; 41(4):908-16. https://doi.org/10.1016/j.jrp.2006.08.002
26- Neff KD, Hsieh YP, Dejitterat K. Self-compassion, achievement goals, and coping with academic failure. Self and identity. 2005 Jul 1; 4(3):263-87. https://doi.org/10.1080/13576500444000317
27- Robbins SB, Lauver K, Le H, Davis D, Langley R, Carlstrom A. Do psychosocial and study skill factors predict college outcomes? A meta-analysis. Psychological bulletin. 2004 Mar; 130(2): 261. https://psycnet.apa.org/doi/10.1037/0033-2909.130.2.261
28- Neff KD. The science of self-compassion. Compassion and wisdom in psychotherapy. 2012; 1: 79-92. Soundstrue-ha.s3.amazonaws.com
29- Hodgson RJ, Rachman S. Obsessional-compulsive complaints. Behaviour research and therapy. 1977 Jan 1; 15(5): 389-95. pubmed.ncbi.nlm.nih.gov
30- Hodny F, Prasko J, Ociskova M, Vanek J, Holubova M. Attachment in patients with an obsessive compulsive disorder. Neuro Endocrinology Letters. 2021 Sep; 42(5):283-291. PMID: 34506091. nel.edu
31- Collins NL. Revised adult attachment scale. Behavior therapy. 1996. https://psycnet.apa.org/doi/10.1037/t19162-000
32- Pak Daman S, "Investigating the relationship between attachment and sociability in adolescence," Journal of Psychological Sciences, 2005; 3(9): 25-47, (in Persian) Available: https://sid. ir/paper/443598/fa
33- Homan H. Knowing the scientific method in behavioral sciences. Tehran: Samit Publications. Sixth edition. 2014 (In Persian) https://samta.samt.ac.ir
34- Homan H. Structural equation modeling using Lisrel software. Tehran: Samit Publications. Third edition, 2013 (in Persian).https://samta.samt.ac.ir
35- Neff KD. The development and validation of a scale to measure self-compassion. Self and identity. 2003 Jul 1; 2(3): 223-50. https://doi.org/10.1080/15298860309027
36- Ghassemzadeh H, Mojtabai R, Khamseh A, Ebrahimkhani N, Issazadegan AA, Saif-Nobakht Z. Symptoms of obsessive-compulsive disorder in a sample of Iranian patients. International Journal of Social Psychiatry. 2002 Mar; 48(1): 20-8. https://doi.org/10.1177/002076402128783055. (In Persian)
37- Ling BE. Obsessive compulsive disorder research. Nova Publishers; 2005. books.google.com
38- Salkovskis PM. Obsessions, compulsions and intrusive cognitions. Measuring human problems: A practical guide. New York: John Wiley. 1990:119-142. books.google.com
39- Burns GL, Keortge SG, Formea GM, Sternberger LG. Revision of the Padua Inventory of obsessive compulsive disorder symptoms: Distinctions between worry, obsessions, and compulsions. Behaviour research and therapy. 1996 Feb 1; 34(2): 163-73. https://doi.org/10.1016/0005-7967(95)00035-6
40- Tabachnick BG, Fidell LS. Experimental designs using ANOVA. Belmont, CA: Thomson/Brooks/Cole; 2007 Dec 6. researchgate.net
41- Kline RB. Principles and practice of structural equation modeling, edition 4, Guilford press, New York & London; 2016. books.google.com
42- Meyers LS, Gamst G, Guarino AJ. Applied multivariate design and interpretation thousand oak; 2006