نقش میانجیگر حساسیت به پاداش در روابط سوگیری حافظه ای مرتبط با مانیا و حافظه ی کاری بر بهبودی از اختلال دوقطبی نوع یک
محورهای موضوعی : روش ها و مدل های روانشناختی
نگین انباری میبدی
1
(دانشجو دکتری روان‎شناسی، دانشکده روان‎شناسی و علوم تربیتی، دانشگاه محقق اردبیلی، اردبیل، ایران.)
سجاد بشرپور
2
(استاد گروه آموزشی روان‎شناسی، دانشکده روان‎شناسی و علوم تربیتی، دانشگاه محقق اردبیلی، اردبیل، ایران)
محمد نریمانی
3
(استاد گروه آموزشی روان‎شناسی، دانشکده روان‎شناسی و علوم تربیتی، دانشگاه محقق اردبیلی، اردبیل، ایران)
کلید واژه: "حساسیت به پاداش", "سوگیری حافظهای مرتبط با مانیا", "حافظه کاری", "اختلال دوقطبی نوع یک",
چکیده مقاله :
مقدمه: هدف پژوهش حاضر بررسی نقش میانجیگر حساسیت به پاداش در روابط سوگیری حافظهای مرتبط با مانیا و حافظهی کاری بر بهبودی از اختلال دوقطبی نوع یک است.
روش: این مطالعهی مقطعی با روش نمونهگیری در دسترس روی 126 بیمار مبتلا به اختلال دوقطبی نوع یک در فاز شیدایی که به مطبهای روانپزشکی مراجعه کرده بودند، انجام شد. افراد نمونه 30 روز پس از پر کردن پرسشنامهها و سنجش اولیه، مورد سنجش مجدد شدت مانیا قرار گرفتند. برای سنجش افراد از پرسشنامه محقق ساخته، مقیاس برداشت کلی بالینی برای اختلال دوقطبی، مقیاس درجه‌بندی مانیای یانگ، آزمون یادگیری کلامی شنیداری هیجانی، آزمون حافظهی کاری دانیمن و کارپنتر و مقیاس حساسیت به پاداش و تنبیه استفاده شد. دادهها با مدل معادلات ساختاری و با نرمافزار Smartpls-3 تحلیل شدند.
یافته ها: نتایج نشان میدهند سوگیری حافظهای مرتبط با مانیا بر بهبودی از اختلال تاثیر معنیدار ندارد ولی بر حساسیت به پاداش تاثیر مثبت و معنیدار دارد. همچنین حافظهی کاری بر حساسیت به پاداش تاثیر معنیدار ندارد ولی بر بهبودی از اختلال تاثیر معنیدار و مثبت دارد. حساسیت به پاداش، تحت تاثیر سوگیری حافظهای مرتبط با مانیا بر بهبودی از اختلال تاثیر معنیدار و منفی دارد.
نتیجه گیری: میتوان با راهکارهایی در جهت کاهش حساسیت به پاداش و افزایش حافظهی کاری برای بهبود اختلال دوقطبی نوع یک سود جست.
واژه های کلیدی: حساسیت به پاداش، سوگیری حافظهای مرتبط با مانیا، حافظه کاری، اختلال دوقطبی نوع یک
Introduction: The aim of this study was to investigate the mediating role of reward sensitivity in the relationships between mania-related memory bias and working memory on recovery from bipolar I disorder.
Method: This cross-sectional study was performed by available sampling method on 126 patients with bipolar I disorder in the manic phase who were referred to psychiatric offices. Sample subjects were reassessed for mania severity 30 days after completing the questionnaires and initial assessment. A researcher-made questionnaire, Clinical Global Impressions Scale for Bipolar Disorder, Young Mania Rating Scale, Emotional Auditory Verbal Learning Test, Daneman & Carpenter Working Memory Test, and the Sensitive to Reward and Sensitive to Punishment Scale were used to assess individuals. Data were analyzed using structural equation modeling and Smartpls-3 software.
Results: The results show that mania-related memory bias has no significant effect on recovery from the disorder but has a positive and significant effect on reward sensitivity. Also, working memory does not have a significant effect on reward sensitivity, but it has a significant and positive effect on recovery from the disorder. Reward sensitivity under the influence of mania-related memory bias has a significant and negative effect on recovery from the disorder.
Conclusion: Strategies for reducing reward sensitivity and increasing working memory can be used to recovery from bipolar I disorder.
Keywords: reward sensitivity, mania-related memory bias, working memory, type 1 bipolar disorder
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