پیش‌بینی نشخوار فکری بر اساس سازگاری اجتماعی و هیجانی در بیماران مبتلا به وسواس فکری ـ عملی
محورهای موضوعی : تربیتیسمانه بهزادپور 1 , زهرا سادات مطهری 2 , فرامرز سهرابی 3
1 - دانشجوی دکتری روان‌شناسی بالینی دانشگاه شهید بهشتی، تهران، ایران
2 - کارشناس ارشد خانواده درمانی دانشگاه علم و فرهنگ، ایران
3 - عضو هیأت علمی دانشگاه علامه طباطبایی، تهران، ایران
کلید واژه: نشخوار فکری, وسواس فکری ـ عملی, سازگاری هیجانی, سازگاری اجتماعی,
چکیده مقاله :
هدف این پژوهش، پیش‌بینی نشخوار فکری براساس سازگاری اجتماعی و هیجانی در بیماران مبتلا به وسواس فکری ـ عملی بود. روش پژوهش از نوع همبستگی است. جامعۀ آماری همۀ بیماران دچار اختلال وسواس فکری ـ عملی مراجعه‌کننده به مراکز درمانی دولتی شهر تهران در سال 1391 بودند. نمونۀ شامل 50 بیمار بود که به روش نمونه‌گیری در دسترس از بین مراجعان به بیمارستان امام حسین(ع) انتخاب شدند. برای جمع‌آوری داده‌ها از آزمون پاسخ نشخواری (هوکسما و مارو، 1991) و سیاهۀ سازگاری (بل، 1961) استفاده شد. داده‌ها از طریق تحلیل رگرسیون چندگانه و ضریب همبستگی پیرسون تجزیه و تحلیل گردید. ضریب همبستگی پیرسون حاکی از رابطه منفی و معنادار بین سازگار هیجانی و اجتماعی با نشخوار فکری بود(01/0>P ). نتایج تحلیل رگرسیون نشان داد که سازگاری اجتماعی و هیجانی به‌طور معنادار نشخوار فکری را پیش‌بینی می‌کنند (05/0>P ). بنابراین با درمان‌هایی که به افزایش سازگاری هیجانی و اجتماعی کمک می‌کنند، می‌توان از بروز نشخوارهای فکری در بیماران مبتلا به وسواس فکری عملی جلوگیری کرد.
The aim of this research was to predict rumination based on social and emotional adjustments in patients with obsessive-compulsive disorder (OCD). The research employed a correlational method. The statistical population comprised all patients with OCD who referred to public therapeutic clinics in Tehran in 2012. The sample consisted of 50 patients who were selected by available sampling method from patients who referred to Emam Hossein hospital. Ruminative Response Scale and Bell Adjustment Inventory were used to gather data. Data were analyzed by multiple regression analyses and Pearson correlation coefficient. The results of multiple regression analyses indicated that social and emotional adjustment can predict rumination significantly (P<0.05). So, using treatments to help patients to increase their social and emotional adjustments, we can prevent rumination in patients with obsessive-compulsive disorder.
Armstrong, T., Zald, H., Olatunji, O. (2011). Attentional control in OCD and GAD: Specificity and associations with corecognitive symptoms. Behaviour Research and Therapy, 49(11),756-62.
Arbuthnott, E., Lewis, P. & Bailey, N. (2015). Rumination and Emotions in Nonsuicidal Self-Injury and Eating Disorder Behaviors: A Preliminary Test of the Emotional Cascade Model. Journal of Clinical Psychology, 71(1), 62–71
Bell, H.M. (1962). The Adjustment Inventory, Consulting Psychologists Press, INC. Palo Alto, California
Calmes, C., Roberts, J.E. (2007). Repetitive thought and emotional distress: rumination and worry as prospective predictors of depressive and anxious symptomatology. Journal of Cognitive Therapy and Research, 30(3), 343-56.
Davis, R.N., Nolen- Hoeksema, S. (2000). Cognitive inflexibility among ruminators and nonruminators. Cognitive Therapy and Reserch, 24, 699-711.
Davies, M.I., & Clark, D.M. (1998). Thought suppression produces a rebound effect with analogue posttraumatic intrusions. Behavior Research and Therapy, 36, 571-582.
Fresco, D.M., Frankel, A.N., Mennin, D.S., Turk, C.L., Heimberg, R.G. (2002). Distinct and overlapping features of rumination and worry: The relationship of cognitive production to negative affective states. J Cognitive Therapy and Research, 26(2), 179-88.
Garnefski, N., Kraaij, v. (2006). Relationships between cognitive emotion regulation strategies and depressive symptoms: a comparative study of five specific samples. Personality and Individual Differences, 40, 1659-1669.
Grisham, J.R., Williams, A.D. (2009). Cognitive control of obsessional thoughts. Behaviour Research and Therapy, 47, 395-402.
Henin, A., Savage, C. R., Rauch, S. (2001). Is age at symptom onset Associated with swvwrity of memory impairment in adults with OCD. American journal therapy, 158 (1),137-139.
Joormann, J. (2006). Differentioal effect of rumination and dysphoria on the inhibition of irrelevant emotional material: Evidance from a negative priming task. Cognitive and Research Therapy, 30, 149-160.
Joormann, J., & Gotlib, I.H. (2010). Emotion regulation in depression: Relation to cognitive inhibition. Cognition & Emotion. 2010; 24(2): 281-298.
Koçak, C. & Önen, A. (2014). The Analysis On Interpersonal Relationship Dimensions Of Secondary School Students According To Their Ruminative Thinking Skills. Social and Behavioral Sciences, 143, 784 – 787
Lanciano, T., Curci, A. & Zatton, E. (2012). Why do some people ruminate more or less than others? The role of Emotional Intelligence ability. Europe’s Journal of Psychology, 265-84
Lin, N.& Ensel, W.M. (1999). Social support and depressed mood: A structural analysis. Journal of Health and Social Behavior, 3,44-59.
Luminet, O. (2004). Measurment of Depressive Rumination and Associated Constructs. In C. Papageorgiou & A. Wells (Eds.), Depressive Rumination: Nature, Theory and Treatment. New York: Wiley.
Marroquín, B. (2011). Interpersonal emotion regulation as a mechanism of social support in depression. Clinical Psychology Review, 31, 1276– 1290.
Muris, P., Roelofs, J., Meesters, C., Boomsma, P. (2004). Rumination and worry in non-clinical adolescents. J Cognitive Therapy and Research, 28(4), 539–554.
Nolen-Hoeksema, S. (2000). The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. J Abnormal Psychology, 109(3), 504-511.
Nolen-Hoeksema, S., McBride, A., Larson, J. (1997). Rumination and psychological sidtress among bereaved partners. Journal of personality and social psychology, 72, 855-862
Pennebaker, J.W. (1990). Opening up: The healing power of confiding in others. New York: Morrow.
Richards, J.M., & Gross, J.J. (1999). Composure at any cost? The cognitive consequences of emotion suppression. Personality and Social Psychology Bulletin, 25, 1033-1044.
Sadock, B.J., Sadock, V.A. (2003). Synosis of psychiatry. Philadelphia: Lippincott William a Wilkins.
Segerstrom, S.C., Tsao, J.C.I., Alden, L.E., Craske, M.G. (2000). Worry and rumination: Repetitive thought as a concomitant and predictor of negative mood. J Cognitive Therapy and Research, 24(6), 671–688.
Smith, J.M., Alloy, L.B. (2009). A roadmap to rumination: A review of the definition, assessment, and conceptualization of this multifaceted construct. J Clinical Psychology Review, 29(2), 116–128.
Spaogevic, J., Alloy, L.B. (2003). Interpetsonal Consequences of a Ruminative Response Style. Manuscript in prepaeation, Temple University.
Turner L, McLaren S. (2011). Social support and sense of belonging as protective factors in the rumination-depressive symptoms relation among Australian women. Women Health, 51(2), 151-67
Wang J, Patten S. Psychiatric Briefs. Can J Psychiatr. 2002;47:167-73.
Wellen D, Samuels J, Bienvenu OJ, Grados M, Cullen B, Riddle M, and et al. (2007). Utility of the Layton Obsession Inventory to distinguish OCD and OCPD. Depress Anxiety, 24: 301-306
