تأثیر ترومای کودکی بر نشانه¬های اختلال وسواسی- جبری با نقش واسطه¬ای خودتنظیم¬گری در بیماران مبتلا به اختلال وسواسی- جبری
محورهای موضوعی : بالینی
خدامراد مومنی
1
(
استاد گروه روان شناسی، دانشکده علوم اجتماعی، دانشگاه رازی، کرمانشاه، ایران.
)
فرناز رادمهر
2
(
دکتری روان شناسی، دانشکده علوم اجتماعی، دانشگاه رازی، کرمانشاه، ایران.
)
جهانگیر کرمی
3
(
دانشیار گروه روان شناسی، دانشکده علوم اجتماعی، دانشگاه رازی، کرمانشاه، ایران.
)
عمران داوری نژاد
4
(
دانشیار گروه روان پزشکی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.
)
کلید واژه: خودتنظیم¬گری, ترومای کودکی, اختلال وسواسی- جبری,
چکیده مقاله :
این پژوهش با هدف بررسی تأثیر ترومای کودکی بر نشانههای اختلال وسواسی- جبری با نقش واسطهای خودتنظیمگری در بیماران مبتلا به اختلال وسواسی- جبری انجام گرفت. در اين پژوهش توصیفی از نوع همبستگی، 300 نفر بیمار مبتلا به اختلال وسواسی- جبری(161 نفر زن و 139 نفر مرد) مراجعهکننده به کلینیکهای عمومی و خصوصی روانپزشکی در سطح شهر کرمانشاه با توجه به معیارهای ورود و خروج و دريافت تشخيص اختلال وسواسی- جبری توسط روانپزشک و بر اساس مصاحبه بالینی ساختاريافته(DSM-5) به شیوه تصادفی با توجه به شماره پروندههای پزشکی آنان، انتخاب شدند. ابزارهای مورد استفاده در این پژوهش شامل مصاحبه بالینی ساختاریافته(SCID-V)، پرسشنامه بازنگری شده اختلال وسواسی- جبری فوا و همکاران(2002) و فرم کوتاه پرسشنامه ترومای کودکی برنشتاین و همکاران(2003) بود. دادهها به وسيله تحليل معادلات ساختاري و نرمافزارهای SPSS-22 و AMOS-24 مورد تجزیه و تحلیل قرار گرفت. يافتهها نشان داد كه مدل پيشنهادي، برازش مناسبي با دادهها دارد. در این مدل، معناداری اثر مستقیم و معنادار هر یک از متغیرهای ترومای کودکی(405/0) و خودتنظیمگری(163/0-) بر اختلال وسواسی- جبری و نیز اثر غیرمستقیم و معنادار ترومای کودکی بر اختلال وسواسی- جبری(712/0) با مقادیر مذکور نشان داده شد(001/0all P s<).
The aim of this study investigated the effect of childhood trauma on the symptoms of obsessive-compulsive disorder with a mediating role of self-regulation in patients with obsessive-compulsive disorder. In this descriptive correlational study, 300 patients with obsessive-compulsive disorder (161 females and 139 males) referred to public and private psychiatric clinics in Kermanshah according to the inclusion and exclusion criteria and receiving a diagnosis Obsessive-compulsive disorder was selected by a psychiatrist based on structured clinical interview (DSM-5) randomly according to the number of their medical records. The instruments used in this study included Structured Clinical Interview (SCID-V), Revised Obsessive-Compulsive Disorder Questionnaire by Foua et al. (2002) and the short form of Bernstein et al.'s (2003) Child Trauma Questionnaire. Data were analyzed by structural equation analysis in SPSS-21 and AMOS-24 software. The findings showed that the proposed model has a good fit with the data. In this model, the significant and direct effect of each of the variables of childhood trauma (0.405) and self-regulation (-0.163) on obsessive-compulsive disorder and also the indirect and significant effect of childhood trauma on obsessive-compulsive disorder (0.712) 0) was shown with the mentioned values (all P s <0.001).
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