پیش¬بینی کفایت اجتماعی بر اساس علائم مثبت و منفی با توجه به نقش میانجی کارکردهای اجرایی در بیماران مبتلا به اسکیزوفرنی
محورهای موضوعی : بالینی
فرناز فرخ زاد
1
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فاطمه ایزدی
2
1 - دانشجوی کارشناسی ارشد، گروه روانشناسی بالینی، واحد خمینی شهر، دانشگاه آزاد اسلامی ، خمینی شهر، اصفهان، ایران.
2 - استادیار، گروه روانشناسی بالینی, واحد خمینی شهر، دانشگاه آزاد اسلامی، خمینی شهر، اصفهان، ایران.
کلید واژه: بیماران مبتلا به اسکیزوفرنی, علائم مثبت و منفی, کارکردهای اجرایی, کفایت اجتماعی.,
چکیده مقاله :
هدف این پژوهش پیش¬بینی کفایت اجتماعی براساس علائم مثبت و منفی با توجه به نقش میانجی کارکردهای اجرایی در بیماران مبتلا به اسکیزوفرنی بود. جامعه آماری شامل تمامی بیماران مبتلا به اسکیزوفرنی بستری در بیمارستان¬های مُدرّس و فارابی شهر اصفهان که در زمان پژوهش، از اسفند 1400 تا مرداد 1401 که در مرحله حادّ بیماری قرار نداشتند، بود. نمونه شامل تعداد 129 بیمار شامل 66 زن و 63 مرد براساس ملاک-های ورود به پژوهش به روش نمونه‌گیری هدفمند انتخاب شد. در پژوهش از پرسشنامه کفایت اجتماعی (Felner,1990)، پرسشنامه کارکردهای اجرایی (Nejati, 2013) مقیاس سنجش علائم مثبت و منفی (Andreasen,1984) استفاده شد. آزمون فرضیه¬ها به روش¬های معادلات ساختاری و تحلیل مسیر انجام شد. نتایج نشان داد مدلِ پیش¬بینی کفایت اجتماعی براساس علائم مثبت و منفی اسکیزوفرنی با نقش میانجیگری عملکردهای اجرایی از برازش مطلوبی برخوردار است و عملکردهای اجرایی می¬تواند نقش میانجیگری را در تأثیر بین متغیرهای علائم منفی و کفایت اجتماعی ایفا نماید(05/0P<). نتایج تحلیل مسیر نشان داد علام منفی، تأثیر منفی و معنادار بر کفایت اجتماعی(01/0P<)، علائم منفی، تأثیر مثبت و معنادار بر عملکردهای اجرایی(01/0P<) و عملکردهای اجرایی، تأثیر منفی و معنادار بر کفایت اجتماعی بیماران مبتلا به اسکیزوفرنی دارد (05/0P<).
The aim of the study was to predict social adequacy based on positive and negative symptoms with the mediating role of executive functions in patients with schizophrenic. The population included all schizophrenic patients in Isfahan who were hospitalized in Modares and Farabi hospitals and were not in the acute stage of the disease at the time of the research. 129 people, i.e. 66 women and 63 men, were selected based on the criteria for entering the study by purposive sampling. Felner's Social Adequacy Questionnaire (1990), Nejati Executive Workers Questionnaire (2013), and Andreessen's Positive and Negative Symptoms Scale (1984) were used. The resulting data were analyzed at two descriptive and inferential levels. Hypotheses were tested using structural equations and path analysis. The results showed that the prediction model of social adequacy based on positive and negative symptoms of schizophrenia with the mediating role of executive functions has a favorable fit and executive functions can play a mediating role in the relationship between variables of negative symptoms and social adequacy (P<0.05). The results of path analysis showed that there is a negative and significant impression between negative symptoms and social competence (P<0.01) a positive and significant impression between negative symptoms and executive functions (P<0.01) between executive functions and social competence of patients, a negative and significant impression with schizophrenia (P<0.05).
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