بررسی روابط ساختاری طرحواره های ناسازگار اولیه با میانجی گری اضطراب و فرا نگرانی با اختلال بد شکلی بدن

محمدرضا اسمعیل نیا, یار علی دوستی, بهرام میرزاییان

چکیده


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زمینه و هدف: با توجه به تغیرات فرهنگی و اجتماعی جامعه و تغییر نگرش افراد به زیبایی و توجه افراد به ظاهر و گرایش به ایجاد تغییرات به منظور رسیدن به زیبایی ، نگرانی در مورد ظاهر و تصویر بدنی تحریف شده می تواند مشغله ذهنی به بدن را ایجاد و افراد را مستعد اختلال بد شکلی بدنی نماید. هدف پژوهش حاضر، تعیین روابط ساختاری طرحواره های ناسازگار اولیه و اختلال بد شکلی بدن به میانجی گری اضطراب و فرا نگرانی بود.

روش و مواد: در این مطالعه توصیفی- همبستگی تعداد 300 نفر از زنان که در یک بازه زمانی شش ماهه، به مراکز درمانی پوست و مو شهرستان قائمشهر مراجعه کرده بودند به روش نمونه گیری در دسترس انتخاب و مورد بررسی قرار گرفتند. ابزار اندازه گیری شامل پرسشنامه اختلال بدشکلی بدن، پرسشنامه طرحواره های ناسازگار اولیه، پرسشنامه افکار اضطرابی (فرانگرانی) و آزمون اضطراب بود. تجزیه و تحلیل داده ها به روش معادلات ساختاری و با استفاده از نرم افزار SPSS-22 و لیزرل 8.80 انجام گرفت.

یافته ها: : میانگین (انحراف معیار) سن شرکت کنندگان، (4/2) 22 سال بود. با بالا رفتن نمره طرحواره ناسازگار با میانگین (انحراف معیار) (5/0) 5/3 میزان اختلال بدشکلی بدنی با میانگین (انحراف معیار) (5/0) 7/3 افزایش یافت(001/0>P). با افزایش میزان متغیر اضطراب با میانگین (انحراف معیار) (5/0) 5/3 و فرانگرانی با میانگین (انحراف معیار) (6/0) 6/3 به عنوان متغیرهای میانجی، تأثیر طرحواره ناسازگار اولیه بر اختلال بدشکلی بدن، نسبت به رابطه مستقیم بین آنها بیشتر شد (001/0>P).

نتیجه گیری: مطالعه نشان داد که با افزایش نمره طرحواره ناسازگار میزان اختلال بدشکلی بدنی افزایش یافت و با افزایش میزان متغیر اضطراب و افکار اضطرابی به عنوان متغیرهای میانجی، تأثیر طرحواره ناسازگار اولیه بر اختلال بدشکلی بدن، نسبت به رابطه مستقیم بین آنها بیشتر شد.

 

Abstract

Background and Objective: Considering the cultural and social changes of the society and the attitudes of people towards beauty and the attention of people to appearances and tendency to make changes in order to achieve beauty, concern with appearances and distorted physical image could be preoccupy people with their body and make them prone to body dysmorphic disorder. The purpose of this study was to determine structural relationships between early maladaptive schemas and body dysmorphic disorder mediated by anxiety and over-concern.

Materials and Methods: In this descriptive-correlational study, 300 women at dermatology clinic in Qaemshahr during a 6-month period were selected by convenience sampling method. Data were collected via practical obsessive-compulsive questionnaire, initial maladaptive schema, anxiety inventory, and anxiety test. Data analysis was carried out using SPSS-22 and Lisrel 8.80 software by structural equations.

Results: The mean (SD) age of participants was 22 (2.4). Increased scandal score with mean (SD) of 3.5 (0.5) was associated with increased physical deformity score with mean (SD) of 3.7 (0.5) (P<0.001). Increased anxiety score with mean (SD) of 3.5 (0.5) and over-concern score with a mean (SD) of 3.6 (0.6) as intermediary variables, the effect of early maladaptive schemas on body dysmorphic disorder was increased compared to their direct relationship (P<0.001).

Conclusion: The study showed that increasing score of maladaptive scales resulted in increased score of deformity disorder. In addition, increased score of anxiety and anxiety thoughts as intermediary variables, resulted in increased effect of early maladaptive schema on dysmorphic body disorder compared to the direct relationship between them.

Keywords: Early maladaptive schemas, Anxiety, Over-concern, Body dysmorphic disorder.


موضوع


طرحواره های ناسازگار اولیه، اضطراب، فرا نگرانی، اختلال بد شکلی بدن

تمام متن:

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DOI: https://doi.org/10.22037/ch.v6i1.23611

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