مدل ساختاری حساسیت بین‌فردی بر اساس ترومای دوران کودکی باتوجه‌به نقش واسطه احساس ناکامی و ناامیدی در دانشجویان زن علوم پزشکی
الموضوعات : فصلنامه زن و جامعه
سید مهدی سرکشیکیان
1
,
احمد رضا خلج
2
,
مرضیه یاری زنگنه
3
1 - دکتری تخصصی روانشناسی تربیتی، گروه روانشناسی تربیتی، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران (نویسنده مسئول)
2 - دانشجوی کارشناسی ارشد روان شناسی بالینی، واحد علوم پزشکی قم، دانشگاه آزاد اسلامی، قم، ایران
3 - استادیار گروه علم اطلاعات و دانششناسی، واحد مرودشت، دانشگاه آزاد اسلامی، مرودشت، ایران
الکلمات المفتاحية: ترومای دوران کودکی, احساس ناکامی, ناامیدی دانشجویان زن, حساسیت بین‌فردی,
ملخص المقالة :
هدف: هدف از انجام پژوهش، آزمون برازندگی مدل ساختاری حساسیت بین‌فردی بر اساس ترومای دوران کودکی باتوجه‌به نقش واسطه احساس ناکامی و ناامیدی در دانشجویان زن در دانشجویان علوم‌پزشکی دانشگاه آزاد استان قم بود.
روش: این پژوهش در زمره پژوهش‌های بنیادین و از نوع توصیفی _ همبستگی و مدل‌یابی معادلات ساختاری بود. جامعه آماری پژوهش را کلیه دانشجویان زن علوم‌پزشکی دانشگاه آزاد اسلامی قم تشکیل دادند که در سال تحصیلی 1401-1402 مشغول به تحصیل بودند. حجم نمونه به تعداد 200 نفر در نظر گرفته شد که به شیوه نمونه‌گیری در دسترس به پژوهش وارد شدند. برای گردآوری داده‌ها از پرسش‌نامه‌های ترومای دوران کودکی برنستاین و همکاران (2003)، پرسش‌نامه حساسیت بین‌فردی بایس و پارکر (1989)، پرسش‌نامه احساس ناکامی گیلبرت و آلن (1998) و پرسش‌نامه احساس ناامیدی بک (1974) به شکل مستقیم برای اندازه‌گیری و گردآوری اطلاعات استفاده شد. داده‌های گردآوری شده به روش ماتریس همبستگی و مدل‌یابی معادلات ساختاری تحلیل شد. از نرم‌افزار spss26 و pls3 برای آنالیز داده‌ها استفاده شد.
یافته‌ها: یافته‌های پژوهش نشان داد شاخص‌های مدل پیشنهادی از برازش قابل‌قبولی برخوردار است. نتایج نشان داد در سطح 95/0 درصد اطمینان احساس ناکامی و ناامیدی اثر مستقیم بر حساسیت بین‌فردی دانشجویان زن دارند و ترومای دوران کودکی اثر مستقیم بر حساسیت بین‌فردی نداشت. نتایج بوت استروپ مشخص کرد ترومای دوران کودکی اثر غیرمستقیم به‌واسطه احساس ناکامی بر حساسیت بین‌فردی دانشجویان زن دارند.
نتیجه‌گیری: ترومای دوران کودکی و احساس ناکامی و ناامیدی می‌توانند حساسیت بین‌فردی را به شکل مستقیم و غیرمستقیم تحت‌تأثیر قرار دهند.
1-Hamidi F, Hasanpour Khademi F. The effect of psycho-demonstrating on social and interpersonal anxiety of female teenagers in the second year of high school. Knowledge and research in applied psychology. 2022; 23(87),125-136. Doi: 10.30486/JSRP.2020.1880492.2099. [In Persian].
2- You Z, Zhang Y, Zhang L, Xu Y, Chen X. How does self-esteem affect mobile phone addiction? The mediating role of social anxiety and interpersonal sensitivity. Psychiatry research. 2019 Jan 1; 271:526-31. https://doi.org/10.1016/j.psychres.2018.12.040
3- Slanbekova GK, Chung MC, Karipbaev BI, Sabirova RS, Alimbayeva RT. Posttraumatic stress and interpersonal sensitivity: Alexithymia as mediator and emotional expressivity as moderator. Psychiatric quarterly. 2019 Mar 15; 90:249-61. DOI: https://doi.org/10.1007/s11126-018-9612-5
4- Anli G. Investigating the Relationship between Sense of Classroom Community and Interpersonal Sensitivity. International Journal of Progressive Education. 2019; 15(5),371-9. https://doi.org/10.29329/ijpe
5- Ahmadi Z, Amiri S, Kalantari M, Abedi MR, Molavi H. Cognitive Emotion Regulation Strategies Profile in students with high and low interpersonal sensitivity. Contemporary Psychology. 2020; 14(2), 15-25 Doi:10.29252/bjcp.14.2.15. [In Persian].
6-Ho GW, Chan AC, Chien WT, Bressington DT, Karatzias T. Examining patterns of adversity in Chinese young adults using the Adverse Childhood Experiences—International Questionnaire (ACE-IQ). Child abuse & neglect. 2019; Feb 1; 88,179-88. doi: 10.1016/j.chiabu.2018.11.009. Epub 2018 Dec 2.
7-Cuijpers P. The Challenges of Improving Treatments for Depression. JAMA. 2019; 320(24):2529–2530. doi:10.1001/jama.2019.17824
8- Salehian M, Makari S, Dastani S, Kiyomarthi, I. The effect of adverse childhood experiences, psychological distress and resilience on the depression of amateur athletes. Cognitive Psychology and Psychiatry, 2022; 9(2), 106-116. doi:10.32598/shenakht.9.2.106 . [In Persian].
9-Afifi TO, Taillieu T, Salmon S, Davila IG, Stewart-Tufescu A, Fortier J, Struck S, Asmundson GJG, Sareen J, MacMillan HL. Adverse childhood experiences (ACEs), peer victimization, and substance use among adolescents. Child Abuse Negl. 2020 Aug; 106,104504. doi: 10.1016/j.chiabu.2020;104504. Epub 2020 May 8. PMID: 32402816.
10-Hardy, A., Van de Giessen, I., Van den Berg, D. Chapter 10: Trauma, Posttraumatic Stress, and Psychosis. In J. C. Badcock & G. Paulik (Eds.) , a clinical introduction to psychoses: Foundations for clinical psychologists and neuropsychologists .2020; (pp. 223–243). Elsevier Academic Press. https://doi.org/10.1016/B978-0-12-815012-2.00010-9
11-Thomson P., Jaque, S.V. Creativity, Trauma, and Resilience. Lexington Books, Lanham, aryland.2019;https://www.amazon.com/Creativity-Trauma-Resilience-Paula-Thomson/dp/1498560202
12-Kwon SS, Jang Y, You JS, Lee CW, Yu H, Yoon J, Park YS, Ryoo HA, Lee D, Cho N, Ihm HK. Interpersonal sensitivity and childhood trauma in patients with major depressive disorder, bipolar I, and II disorder. European Archives of Psychiatry and Clinical Neuroscience. 2023; May 17,1-1. DOI: 10.1007 / s00406-023-01619-5
13-Ahmadboukani S, Qamari Givi H, Kayani A, Rezaei Sharif A. Childhood experiences and depressive-suicidality syndrome: Investigating the mediating role of rumination and neutral belongingness. Law enforcement medicine, 2021;11(1), 0-0. Doi: 10.30505/11.1.2
14- Lasani S, Shahqalian M, Sarafaraz, M R, Abdullahi, Mohammad H. Predicting pathological narcissism based on childhood trauma and by deficits in self-compassion and shame. Journal of Psychological Sciences, 2021; 20(97), 77-87. [In Persian].
15-Hooshmandi F, Naemi A. The effectiveness of selfforgiveness training with a religious approach on vitality and failure tolerance of mothers of children with intellectual and developmental disabilities, J Modern Psychol Res ,2019;13(52):305-26. Dor: 20.1001.1.27173852.1397.13.52.15.9. [In Persian].
16-Ramirez-Castillo D, Garcia-Roda C, Guell F, Fernandez-Montalvo J, Bernacer J, Morón I. Frustration tolerance and personality traits in patients with substance use disorders. Front Psychiatr. 2019; 1-12. https://doi.org/10.3389/fpsyt.2019.00421
17-McLaurin-Jiang S, Hannon EA, Seashore C, Orr CJ, Ritter V, Flower KB. Recent trends in infant car seat tolerance screening failure within a large health care system, 2014–2018. Hospital Pediatrics. 2019; 9(10), 813-7. DOI: 10.1542/hpeds.2019-0078
18-Khezri Moghadam N, Tashk A. The Effectiveness of Parent Management Training (PMT) on Frustration Tolerance and Adjustment of Adolescent Girls. Rooyesh-e-Ravanshenasi Journal (RRJ). 2020; 9(8),111-22. Dor: 20.1001.1.2383353.1399.9.8.10.7. [In Persian].
19-Khakpour N, Mohamadzadeh Edmelaie R A, Sadeghi J, Nazoktabar H. The Effectiveness of Cognitive-Social Problem Solving Skills Training on Coping Strategies and Feelings of Failure in Female Adolescents with High-Risk Behaviors. IRANIAN JOURNAL OF PSYCHIATRIC NURSING (IJPN).2021; 9(1),77-88. Available from: URL: http://ijpn.ir/article-1-1734-en.html. [In Persian].
20- Molaei Yasavoli M, Fadakar Gabloo P, Khanjani Veshki S, Ahmad Bukani S. Psychometric properties of the Interpersonal Hopelessness Scale (IHS) in high school students. Research in Cognitive and Behavioral Sciences. 2021; Sep 23; 11(2),163-74.Doi: 10.22108/CBS.2022.129673.1556. [In Persian].
21-Brennan, G., Moffitt, T., Ambler, A., Harrington, H., Hogan, S., Houts, R., Caspi, A. tracing the origins of midlife despair: Association of psychopathology during adolescence with a syndrome of espair-related maladies at midlife. Psychological Medicine, .2023; 1-12. doi:10.1017/S0033291723001320
22-Augarde E, Gunnell D, Mars B, Hickman M. An ecological study of temporal trends in ‘deaths of despair’in England and Wales. Social psychiatry and psychiatric epidemiology. 2022; Jun; 57(6), 1135-44. DOI: https://doi.org/10.1007 / s00127-022-02251-9
23- Bernstein D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., & Zule, W. Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse and Neglect, 2003; 27 (2), 169-190
24-Garrusi B., Nakhaee, N. Validity and reliability of a Persian version of the childhood trauma questionnaire. Psychological Reports, 2009; 104, 509516.http://doi.org/10.2466/PR0.104.2.509-516. [In Persian].
25-Boyce P, Parker G. Development of a scale to measure interpersonal sensitivity. Australian and New Zealand Journal of Psychiatry, 1989; 23(3), 341 -351.https://www.tandfonline.com/doi/abs/10.3109/00048678909068294
26-Gilbert P, Allan S. The role of defeat and entrapment (arrested flight) in depression: an exploration of an evolutionary view. Psychol Med. 1998; 28(3),585 –598. doi: 10.1017/s0033291798006710
27-Beck AT,Weissman A, Lester D, Trexler L The measurement of pessimism: the hopelessness scale. Journal of consulting and clinical psychology, 1974; 42(6), 861.
28- Fung H. W, Lam, S. K. K., Chien W. T., Hung S. L, Ling, H. W. H., Lee V. W. P., Wang E. K. Interpersonal stress mediates the relationship between childhood trauma and depressive symptoms: Findings from two culturally different samples. Australian & New Zealand Journal of Psychiatry, 2023; 57(7), 1052-1061. https://doi.org/10.1177/00048674221138501
29-Van Nieuwenhove K, Truijens F, Meganck R, Cornelis S, Desmet M. Working through childhood trauma-related interpersonal patterns in psychodynamic treatment: An evidence-based case study. Psychological Trauma: Theory, Research, Practice, and Policy, 2020; 12(1), 64. https://psycnet.apa.org/doi/10.1037/tra0000438
30-Krammer S, Kleim B, Simmen-Janevska K., Maercker A. Childhood trauma and complex posttraumatic stress disorder symptoms in older adults: A study of direct effects and social-interpersonal factors as potential mediators. Journal of Trauma & Dissociation, 2016; 17(5), 593-607. https://doi.org/10.1080/15299732.2014.991861
31-Gobout N, Morissette F, Cyr, G., Belanger C.. Cumulative childhood trauma and couple satifaction: examining mediating the role of mindfulness. Mindfulness, 2020; 11, 1723 -1733. https://doi.org/10.1007/s12671 -020 -01390 - x
32-Cunningham A, Renk K. Parenting in the context of childhood trauma: Self-efficacy as a mediator between attributions and parenting competence. Journal of Child and Family Studies, 2018; 27, 895-906. https://doi.org/10.1007/s10826-017-0899-x
33--McCormack L, Thomson S. Complex trauma in childhood, a psychiatric diagnosis in adulthood: Making meaning of a double-edged phenomenon. Psychological trauma: theory, research, practice, and policy, 2017; 9(2), 156. https://psycnet.apa.org/doi/10.1037/tra0000193
34-Szentágotai-TătarA, MiuA. C. Individual differences in emotion regulation, childhood trauma and proneness to shame and guilt in adolescence. PLoS One, 2016; 11(11), e0167299. https://doi.org/10.1371/journal.pone.0167299
35-Ngozichukwuka, C. A. Exploring adult attachment in intimate relationships among women who were exposed to intimate partner violence in childhood: a convergent mixed methods approach. Theses (Ph.D), USF Tampa Graduate. 2021; https://digitalcommons.usf.edu/etd/9056
36-Ngwenya N, Barnett T, Groenewald C., & Seeley, J. Complex trauma and its relation to hope and hopelessness among young people in KwaZulu-Natal, South Africa. Vulnerable children and youth studies, 2021; 16(2): 166-177. https://doi.org/10.1080/17450128.2020.1865593
37- Serafini G, Lamis D. A, Aguglia A, Amerio A, Nebbia J, Geoffroy P. A, Amore M. Hopelessness and its correlates with clinical outcomes in an outpatient setting. Journal of affective disorders, 2020; 263, 472-479. https://doi.org/10.1016/j.jad.2019.11.144
38- Gambaro E, Mastrangelo M, Sarchiapone M, Marangon D, Gramaglia C, Vecchi C, Zeppegno P. Resilience, trauma, and hopelessness: protective or triggering factor for the development of psychopathology among migrants? BMC psychiatry, 2020; 20,1-15. https://doi.org/10.1186/s12888-020-02729-3
39-Haatainen K M, Tanskanen A, Kylmä J, Honkalampi K, Koivumaa-Honkanen H, Hintikka J, Viinamäki H. Gender differences in the association of adult hopelessness with adverse childhood experiences. Social psychiatry and psychiatric epidemiology, 2003; 38, 12-17. https://doi.org/10.1007 / s00127-003-0598-3
40-Bryant R A, Creamer M, O'donnell M, Forbes D, Felmingham K L, Silove D, Nickerson A. Separation from parents during childhood trauma predicts adult attachment security and post -traumatic stress disorder. Psychological Medicine, 2017; 47(11), 2028 -2035. DOI: https://doi.org/10.1017/S0033291717000472
41-Tortoriello G K, Hart W. Trait interpersonal vulnerability attenuates beneficial effects of constructive criticism on failure responses. British Journal of Psychology, 2019; 110(3), 594-613. https://doi.org/10.1111/bjop.12356
42-Mandel T, Dunkley D. M, Starrs C J. Self-critical perfectionism, daily interpersonal sensitivity, and stress generation: A four-year longitudinal study. Journal of Psychopathology and Behavioral Assessment, 2018; 40, 701-713. https://doi.org/10.1007/s10862-018-9673-7
43-Mathew M, Sudhir PM, Mariamma P. Perfectionism, interpersonal sensitivity, dysfunctional beliefs, and automatic thoughts: The temporal stability of personality and cognitive factors in depression. International Journal of Mental Health, 2014; 43(1), 50-72. https://doi.org/10.2753/IMH0020-7411430103
44-Chand L, A study of frustration tolerance in relation to achievement motivation and sports achievements. International Journal of Applied Research, 2015; 1(6), 92 -94. https://www.allresearchjournal.com/archives/2015/vol1issue6/PartC/1-6-30.1-245.
45-Liu F, Chen G, Liu Y. The impact of customer mistreatment on employee displaced aggression: The moderating effect of interpersonal sensitivity and moral identity. Frontiers in psychology, 2020; 11, 550978. https://doi.org/10.3389/fpsyg.2020.550978
46-Van Kleef G A, De Dreu C K., Manstead A S. Supplication and appeasement in conflict and negotiation: The interpersonal effects of disappointment, worry, guilt, and regret. Journal of personality and social psychology, 2006; 91(1), 124. https://psycnet.apa.org/doi/10.1037/0022-3514.91.1.124
47-Marchetti I. Hopelessness: A network analysis. Cognitive Therapy and Research, 2019; 43 (3), 611 -619. https://doi.org/10.1007/s10608-018-9981-y
