نقش واسطه ای نشخوار و نگرانی در رابطه بین منبع کنترل با افسردگی و اضطراب در افراد مبتلا به اختلال های افسردگی مهاد و اضطرابی

نوع مقاله : پژوهشی

نویسندگان

دانشگاه تهران

چکیده

هدف: هدف این پژوهش، بررسی رابطه منبع کنترل، نشخوار و نگرانی با افسردگی و اضطراب در افراد مبتلا به اختلالهای افسردگی مهاد و اضطرابی بود. در این پژوهش، علاوه بر سنجش رابطه متغیرها، نقش واسطه ای نشخوار و نگرانی در رابطه بین منبع کنترل با افسردگی و اضطراب نیز بررسی شد.
روش: یکصد و دوازده بیمار مبتلا به اختلال های افسردگی مهاد و اضطرابی (58 افسرده، 54 مضطرب) با تکمیل پرسشنامه منبع کنترل، مقیاس پاسخ های نشخواری، پرسشنامه نگرانی، مقیاس افسردگی بک و مقیاس اضطراب بک در این پژوهش شرکت کردند. داده ها با استفاده از روش تحلیل مسیر مورد بررسی قرار گرفت.
یافته ها: نتایج حاصل از ضرایب همبستگی نشان داد که بین منبع کنترل، نشخوار و نگرانی با افسردگی و اضطراب رابطه معنادار وجود دارد. نتایج هم چنین نشان داد که متغیرهای نشخوار و نگرانی در رابطه بین منبع کنترل با افسردگی و اضطراب نقش واسطه ای دارند. از یافته های این پژوهش می توان نتیجه گرفت که رابطه بین منبع کنترل با افسردگی و اضطراب یک رابطه ساده نیست و متغیرهای دیگر، مثل نشخوار و نگرانی، می توانند در این رابطه نقش واسطه داشته باشند.

کلیدواژه‌ها


Abela, J. R. Z., & Hankin, B. L. (2007). Cognitive vulnerability to depression in children and adolescents: A developmental psychopathology perspective. In R. Z. Abela, B. L. Hankin (Eds), Handbook of depression in children and adolescents (pp. 35-75). New York, Guilford Press.
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-V). Washington DC: Author.
Beck, A.T., & Epstein, N. (1993). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893-897.
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression: a treatment manual. New York: Guilford.
Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clinical Psychology Review, 8, 77-100.
Borkovec, T. T., Robinson, E., Pruzinsky, T., & Depree, J. A. (1983). Preliminary exploration of worry: Some characteristics and processes. Behaviour Research and Therapy, 21, 9-16.
Brosschot, J. F., Gerin, W., & Thayer, J. F. (2006). The perseverative cognition hypothesis: A review of worry, prolonged stress-related psychological activation, and Health. Journal of Psychosomatic Research, 60, 113-124.
Calmes, C. C., & Roberts, J. E. (2007). Repetitive Thought and Emotional Distress: Rumination and worry as prospective predictors of depressive and anxious symptomatology. Cognitive therapy research, 30, 343-356.
Chapman, L. K., Kertz, S. J., & Woodruff-Borden, J. (2009). A structural equation model analysis of perceived control and psychological distress on worry among African American and European American young adults. Journal of Anxiety Disorders, 23, 69-76.
Clarke, D. (2004). Neuroticism: moderator or mediator in the relation between locus of control and depression? Personality and Individual Differences, 37, 245-258.
Davis, R. N., & Valentiner, D. P. (2000). Does meta-cognitive theory enhance our understanding of pathological worry and anxiety? Personality and Individual Differences, 29, 513-526.
Domino, G., & Domino, M. L. (2006). Psychological Testing. Cambridge University Press.
Dow, B. M. (2008). Self-efficacy and locus of control as mediating variables for the relationship between depression, anxiety and exercise. A dissertation submitted to the faculty of the California School of Professional Psychology in partial fulfillment of the requirements for the degree of doctor of philosophy at Alliant International University, Los Angeles, California.
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 state. Cognitive Therapy and Research, 26, 179-188.
Hong, R. Y. (2007). Worry and rumination: Differential associations with anxious and depressive symptoms and coping behavior. Behaviour Research and Therapy, 45, 277-290.
Hooke, G. R., & Page, A. C. (2002). Predicting outcomes of group cognitive behavioral therapy for patients with affective and neurotic disorders. Behavioral Modification, 26, 648-658.
Hughes, M. E., Alloy, L. B., & Cogswell, A. (2008). Repetitive thought in psychopathology: The relation of rumination and worry to depression and anxiety symptoms. Journal of Cognitive Psychotherapy, 22, 271-289.
Kwon, P., & Olson, M. L. (2007). Rumination and depressive symptoms: Moderating role of defense style immaturity. Personality and Individual Differences, 43, 715-724.
Lyubomirsky, S., & Tkach, C. (2004). The consequences of dysphoric rumination. Rumination: Nature, theory, and treatment of negative thinking in depression, 21-41.
Martin, L. L., & Tesser, A. (1996). Some ruminative thoughts. In R. S. Wyer (Ed), Ruminative thoughts: Advances in social cognition, volume IX (pp. 1-47). Hillsdale, NJ: Erlbaum.
Meyer, T.J., Miller, M.L., Metzger, R.L., & Borkovec, T.D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28, 487-495.
Moulding, R., & Kyrios, M. (2006). Anxiety disorders and control related beliefs: The examplar of obsessive-compulsive disorder (OCD). Clinical Psychology Review, 26, 573-583.
Muris, P., Roelofs, J., Meesters, C., & Boomsma, P. (2004). Rumination and worry in nonclinical adolescents. Cognitive Therapy and Research, 28, 539-554.
Muris, P., Roelofs, J., Rassin, E., Franken, I., Mayer, B. (2005). Mediating effects of rumination and worry on the links between neuroticism, Anxiety and Depression. Personality and Individual Differences, 39, 1105-1111.
Nolen-Hoeksema, S. (1991). Responses to Depression and their effects on the duration of the depressive episode. Journal of Abnormal Psychology, 100, 569-582.
Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Preita earthquake. Journal of Personality and Social Psychology, 61, 115–121.
Nolen-Hoeksema, S., Morrow, J., & Fredrickson, B. L. (1993). Response styles and the duration of episodes of depressed mood. Journal of Abnormal Psychology, 102, 20–28.
Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking Rumination. Perspectives on Psychological Science, 3, 400-424.
Rotter, J. B. (1966). Generalized expectancies of internal versus external control of Reinforcement. Psychological Monogrphs, 80, 609.
Segerstrom, S. C., Tsao, J. C. I., Alden, I. E., & Craske, M. G. (2000). Worry and rumination: repetitive thought as a concomitant and predictor of negative mood. Cognitive Therapy and Research, 24, 671-688.
Scaglia, O. (2008). Homelessness and helplessness: correlating learned helplessness, locus of control, and perceived social support with chronic homelessness. A dissertation present in partial fulfillment of the requirements for the degree of doctor of philosophy in the Capella University.
Smith, V. L. (2003). Analysis of locus of control and educational level utilizing the internal control index. A thesis submitted to the graduate College of Marshall University.
Sterling, R. M. (2007). Effects of rumination on internal and external locus of control. A thesis submitted in partial fulfillment of the requirements of the master of arts in mental health counseling and applied psychology degree of the graduate school at rowan university.
Watkins, E. (2004). Appraisals and strategies associated with rumination and worry. Personality and Individual Differences, 37, 679-694.
Weir, K. F. (2007). Rumination is a correlate but not a cause of depressive symptoms during adolescence. A thesis submitted to the Victoria University of Wellington Fulfillment of the requirements for the degree of doctor of philosophy in psychology. Victoria University of Wellington.
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