Journal of Nursing Education
روان پرستاری
IJPN
Medical Sciences
http://ijpn.ir
279
admin
2345-2501
2345-2528
7
10.22034/ijpn
14
8888
13
fa
jalali
1401
9
1
gregorian
2022
12
1
10
5
online
1
fulltext
fa
ارائه مدل ساختاری مشکلات روان شناختی بر اساس حوزه طرد و بریدگی و افکارخودآیند منفی با نقش واسطهای اجتنابتجربی
Providing a structural model for psychological problems based on disconnection and rejection domain and negative automatic thoughts with mediating role of experimental avoidance
تخصصي
Special
پژوهشي
Research
<span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:473.4pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitraBold"><span style="letter-spacing:.75pt">مقدمه:</span></span></span></b> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">مشکلات روان</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">شناختی حاصل تعامل فرد با محیط بوده و رفتارهایی را دربرمی</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">گیرد</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">که منجر به تضادهای اجتماعی، نارضایتی و ناشادی فردی می</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">شود</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">. </span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">هدف این پژوهش ارائه مدل ساختاری مشکلات روان</span></span><span dir="LTR" style="font-size:12.0pt">­</span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">شناختی</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">، </span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">بر اساس حوزه طرد و بریدگی</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">و افکارخودآیند منفی</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">با نقش واسطه</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">ای</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">اجتنابتجربی</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">بود</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">. </span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:473.4pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitraBold">روش کار:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">پژوهش حاضر از نوع توصیفی</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">- </span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">همبستگی</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">و بر</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">حسب</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">هدف</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">کاربردی</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">بود</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">. </span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">جامعه</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">آماری شامل </span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">تمامی افراد دارای علائم مشکلات</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">روان</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">شناختی مراجعه کننده به کلینیک</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">های مشاوره</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">شهر قم</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">در سال </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">1400 </span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">بود</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">.</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">تعداد</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra"> 250 </span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">نفر از</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">مراجعین با مشکلات روان</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">شناختی به روش</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra"> ­</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">نمونه</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">گیری در دسترس انتخاب شدند و </span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">مقیاس</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">افسردگی،</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">اضطراب</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">و</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">فشار</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">روانی</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">،</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">پرسشنامه</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">طرحواره یانگ</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra"> ، </span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">پرسشنامه افکار</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">خودآیند</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">و پرسشنامه پذیرش</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">و</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">عمل</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">را تکمیل کردند</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">.</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> داده</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">ها</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">با</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">استفاده</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">از</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">مدل</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">یابی</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">معادلات</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">ساختاری</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">و در</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">نرم</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">افزار </span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Smart Pls</span></span><span style="font-size:12.0pt"><span style="font-family:BMitra"> (</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">نسخه </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">3) </span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">تحلیل</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">شدند</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">.</span></span> <span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:473.4pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitraBold">یافته ­ها:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">نتایج حاصل</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">از</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">مدل</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">یابی</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">معادلات</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">ساختاری نشان داد که مدل پژوهش از برازش</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">مطلوبی برخوردار بود؛</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">و اثر</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">مستقیم طرد و بریدگی </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">(11/0) </span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">و افکار خودآیند</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">منفی</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra"> (68/0) </span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">بر </span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">مشکلات</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">روانشناختی</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> را</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">تأیید</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">نمود</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">.</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> همچنین،</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">نتایج</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">حاصل</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">از</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">بررسی نقش میانجی</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">گری اجتناب</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">تجربی </span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">نیز</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">نشان</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">داد</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">که </span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">اجتناب</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">تجربی نقش میانجی</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">گری معنی</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">داری</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra"> (66/0)</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">در رابطه بین طرد</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">و</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">بریدگی و افکارخودآیند منفی با مشکلات روانشناختی داشت</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra"> (05/0</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">).</span></span> <span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:473.4pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitraBold">نتیجه­ گیری:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">نتایج</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">حاصل</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">از</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">این</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">مطالعه</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">نشان</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">داد</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">که ویژگی</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">های </span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">طرد و بریدگی و افکار</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">خودآیند منفی</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> به</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">طور</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">مستقیم،</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">و اجتناب</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">تجربی به</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">صورت</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">غیرمستقیم بر </span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">مشکلات</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">روان</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">شناختی</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> افراد</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">موثر</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">بوده</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">است</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">. </span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">بنابراین، </span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">پیشنهاد</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">می</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">شود</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">که</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">مراکز</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">مشاوره</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">و</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">بهداشت</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">روان</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">در بررسی</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">مشکلات</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">روان</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">شناختی</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">افراد</span></span> <span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">به</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">ویژگی</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">­</span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">های</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">حوزه طرد</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">و</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">بریدگی،</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">افکارخودآیند و</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">اجتنابتجربی آنها</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">نیز توجه داشته باشند</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">.</span></span> <span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-family:" timesnewromanps-boldmt=""><span style="color:#222222">Introduction</span></span></b><b><span new="" roman="" style="font-family:" times=""><span style="color:#222222">:</span></span></b><span new="" roman="" style="font-family:" times=""><span style="color:#222222"> Psychological problems are the result of a person's interaction with the environment and include behaviors that cause social conflicts, dissatisfaction and individual unhappiness. The present study aimed to provide a structural model for psychological problems based on disconnection and rejection domain and negative automatic thoughts with mediating role of experimental avoidance.</span></span><span style="color:#222222"></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-family:" timesnewromanps-boldmt=""><span style="color:#222222">Methods:</span></span></b><span new="" roman="" style="font-family:" times=""><span style="color:#222222"> The present study was descriptive-</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">correlation and based on the applied aim.</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">The statistical</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">population included all</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">individuals with symptoms of psychological problems that referred to the</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">Qom counseling clinics in 2021.</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">250</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">patients with</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">psychological problems were selected by the convenient sampling method and, they answered the questionnaires of “Depression Anxiety Stress Scales”, “Young Schema Questionnaire”, “Automatic Thoughts Questionnaire”and “Acceptance and Action Questionnaire”. Data were analyzed using structural equation modeling and by</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">Smart Pls</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">software.</span></span><span style="color:#222222"></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-family:" timesnewromanps-boldmt=""><span style="color:#222222">Results:</span></span></b> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">The results of structural equation modeling showed that the</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">model had a relatively fit; And it confirmed the direct effect of</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">disconnection and rejection domain (0.11) and negative automatic thoughts (0.68) on psychological problems. Also, the results of the</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">mediating role of experimental avoidance also showed that</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">experimental avoidance has a significant</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">mediating role (0.66) between</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">disconnection and rejection</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">and negative automatic thoughts</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">with psychological problems (P <0.05).</span></span><span style="color:#222222"></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-family:" timesnewromanps-boldmt=""><span style="color:#222222">Conclusions:</span></span></b><b> </b><span new="" roman="" style="font-family:" times=""><span style="color:#222222">The results of this study showed that the disconnection and rejection domain and negative automatic thoughts directly, and experimental avoidance indirectly has been effective on the psychological problems of individuals.</span></span> <span new="" roman="" style="font-family:" times=""><span style="color:#222222">Therefore, it is suggested that mental health clinics pay attention to their characteristics disconnection and rejection domain, negative automatic thoughts, and experimental avoidance in reviewing people's psychological problems.</span></span><span style="color:#222222"></span></span></span></span></span><br>
مشکلات روانشناختی, طرد و بریدگی, افکارخودآیند منفی, اجتنابتجربی.
Psychological problems, Disconnection and rejection, Negative automatic thoughts, Experiential avoidance.
46
58
http://ijpn.ir/browse.php?a_code=A-10-1990-2&slc_lang=fa&sid=1
Fateme
Salman nejad
فاطمه
سلماننژاد
sychologist.f.s1@gmail.com
27900319475328460015226
27900319475328460015226
No
Department of Psychology, Science and Research Branch, Islamic Azad University, Tehran, Iran.
گروه روانشناسی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران
Reza
Ghorban jahromi
رضا
قربانجهرمی
rrghorban@gmail.com
27900319475328460015227
27900319475328460015227
Yes
Department of Psychology, Science and Research Branch, Islamic Azad University, Tehran, Iran.
گروه روانشناسی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران.
Bita
Nasrollahi
بیتا
نصرالهی
27900319475328460015228
27900319475328460015228
No
Department of Psychology, Science and Research Branch, Islamic Azad University, Tehran, Iran.
گروه روانشناسی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران.
Hooman
namvar
هومن
نامور
hnamvar@iau-saveh.ac.ir
27900319475328460015229
27900319475328460015229
No
Department of Psychology, Saveh Branch, Islamic Azad University, Saveh, Iran.
گروه روانشناسی، واحد ساوه، دانشگاه آزاد اسلامی، ساوه، ایران.