رابطه بین غفلت ادارک شده کودکی و نشانه‌های افسردگی: بررسی نقش واسطه ای طرحواره‌های هیجانی

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دکتری روانشناسی مرکز تحقیقات علوم رفتاری، پژوهشکده سبک زندگی، دانشگاه علوم پزشکی بقیه الله (عج)، تهران، ایران

2 دانشیار، گروه روانشناسی دانشگاه زنجان، زنجان، ایران

3 کارشناس ارشد روانشناسی دانشگاه زنجان، زنجان، ایران

چکیده

مقدمه: هدف این مطالعه، بررسی نقش واسطه­ای طرحواره‌های هیجانی (انطباقی-غیرانطباقی) در رابطه بین غفلت و نشانه‌های افسردگی بود.
روش: در یک پژوهش توصیفی-مقطعی، 439 دانشجوی زن (92 نفر دارای افسردگی اساسی فعلی، 347 نفر دارای سابقه افسردگی اساسی در 12 ماه گذشته) از 6 واحد دانشگاهی پیام نور استان تهران به روش نمونه‌گیری در دسترس انتخاب شدند. در مطالعه‌ی حاضر، مصاحبه­ی ساختاریافته برای اختلالات محور یک و دو (SCID)، مقیاس طرحواره‌های هیجانی لیهی (LESS)، پرسشنامه ترومای کودکی (CTQ) و پرسشنامه افسردگی بک-دو (BDI-II) مورد استفاده قرار گرفت. داده­ها بوسیله­ی روش­های آماری تحلیل مسیر، بوت استراپ و آزمون سوبل تجزیه و تحلیل شد.
یافته‌ها: یافته‌های این مطالعه نشان داد که ترومای غفلت به طور معناداری نشانه‌های افسردگی را پیش‌بینی می­کند. همچنین، طرحواره‌های هیجانی انطباقی و طرحواره‌های هیجانی غیرانطباقی به صورت معناداری بین ترومای غفلت و نشانه‌های افسردگی واسطه‌گری می‌کنند.‌
نتیجه‌گیری: در این مطالعه داده‌ها از نقش مستقیم ترومای غفلت و نقش واسطه‌ای طرحواره‌های هیجانی را در نشانه‌های افسردگی حمایت می­کند.  پیشنهاد می­شود که در درمان افسردگی علاوه بر تاریخچه‌ی ترومای غفلت، طرحواره‌های هیجانی نیز مورد توجه  متخصصان بالینی قرار بگیرد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Relation between perceived childhood neglect and depression symptoms: investigation of the mediating role of emotional schemas

نویسندگان [English]

  • M Rezaee, 1
  • J Salehi, 2
  • S. Ahmady, 3
چکیده [English]

Introduction: The aim of this study was to investigate the mediating role of emotional schemas (adaptive-maladaptive) between childhood trauma and depression symptoms.
Method: In a descriptive-cross-sectional research 439 female college students (whit current MDD=92, whit history of MDD in last 12 month=374) from six different branches of Payam-e-Noor University in Tehran were selected via convenience sampling method. The Structured Clinical Interview for DSM-IV Axis I & II (SCID), Leahy Emotional Schemas Scale (LESS) and the Beck Depression Inventory-II (BDI-II) were used in present study. The data were analyzed by path analysis, bootstrap and Sobel test.
Results: Results indicated that neglect trauma could significantly predict depression symptoms. The adaptive emotional schemas and adaptive emotional schemas mediated the relationship between neglect trauma and depressive symptoms as well.
Conclusion: Our data supports the directive role of neglect trauma, as well as, mediating role of the emotional schemas on depression symptoms. More emphasize on the emotional schemas and history of neglect trauma is recommended to clinicians in the treatment of depression.

کلیدواژه‌ها [English]

  • neglect
  • maladaptive emotional schemas
  • adaptive emotional schemas
  • depression
1- Avenevoli S, Swendsen J, He J-P, Burstein M, Merikangas KR. Major depression in the National Comorbidity Survey–Adolescent Supplement: prevalence, correlates, and treatment. Child adoles psychiat ry. 2015; 54(1): 37-44. 2.
2- Naicker K, Galambos NL, Zeng Y, Senthilselvan A, Colman I. Social, demographic, and health outcomes in the 10 years following adolescent depression. J Adolesc Health. 2013; 52(5): 533-8.
3- Andrade L, Caraveo‐Anduaga JJ, Berglund P, Bijl RV, Graaf RD, Vollebergh W, et al. The epidemiology of major depressive episodes: results from the International Consortium of Psychiatric Epidemiology (ICPE) Surveys. Int Methods Psychiat Res. 2003; 12(1): 3-21.
4- Bromet E, Andrade LH, Hwang I, Sampson NA, Alonso J, De Girolamo G, et al. Cross-national epidemiology of DSM-IV major depressive episode. BMC Medicine. 2011; 9(1): 90.
5-. Indu PS, Anilkumar TV, Pisharody R, Russell PSS, Raju D, Sarma PS, et al. Prevalence of depression and past suicide attempt in primary care. Asian J Psychiatr. 2017; 27: 48-52.
6- Fröjd SA, Nissinen ES, Pelkonen MU, Marttunen MJ, Koivisto A-M, Kaltiala-Heino R. Depression and school performance in middle adolescent boys and girls. Journal of adolescence. 2008; 31(4): 485-98.
7- Toros F, Bilgin NG, Bugdayci R, Sasmaz T, Kurt O, Camdeviren H. Prevalence of depression as measured by the CBDI in a predominantly adolescent school population in Turkey. Eur Psychiatry. 2004; 19(5): 264-71.
8- Kleine-Budde K, Müller R, Kawohl W, Bramesfeld A, Moock J, Rössler W. The cost of depression–a cost analysis from a large database. J affect Disord. 2013; 147(1-3): 137-43.
9- Bernstein DP, Stein JA, Newcomb MD, Walker E, Pogge D, Ahluvalia T, et al. Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abus Negl. 2003; 27(2): 169-90.
10- Leahy RL. A model of emotional schemas. Cogn Behav Pract. 2002; 9(3): 177-90.
11- Leahy RL. Emotional schema therapy: Guilford Publications. 2015.
12- Bynum L, Griffin T, Riding D, Wynkoop K, Anda R, Edwards V, et al. Adverse childhood experiences reported by adults-five states, 2009. MMWR. 2010; 59(49): 1609-13.
13- Briere J, Elliott DM. Prevalence and psychological sequelae of self-reported childhood physical and sexual abuse in a general population sample of men and women. Child Abus Negl. 2003; 27(10): 1205-22.
14- Comijs HC, van Exel E, van der Mast RC, Paauw A, Voshaar RO, Stek ML. Childhood abuse in late-life depression. J Affect Disord. 2013; 147(1-3): 241-6.
15- Fowler JC, Allen JG, Oldham JM, Frueh BC. Exposure to interpersonal trauma, attachment insecurity, and depression severity. J Affect Disord. 2013; 149(1-3): 313-8.
16- Sit D, Luther J, Buysse D, Dills JL, Eng H, Okun M, et al. Suicidal ideation in depressed postpartum women: associations with childhood trauma, sleep disturbance and anxiety. Psychiat Res. 2015; 66: 95-104.
17- Pompili M, Innamorati M, Lamis DA, Erbuto D, Venturini P, Ricci F, et al. The associations among childhood maltreatment,“male depression” and suicide risk in psychiatric patients. Psychiat Res. 2014; 220(1-2): 571-8.
18- Infurna MR, Reichl C, Parzer P, Schimmenti A, Bifulco A, Kaess M. Associations between depression and specific childhood experiences of abuse and neglect: a meta-analysis. J Affect Disord. 2016; 190: 47-55.
19- Novelo M, von Gunten A, Gomes Jardim GB, Spanemberg L, Argimon IIdL, Nogueira EL. Effects of childhood multiple maltreatment experiences on depression of socioeconomic disadvantaged elderly in Brazil. Child Abus & Negl. 2018; 79: 350-7.
20- Tucci AM, Kerr-Corrêa F, Souza-Formigoni MLO. Childhood trauma in substance use disorder and depression: an analysis by gender among a Brazilian clinical sample. Child Abus & Negl. 2010; 34(2): 95-104.
21- Bowlby J. Loss: Sadness and depression: Random House. 1998.
22- Young JE, Klosko JS, Weishaar ME. Schema therapy: A practitioner's guide: Guilford Press; 2003.
23- Leahy RL, Tirch D, Napolitano LA. Emotion regulation in psychotherapy: A practitioner's guide: Guilford Press. 2011.
24- Hkanzadeh M, Edrisi F, Mohammadkani S, saidian M. Factor analysis and psychometric features of Emotional Schemas Scale in students. J Clin Psychol. 2013; 11(3): 92-119. [In Persian].
25- Leahy RL. Emotional schemas and resistance to change in anxiety disorders. Cogn Behav Pract. 2007; 14(1): 36-45.
26- Rice SM, Kealy D, Oliffe JL, Seidler ZE, Ogrodniczuk JS. Childhood maltreatment and age effects on depression and suicide risk among Canadian men. Psychiat Res. 2018; 270: 887-9.
27- Shapero BG, Farabaugh A, Terechina O, DeCross S, Cheung JC, Fava M, et al. Understanding the effects of emotional reactivity on depression and suicidal thoughts and behaviors: Moderating effects of childhood adversity and resilience. J Affect Disord. 2019; 245: 419-27.
28- Hkanzadeh M, Edrisi F, Mohammadkani S, saidian M. Factor analysis and psychometric features of Emotional Schemas Scale in students. J Clin Psychol. 2013; 11(3): 92-119. [In Persian].
29- Rezaei M, Ghazanfari F. The role of childhood trauma, early maladaptive schemas, emotional schemas and experimental avoidance on depression: A structural equation modeling. Psychiat Res. 2016; 246: 407-14.
30- Leahy RL, Tirch DD, Melwani PS. Processes underlying depression: Risk aversion, emotional schemas, and psychological flexibility. Int Cog The. 2012; 5(4): 362-79.
31- Lumley MN, Harkness KL. Childhood maltreatment and depressotypic cognitive organization. Cogn Ther Res. 2009; 33(5): 511-22.
32- Calvete E. Emotional abuse as a predictor of early maladaptive schemas in adolescents: Contributions to the development of depressive and social anxiety symptoms. Child Abus & & Negl. 2014; 38(4): 735-46.
33- Calvete E, Orue I, Hankin BL. Transactional relationships among cognitive vulnerabilities, stressors, and depressive symptoms in adolescence. J Abnorm Child Psychol. 2013; 41(3): 399-410.
34- Westphal M, Leahy RL, Pala AN, Wupperman P. Self-compassion and emotional invalidation mediate the effects of parental indifference on psychopathology. Psychiat Res. 2016; 242: 186-91.
35- Rnic K, Sabbagh MA, Washburn D, Bagby RM, Ravindran A, Kennedy JL, et al. Childhood emotional abuse, physical abuse, and neglect are associated with theory of mind decoding accuracy in young adults with depression. Psychiat Res. 2018; 268: 501-7.
36-  Hasani J, Tajodini E, Ghaedniyaie-Jahromi A, Farmani-Shahreza Sh. The assessments of cognitive emotion regulation strategies and emotional schemas in spouses of people with substance abuse and spouses of normal people. J Clin Psychol. 2014; 6(1): 91-101. [In Persian].
37- Maffei C, Fossati A, Agostoni I, Barraco A, Bagnato M, Deborah D, et al. Interrater reliability and internal consistency of the structured clinical interview for DSM-IV axis II personality disorders (SCID-II), version 2.0. J Personal Disord. 1997; 11(3): 279-84.
38- Ebrahimi H, Dejkam D, Seghatoleslam T. Childhood Traumas and Suicide Attempt in adulthood. Iranian J Psychiat Clin Psychol. 2014; 19(4): 275-82. [In Persian].
39- Batmaz S, Kaymak SU, Kocbiyik S, Turkcapar MH. Metacognitions and emotional schemas: a new cognitive perspective for the distinction between unipolar and bipolar depression. Compr Psychiatry. 2014; 55(7): 1546-55.
40- Beck AT, Steer RA, Brown GK. Beck depression inventory-II. San Antonio. 1996; 78(2): 490-8.
41- Dabson E, Mohammadhkani P. Psychometric features of depression inventory-II in depressive disorders in partial remission. J Rehabil. 2007; 29(8): 80-6. [In Persian].
42- Rajabi G, Atari Y, Haghighi J. Factor analysis of Beck depression inventory in boy students of Shahid Chamran university. J Educat Psycholo. 2001; 8: 49-66. [In Persian].
43- Preacher KJ, Hayes AF. Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods. 2008; 40(3): 879-91.
44- Tabachnick BG, Fidell LS. Using multivariate statistics: Allyn & Bacon/Pearson Education. 2007.
45- Brown S, Fite PJ, Stone K, Bortolato M. Accounting for the associations between child maltreatment and internalizing problems: the role of alexithymia. . Child Abus & Negl. 2016; 52: 20-8.
46- Gottman JM, Katz LF, Hooven C. Parental meta-emotion philosophy and the emotional life of families: Theoretical models and preliminary data. J Family Psychol. 1996; 10(3): 243.
47- Kline RB. Principles and practice of structural equation modeling: Guilford publications. 2015.