نظام های مغزی رفتاری، طرحواره های ناسازگار اولیه و نشانگان پیش از قاعدگی به عنوان پیش بینی کننده اندوه پس از زایمان

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری تخصصی روانشناسی دانشگاه آزاد اسلامی واحد نیشابور، نیشابور، ایران

2 استادیار، گروه روانشناسی دانشگاه آزاد اسلامی واحد قوچان، قوچان، ایران

چکیده

مقدمه: پژهش حاضر با هدف بررسی نقش نظام­های مغزی­رفتاری، طرحواره­های ناسازگار اولیه و نشانگان پیش از قاعدگی در پیش­بینی و تبیین اندوه پس از زایمان انجام شد.
روش: مطالعه حاضر جزء طرح­های توصیفی- همبستگی می باشد. جمعیت تحقیق شامل تمامی مادران بعد از دوره زایمان مراجعه کننده به مراکز بهداشتی درمانی شهر مشهد در سال 1397 بودند که تشخیص اختلال اندوه پس از زایمان گرفته بودند. کل نمونه 172 نفری با استفاده از نمونه­گیری خوشه­ای چندمرحله­ای انتخاب شد و پرسشنامه‌ نظام­های مغزی رفتاری، فرم کوتاه پرسشنامه طرحواره­های ناسازگار اولیه یانگ، پرسشنامه نشانگان پیش از قاعدگی و مقیاس افسردگی ادینبرگ را تکمیل نمودند. داده­ها با استفاده از آزمون تحلیل رگرسیون گام به گام مورد تحلیل قرار گرفت.
یافته‌ها: نتایج نشان داد که نظام‌های بازداری/ فعال‌ساز رفتاری، نشانگان پیش از قاعدگی و طرحواره­های حوزه خودگردانی-عملکرد مختل و حوزه محدودیت مختل همگی با اندوه پس از زایمان رابطه داشتند. نظام بازداری رفتاری، طرحواره­ خودگردانی و عملکرد مختل، طرحواره محدودیت مختل،  و نشانگان پیش از قاعدگی به طور مثبت و نظام فعا­ل­ساز رفتاری به صورت منفی اندوه پس از زایمان مادران را پیش‌بینی کردند.
نتیجه‌گیری: در مجموع، نتایج پژوهش حاضر تأییدی است بر این­که خلق  می­تواند تحت تأثیر مستقیم و غیرمستقیم عوامل روانی، زیستی و درون­زاد از قیبل طرحواره­ها، نظام­های مغزی و نشانگان پیش از قاعدگی قرار بگیرد. به همین منظور در مفهوم پردازی، پیش­بینی و درمان اختلال اندوه پس از زایمان، لازم است به نقش طرحواره‌های ناسازگار اولیه، نشانگان پیش از قاعدگی و نظام بازداری رفتاری توجه کرد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Brain Behavioral Systems, Early Maladaptive Schema, and Premenstrual Syndrome as a predictors of Postpartum Blues

نویسندگان [English]

  • B Alimoradi, 1
  • hamid nejat 2
1 Department of Psychology, Islamic Azad University of Neyshabur , Iran
چکیده [English]

Introduction: The present study aimed to investigate brain-behavioral systems, early maladaptive schemas and premenstrual syndrome as predictors of postpartum blues.
Method: The present study was a descriptive correlational research. Study population included all referred females who diagnosed as mothers with postpartum depression in health centers of Mashahd city during 2018. A total sample of 172 mothers with postpartum depression selected with Multi-stage cluster sampling method. The participants completed brain behavioral systems Scale, Early maladaptive Schema Scale, Edinburgh Postpartum Depression Scale, and Premenstrual Syndrome Scale. Collected data were analyzed by a stepwise regression model.
Results: The results showed that inhibition/activation behavioral systems, premenstrual syndrome, impaired autonomy and performance schemas and impaired limits schemas were all related to postpartum Blues. The behavioral inhibition system, impaired autonomy and performance schemas, impaired limits schemas  and premenstrual syndrome positively predicted postpartum Blues and the behavioral activation system negatively predicted postpartum Blues.
Conclusion: Overall, the results of the study confirm that mood, are directly or indirectly influenced by psychological, endogenous and biological factors such as brain behavioral system, schema, premenstrual syndrome. In order to conceptualization, prediction and treatment postpartum blues disorder, we need to consider the role of early maladaptive schema, premenstrual syndromes and behavioral inhibition system.

کلیدواژه‌ها [English]

  • Brain Behavioral System
  • Schema
  • Premenstrual Syndrome
  • Postpartum Blues

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