بررسی مدل ‌ساختاری رابطه بین باورهای ‌فراشناختی و ذهن آگاهی دانشجویان مبتلا به اختلال فوبی ‌اجتماعی: نقش میانجیگر حساسیت ‌اضطرابی

پژوهش های روان شناسی بالینی و مشاوره

مقاله 7، دوره 11، شماره 1 - شماره پیاپی 21، شهریور 1400، صفحه 115-134   

نوع مقاله: پژوهشی

شناسه دیجیتال (DOI): 10.22067/tpccp.2021.67324.0

نویسندگان

فاطمه هادی پور¹؛ حسن رضایی جمالویی^{* 2}

¹دانشجو/دانشکده علوم انسانی، دانشگاه آزاد اسلامی نجف آباد، نجف آباد، ایران.

²استادیار/ گروه روانشناسی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران.

چکیده

هدف: هدف از پژوهش حاضر، ارائه مدل ‌ساختاری باورهای فراشناختی با ذهن آگاهی دانشجویان مبتلا به اختلال فوبی ‌اجتماعی با میانجیگری حساسیت ‌اضطرابی بود.
روش‌: این پژوهش از نوع همبستگی و در غالب یک طرح مدل‌یابی معادلات ساختاری انجام گرفت. جامعه آماری این پژوهش کلیه‌ی دانشجویان دختر مقطع کارشناسی دانشگاه آزاد نجف‌آباد بودند که در سال 98-97 انتخاب واحد کرده بودند.  از  این تعداد و از طریق نمونه‌گیری در دسترس 500 نفر از دانشجویانی که تمایل به همکاری داشتند انتخاب شدند و به سوالات چهار پرسشنامه فوبی ‌اجتماعی کانور و همکاران (17 سؤالی)، باورهای فراشناختی ولز و کارترایت (30 سؤالی)، ذهن آگاهی فرایبورگ (14 سؤالی) و حساسیت اضطرابی (16 سؤالی) پاسخ دادند. به منظور تجزیه‌وتحلیل داده‌های پژوهش، از نرم‌افزار Amos و مدل‌سازی به شیوه معادلات ساختاری استفاده شد.
یافته‌ها: نتایج این پژوهش نشان داد که مدل ساختاری باورهای فراشناختی با ذهن آگاهی دانشجویان مبتلا به اختلال فوبی ‌اجتماعی با میانجیگری حساسیت اضطرابی با داده‌های تجربی برازش دارد. اثر مستقیم باورهای فراشناختی بر ذهن آگاهی، باورهای فراشناختی بر حساسیت ‌اضطرابی و اثر مستقیم حساسیت اضطرابی بر ذهن ‌آگاهی استاندارد معناداراست.‌ همچنین اثر استاندارد ‌‌غیرمستقیم باورهای فراشناختی بر ذهن ‌آگاهی دانشجویان مبتلا به فوبی ‌اجتماعی از طریق حساسیت اضطرابی معنادار است.

کلیدواژه‌ها

باورهای فراشناختی؛ ذهن‌آگاهی؛ حساسیت‌اضطرابی؛ فوبی‌اجتماعی

مراجع

Abdi, R., Birashk, B., Mahmood, A. M., & Asgharnezhad, F. A. (2007). Interpretation bias in social phobia disorder,1(4), 117-159 . (In Persian).

Abedi, A. A., Taher, M., Jafari Sani, B., & Mojarrad, A. (2017). The effect of attention control training on attention bias and anxiety sensitivity in students with social anxiety disorder. Quarterly Journal of Child Mental Health, 4(1), 3–12.

Afshari, A., & Hashemi, Z. (2019). The Relationship between Anxiety Sensitivity and Metacognitive Beliefs and Test Anxiety among Students. Journal of School Psychology, 8(1), 7–25. (In Persian).

Allan, N. P., Cooper, D., Oglesby, M. E., Short, N. A., Saulnier, K. G., & Schmidt, N. B. (2018). Lower-order anxiety sensitivity and intolerance of uncertainty dimensions operate as specific vulnerabilities for social anxiety and depression within a hierarchical model. Journal of Anxiety Disorders, 53(1), 91–99.

Babapour kheiroddin, J., & Ganjei, N. (2021). Predicting Social anxiety based on Adolescents’ Metacognitive Beliefs and Social Skills. Journal of Modern Psychological Researches, 16(61), 29–38. (In Persian).

Baer, R. A. (2009). Self-Focused Attention and Mechanisms of Change in Mindfulness-Based Treatment. Cognitive Behaviour Therapy, 38(sup1), 15–20.

Brooks, J. R., Lebeaut, A., Zegel, M., Walker, R. L., & Vujanovic, A. A. (2021). Anxiety sensitivity and suicide risk: Mindfulness as a psychological buffer for Black adults. Journal of Affective Disorders, 289, 74–80.

Chang, S., Abdin, E., Shafie, S., Sambasivam, R., Vaingankar, J. A., Ma, S., Chong, S. A., & Subramaniam, M. (2019). Prevalence and correlates of generalized anxiety disorder in Singapore: Results from the second Singapore Mental Health Study. Journal of Anxiety Disorders, 66, 102-106.

Deacon, B. J., Abramowitz, J. S., Woods, C. M., & Tolin, D. F. (2003). The Anxiety Sensitivity Index-Revised: Psychometric properties and factor structure in two nonclinical samples. Behaviour Research and Therapy, 41(12), 1427–1449.

Esmailian, M, Mohamadkhani, Shahram, & Hasani, J. (2021). Structural equation modeling of mindfulness skills, emotion regulation and anxiety sensitivity with social anxiety in Adolescent. Knowledge & Research in Applied Psychology, 22(1), 121–134. (In Persian).

Ferdowsi, S., Babaei, Z., & Behzadpoor, S. (2019). The role of Meta-Cognitive Beliefs and thoughts control strategies in predicting the symptoms of social anxiety in university students. Knowledge & Research in Applied Psychology, 20(4), 15–23. (In Persian)

Flavell, J. H. (1979). Metacognition and cognitive monitoring: A new area of cognitive–developmental inquiry. American Psychologist, 34(10), 906.

Floyd, M., Garfield, A., & LaSota, M. T. (2005). Anxiety sensitivity and worry. Personality and Individual Differences, 38(5), 1223–1229.

Gavric, D., Moscovitch, D. A., Rowa, K., & McCabe, R. E. (2017). Post-event processing in social anxiety disorder: Examining the mediating roles of positive metacognitive beliefs and perceptions of performance. Behaviour Research and Therapy, 91, 1–12.

GhasemiJobaneh, R., Arab Zadeh, M.Jalili Nikoo, S.Mohammad Alipoor, Z.Mohsenzadeh, F. (2015). Survey the validity and reliability of the Persian version of short form of Freiburg mindfulness inventory, 14(2), 137-150. (In Persian).

Golmohammadian, M., Morovati, F., & Rashidi, A. (2018). To Predict the Concern of Body Image Based on Mindfulness, Experiential Avoidance and Metacognition Beliefs in Highschool Students. Iranian Journal of Health Education and Health Promotion, 6(2), 168-178. (In Persian).

Gutierrez, R., Hirani, T., Curtis, L., & Ludlow, A. K. (2020). Metacognitive beliefs mediate the relationship between anxiety sensitivity and traits of obsessive-compulsive symptoms. BMC Psychology, 8(1), 1–7.

Harrison, B. J., Fullana, M. A., Soriano‐Mas, C., Via, E., Pujol, J., Martínez‐Zalacaín, I., Tinoco‐Gonzalez, D., Davey, C. G., López‐Solà, M., & Perez Sola, V. (2015). A neural mediator of human anxiety sensitivity. Human Brain Mapping, 36(10), 3950–3958.

Hashemi, S. G. S., Hosseinnezhad, S., Dini, S., Griffiths, M. D., Lin, C.-Y., & Pakpour, A. H. (2020). The mediating effect of the cyberchondria and anxiety sensitivity in the association between problematic internet use, metacognition beliefs, and fear of COVID-19 among Iranian online population. Heliyon, 6(10), 05135.

Hassanvand Amouzadeh, M., roshan chesly, R., & Hassanvand Amouzadeh, M. (2013). The Relationship of the Meta-Cognitive Beliefs with Social Anxiety Symptoms (Avoidance, Fear and Physiological Arousal) in Non-Clinical Population. Research in Cognitive and Behavioral Sciences, 3(2), 55–70.

Hatampour, E, Mostafai, A., & Sohrabi, Z. (2021). The Effectiveness of Mindfulness Training Program on Perceived Stress, Anxiety Sensitivity and Anxiety Symptoms in Adolescents with Symptoms of Social Anxiety Disorder.Journal of Nursing Education, 9(6), 37–48. (In Persian).

Hekmatiyan fard, S, Rajabi, S, & hoseini, F. S. (2021). The Effectiveness of Eye Movement Desensitization and Reprocessing Therapy on the Anxiety Speech and Educational self-efficacy in students With Social anxiety. Counseling Culture and Psycotherapy, 12(45), 269–294. (In Persian).

Horenstein, A., Potter, C. M., & Heimberg, R. G. (2018). How does anxiety sensitivity increase risk of chronic medical conditions? Clinical Psychology: Science and Practice, 25(3), e12248.

Hussain, D. (2015). Meta-cognition in mindfulness: A conceptual analysis. 8(2), 132–141.

Kaplan, B., & Sadock, V. (2015). Synopsis of psychiatry: Updated with DSM-5. Wolter Kluwer.

Kirmayer, L. J. (2015). Mindfulness in cultural context. Sage Publications Sage UK: London, England.

Kudesia, R. S. (2019). Mindfulness as metacognitive practice. Academy of Management Review, 44(2), 405–423.

Leahy, R. L., Wupperman, P., Edwards, E., Shivaji, S., & Molina, N. (2019). Metacognition and emotional schemas: Effects on depression and anxiety. International Journal of Cognitive Therapy, 12(1), 25–37.

Macaulay, C. B., Watt, M. C., MacLean, K., & Weaver, A. (2015). Mindfulness mediates associations between attachment and anxiety sensitivity. Mindfulness, 6(6), 1263–1270.

Mashhadi, A., Ghasempour, A., Akbari, E., Ilbaygi, R., & Hassanzadeh, S. (2017). The Role of Anxiety Sensitivity and Emotion Regulation in Prediction of Social Anxiety Disorder in Students. Knowledge & Research in Applied Psychology, 14(52), 89–99. (In Persian)

McKnight, P. E., Monfort, S. S., Kashdan, T. B., Blalock, D. V., & Calton, J. M. (2016). Anxiety symptoms and functional impairment: A systematic review of the correlation between the two measures. Clinical Psychology Review, 45, 115–130.

Melli, G., Carraresi, C., Poli, A., & Bailey, R. (2016). The role of metacognitive beliefs in health anxiety. Personality and Individual Differences, 89, 80–85.

Norman, E. (2017). Metacognition and mindfulness: The role of fringe consciousness. Mindfulness, 8(1), 95–100.

Norouzi, M. (2012). Relationship of quality of life and achievement motivation with under graduated student’s anxiety. Open Access Scientific Reports, 1(1), 1–4. (In Persian).

Omidi, M., Ghasemzadeh, S., & Dehghan, H. (2018). Effectiveness of Acceptance and Commitment Training on Metacognitive Beliefs and Cognitive-Emotional Processing Deficit of Students with Social Anxiety Disorder. Journal of Disability Studies, 8(0), 87–87. (In Persian)

Panayiotou, G., Karekla, M., & Panayiotou, M. (2014). Direct and indirect predictors of social anxiety: The role of anxiety sensitivity, behavioral inhibition, experiential avoidance and self-consciousness. Comprehensive Psychiatry, 55(8), 1875–1882.

Papachristou, H., Theodorou, M., Neophytou, K., & Panayiotou, G. (2018). Community sample evidence on the relations among behavioural inhibition system, anxiety sensitivity, experiential avoidance, and social anxiety in adolescents. Journal of Contextual Behavioral Science, 8, 36–43.

Poursharifi, A., & Jafari, A. (2019). Prediction of the Anxiety Sensitivity Based on Lifestyle Features in Students of Qazvin University of Medical Sciences. Journal of Inflammatory Disease, 23(2), 152–163. (In Persian).

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891.

Robatmili, S., & Karimi, M. (2018). The prediction of social anxiety in adolescents based on Meta cognitive beliefs, mindfulness and fear of negative evaluation. Social Psychology Research, 8(31), 51–68. (In Persian).

Ryan, R. M., & Brown, K. W. (2003). Why we don’t need self-esteem: On fundamental needs, contingent love, and mindfulness. Psychological Inquiry, 14(1), 71–76.

Salarifar, M. H., Pouretemad, H. R., Haydari, M., & Asgharnejad, A. (2011). Believes and meta-cognitive state, inhibitor or of academic self regulation. Believes and meta-cognitive state, inhibitor or of academic self regulation. Counseling Culture and Psycotherapy, 2(7), 31–48. (In Persian).

Salina, M., Ng, C. G., Gill, J. S., Chin, J. M., Chin, C. J., & Yap, W. F. (2008). Social anxiety problem among medical students in Universiti Malaya Medical Center (Ummc)–a cross-sectional study. Malaysian Journal of Psychiatry, 17(2) ,1-4.

Schmertz, S. K., Masuda, A., & Anderson, P. L. (2012). Cognitive processes mediate the relation between mindfulness and social anxiety within a clinical sample. Journal of Clinical Psychology, 68(3), 362–371.

Schuman-Olivier, Z., Trombka, M., Lovas, D. A., Brewer, J. A., Vago, D. R., Gawande, R., Dunne, J. P., Lazar, S. W., Loucks, E. B., & Fulwiler, C. (2020). Mindfulness and behavior change. Harvard Review of Psychiatry ,  28(6), 371–394.

Shirinzadeh Dastgiri, S., & Goodarzi, M. A. (2009). Study of factor structure validity and raliability of metacognition questionnaire-30. Journal of Psychology, 12(4) ,445-461. (In Persian).

Solem, S., Thunes, S. S., Hjemdal, O., Hagen, R., & Wells, A. (2015). A metacognitive perspective on mindfulness: An empirical investigation. BMC Psychology, 3(1), 1–10.

Taylor, S. (2014). Anxiety sensitivity: Theory, research, and treatment of the fear of anxiety. Routledge.

Walach, H., Buchheld, N., Buttenmüller, V., Kleinknecht, N., & Schmidt, S. (2006). Measuring mindfulness—The Freiburg mindfulness inventory (FMI). Personality and Individual Differences, 40(8), 1543–1555.

Wallin, U., & Runeson, B. (2003). Attitudes towards suicide and suicidal patients among medical students. European Psychiatry, 18(7), 329–333.

Waszczuk, M. A., Zavos, H. M., Antonova, E., Haworth, C. M., Plomin, R., & Eley, T. C. (2015). A multivariate twin study of trait mindfulness, depressive symptoms, and anxiety sensitivity. Depression and Anxiety, 32(4), 254–261.

Wells, A. (2007). Cognition about cognition: Metacognitive therapy and change in generalized anxiety disorder and social phobia. Cognitive and Behavioral Practice, 14(1), 18–25.

Wells, A., & Cartwright-Hatton, S. (2004). A short form of the metacognitions questionnaire: Properties of the MCQ-30. Behaviour Research and Therapy, 42(4), 385–396.

Wells, A., & Carter, K. (2001). Further tests of a cognitive model of generalized anxiety disorder: Metacognitions and worry in GAD, panic disorder, social phobia, depression, and nonpatients. Behavior Therapy, 32(1), 85–102.

Zargar, F., & Kavoosi, M. (2021). Comparing anxiety sensitivity and metacognition beliefs in patients with irritable bowel syndrome and coronary heart diseases; a case-control study. Archives of Psychiatry and Psychotherapy, 2, 53–60.