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خودداری, خدیجه, نوری مقدم, ثنا. (1403). پیش‌بینی رفتارهای آشفته خوردن بر اساس تمایزیافتگی خود و بهوشیاری در نوجوانان مبتلا به دیابت. , 22(2), 91-102. doi: 10.22070/cpap.2023.17713.1368
خدیجه خودداری; ثنا نوری مقدم. "پیش‌بینی رفتارهای آشفته خوردن بر اساس تمایزیافتگی خود و بهوشیاری در نوجوانان مبتلا به دیابت". , 22, 2, 1403, 91-102. doi: 10.22070/cpap.2023.17713.1368
خودداری, خدیجه, نوری مقدم, ثنا. (1403). 'پیش‌بینی رفتارهای آشفته خوردن بر اساس تمایزیافتگی خود و بهوشیاری در نوجوانان مبتلا به دیابت', , 22(2), pp. 91-102. doi: 10.22070/cpap.2023.17713.1368
خودداری, خدیجه, نوری مقدم, ثنا. پیش‌بینی رفتارهای آشفته خوردن بر اساس تمایزیافتگی خود و بهوشیاری در نوجوانان مبتلا به دیابت. , 1403; 22(2): 91-102. doi: 10.22070/cpap.2023.17713.1368

پیش‌بینی رفتارهای آشفته خوردن بر اساس تمایزیافتگی خود و بهوشیاری در نوجوانان مبتلا به دیابت

روانشناسی بالینی و شخصیت
مقاله 7، دوره 22، شماره 2 - شماره پیاپی 43، آذر 1403، صفحه 91-102    اصل مقاله (547.71 K)
نوع مقاله: مقاله پژوهشی
شناسه دیجیتال (DOI): 10.22070/cpap.2023.17713.1368
نویسندگان
خدیجه خودداری1؛ ثنا نوری مقدم* 2
1دانشجوی کارشناسی ارشد روان‌شناسی، دانشگاه سیستان و بلوچستان. زاهدان. ایران.
2استادیار گروه روان‌شناسی، دانشکده علوم‌تربیتی و روان‌شناسی، دانشگاه سیستان و بلوچستان، زاهدان. ایران.
چکیده
مقدمه: دیابت یک سندرم متابولیک مزمن و شایع‌ترین اختلال آندوکرین است، علاوه بر مشکلات جسمانی مشکلات روحی و روانی زیادی برای بیمار ایجاد می‌نماید. بر همین اساس درمان‌های امروزی روشی ترکیبی از درمان فیزیولوژیکی و روان‌شناختی را پیش روی این بیماران قرار می‌دهند؛ بنابراین پژوهش حاضر با هدف تعیین نقش مؤلفه‌های تمایزیافتگی خود و بهوشیاری در رفتارهای خوردن آشفته در نوجوانان مبتلا به دیابت صورت گرفت.
روش: این مطالعه کاربردی و شامل نمونه‌ای 88 نفره از تمام نوجوانان مبتلا به دیابت مراجعه‌کننده به کلینیک تخصصی دیابت بود که با رعایت ملاک‌های ورود و خروج به صورت در دسترس با استفاده از آزمون‌های رفتارهای آشفته خوردن (گارنر و همکاران، ۱۹۸۲)، تمایزیافتگی خود (DSI) (اسکورن و فریدلندر، 1998) و بهوشیاری (بائر و همکاران، ۲۰۰۶) در محدوده 12 تا 18 سال اجرا گردید. تجزیه و تحلیل داده‌ها با روش‌های آمار توصیفی (میانگین و انحراف استاندارد) و آمار استنباطی (رگرسیون گام به گام) انجام شد.
نتایج: ترکیب خطی متغیرهای پیش‌بین با رفتارهای خوردن آشفته همبستگی چندگانه (۴۷۱/0=r، 01/0P<) داشت. تمایزیافتگی خود با بتای 191/0 و بهوشیاری با بتای 188/0 در سطح (01/0P<) معنی‌دار بودند.
بحث و نتیجه‌­گیری: نتایج نشان داد، تمایزیافتگی خود و بهوشیاری نقش مؤثر و معناداری در پیش‌بینی رفتارهای آشفته خوردن در نوجوانان مبتلا به دیابت دارند؛ لذا، پیشنهاد می‌شود اجرای برنامةآموزشی جهت افزایش آگاهی و بهوشیاری، برای نوجوانان دیابتی به عنوان روشی مؤثر در بهبود اختلال خوردن آشفته به کار گرفته شود.
کلیدواژه‌ها
بهوشیاری؛ اختلالات تغذیه و خوردن؛ تمایزیافتگی خود؛ دیابت
مراجع
 

  1. Barnard K‌D, Lloyd CE‌, Holt RIG. Psychological Burden of Diabetes and What It Means to People with Diabetes, Psychology and Diabetes Care. 2012; 1-22. Psychological Burden of Diabetes and What It Means to People with Diabetes | SpringerLink
  2. Jones L, Crabb S, Turnbull D‌, Oxlad M. Barriers and facilitators to effective type 2 diabetes management in a rural context: A qualitative study with diabetic patients and health professionals. J Health Psychol. 2014; 19 (3): 441-53. https://doi.org/10.1177/1359105312473786
  3. Behrouz B, Bavali F, Heidarizadeh N, Farhadi M. The Effectiveness of Acceptance and Commitment Therapy on Psychological Symptoms, Coping Styles, and Quality of Life in Patients with Type-2 Diabetes. j.health. 2016; 7 (2)‌: 236-253. mohamadkian-A-10-608-31-c98211a.pdf [In Persian]
  4. Coelho GM, Soares A, Ribeiro BG. Are female athletes at increased risk for disordered eating and its complications? Appetite. 2010; 559: 379–387. https://doi.org/10.1016/j.appet.2010.08.003
  5. Leung SF, LC Ma J, Russell J. Enhancing quality of life in people with disordered eating using an online self-help programme. Journal of Eating Disorder. 2013; 1(9): 1-11. https://doi.org/10.1186/2050-2974-1-9
  6. Chithambo T‌P, and Stanley J. Huey Jr. Internet-delivered eating disorder prevention: A randomized controlled trial of dissonance-based and cognitive-behavioral interventions. International Journal of Eating Disorders. 2017; 50(9): 995–1118. https://doi.org/10.1002/eat.22762
  7. Ward RM, Hay MC. Depression, coping, hassles, and body dissatisfaction: Factors associated with disordered eating. eating behaviors journal. 2015; 17: 14-18. https://doi.org/10.1016/j.eatbeh.2014.12.002
  8. Sepanlou S, Dokanei Fard F, Jahangir P. Predicting Eating Disorder Behaviors Based on Perfectionism, and Adaptive and Maladaptive Emotion Regulation Strategies. MEJDS. 2020; 10: 237-237. پیش‌بینی رفتارهای خوردن آشفته براساس کمال‌گرایی، راهبردهای سازگار و ناسازگار تنظیم هیجان [In Persian]
  9. Galmiche M, Pierre D, Grégory L, Marie Pierre T. Prevalence of eating disorders over the 2000–2018 period: a systematic literature review, The American Journal of Clinical Nutrition. 2019; 109(‌5): May 2019; 1402–1413. https://doi.org/10.1093/ajcn/nqy342
  10. Bortolla R, Galli M, Spada G, Maffei C. Mindfulness Effects on Mind Wandering and Autonomic Balance. Applied Psychophysiology and Biofeedback. 2021. https://doi.org//10.1007/s10484-021-09527-x.
  11. Whitebird RR, Kreitzer MJ, Vazquez-Benitez G, Enstad CJ. Reducing diabetes distress and improving self-management with mindfulness. Social work in health care. (2018); 57(1): 48-65. https://doi.org/10.1080/00981389.2017.1388898
  12. Alizadeh A, Haji Yousefi E, Furorshi M, Zoghi M. Prediction of depression symptoms based on cognitive flexibility, rumination and mindfulness in students. Journal of Psychology and Cognitive Medicine. 2014; 2(1): 15-29. predict symptoms of depression based on cognitive flexibility, rumination and mindfulness in students [In Persian]
  13. Willard Ch. Mindfulness Growth and Development: Simple Exercises for Children, Teens, and Families to Find Balance, Relaxation, and Elevation. Translation: Nasrin Zamanizadliqvan. first edition, Salehian Publishing House. Tehran; 2017. [In Persian]
  14. Hurk, P, Giommi F, Gielen S, Speckens A, Barendregt H (Hendrik). Greater efficiency in attentional processing related to mindfulness meditation. Quarterly journal of experimental psychology. 2010; 63: 1168-80. https://doi.org/10.1080/17470210903249365
  15. Keng SL, Ang Q. Effects of mindfulness on negative affect, body dissatisfaction, and disordered eating urges. Mindfulness. 2019 Sep; 10: 1779-91. Effects of Mindfulness on Negative Affect, Body Dissatisfaction, and Disordered Eating Urges | Mindfulness
  16. Mohammadi M, Alibakhshi Z, Sedighi M. The effect of Self-differentiation Training Based on Bowen Theory on Women's Self-differentiation and Marital Satisfaction. Journal of Midwifery and Reproductive Health. 2019; 7(4): 1914-1921. https://doi.org/ 10.22038/jmrh.2019.36432.1398
  17. Mirzaei M, Zarei E, Sadeghifard M. The role of self Differentition and economic factors by mediated family conflicts in preventing from mental and social harms.. Counseling Culture and Psycotherapy. 2019; 10(37): 143-170. [In Persian] https://doi.org/ 10.22054/qccpc.2019.36222.1984
  18. Keshvari F , Karbalaee Mohammad Meigouni A, Rezabakhsh H, Pashang S. Predicting Adolescent Girls' Anxiety by Early Maladaptive Schemas of their Mothers with the Mediation of their Self-Differentiation and Early Maladaptive Schemas. Journal of Applied Psychological Research. 2021; 11(4): 93-112. https://doi.org/10.22059/japr.2021.305503.643564 [In Persian]
  19. Yoo ya Y. The relatonship among the family functoning, self differentaton and junior high school student”s irrational belief; 2007.
  20. Murdock, NL. Gore, PA. Stress, coping, and differentiation of self: A test of Bowen theory. Contemporary Family Therapy: An International Journal. 2004; 3: 319- 337. Stress, Coping, and Differentiation of Self: A Test of Bowen Theory | Contemporary Family Therapy
  21. Gladding Sa Family therapy (history, theory and application). Translated by Bahari, Farshad; Bahrami, Badri Al Sadat, Saif, Sosan; Tabrizi, Mustafa. Tazkieh Publications. fourth edition; 2004. 1992. [In Persian]
  22. Goldenberg, Irone; and Goldenberg, Herbert (2008). Family Therapy. Translated by Hamidreza Barvat Shahi; Siamak Naqshbandi; And great inspiration. Tehran: Rovan Publications. (Original language publication date. 2000; 2008. [In Persian]
  23. Longo D, Fauci A, Kasper D, Hauser S, Jameson J, Loscalzo J. Harrison’s Priniciples of Internal Medicine 18th ed.United States: Mc Grow Hill; 2016.
  24. White G. Cognitive-Behavioral Therapy for Chronic Disease Medical.Tehran: Arjmand; 2018.
  25. Garner DM, Garfinkel PE. The Eating Attitudes Test: An index of the symptoms of anorexia nervosa. Psychological medicine. 1982; 9(2): 273-279. https://doi.org/10.1017/S0033291700030762
  26. Khodabakhsh M, Kiani F. The Role of Depressive Symptoms and Alexithymia in Predicting Disordered Eating Behavior Among Female Students. Community Health Journal. 2017; 8(3): 27-36. The role of anxiety and alexithymia in predicting disordered eating behaviors among students:implication for health promotion [In Persian]
  27. Skowron EA, Friedlander ML. The differentiation of self inventory: Development and initial validation. Journal of Counseling& Psychology; 1998; 45(3): 235-246. https://psycnet.apa.org/doi/10.1037/0022-0167.45.3.235
  28. Skian s. Investigating the effect of psychodrama (psycho-drama) on increasing the individual's differentiation from the original family in female high school students in the 5th district of Tehran. [Master's thesis in Counseling Psychology]. Tarbiat Moalem University. Tehran; 2002. https://doi.org/10.1016/j.aip.2020.101661 [In Persian]
  29. Yonsi F. Normization of self-differentiation test among people aged 25-50. [Master's thesis]. Faculty of Psychology and Educational Sciences. Allameh Tabatabai University. Tehran; 2003. [In Persian]
  30. Skowron EA, Schmitt TA. Assessing interpersonal fusion: Reliability and validity of a new DSI fusion with others subscale. Journal of marital and family therapy. 2003; 29(2): 209-22. https://doi.org/10.1111/j.1752-0606.2003.tb01201.x
  31. Baer, R.A, Mindfulness-Based Treatment Approaches: clinicians Guide to Evidence Base and Application. USA: Academic Press is an imprint of Elsevier; 2006.
  32. Souri G, Kariminejad K, Ghanbari V, Karimian Sa. the role of self-differentiation and spiritual intelligence in predicting emotional divorce. the first international conference on modern researches in the field of educational sciences. psychology and social studies of Iran, Qom; 2015. https://doi.org/10.1080/15289168.2021.1945721 [In Persian]
  33. Rashidi AR, Sharifi K, Naqshina Tayyaba. The relationship between family communication patterns and self-differentiation with the quality of life of women seeking divorce in Kermanshah. Pathology. counseling and family enrichment. 2015; 2‌(1): 78-66. [In Persian]
  34. Eskian P, Sanai Zakir B, Navanejad Sh. Investigating the effect of psychodrama on increasing the differentiation of the individual from the original family in female high school students of district 5 of Tehran. Counseling Research (News and Counseling Research). 2009; 7(25): 27-42. https://doi.org/10.1017/s1049023x22001170 [In Persian]
  35. Doba K, Berna G, Constant E, Nandrino JL. Self-differentiation and eating disorders in early and middle adolescence: A cross-sectional path analysis. Eating behaviors. 2018 Apr 1; 29: 75-82. https://doi.org/10.1016/j.eatbeh.2018.03.003
  36. Rothschild-Yakar L, Bashan-Levi Y, Gur E, Vorgaft I, Stein D. Dependent and autonomous interpersonal styles and level of differentiation among male patients with eating disorders. Psychoanalytic Psychology. 2016 Apr; 33(2): 243. https://psycnet.apa.org/doi/10.1037/pap0000026
 

  1. Tim M‌T, key lley, M.L. self differentiation levels predict their adult children and other tests of Bowen therapy in Philippne sample.Journal of counseling psychology. 2019; 44: 27-35. https://psycnet.apa.org/doi/10.1037/0022-0167.47.1.27
  2. Peleg O, Boniel-Nissim M, Tzischinsky O. Adolescents at risk of eating disorders: The mediating role of emotional distress in the relationship between differentiation of self and eating disorders. Frontiers in Psychology. 2023 Jan 11; 13: 1015405. https://doi.org/10.3389/fpsyg.2022.1015405
  3. Schmidt U, Treasure J. Anorexia nervosa: Valued and visible. A cognitive‐interpersonal maintenance model and its implications for research and practice. British journal of clinical psychology. 2006 Sep; 45(3): 343-66. https://doi.org/10.1348/014466505x53902
  4. ghaderijavid S, Gholamrezaie S, Rezaie F. EFFECTIVENESS OF MINDFULNESS BASED COGNITIVE THERAPY ON REDUCTION OF PERCEIVED STRESS AND EATING DISORDER IN STUDENTS WITH EATING DISORDER SYMPTOMS. Studies in Medical Sciences. 2016; 27 (9)‌: 801-810. EFFECTIVENESS OF MINDFULNESS BASED COGNITIVE THERAPY ON REDUCTION OF PERCEIVED STRESS AND EATING DISORDER IN STUDENTS WITH EATING DISORDER SYMPTOMS - Studies in Medical Sciences - مجله مطالعات علوم پزشکی [In Persian]
  5. Khodabakhsh MR, Kiani F. The relationship between components of negative affect and disordered eating behavior among students: the importance of emotion regulation with religious perspective‌. JRRH [Internet]; 2015, Oct.3. fkarimi,+Journal+manager,+سایت (2).pdf [In Persian]
 

  1. Lavender JM, Jardin BF, & Anderson DA. Bulimic symptoms in undergraduate men and women: Contributions of mindfulness and thought suppression. Eat Behave 2009; 10: 228-31. https://doi.org/10.1016/j.eatbeh.2009.07.002
  2. 43. Katterman SN, Kleinman BN, Hood MM, Nackers LM, and Corsica, JA, Mindfulness meditation as an intervention for binge eating, emotional eating, and weight loss: A systematic review. Eating Behaviors. 2014;15: 197–204. https://doi.org/10.1016/j.eatbeh.2014.01.005
44. Lavender JM, Gratz KL, Tull MT. Exploring the relationship between facets of mindfulness and eating pathology in women. CBT 2011; 40: 174-82. https://doi.org/10.1080/16506073.2011.555485

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