نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانش آموخته دکتری روان‌شناسی عمومی، گروه روان‌شناسی، دانشگاه گیلان، گیلان، ایران

2 استاد گروه روان‌شناسی، دانشکده روان‌شناسی، دانشگاه گیلان، گیلان، ایران

3 دانشیار گروه روان‌شناسی، دانشکده روان‌شناسی، دانشگاه گیلان، گیلان، ایران

چکیده

چکیده
با توجه به دشواری در تنظیم هیجان و کارکردهای اجرایی نوجوانان چاق استفاده از مداخلات روان‌شناختی جهت تنظیم هیجان و بهبود کارکردهای اجرایی نوجوانان چاق از اهمیت بالایی برخوردار است. هدف این پژوهش اثربخشی آموزش خودتنظیمی بر کنترل وزن، کارکردهای اجرایی و تنظیم هیجان در نوجوانان چاق و دارای اضافه وزن بود. طرح پژوهش حاضر از نوع نیمه آزمایشی و با گروه گواه بود. جامعه آماری پژوهش شامل نوجوانان چاق و دارای اضافه وزن شهر اصفهان بود که در سال 1398 به مراکز بهداشت این شهرستان مراجعه نموده‌اند. روش نمونه‌گیری به صورت در دسترس از میان مراجعه‌کنندگان به مراکز سلامت شهر اصفهان انتخاب شدند. ابزارهای پژوهش شامل پرسشنامه دشواری تنظیم هیجان گراتز و رومر (2004)، آزمون ویسکانسین و استروپ جهت سنجش کارکردهای اجرایی بودند. داده‌ها با استفاده از تحلیل کوواریانس چندمتغیری تحلیل شدند. نتایج تحلیل‌های پژوهش نشان داد که آموزش خودتنظیمی بر سطح توده بدنی، تنظیم هیجان و کارکردهای اجرایی شرکت‌کنندگان مؤثر بود، با این‌حال سطح توده بدنی آزمودنی‌ها به عنوان متغیر مستقل دوم در نتایج پژوهش دخیل نبود. آموزش مبتنی بر تنظیم رفتار بر شاخص توده بدنی، تنظیم هیجان و کارکردهای اجرایی بدون توجه به سطح چاقی و اضافه وزن شرکت‌کنندگان مؤثر بود. با توجه به نتایج پژوهش می‌توان نتیجه گرفت آموزش خودتنظیمی می‌تواند از طریق بهبود کارکردهای اجرایی و تنظیم هیجان منجر به بهبود خودکنترلی و مدیریت خوردن در نوجوانان شده و در نتیجه موجب کاهش سطح توده بدنی آن‌ها می‌شود.

کلیدواژه‌ها

عنوان مقاله [English]

The effectiveness of self-regulation training with body mass index interaction on weight control, executive functioning, and emotion regulation of overweight and obese adolescent

نویسندگان [English]

  • mohammad vatankhah 1
  • seyed musa kafi 2
  • Abbas Abolqasemi 2
  • Iraj Shakerinia 3

1 Ph.D. Graduated of General Psychology, Department of Psychology, University of Guilan, Guilan, Iran.

2 Professor, Department of Psychology, Faculty of Psychology, University of Guilan, Guilan, Iran.

3 Associate Professor, Department of Psychology, Faculty of Psychology, University of Guilan, Guilan, Iran.

چکیده [English]

Abstract
Due to the difficulty in emotion regulation and executive functions of obese adolescents, psychological interventions have a great importance. The aim of this study was to investigate the effectiveness of self-regulation training on weight control, executive functions and emotion regulation in overweight and obese adolescents. The research design was semi-experimental with control group. The statistical population of the study consisted of obese and overweight adolescents in Isfahan who referred to health centers in Isfahan in 1398. Samples were selected by convenience sampling from those referring to health centers in Isfahan. Research tools including Gratz and Romer (2004) emotion regulation difficulty questionnaire, Wisconsin and Stroop test were used to measure executive functions. Data were analyzed using multivariate analysis of covariance. The results of the analysis showed that self-regulation training was effective on participants' BMI, emotion regulation, and executive functions. However, BMI as the second independent variable was not effective in the results of the study. Behavioral regulation training is effective on body mass index, emotion regulation, and executive functions regardless of participants' level of obesity and overweight. According to the research results, it can be concluded that self-regulatory training can improve weight control, executive functions and emotion regulation of obese and overweight adolescents. These results can be explained as self-regulatory training has skills and exercises that it is closely related to eating behavior, emotion regulation, and executive functions.

کلیدواژه‌ها [English]

  • obese adolescents
  • self regulation
  • executive functions
  • emotion regulation
Ariapuran, S., Abbasi, S., & Karimi, J. (2019). The effect of acceptance and commitment therapy on social anxiety and physical perception in obese women. Journal of Psychological Achievements, 26(2), 137-158. [Persian]
Abarca-Gómez, L., Abdeen, Z. A., Hamid, Z. A., Abu-Rmeileh, N. M., Acosta-Cazares, B., Acuin, C., ... & Agyemang, C. (2017). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128· 9 million children, adolescents, and adults. The Lancet, 390(10113), 2627-2642.
Abdalla, S. M., Alsaif, B. A., Al Jasser, S. J., & Al Sultan, A. S. (2017). Prevalence of obesity and overweight among primary school children in Majmaah, Saudi Arabia. Majmaah Journal of Health Sciences, 5(1), 30-40.
Alamian, A., & Paradis, G. (2009). Clustering of chronic disease behavioral risk factors in Canadian children and adolescents. Preventive Medicine, 48(5), 493-499.
Aminian, M. (2009). The relationship between emotional regulation, negative life events and body image with eating disorders in women and girls in Ahvaz. MA Thesis, Psychology, Ahwaz, Islamic Azad University. [Persian]
Basharpour, S. (2006). Evaluation of information processing speed, automated and controlled processing and effect of drugs Antidepressants affect these three variables in depressive disorder. Master's Degree in General Psychology, University of Mohaghegh Ardabili.
Carver, C. S., & Scheier, M. F. (2011). Self-regulation of affect and action. Handbook of self-regulation: Research, theory, and applications. Guilford Press New York, NY2.
Cserjési, R., Molnár, D., Luminet, O., & Lénárd, L. (2007). Is there any relationship between obesity and mental flexibility in children? Appetite49(3), 675-678.
Francis, L. A., & Susman, E. J. (2009). Self-regulation and rapid weight gain in children from age 3 to 12 years. Archives of Pediatrics & Adolescent Medicine, 163(4), 297-302.
Gerrits, J. H., O'hara, R. E., Piko, B. F., Gibbons, F. X., De Ridder, D. T., Keresztes, N., ... & De Wit, J. B. (2010). Self-control, diet concerns and eater prototypes influence fatty foods consumption of adolescents in three countries. Health Education Research25(6), 1031-1041.
Gorin, A. A., Gokee LaRose, J., Espeland, M. A., Tate, D. F., Jelalian, E., Robichaud, E., ... & Bahnson, J. (2019). Eating pathology and psychological outcomes in young adults in self-regulation interventions using daily self-weighing. Health Psychology38(2), 143.
Gouveia, M. J., Canavarro, M. C., & Moreira, H. (2019). Associations between mindfulness, self-compassion, difficulties in emotion regulation, and emotional eating among adolescents with overweight/obesity. Journal of Child and Family Studies28(1), 273-285.
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure and initial validation of the difficultics in emotion validation of the difficultics in emotion. Psychopathology and Behavioral Assessment, 26(1), 41- 54.
Heydari, A., & Iqbal, F. (2012). The relationship between difficulty in emotion regulation, attachment styles, and marital satisfaction in couple’s intimacy with hardiness styles in Ahwaz. New Findings in Psychology, 5(15) 132-131. [Persian]
Haines, J., Neumark Sztainer, D., Wall, M., & Story, M. (2007). Personal, behavioral, and environmental risk and protective factors for adolescent overweight. Obesity, 15(11), 2748-2760.
Inzlicht, M., Berkman, E., & Elkins-Brown, N. (2016). The neuroscience of “ego depletion”. Social neuroscience: Biological approaches to social psychology. Psychology Press, 101-123.
Johnson, F., Pratt, M., & Wardle, J. (2012). Dietary restraint and self-regulation in eating behavior. International Journal of Obesity, 36(5), 665-674.
Kalantari, F., Davoodi, I., Basaknejad, S., Mehrabizadeh Honarmand, M., & Karandish, M. (2015). Effectiveness of rational-emotional-behavioral therapy on body mass index, weight self-efficacy and body image in overweight adolescent girls. Journal of Psychological Achievement, 22(2), 75-98.
Kalishadi, R., Hashemipour, M., Sarraf Zadegan, N., Sadri, G., Ansari, R., & Ali Khasi, H. (2003) Prevalence of overweight and obesity in adolescents and its relationship with environmental factors, Isfahan, Iran. Journal of Faculty of Medicine, Tehran University of Medical Sciences, 61(4), 260-273. [Persian]
Khazaei, S., Noorali, P., et al. (2016). Prevalence of obesity in Iranian adolescents: A meta-analysis study. Qom University of Medical Sciences Journal, 10(9), 78-88. [Persian]
Kohl, S. H., Veit, R., Spetter, M. S., Günther, A., Rina, A., Lührs, M., ... & Hallschmid, M. (2019). Real-time fMRI neurofeedback training to improve eating behavior by self-regulation of the dorsolateral prefrontal cortex: A randomized controlled trial in overweight and obese subjects. Neuroimage, 191, 596-609.
Kushner, R. F., & Bessesen, D. H. (Eds.). (2014). Treatment of the obese patient. Springer Science & Business Media. Lancet, 354, 1921–1923
Ma, J., Rosas, L. G., Lv, N., Xiao, L., Snowden, M. B., Venditti, E. M., ... & Lavori, P. W. (2019). Effect of integrated behavioral weight loss treatment and problem-solving therapy on body mass index and depressive symptoms among patients with obesity and depression: the RAINBOW randomized clinical trial. Jama321(9), 869-879
Meyers, L. S., Gamst, G., & Guarino, A. J. (2016). Applied multivariate research: Design and interpretation. Sage publications North America.
Mora-Gonzalez, J., Esteban-Cornejo, I., Cadenas-Sanchez, C., Migueles, J. H., Molina-Garcia, P., Rodriguez-Ayllon, M., & Ortega, F. B. (2019). Physical fitness, physical activity, and the executive function in children with overweight and obesity. The Journal of Pediatrics, 208, 50-56.
Naderi, N. (1996). Evaluation of information processing and some neuropsychological functions of patients with obsessive-compulsive disorder
(Master of psychology). Tehran Psychiatric Institute, Tehran. [Persian]
Nederkoorn, C., Van Eijs, Y., & Jansen, A. (2004). Restrained eaters act on impulse. Personality and Individual Differences, 37(8), 1651-1658.
Ogden, C. L., Carroll, M. D., Curtin, L. R., Lamb, M. M., & Flegal, K. M. (2010). Prevalence of high body mass index in US children and adolescents, 2007-2008. Jama, 303(3), 242-249.
Pau, C. W., Lee, T. M., & Shui-Fun, F. C. (2002). The impact of heroin on frontal executive functions. Archives of Clinical Neuropsychology, 17(7), 663-670.
Porter, K. J. (2013). Self-regulatory skills for controlled eating emanating from newly initiated physical activity. Journal of Social, Behavioral, and Health Sciences, 7(1), 67-78.
Ronan, L., Alexander-Bloch, A., & Fletcher, P. C. (2020). Childhood obesity, cortical structure, and executive function in healthy children. Cerebral Cortex, 30(4), 2519-2528.
Reynolds, C. R., & MacNeill Horton, A. (2008). Assessing executive functions: A lifespan perspective. Psychology in the Schools, 45(9), 875-892.
Skinner, A. C., Ravanbakht, S. N., Skelton, J. A., Perrin, E. M., & Armstrong, S. C. (2018). Prevalence of obesity and severe obesity in US children, 1999–2016. Pediatrics, 141(3), e20173459.1-9.
Stewart, S. H., Angelopoulos, M., Baker, J. M., & Boland, F. J. (2000). Relations between dietary restraint and patterns of alcohol use in young adult women. Psychology of Addictive Behaviors, 14(1), 77-82.
Ullrich-French, S. C., Power, T. G., Daratha, K. B., Bindler, R. C., & Steele, M. M. (2010). Examination of adolescents' screen time and physical fitness as independent correlates of weight status and blood pressure. Journal of Sports Sciences, 28(11), 1189-1196.
Unick, J. L., Beavers, D., Bond, D. S., Clark, J. M., Jakicic, J. M., Kitabchi, A. E., & Wing, R. R. (2013). The long-term effectiveness of a lifestyle intervention in severely obese individuals. The American Journal of Medicine, 126(3), 236-242
Van Strien, T. (2018). Causes of emotional eating and matched treatment of obesity. Current Diabetes Reports, 18(6), 1-8.
Watach, A. J., Radcliffe, J., Xanthopoulos, M. S., Novick, M. B., & Sawyer, A. M. (2019). Executive function impairments in adolescents with obesity and obstructive sleep Apnea syndrome. Biological Research for Nursing, 21(4), 377-383.
World Health Organization. (2015). World health statistics 2015. World Health Organization.
Williams, E. P., Mesidor, M., Winters, K., Dubbert, P. M., & Wyatt, S. B. (2015). Overweight and obesity: Prevalence, consequences, and causes of a growing public health problem. Current Obesity Reports, 4(3), 363-370.