نوع مقاله : مقاله پژوهشی
نویسندگان
1 استادیار، گروه روانشناسی، دانشکده ادبیات و علوم انسانی، دانشگاه خلیج فارس، بوشهر، ایران.
2 کارشناسی ارشد روانشناسی عمومی، دانشکده علوم انسانی و اجتماعی، دانشگاه اردکان، یزد، ایران.
3 کاندیدای دکترای روانشناسی سلامت، گروه روانشناسی، دانشکده روانشناسی، دانشگاه آزاد اسلامی واحد کرج، البرز، ایران.
4 استادیار، گروه معلولیت های حسی حرکتی، سازمان پژوهش و برنامه ریزی آموزشی، پژوهشگاه مطالعات آموزش و پرورش، تهران، ایران.
چکیده
تحقیق حاضر با هدف بررسی اثر اجتناب تجربی بر علائم اختلال استرس پس از سانحه با میانجی‌گری نشخوار ذهنی و آسیب‌پذیری ادراک‌شده نسبت به بیماری مسری در کادر درمان بیماران مبتلا به کووید-19 بود. روش پژوهش توصیفی و طرح پژوهش از نوع همبستگی بود. جامعة پژوهش را کادر درمان بیماران مبتلا به کووید-19 شاغل در بیمارستان‌های شهر تهران در ماه‌های خرداد و تیر سال 1400 تشکیل می دادند که از بین آنها به‌صورت در دسترس 458 نفر به عنوان نمونه انتخاب شدند. ابزارهای پژوهش شامل مقیاس شهروندی اختلال استرس پس از سانحه می‌سی‌سی‌پی کین و همکاران، پرسشنامه آسیب‌پذیری ادراک شده نسبت به بیماری مسری دانکن و همکاران، مقیاس نشخوار فکری نولن- هوکسما و پرسشنامه پذیرش و عمل باند و همکاران، به‌صورت آنلاین توسط کادر درمان تکمیل شد. تجزیه و تحلیل داده‌ها با استفاده از مدل یابی معادلات ساختاری به وسیله نرم افزارهای Amos و SPSS انجام شد. یافته های پژوهش نشان داد که اجتناب تجربی هم به‌طور مستقیم (65/0=β و 01/0>p) و هم به‌طور غیرمستقیم از طریق نشخوار ذهنی (21/0=β و 01/0>p) بر تجربه علائم اختلال استرس پس از سانحه تأثیر دارد. بنابراین، یافته‌های پژوهش علاوه بر تلویحات کاربردی و نظری می‌تواند به‌عنوان الگویی مفید برای ارائه خدمات روان‌شناختی به پرستاران جهت پیشگیری از ابتلا به اختلال پس از سانحه به کار گرفته شود.
کلیدواژه‌ها
موضوعات
عنوان مقاله [English]
The effect of experiential avoidance on the symptoms of Post-Traumatic Stress Disorder with the mediation of rumination and perceived vulnerability to infectious disease in the treatment staff of patients with Covid-19
نویسندگان [English]
- afsaneh moradi 1
- samireh karimi 2
- elham hessami 3
- Sara Yadollahi 4
1 Assistant Professor, Department of Psychology, Faculty of Literature and Humanities, Persian Gulf University, Bushehr, Iran.
2 M.A General Psychology, Faculty of Humanities and Social Sciences, Ardakan University, Yazd, Iran.
3 Ph.D Candidate, Department Of Psychology, Faculty of Psychology, Islamic Azad University Karaj Branch, Alborz, Iran
4 Assistant Professor, Department of Sensorimotor Disabilities, Educational Research and Planning Organization, Educational Research Institute, Tehran, Iran.
چکیده [English]
The effect of experiential avoidance on the symptoms of Post-Traumatic Stress Disorder with the mediation of rumination and perceived vulnerability to infectious disease in the treatment staff of patients with Covid-19
Abstract
Introduction
The emergence of the covid-19 disease in Wuhan, China and its spread throughout the world challenged the quality of life of people and especially the health care system and medical staff. Symptoms of Post-Traumatic Stress Disorder and depression have been observed during the Covid-19 pandemic in nurses and employees of the departments related to the coronavirus, which are considered one of the most important elements of health care. Therefore, the purpose of this study is to investigate the effect of experiential avoidance on the symptoms of Post-Traumatic Stress Disorder with the mediation of mental rumination and perceived vulnerability to infectious disease in the treatment staff of patients with covid-19.
Method
The current research method is descriptive and the research design is correlational. The statistical population of the present study included the medical staff caring for patients with covid-19 working in Tehran hospitals in Khordad and Tir 1400. The sampling method was accessible. A total of 516 people completed the questionnaires and after removing the distorted answers, the sample size included 458 people. Research tools included Mississippi PTSD Citizen Scale kane et al, Perceived Vulnerability to Infectious Diseases Questionnaire Duncan et al, Nolen-Hoeksma Rumination Questionnaire and Band et al Acceptance and Act Questionnaire. The criteria for entering the research included informed consent and employment in the care work in one of the designated hospitals for Covid-19, and the criteria for exiting included the distortion of the submitted answer sheet. The online method was used to implement the questionnaires, in such a way that the link of the online questionnaire was placed in the working groups of the nurses of certain hospitals for Covid-19 so that they could answer the questions of the questionnaires if they wanted to. For the sample people, before answering the questionnaires, the objectives, the importance of conducting the research and the criteria for entering the research were explained and they were reassured about ethical points such as confidentiality of personal information, etc. Data analysis was done using Structural Equation Analysis by Amos version 24 and SPSS version 22 software
Results
Data analysis showed that experiential avoidance has an effect both directly (p<0.0001) and indirectly through mental rumination (p<0.0001) on the experience of Post-Traumatic Stress Disorder symptoms. In other words, rumination plays a significant mediating role in the relationship between experiential avoidance and Post-Traumatic Stress Disorder symptoms, but perceived vulnerability does not play such a role.
Conclusion
In addition to practical and theoretical implications, research findings can be used as a useful model for providing psychological services to nurses to prevent Post-Traumatic Stress Disorder symptoms. Considering the direct and indirect effect of experiential avoidance on the experience of Post-Traumatic Stress Disorder symptoms, by reducing experiential avoidance and rumination, the probability of Post-Traumatic Stress Disorder symptoms can be reduced. It is suggested that in future researches, along with the main variables of the present study, important variables such as age, gender, socio-economic status, work experience, having a history of covid-19 disease or any other disease in the medical staff be studied as moderator variables.
KeyWords: Experiential Avoidance, Post-Traumatic Stress Disorder, Rumination, Perceived Vulnerability, Covid-19
Acknowledgments: The researchers consider it necessary to appreciate all nurses and medical staff caring for patients with Covid-19 working in Tehran hospitals (such as Masih Deneshvari, Milad, Shariati, Luqman, Shohadaie Tajrish, Imam Khomeini, Imam Hossein) during the pandemic who had the utmost cooperation in this research.
Financial resources: The implementation of this research did not conflict with any case, dimension, or organization of interest.
Conflict of interest: This article has not been sponsored
کلیدواژه‌ها [English]
- Experiential Avoidance
- Post-Traumatic Stress Disorder
- Rumination
- Perceived Vulnerability
- Covid-19
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