نوع مقاله : مقاله پژوهشی

نویسندگان

1 استاد، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه تبریز، تبریز، ایران

2 دانشیار، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه تبریز، تبریز، ایران

3 دانش‌آموخته کارشناسی ارشد روان‌شناسی بالینی کودک و نوجوان، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه تبریز، تبریز، ایران

چکیده

وسواس یک اختلال اضطرابی مزمن است که با اشتغال ذهنی مفرط در مورد نظم و ترتیب و امور جزئی و همچنین کمال‌طلبی همراه است، تا حدی که به از دست دادن انعطاف‌پذیری، صراحت و کارایی می‌انجامد. هدف از این پژوهش بررسی روابط ساختاری میان نشانه‌های اختلال شخصیت مرزی و سبک‌های دلبستگی با نشانه‌های وسواس به واسطه تنظیم هیجان بود. طرح پژوهش حاضر، توصیفی همبستگی مدل یابی معادلات ساختاری ‌(‌SEM) و روش نمونه‌گیری آن تصادفی خوشه‌ای بوده، بدین ترتیب که 5 دانشکده دانشگاه تبریز به طور تصادفی انتخاب شدند و در بین دانشکده‌ها به طور تصادفی بین کلاس‌های ورودی 98 پرسشنامه‌ها توزیع گردید و به منظور سنجش نشانه‌های وسواس از سیاهه بازنگری شده وسواسی-جبری Foa et al. (2002) نشانه‌های شخصیت مرزی از پرسشنامه اختلال شخصیت مرزی (1984) Claridge and Broks و سبک‌های دلبستگی از پرسشنامهHazan and Shaver (1987) و تنظیم هیجان از پرسشنامه Gross and John (2003) استفاده گردید. داده‌های به دست آمده از طریق مدل‌یابی معادلات ساختاری مورد تحلیل قرار گرفت. نتایج پژوهش نشان داد که نشانه‌های شخصیت مرزی و سبک‌های دلبستگی در قالب روابط ساختاری و به واسطه‌ی راهبردهای تنظیم هیجان ‌(سرکوبی – ارزیابی مجدد) قادرند تغییرات نشانه‌های وسواس را بطور معنی‌دار تبیین کنند.

کلیدواژه‌ها

عنوان مقاله [English]

Structural Relationships of Borderline Personality Disorder Symptoms and Attachment Styles with Obsessive-Compulsive Disorder Symptoms

نویسندگان [English]

  • zeynab khanjani 1
  • touraj hashemi 2
  • narges rahmatabadi 3

1 Professor, Department of Tabriz , Faculty Educational Sciences , University Tabriz, Tabriz, Iran.

2 Associate Professor, Department of Tabriz, Faculty Educational Sciences, University Tabriz, Tabriz, Iran

3 Graduate of Clinical Psychology of Children and Adolscents, Department of Tabriz, Faculty Educational Sciences, University Tabriz, Tabriz, Iran.

چکیده [English]

Introduction
Obsession is a chronic anxiety disorder that is associated with excessive mental preoccupation with order and detail, as well as perfectionism, to the extent that it leads to the loss of flexibility, openness, and efficiency, which, despite the high prevalence, is one of the most resistant disorders to treatment.Obsessive-compulsive disorder sufferers experience a range of emotional reactions when faced with situations that trigger obsessive thoughts and actions. There are individual differences related to the sensitivity to these emotions and the way they are regulated, which is called emotional regulation (Hoffman, Carpenter, & Joshua, 2016). Therefore, the purpose of this research was to investigate the structural relationships between borderline personality disorder symptoms and attachment styles with obsessive symptoms through emotion regulation.
 
Method
Research design the present is a descriptive correlation (Structural Equation Modeling (SEM) and its sampling method is cluster random, so that 5 faculties of Tabriz University were randomly selected and 200 questionnaires were randomly distributed among the faculties. In order to measure the signs of obsession from the obsessive-compulsive disorder (OCI-R) list, borderline personality traits from the Borderline Personality Disorder (STB) questionnaire, and attachment styles from the Hazen and shaver and Emotion Regulation Questionnaire from Gross and John (2003) The data were analyzed through structural equation modeling
Results
The obtained data were analyzed through structural equation modeling. The results showed that the effect of borderline personality disorder on obsessive symptoms is significant with an effect size of 0.35. The effect of borderline personality disorder on reappraisal is significant with an effect size of -0.52, and the effect of borderline personality disorder on repression is significant with an effect size of 0.38. The effect of borderline personality disorder on obsessive symptoms due to reappraisal is significant with an effect size of -0.36, and the effect of borderline personality disorder on obsessive symptoms due to suppression is significant with an effect size of 0.16. The effect of secure attachment on obsessive symptoms is significant with an effect size of -0.39. The effect of secure attachment on reappraisal and suppression is significant with an effect size of -0.31. The effect of avoidant attachment on obsessive symptoms is significant with an effect size of 0.27, on reappraisal with an effect size of -0.32, and on suppression with an effect size of 0.31. The effect of avoidant attachment on obsessive symptoms is not significant due to reappraisal with an effect size of -0.07 and suppression with an effect size of 0.06. The effect of ambivalent attachment is significant on obsessive symptoms with an effect size of 0.30, on reappraisal with an effect size of -0.29, and on suppression with an effect size of 0.50. The effect of ambivalent attachment on obsessive symptoms due to reappraisal is not significant with an effect size of -0.09, and the effect of ambivalent attachment on obsessive symptoms due to suppression is significant with an effect size of 0.15.
 
Discussion
Therefore, it can be concluded that the findings of this research can have important practical effects for clinical therapists and psychologists to pay attention to the structural relationships of borderline personality disorder symptoms and attachment styles with obsessive symptoms through emotional regulation.
 

کلیدواژه‌ها [English]

  • attachment styles
  • borderline personality traits
  • emotion regulation
  • obsessive-compulsive disorder
Abolghasemi, A., & Soltani Shal, R. (2019). A comparison of brain behavioral systems and emotional regulation in women with compulsive hoarding and other obsessive-compulsive disorders. Kaums Journal (Feyz), 23(1), 75-82. [Persion]
Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217-237. https://doi.org/10.1016/j.cpr.2009.11.004
Alimardani Someeh, S., Narimani, M., Mikaeeli, N., & Basharpoor, S. (2017). The comparison of intolerance of uncertainty, emotion regulation in obsessive-compulsive disorder patients and normal individuals. Journal of Psychological Studies, 13(2), 77-94. https://doi.org/10. 22051/psy.2017.5878 [Persion]
American Psychiatric Association. (2013). Diagnostic and Statis tical Manual of Mental Disorder (Revised 5 ed). Washington: American Psychiatric Association
Appleton, A. A., Holdsworth, E. A., & Kubzansky, L. D. (2016). A Systematic Review of the Interplay Between Social Determinants and Environmental Exposures for Early-Life Outcomes. Curr Environ Health Rep, 3 (3), 287-301. https://doi.org/10.1007/s40572-016-0099-7
Bargh J A, Williams L E (2008). On the nonconscious of emotion regulation. In J. Gross (Ed.), Handbook of emotion regulation (429-445); New York: Guilford Press.
Behzadipour, S. (2006). The relationship between attachment styles and weight concerns in teenage girls in Shiraz. Master's thesis in general psychology, Shahid Beheshti University.
Besharat, M. A., & Shahidi, V. (2014). Mediating Role of Cognitive Emotion Regulation Strategies on the Relationship Between Attachment Styles and Alexithymia. Europe’s Journal of Psychology, 10(2), 352–362. https://doi.org/10.5964/ejop.v10i2.671 [Persion]
Besharat, Muhammad Ali (2012). Adult attachment scale, implementation method questionnaire and scoring key (Persian version), Developmental Psychology, Iranian Psychologists, 35, 320-317.
Bigdeli, I., Najafy, M., Rostami, M. (2013). The relation of attachment styles, emotion regulation, and resilience to well-being among students of medical sciences. Iranian Journal of Medical Education, 13(9), 721-9.
Bowen, R., Balbuena, L., Baetz, M., & Marwaha, S. (2015). Mood instability in people with obsessive compulsive disorder and obsessive-compulsive personality traits. Journal of Obsessive-Compulsive and Related Disorders, 6, 108-113.
Bowlby, J. (1969). Attachment and loss, vol. 1. Attachment. International Psycho ‐ Analytical Library. New York: Basic Book
Bowlby, J. (1973). Attachment and loss: Volume II: Separation, anxiety and anger. New York, NY: Basic Books.
Bowlby, J. (1980). Attachment and loss: retrospect and prospect. American Journal of Orthopsychiatry, 52(4), 664.
Claridge, GS .Broks, P. (1984).Schizotypy and hemeissphere function:I. Theoretical considerations and the measurement of schizotypy. Personality Individual Differences 5,633-48
Diamond, G. S., & Stern, R. S. (2003). Attachment -Based Family Therapy for Depressed Adolescents: Repairing Attachment Failures. In S. M.
Johnson & V. E. Whiffen (Eds.)., Attachment processes in couple and family therapy (191–212). London: Guilford Press.
Etkin, A., Büchel, C., & Gross, J. J. (2015). The neural bases of emotion regulation. Nature Reveiws Neuroscience, 16(11), 693-700. https:// doi.org/10.1038/nrn4044
Fernández de la Cruz, L., Landau, D., Iervolino, A. C., Santo, S., Pertusa, A., Singh, S., & Mataix-Cols, D. (2013). Experiential avoidance and emotion regulation difficulties in hoarding disorder. J Anxiety Disord, 27(2), 204-209. https://doi.org/10.1016/j.janxdis.2013.01.004
Foa, E. B., Huppert, J. D., Leiberg, S, et al. (2002). The Obsessive- Compulsive Inventory: Development and validation short version. Psychological Assessment. 14(4), 485-496.
Fonagy, P., Luyten, P., & Strathearn, L. (2011). Borderline personality disorder, mental-ization, and the neurobiology of attachment. Infant Mental Health Journal, 32(1), 47-69.
Gambin, M., Woźniak-Prus, M., Konecka, A., & Sharp, C. (2020). Relations between attachment to mother and father, mentalizing abilities and emotion regulation in adolescents. European Journal of Developmental Psychology, 18(1), 19-38.
Goldberg, S. (2000). Later development and assessment of attachment beyond infancy. Attachment and Developelopment. London: Arnold Publishers, 34-51.
Gong, L., Li, W., Zhang, D., & Rost, D. H. (2016). Effects of emotion regulation strategies on anxiety during job interviews in Chinese college students. Anxiety, Stress, & Coping, 29(3), 305-317. https://doi.org/10. 1080/10615806.2015.1042462
Gresham, D., & Gullone, E. (2012). Emotion regulation strategy use in children and adolescents: The explanatory roles of personality and attachment. Personality and Individual Differences, 52(5), 616-621.
Gross, J. J. (2015). Emotion Regulation: Current Status and Future Prospects. Psychological Inquiry, 26(1), 1-26. https://doi.org/10.1080/ 1047840X.2014.940781
Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well–being. Journal of Personality and Social Psychology, 85, 348–362. https://psycnet.apa.org/doi/10.1037/0022-3514.85.2.348.
Haddadi Kuhsar, A. A., & Ghobari Bonab, B. (2018). Predicting Obsessive-compulsive behavior and Phobic Anxiety among Students of Medical Sciences: The role of the Concept of God [Article]. Journal of Reaserch On Religion and Health, 4(4 #b001216), 59-68. https://www. sid.ir/en/Journal/ViewPaper.aspx?ID=799045 [Peasion]
Hazan, C., & Shaver, P. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52(3), 511–24. doi: 10.1037/0022-3514.52.3.511
Hofmann, S. G., Carpenter, J. K., & Curtiss, J. (2016). Interpersonal Emotion Regulation Questionnaire (IERQ): Scale Development and Psychometric Characteristics. Cognitive therapy and Research, 40(3), 356-41. https://doi.org/10.1007/s10608-016-9756-2
Innamorati, M., Imperatori, C., Harnic, D., Erbuto, D., Patitucci, E., Janiri, L., Lamis, D. A., Pompili, M., Tamburello, S., & Fabbricatore, M. (2017). Emotion Regulation and Mentalization in People at Risk for Food Addiction. Behavioral Medicine, 43(1), 21-30. https://doi.org/10.1080/ 08964289.2015.1036831
Jackson, M., & Claridge, G. (1991). Reliability and validity of a psychotic trait questionnaire (STQ). British Journal of Clinical Psychology, 30, 311-323.
Khanjani, Z. (2016). Development and pathology of attachment from childhood to adolescence, Tabriz; Foroozeh Publications. First Edition. [Persion]
Khodai, A., Bagheri, M., & Khosropour, F. (2020). The Relationship between Mindfulness, Self-Differentiation and Borderline Personality Traits with the Mediation Role of Alexithymia. Psychological Achievements, 27(2), 49-68. [Pearsion]
Kim, S., Sharp, C., & Carbone, C. (2014). The protective role of attachment security for adolescent borderline personality disorder features via enhanced positive emotion regulation strategies. Personality Disorders: Theory, Research, and Treatment, 5(2), 125.
Melca, I. A., Yücel, M., Mendlowicz, M. V., de Oliveira-Souza, R., & Fontenelle, L. F. (2015). The correlates of obsessive–compulsive, schizotypal, and borderline personality disorders in obsessive–compulsive disorder. Journal of Anxiety Disorders, 33, 15-24. https://doi.org/https://doi.org/10.1016/j.janxdis.2015.04.004
Mikulincer, M., & Florian, V. (2003). Attachment style and affect regulation: Implications for coping with stress and mental health. Blackwell handbook of social psychology: Interpersonal processes, 535-557.
Mohammadi, A. A. F., Zamani, R., & Fata, L. (2008). Validation of The Persian Version of The Obsessive-Compulsive Inventory-Revised In a Student Sample Article Psychological Reaserch, 11(1-2 (21)), 66-78. https://www.sid.ir/en/journal/ViewPaper.aspx?id=159342 [Persion]
Mohammadzadeh, A. Goudarzi,MA. Taghavi, M., & Javad, M. (2005). The study of factor structure, validity, reliability and standardization of borderline personality scale (STB) in Shiraz University Students, The Quarterly Journal of Fundamentals of Mental Health, 27, 75-89. [Persion]
Narimani, M., & Arya Pouran, S. (2011). The comparison of effectiveness of mindfulness and emotion regulation trainings on mental health in chemical victims. Clinical Psychology Studies, 1(2), 93-117. [Persion] https://doi.org/10.22054/jcps.2011.5797
Neacsiu, A. D., Fang, C. M., Rodriguez, M., & Rosenthal, M. Z. (2018). Suicidal Behavior and Problems with Emotion Regulation. Suicide Life Threat Behav, 48(1), 52-74. https://doi.org/10.1111/sltb.12335
Pakdaman, Sh. (2001). Investigating the relation between attachment and sociability in adolescents. Psychoscience; 3(9), 25-47. [Persion]
Rawlings D, Claridge G, Freeman JL (2001). Principal components analysis of the Schizotypal Personality Scale (STA) and the Borderline Personality Scale (STB). Personality and Individual Differences, 31, 409-419.
Roberts, S., O'Connor, K., & Bélanger, C. (2013). Emotion regulation and other psychological models for body-focused repetitive behaviors. Clin Psychol Rev, 33(6), 745-762. https://doi.org/10.1016/j.cpr.2013.05.004
Sadeghi, M., Mazaheri, M. A., Mutabi, F (2011). Adult attachment and couple relationship quality based on observation of their interactions. Journal of Psychology, 15(1), 222-3.
Schneider, R. L., Arch, J. J., Landy, L. N., & Hankin, B. L. (2018). The Longitudinal Effect of Emotion Regulation Strategies on Anxiety Levels in Children and Adolescents. Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53, 47(6), 978-991. https://doi.org/10.1080/15374416.2016.1157757
Schulze, L., Schmahl, C., & Niedtfeld, I. (2016). Neural Correlates of Disturbed Emotion Processing in Borderline Personality Disorder: A Multimodal Meta-Analysis. Biological Psychiatry, 79(2), 97-106. https://doi.org/10.1016/j.biopsych.2015.03.027
Shahisadrabadi, F., Khosravi, Z., Rahmatinejad, P., & Yazdi, M. (2020). The experience of the anger in individual with Obsessive Compulsive Disorder: A Qualitative Study. Journal of Psychological Achievements, 27 (2), 171-192. https://doi.org/10.22055/psy.2020.33207.2532 [Persion]
Summerfeldt, L. J., Kloosterman, P. H., Antony, M. M., McCabe, R. E., & Parker, J. D. A. (2011). Emotional Intelligence in Social Phobia and Other Anxiety Disorders. Journal of Psychopathology and Behavioral Assessment, 33 (1), 69-78. https://doi.org/10.1007/s10862-010-9199-0 .
Taghvaeinia, A. (2018). The Moderating Role of Coping Styles in the Relationship Between Attachment Styles and Obsession Death among the Elderly, Developmental Psychology: Iranian Psychologists. 14(56), 461-473.. https://jip.stb.iau.ir/article_543926_fe63fddee99e627d29be7a766e694847.pdf [Persion]
Temperchi, S (2022). The role of attachment styles, fusion of thought and action and personality dimensions in predicting signs and symptoms of OCD, Master's Thesis, Khatam University, Faculty of Human Sciences.
Vahedi, S., Hashemi, T., & Einipour, J. (2013). Investigation of Relationship among Emotional Control, Cognitive Emotional Regulation and Obsessive Beliefs In High School Girl Students of Rasht [Article]. Advances In Cognitive Science, 15(2(58)), 63-71. https://www. sid.ir/en/Journal/ViewPaper.aspx?ID=365404 [Persion]
Yarbro, J., Mahaffey, B., Abramowitz, J., & Kashdan, T. (2013). Recollections of parent–child relationships, attachment insecurity, and obsessive–compulsive beliefs. Personality and Individual Differences, 54, 355–360. https://doi.org/10.1016/j.paid.2012.10.003
Zabet, M,. Karami., J., & Yazdanbakhsh, K. (2022). The effectiveness of cognitive emotion regulation training on the experiential avoidance of women with obsessive-compulsive disorder in Kermanshah, Psychological Studies, 17(1), 129-144. [Persion]