نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد روان‏شناسی بالینی دانشگاه محقق اردبیلی

2 دانشیار گروه روان‏شناسی دانشگاه محقق اردبیلی

3 استاد گروه روان‏شناسی دانشگاه محقق اردبیلی

چکیده

هدف پژوهش حاضر مقایسه ارزیابی شناختی و راهبردهای کنترل فکر در بیماران مبتلا به PTSD و افراد بهنجار است. این پژوهش مطالعه مورد شاهدی است. نمونه این پژوهش 40 بیمار مبتلا به PTSD و 40 فرد بهنجار ساکن در استان‏های مازندران و تهران بودند که با روش نمونه‏گیری در دسترس انتخاب شدند. برای جمع‏آوری داده‏ها از مصاحبه تشخیصی جامع بین‏المللی، مقیاس شناخت‏های پس از آسیب، پرسشنامه راهبرد‏های کنترل فکر و مقیاس ضربه رویداد استفاده شد. نتایج تحلیل واریانس چند متغیری نشان داد که ارزیابی شناختی مختل و استفاده از راهبرد‏های کنترل فکر ناکارآمد در افراد مبتلا به PTSD نسبت به افراد بهنجار به طور معناداری بیشتر است. نتایج تحلیل رگرسیون چند‏متغیری نشان داد که ارزیابی شناختی و راهبرد‏های کنترل فکر 77 درصد از واریانس علایم PTSD را در افراد مبتلا به این اختلال تبیین می‏کنند. این نتایج بیان می‏کند که راهبردهای کنترل فکر و ارزیابی شناختی با علایم PTSD مرتبط هستند. همچنین این یافته‏ها با مدل فراشناختی ولز در موردPTSD  همسان است.

کلیدواژه‌ها

عنوان مقاله [English]

The cognitive appraisal and thought control strategies in the patients with Posttraumatic stress disorder and normal persons

نویسندگان [English]

  • F. Bakhshian (M. A) 1
  • A. Abolghasemi (Ph. D) 2
  • M. Narimani (Ph. D) 3

چکیده [English]

The purpose of the present research was to compare thought control strategies and cognitive appraisal of patients with Posttraumatic stress disorder. This research is a case-control study. The research sample consisted of 40 patients with PTSD and 40 normal persons which were selected by available sampling. To collect the data, Composite International Diagnostic Interview, Posttraumatic Cognitions Inventory, Thought Control Questionnaire and The Impact of Event Scale-Revised were used. The MANOVA results showed that dysfunctional cognitive appraisal and use of inefficient thought control strategies in patients with PTSD is significantly greater than normal person. The results of multiple regressions also showed cognitive appraisal and thought control strategies percent 77 had significant contribute in prediction symptoms in patients with PTSD. The results suggested that thought control strategies and cognitive appraisal are related to PTSD symptoms. Also, the findings are consistent with Wells’ meta-cognitive model of PTSD.

کلیدواژه‌ها [English]

  • cognition appraisal
  • thought control strategies
  • PTSD
عبدی، احمد.، مرادی، علی رضا.، اکرمیان، فهیمه. (1387). بررسی عملکرد افراد مبتلا به PTSD ناشی از جنگ در حافظۀ شرح حال، فصلنامۀ علمی پژوهش در سلامت روان‏شناختی، 3، 34- 25.
کاویانی، حسین.، علاقبند راد، جواد.، شریفی، ونداد.، پورناصح، مهرانگیز.، احمدی ابهری، سیدعلی. (1385). مصاحبه تشخیصی جامع بین‏المللی، تهران: انتشارات کاویان.
وکیلی، یعقوب. (1385). بررسی اثربخشی درمان فراشناختی بر PTSD، پایان نامۀ کارشناسی ارشد روان‏شناسی بالینی، دانشگاه علوم پزشکی و خدمات بهداشتی درمانی ایران.
 
منابع لاتین
Abramowitz, J. S., Deacon, B. J., Woods, C. M., & Tolin, D. F. (2004). Association between protestant religiosity and obsessivecompulsive symptoms and cognitions. Depression and Anxiety, 20, 70–76.
Asgari S.(1991). [Study of personality characteristics in children of war veterans]. Dissertation for the master of sciences degree. Tehran: Tarbiate Modarres University.
Barrowclough, C., Gregg, L., Tarrier, N. (2008). Expressed emotion and causal attributions in relatives of post-traumatic stress disorder patients. Behaviour Research and Therapy. 46 ,207–218
Bennett ,S. A., Beck, J. K., Clapp, J. D. (2009). Understanding the relationship between posttraumatic stress disorder and trauma cognitions: The impact of thought control strategies. Behaviour Research and Therapy. 47 ,1018–1023
Dunmore, E., Clark, D. M., & Ehlers, A. (1999). Cognitive factors involved in the onset and maintenance of posttraumatic stress disorder (PTSD) after physical or sexual assault. Behaviour Research and Therapy, 37, 809–829.
Dunmore, E., Clark, D. M., & Ehlers, A. (2001). A prospective investigation of the role of cognitive factors in persistent posttraumatic stress disorder (PTSD) after physical or sexual assault. Behaviour Research and Therapy, 39, 1063–1084.
Ehlers, A. & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319–345.
Ehlers, A., Mayou, R. A., & Bryant, B. (2003). Cognitive predictors of posttraumaticstress disorder in children: Results of a prospective longitudinal study. Behaviour Research and Therapy, 41, 1-10
Elsesser, K., Freyth, C., Lohrmann, T., Sartory, G. (2009). Dysfunctional cognitive appraisal and psychophysiological reactivity in acute stress disorder. Journal of Anxiety Disorders. 23 ,979–985
Feiring, C., Cleland, C. H. (2007). Childhood sexual abuse and abuse-specific attributions of blame over 6 years following discovery. ChildAbuse&Neglect 31,1169–1186
Foa, E. B., Ehlers, A., Clark, D. M., Tolin, D. F., & Orsillo, S. M. (1999). The Posttraumatic Cognitions Inventory (PTCI): Developmentand validation. Psychological Assessment, 11, 303–314.
Foa, E. B., Rothbaum, B. O. (1998). Treating the trauma of rape: Cognitive-behavioral therapy for PTSD. New York: Guilford.
Hickling, E. J., Blanchard, E. B., Buckley, T. C., & Taylor, A. E. (1999). Effects of attribution of responsibility for motor vehicle accidents on severity of PTSD symptoms, ways of coping, and recovery over six months. Journal of Traumatic Stress, 12, 345–353
Holeva, V., Tarrier, N., & Wells, A. (2001). Prevalence and predictors of acute stress disorder and PTSD following road traffic accidents: thought control strategies and social support. Behavior Therapy, 32, 65–68
Kashdan,T. B., Uswatte, G., Steger,M.F., Julian, T.(2006). Fragile self-esteem and affective instability in posttraumatic stress disorder. Behaviour Research and Therapy .44 , 1609–1619
Karl, A., Rabe , S., Zo¨ llner ,T., Maercker , A., Stopa, L. (2009). Negative self-appraisals in treatment-seeking survivors of motor vehicle accidents. Journal of Anxiety Disorders. 23 ,775–781
Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives in General Psychiatry, 52, 1048–1060.
Louise Field, E., Norman, P., Barton, J.(2008). Cross-sectional and prospective associations between cognitive appraisals and posttraumatic stress disorder symptoms following stroke. Behaviour Research and Therapy. 46 , 62–70
Mardani A. (2000). [Study of the psychological profiles of the spouses of war veterans with PTSD (using the SCL-90-R) in Chaharmahal-o-Bakhtiari province]. Dissertation for the master of sciences degree. Isfahan: Isfahan University
Mayou, R., Bryant, B., & Ehlers, A. (2002). Prediction of psychological outcomes one year after a motor vehicle accident. American Journal of Psychiatry, 158, 1231–1238.
Mikulincer, M., & Solomon, Z. (1988). Attributional style and combat-related posttraumatic stress disorder. Journal of Abnormal Psychology, 97, 308–313.
Resenck, H., Kilpatrich, D. G. & Dansky, B. S. (1993). Prevalence of clivian trauma and posttraumatic stress disorder in representative national sample of woman. Journal consulting Clinical Psychology. 61,948-991
Riggs, D. S., Rothbaum, B. O., & Foa, E. B. (1995). A prospective examination of symptoms of posttraumatic stress disorder in victims of nonsexual assault. Journal of Interpersonal Violence, 10, 201–214.
Sadock BJ, Sadock AV. (2007). Synopsis of psychiatry. Philadelphla: Lippincott Williams & wilkins: G12-21
Scarpa, A., Wilson, L. C., Wells, A. O., Patriquin,M.A., Tanaka,A.(2009). Thought control strategies as mediators of trauma symptoms in young women with histories of child sexual abuse. Behaviour Research and Therapy. 47, 809–813
Smith, K., Bryant, R. A. (2000). The generality of cognitive bias in acute stress disorder. Behaviour Research and Therapy ,38 , 709-715
Startup, M., Makgekgenene, L., Webster, R. (2007). The role of self-blame for trauma as assessed by the Posttraumatic Cognitions Inventory (PTCI): A self-protective cognition?. Behaviour Research and Therapy, 45 (2007) 395–403
Starcevic,V., Berle, D., Milicevic, D., Hannan, A., Lamplugh, C., Eslick,G.(2007). Pathological worry, anxiety disorders and the impact of co-occurrence with depressive and other anxiety disorders. Journal of Anxiety Disorders, 21, 1016–1027
Vrana, S., & Lauterbach, D. (1994). Prevalence of traumatic events and post-traumatic psychological symptoms in a nonclinical sample of college students. Journal of Traumatic Stress, 7(2), 289–302.
Warda, G., & Bryant, R. A. (1998). Cognitive bias in acute stress disorder. Behaviour Research and Therapy, 36, 1177–1183.
Wells, A., & Davies, M. (1994). The Thought Control Questionnaire: A measure of individual differences in the control of unwanted thought. Behaviour Research and Therapy, 32, 871–878.
Wells, A. (2005). Worry, intrusive thoughts, and generalized anxiety disorder: the metacognitive theory and treatment. In: D. A. Clark (Ed.), Intrusive thoughts in clinical disorders: theory, research, and treatment (pp. 119–144). New York: Guilford Press
Young, A., Yehuda, R., Shalve, A. Y., Mcfarlan, A.C. (2000). An alternative history of traumatic stress. Internal handbook of human response to trauma. C Kluwer Academic/Plenim: New York
Weiss, D., & Marmar, C. (1997). The impact of event scale – revised. In J. Wilson, & T. Keane (Eds.), Assessing psychological trauma and PTSD. New York: Guilford
Williams, W. H., Evans, J. J., Needham, P., & Wilson, B. A. (2000). Neurological, cognitive and attributional predictors of Posttraumatic Brain Injury. Journal of Traumatic Stress, 15, 397−400.