ﻧﻘﺶ ﻣﯿﺎﻧﺠﯽ ﺳﺒﮏﻫﺎي ﺷﻨﺎﺧﺘﯽ ﻣﺮﺗﺒﻂ ﺑﺎ ﻧﻈﺎم ﻓﻌﺎلﺳﺎزي رﻓﺘـﺎر ي در راﺑﻄـﻪ ﺑـ ﯿﻦ ﺗﺠـﺎر آﺳﯿﺐزاي دوره ﮐﻮدﮐﯽ ﺑﺎ ﻧﺸﺎﻧﮕﺎن اﺧﺘﻼل دوﻗﻄﺒﯽ در ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼل دوﻗﻄﺒﯽ

The Mediating Role of Behavioral Activation System (BAS)–Relevant Cognitive Styles in the Relationship between Childhood Traumatic Experiences with Syndrome in Patients with Bipolar Disorder: Design and Test of a Conceptual Model

زﻣﯿﻨﻪ و ﻫﺪف: ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺷﯿﻮع و ﻧﺮخ ﻋﻮد دوﺑﺎره اﺧﺘﻼل دوﻗﻄﺒﯽ، درك ﻋﻮاﻣﻞ ﭘﯿﺶﺑﯿﻦ و ﻋﻮاﻣﻞ آﺳﯿﺐﭘﺬﯾﺮي اﯾﻦ ﺑﯿﻤﺎري از اﻫﻤﯿﺖ ﺑﺎﻻﯾﯽ ﺑﺮﺧﻮردار اﺳﺖ، ازاﯾﻦرو ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﺑﺮرﺳﯽ ﻧﻘﺶ ﻣﯿﺎﻧﺠﯽ ﺳﺒﮏﻫﺎي ﺷﻨﺎﺧﺘﯽ ﻣﺮﺗﺒﻂ ﺑﺎ ﻧﻈﺎم ﻓﻌﺎلﺳﺎزي رﻓﺘﺎري در راﺑﻄﻪ ﺑﯿﻦ ﺗﺠﺎرب آﺳﯿﺐزاي دوره ﮐﻮدﮐﯽ ﺑﺎ ﻧﺸﺎﻧﮕﺎن اﺧﺘﻼل دوﻗﻄﺒﯽ در ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼل دوﻗﻄﺒﯽ اﻧﺠﺎم ﺷﺪ. ﻣﻮاد و روشﻫﺎ: ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺗﻮﺻﯿﻔﯽ از ﻧﻮع ﻫﻤﺒﺴﺘﮕﯽ ﺑﻮد. ﺟﺎﻣﻌﻪ آﻣﺎري را ﮐﻠﯿﻪ ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼل دوﻗﻄﺒﯽ ﺑﺴﺘﺮيﺷﺪه در ﺑﯿﻤﺎرﺳﺘﺎن ﺷـﻬﯿﺪ ﯾﺤﯿﯽ ﻧﮋاد ﺑﺎﺑﻞ ﺗﺸﮑﯿﻞ داد. ﺣﺠﻢ ﻧﻤﻮﻧﻪ 379 ﻧﻔﺮ ﺑﻮد ﮐﻪ ﺑﻪ روش ﻧﻤﻮﻧﻪﮔﯿﺮي در دﺳﺘﺮس و در ﯾﮏ ﺑﺎزه زﻣﺎﻧﯽ18 ﻣﺎﻫﻪ اﻧﺘﺨﺎب ﺷﺪﻧﺪ. ﺑﻪﻣﻨﻈﻮر ﮔﺮدآوري اﻃﻼﻋﺎت از ﭘﺮﺳﺸﻨﺎﻣﻪ ﺗﺠﺎرب آﺳﯿﺐزاي ﮐﻮدﮐﯽ، ﭘﺮﺳﺸﻨﺎﻣﻪ اﻓﺴﺮدﮔﯽ ﺑﮏ، ﻣﻘﯿﺎس ﺧﻮد ﮔﺰارﺷﯽ ﻣﺎﻧﯿﺎ و ﺳﺒﮏﻫﺎي ﺷﻨﺎﺧﺘﯽ ﻣﺮﺗﺒﻂ ﺑﺎ ﻧﻈﺎم ﻓﻌـﺎل ﺳـﺎزي رﻓﺘﺎري )ﺧﺮده ﻣﻘﯿﺎس ﮐﻤﺎلﮔﺮاﯾﯽ/ ارزﯾﺎﺑﯽ ﻋﻤﻠﮑﺮد ﻣﻘﯿﺎس ﻧﮕﺮشﻫﺎي ﻧﺎﮐﺎرآﻣﺪ، ﺧﺮده ﻣﻘﯿﺎس ﺧﻮد ﻧﮑﻮﻫﺸـﮕﺮي ﻣﻘﯿـ ﺎس ﺗﺠﺮﺑﯿـ ﺎت اﻓﺴـﺮدﮔ ﯽ و ﺧـﺮده ﻣﻘﯿﺎس ﺧﻮدﻣﺨﺘﺎري ﻣﻘﯿﺎس ﺧﻮدﻣﺨﺘﺎري- اﺟﺘﻤﺎع ﻣﺪاري( اﺳﺘﻔﺎده ﺷﺪ. دادهﻫﺎي ﭘﮋوﻫﺶ ﺑﺎ اﺳﺘﻔﺎده از ﻧـﺮم اﻓﺰارﻫـﺎي SPSS و LISREL و ﺑـﻪ ﮐﻤـﮏ روش ﻣﺪل ﯾﺎﺑﯽ ﻣﻌﺎدﻻت ﺳﺎﺧﺘﺎري ﺗﺤﻠﯿﻞ ﺷﺪ. ﯾﺎﻓﺘﻪﻫﺎ: ﻧﺘﺎﯾﺞ ﻧﺸﺎن داد ﺗﺠﺎرب آﺳﯿﺐزاي دوره ﮐﻮدﮐﯽ ﺑﺮ ﺳﺒﮏﻫﺎي ﺷﻨﺎﺧﺘﯽ ﻣﺮﺗﺒﻂ ﺑﺎ ﻧﻈﺎم ﻓﻌﺎلﺳﺎزي رﻓﺘﺎري و ﻧﺸﺎﻧﮕﺎن )اﻓﺴﺮدﮔﯽ و ﻣﺎﻧﯿـﺎ ( اﺧـﺘﻼل دوﻗﻄﺒﯽ اﺛﺮ دارد )0/05

Aim and Background: Understanding the predictors and vulnerabilities of bipolar disorder is very important because the prevalence and recurrence rate of this disease is high and even after treatment, patients still experience mild symptoms and functional impairments. Therefore, the present study aimed to investigate the mediating role of behavioral activation system–relevant cognitive styles in the relationship between traumatic childhood experiences with bipolar disorder syndrome in patients with bipolar disorder. Methods and Materials: The present study was a descriptive correlational study. The statistical population consisted of all patients with bipolar disorder admitted to Shahid Hayinejad Hospital in Babol. The sample size was 379 people who were selected by available sampling method in a period of 18 months. In order to collect the research data have used from the Child Trauma Questionnaire, Beck Depression Inventory- II, Mania Self-Report Scale and 3 Questionnaires of behavioral activation system–relevant cognitive styles (Perfectionism / Performance Evaluation subscale of Dysfunctional Attitudes Scale, Self-Criticism subscale of Depression Experiences Scale, and Autonomy subscale of Autonomy - Community orientation Scale). The research data were analyzed using SPSS and LISREL software and structural equation modeling.