بررسي رابطه فعاليت سيستم هاي مغزي - رفتاري و اضطراب بيماري با نقش واسطه اي انعطاف پذيري شناختي

Investigating the Relationship between Behavioral Brain System Activity and Illness Anxiety with The Mediating Role of Cognitive Flexibility

زﻣﯿﻨﻪ و ﻫﺪف: ﯾﮑﯽ از ﻣﺒﺎﺣﺜﯽ ﮐﻪ در روان ﺷﻨﺎﺳﯽ ﺳﻼﻣﺖ ﻣﻄﺮح اﺳﺖ واﮐﻨﺶ اﻓﺮاد ﺑﻪ ﻧﺸﺎﻧﻪ ﻫﺎي ﺟﺴﻤﺎﻧﯽ ﺑﯿﻤﺎري اﺳﺖ، اﻓﺮاد داراي اﺿﻄﺮاب ﺑﯿﻤﺎري، ﺑﺎورﻫﺎي ﻏﻠﻂ و ﺗﻌﺎﺑﯿﺮ ﻧﺎدرﺳﺘﯽ از ﺳﻼﻣﺘﯽ دارﻧﺪ. ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﻪ ﺑﺮرﺳﯽ راﺑﻄﻪ ﻓﻌﺎﻟﯿﺖ ﺳﯿﺴﺘﻢﻫﺎي ﻣﻐﺰي - رﻓﺘﺎري و اﺿﻄﺮاب ﺑﯿﻤﺎري ﺑﺎ ﻧﻘﺶ واﺳﻄﻪ اي اﻧﻌﻄﺎفﭘﺬﯾﺮي ﺷﻨﺎﺧﺘﯽ ﻣﯽﭘﺮدازد. ﻣﻮاد و روش ﻫﺎ: روش ﻣﻄﺎﻟﻌﻪ از ﻧﻮع ﻫﻤﺒﺴﺘﮕﯽ اﺳﺖ. ﺟﺎﻣﻌﻪ ﻣﻮردﻧﻈﺮ ﺷﺎﻣﻞ داﻧﺸﺠﻮﯾﺎن 18ﺗﺎ 35 ﺳﺎﻟﻪ داﻧﺸﮕﺎه ﺑﻮﻋﻠﯽ ﺳﯿﻨﺎ و ﭘﯿﺎم ﻧﻮر ﻫﻤﺪان اﺳﺖ ﮐﻪ ﺑﻪ ﻣﻨﻈﻮر اﻧﺠﺎم ﭘﮋوﻫﺶ 399ﻧﻔﺮ از داﻧﺸﺠﻮﯾﺎن ﺑﺎ روش ﻧﻤﻮﻧﻪ ﮔﯿﺮي در دﺳﺘﺮس اﻧﺘﺨﺎب ﺷﺪﻧﺪ. ﺷﺮﮐﺖﮐﻨﻨﺪﮔﺎن از ﻃﺮﯾﻖ اﺑﺰار ﺳﻨﺠﺶ ﺗﺤﻘﯿﻖ ﺷﺎﻣﻞ ﺳﻪ ﭘﺮﺳﺶ ﻧﺎﻣﻪ ﭘﻨﺞ ﻋﺎﻣﻠﯽ ﺟﮑﺴﻮن، اﺿﻄﺮاب ﺑﯿﻤﺎري و اﻧﻌﻄﺎفﭘﺬﯾﺮي ﺷﻨﺎﺧﺘﯽ ارزﯾﺎﺑﯽ ﺷﺪﻧﺪ، ﺳﭙﺲ داده ﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از روش ﺗﺤﻠﯿﻞ ﻣﺴﯿﺮ و ﺑﺮاﺳﺎس ﻧﺮماﻓﺰار AMOS-21 ﺗﺠﺰﯾﻪوﺗﺤﻠﯿﻞ ﺷﺪ. ﯾﺎﻓﺘﻪﻫﺎ: ﯾﺎﻓﺘﻪﻫﺎ ﻧﺸﺎن داد ﮐﻪ ﺳﯿﺴﺘﻢ ﻓﻌﺎل ﺳﺎزي رﻓﺘﺎري ) BAS( ﺑﺮ اﺿﻄﺮاب ﺑﯿﻤﺎري و ﺳﯿﺴﺘﻢ ﺟﻨﮓ و ﮔﺮﯾﺰ )FFFS( ﺑﺮ اﻧﻌﻄﺎفﭘﺬﯾﺮي ﺷﻨﺎﺧﺘﯽ، ﺗﺄﺛﯿﺮ ﻣﺴﺘﻘﯿﻢ دارد اﻣﺎ ﺳﯿﺴﺘﻢ ﻓﻌﺎل ﺳﺎزي رﻓﺘﺎري )BAS( ﺑﺮ اﻧﻌﻄﺎف ﭘﺬﯾﺮي ﺷﻨﺎﺧﺘﯽ و ﺳﯿﺴﺘﻢ ﺟﻨﮓ و ﮔﺮﯾﺰ )FFFS( ﺑﺮ اﺿﻄﺮاب ﺑﯿﻤﺎري ، اﻧﻌﻄﺎفﭘﺬﯾﺮي ﺷﻨﺎﺧﺘﯽ و اﺿﻄﺮاب ﺑﯿﻤﺎري، ﺗﺄﺛﯿﺮ ﻏﯿﺮﻣﺴﺘﻘﯿﻢ دارﻧﺪ. ﻫﻤﭽﻨﯿﻦ اﻧﻌﻄﺎفﭘﺬﯾﺮي ﺷﻨﺎﺧﺘﯽ، ﻧﻘﺶ ﻣﯿﺎﻧﺠﯽ ﺑﯿﻦ ﺳﯿﺴﺘﻢ ﻣﻐﺰي رﻓﺘﺎري ﺑﺎ اﺿﻄﺮاب ﺑﯿﻤﺎري اﯾﻔﺎ ﻣﯽ ﮐﻨﺪ. ﻧﺘﯿﺠﻪﮔﯿﺮي: ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﻧﺘﺎﯾﺞ ﭘﮋوﻫﺶ ﻣﯽﺗﻮان ﮔﻔﺖ ﻓﻌﺎﻟﯿﺖ ﺳﯿﺴﺘﻢ ﻓﻌﺎل ﺳﺎزي رﻓﺘﺎري )BAS( و ﺳﯿﺴﺘﻢ ﺟﻨﮓ و ﮔﺮﯾﺰ )FFFS( ﺑﺎ اﺿﻄﺮاب ﺑﯿﻤﺎري و ﻫﻤﭽﻨﯿﻦ اﻧﻌﻄﺎفﭘﺬﯾﺮي ﺷﻨﺎﺧﺘﯽ ﺑﻪﻋﻨﻮان ﯾﮏ ﻣﺘﻐﯿﺮ ﻣﯿﺎﻧﺠﯽ ﺑﺎ اﺿﻄﺮاب ﺑﯿﻤﺎري در ارﺗﺒﺎط اﺳﺖ.

One of the topics in health psychology is the reaction of people to the physical symptoms of the disease. People with anxiety have misconceptions and misinterpretations of health. The present study examines the relationship between the activity of behavioral brain systems and anxiety. The disease mediates cognitive flexibility. Materials and Methods: The study method is correlational. The study population includes students aged 18 to 35 years from Bu Ali Sina University and Payame Noor University of Hamadan. In order to conduct research, 399 students were selected by convenience sampling method. Participants were assessed using a research assessment tool including three Jackson Five-Factor Questionnaires, Disease Anxiety, and Cognitive Flexibility, then the data were analyzed using path analysis method, based on AMOS-21 software. Results: The results showed that Behavioral Activation System (BAS) has a direct effect on disease anxiety and FFFS has a direct effect on cognitive flexibility, but Behavioral Activation System (BAS) has a direct effect on cognitive flexibility and war system. an‎d FFFS have an indirect effect on morbidity, cognitive flexibility and morbidity; Cognitive flexibility also plays a mediating role between the behavioral brain system and disease anxiety. Conclusion: According to the results of the study, it can be said that the activity of Behavioral Activation System (BAS) and Fighting System (FFFS) is associated with disease anxiety and also cognitive flexibility as a mediating variable with disease anxiety.