نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی، گروه روانشناسی، دانشکدة روانشناسی و علوم تربیتی، دانشگاه سمنان، سمنان، ایران

2 استادیار، گروه روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه سمنان، سمنان، ایران

3 دانشیار، گروه روانشناسی بالینی، دانشکده روانشناسی و علوم تربیتی، دانشگاه سمنان، سمنان، ایران

4 استادیار، گروه روانشناسی بالینی، دانشکده روانشناسی و علوم تربیتی، دانشگاه سمنان،سمنان،ایران

چکیده

مقدمه: تحقیقات پیشین نشان داده‌اند که اختلال اضطراب اجتماعی با مشکلات زیادی در حیطه‌های مختلف زندگی همراه است، با توجه به این موضوع و اهمیت شناخت عوامل تاثیر گذار بر اضطراب اجتماعی، این پژوهش با هدف مقایسه نیمرخ دشواری در تنظیم هیجانی و سیستم های مغزی رفتاری در بیماران مبتلا به اختلال اضطراب اجتماعی و افراد بهنجار صورت گرفت.
مواد و روش‌ها: طرح پژوهش از نوع علی مقایسه ای بود. حجم نمونه آماری شامل 43 زن (23 نفر اختلال اضطراب اجتماعی و 20 نفر بهنجار) می باشد که مهر تا اسفند 1396 به مراکز مشاوره شهرستان نیشابور مراجعه کرده بودند و با روش نمونه گیری هدفمند انتخاب شدند. ابزارهای سنجش شامل مصاحبه بالینی ساختار یافته، پرسشنامه هراس اجتماعی کانور، مقیاس دشواری در تنظیم هیجانی و مقیاس های بازداری رفتاری/ فعال سازی رفتاری بود. برای تجزیه تحلیل داده‌ها از روش تحلیل واریانس چند متغیری (MANOVA) استفاده شد.
نتایج: تحلیل یافته‌ها نشان داد بین زنان دارای اختلال اضطراب اجتماعی در مقایسه با گروه عادی در سطوح دشواری در تنظیم هیجانی و سیستم‌های بازداری رفتاری/ فعالسازی رفتاری تفاوت معناداری وجود دارد. براساس یافته‌ها این تفاوت به نفع گروه بهنجار بود.
نتیجه گیری: نتایج این پژوهش حاکی از اهمیت و ارتباط دشواری در تنظیم هیجانی و سیستم‌های بازداری رفتاری/ فعال سازی رفتاری در اضطراب اجتماعی است. از نتایج به دست آمده می‌توان در برنامه‌های پیشگیری و درمانی استفاده کرد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Comparison of Behavioral Brain Systems and Difficulty of Emotional Regulation Profile in Patients with Social Anxiety Disorder and Normal People

نویسندگان [English]

  • SAYDEH SAYDEH MASOMEH ALAVI 1
  • parvin rafieinia 2
  • Shahrokh Makvand Hoseini 3
  • Shahrokh Makvand Hoseyni 4

1 Ph.D Student, General Psychology, Department of Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran

2 Assistant Professor, Department of Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran

3 Associate Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran

4 Associate Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran

چکیده [English]

Introduction: Previous research has shown that social anxiety disorder is associated with problems in many areas of life, considering this issue and the importance of identifying factors affecting social anxiety, the present study was aimed to Compare Behavioral Brain Systems Profile and Difficulty of Emotional Regulation in Patients with Social Anxiety Disorder and Normal People.
Method: The present work is a causal comparative study. We studied 43 women
(Including 23 women with social anxiety disorder and another 20 ones with normal conditions), these participants were selected based on purposive method among the woman who came Neyshabur counseling centers from Mehr to Espand of 2017 (1396). In order to analyze the data, we applied the following measuring tools: SCID-I, Connor's social phobia inventory, difficulties in emotion regulation and behavioral inhibition system/behavioral activation system and multivariate analysis of variance (MANOVA).
Findings: Based on the results, there are significant differences between the woman with social anxiety disorder and normal women, specifically at the levels of difficulties in emotion regulation and behavioral inhibition system/behavioral activation system (P

کلیدواژه‌ها [English]

  • Behavioral Inhibition System / Behavioral Activation System
  • Difficulty of Emotional Regulation
  • Social Anxiety Disorder
[1] Sharma P, Mehta M, Sagar R. Efficacy of transdiagnostic cognitive-behavioral group therapy for anxiety disorders and headache in adolescents. Journal of anxiety disorders. 2017;46:78-84.
[2] American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub; 2013.
[3] Hofmann SG. Perception of control over anxiety mediates the relation between catastrophic thinking and social anxiety in social phobia. Behaviour Research and Therapy. 2005;43(7):885-95.
[4] Waters AM, Pittaway M, Mogg K, Bradley BP, Pine DS. Attention training towards positive stimuli in clinically anxious children. Developmental Cognitive Neuroscience. 2013;4:77-84.
[5] Hofmann SG. Cognitive factors that maintain social anxiety disorder: A comprehensive model and its treatment implications. Cognitive behaviour therapy. 2007;36(4):193-209.
[6] Majad-Ara E, Bigdeli I, Najafi M, Rashn S. Direct and Indirect Impact of Effects on Anxiety and Depression in Elderly: The Mediating Role of Difficulty in Emotion Regulation. Journal of Clinical Psychology. 2016; 8(2): 89-98.
[7] Aldao A, Nolen-Hoeksema S. When are adaptive strategies most predictive of psychopathology?. Journal of abnormal psychology. 2012;121(1):276-289.
[8] Gomes NS, Farina M, Dal Forno C. Spirituality, Religion and Religion: Concepts Reflection in Psychological Articles. Revista de Psicologia da IMED. 2014; 6(2):107-12.
[9] Jazaieri H, Morrison AS, Goldin PR, Gross JJ. The role of emotion and emotion regulation in social anxiety disorder. Current psychiatry reports. 2015; 17(1):531. [in Persian].
[10] Klemanski DH, Curtiss J, McLaughlin KA, Nolen-Hoeksema S. Emotion regulation and the transdiagnostic role of repetitive negative thinking in adolescents with social anxiety and depression. Cognitive therapy and research. 2017; 41(2):206-19.
[11] Helbig‐Lang S, Rusch S, Lincoln TM. Emotion regulation difficulties in social anxiety disorder and their specific contributions to anxious responding. Journal of clinical psychology. 2015; 71(3):241-9.
[12] Auerbach RP, Abela JR, Ho MH. Responding to symptoms of depression and anxiety: Emotion regulation, neuroticism, and engagement in risky behaviors. Behaviour Research and Therapy. 2007; 45(9):2182-91.
[13] Rusch S, Westermann S, Lincoln TM. Specificity of emotion regulation deficits in social anxiety: An internet study. Psychology and Psychotherapy: Theory, Research and Practice. 2012; 85(3):268-77.
[14] Besharat MA, Masoudi M, Dehgani S, Motahari S, Pourhagan, F. the mediating role of emotion regulation difficulties on the relationship between social anxiety symptoms and anger. Psychocience. 2014; 13(51):321-339. [in Persian].
[15] Sheikhan R, Hasani J, Mahmoodzadeh A, Aryanakia E. Adolescents ‘Social Anxiety: The Role of Attachment Styles and Cognitive Emotion Regulation Strategies. DevPschol: Iran Psychol. 2013; 36(9):363-75. [in Persian].
[16] Turk CL, Heimberg RG, Luterek JA, Mennin DS, Fresco DM. Emotion dysregulation in generalized anxiety disorder: A comparison with social anxiety disorder. Cognitive Therapy and Research. 2005; 29(1):89-106.
[17] Kimbrel NA, Cobb AR, Mitchell JT, Hundt NE, Nelson-Gray RO. Sensitivity to punishment and low maternal care account for the link between bulimic and social anxiety symptomology. Eating Behaviors. 2008; 9(2):210-7.
[18] Kagan J, Reznick JS, Snidman N. The physiology and psychology of behavioral inhibition in children. Child development. 1987; 1:1459-73.
[19] Vervoort L, Wolters LH, Hogendoorn SM, De Haan E, Boer F, Prins PJ. Sensitivity of Gray’s behavioral inhibition system in clinically anxious and non-anxious children and adolescents. Personality and Individual Differences. 2010; 48(5):629-33.
[20] Majdi H, Atadokht A, Hazrati SH, Sobhigaramaleki N. Comparison of Brain / Behavioral Systems and emotion regulation difficulties in Students with and without Clinical Syndrome of Social Anxiety Disorder. Clinical Psychology & Personality. 2018 (IN PRESS). [in Persian].
[21] Corr PJ. JA Gray's reinforcement sensitivity theory and frustrativenonreward: A theoretical note on expectancies in reactions to rewarding stimuli. Personality and Individual Differences. 2002;32(7):1247-53.
[22] Bijttebier P, Beck I, Claes L, Vandereycken W. Gray's Reinforcement Sensitivity Theory as a framework for research on personality–psychopathology associations. Clinical psychology review. 2009; 29(5):421-30.
[23] MohammadiMasiri F, Hajloo N, Abolghasemi A. The Relationship of Behavioral Activation and Inhibition Systems (BAS/BIS), Difficulty of Emotional Regulation and Shyness with Social Anxiety Disorder in Normal Adolescents. J ShahrekordUniv Med Sci. 2016; 17 (6):10-21. [in Persian].
[24] Hundt NE, Nelson-Gray RO, Kimbrel NA, Mitchell JT, Kwapil TR. The interaction of reinforcement sensitivity and life events in the prediction of anhedonic depression and mixed anxiety-depression symptoms. Personality and Individual Differences. 2007; 43(5):1001-12.
[25] Simons JS, Dvorak RD, Lau-Barraco C. Behavioral inhibition and activation systems: Differences in substance use expectancy organization and activation in memory. Psychology of Addictive behaviors. 2009; 23(2):315.
[26] Clauss JA, Blackford JU. Behavioral inhibition and risk for developing social anxiety disorder: a meta-analytic study. Journal of the American Academy of Child & Adolescent Psychiatry. 2012; 51(10):1066-75.
[27] Makvandhoseini S, najafi M, Khaleghi R. Relationship between Brain-behavioral Systems Activity Mediated by Positive and Negative Emotions on Social Anxiety of Students. Neuropsychology. 2018; 3(10): 63-80.
[28] Kimbrel NA, Mitchell JT, Nelson-Gray RO. An examination of the relationship between behavioral approach system (BAS) sensitivity and social interaction anxiety. Journal of Anxiety Disorders. 2010; 24(3):372-8.
[29] Kimbrel NA, Nelson-Gray RO, Mitchell JT. BIS, BAS, and bias: The role of personality and cognitive bias in social anxiety. Personality and Individual Differences. 2012; 52(3):395-400.
[30] Tull MT, Gratz KL, Latzman RD, Kimbrel NA, Lejuez CW. Reinforcement sensitivity theory and emotion regulation difficulties: A multimodal investigation. Personality and Individual Differences. 2010; 49(8):989-94.
[31] Pickett SM, Bardeen JR, Orcutt HK. Experiential avoidance as a moderator of the relationship between behavioral inhibition system sensitivity and posttraumatic stress symptoms. Journal of Anxiety Disorders. 2011; 25(8):1038-45.
[32] Golmahammadi K, Sadeghi H, Shamsoldini H, Zohrabi S, Hashemi F. The Simultaneity Investigation of Role of Anxiety Sensitivity and Emotional Regulation in Prediction of social Anxiety Disorder. Quarterly Journal of Health Breeze. 2016; 5(1): 37-44.
[33] First MB, Spitzer RL, Gibbon M, Williams JB. User’s guide for the structured clinical interview for DSM-IV axis I disorders SCID-I: Clinician version. New York: American Psychiatric As sociation Pub; 1997.
[34] Mohammadkhani P, Jahani A, Tamanaeifar SH. Structured clinical interview for DSM-IV disorders (Persian). 4th ed. Tehran: Faradid Pub; 2007. [in Persian].
[35] Connor KM, Davidson JR, Churchill LE, Sherwood A, Weisler RH, Foa E. Psychometric properties of the Social Phobia Inventory (SPIN): New self-rating scale. The British Journal of Psychiatry. 2000; 176(4):379-86.
[36] Tsai CF, Wang SJ, Juang KD, Fuh JL. Use of the Chinese (Taiwan) version of the Social Phobia Inventory (SPIN) among early adolescents in rural areas: reliability and validity study. Journal of the Chinese Medical Association. 2009; 72(8):422-9.
[37] Davidson JR, Miner CM, De Veaugh-Geiss J, Tupler LA, Colket JT, Potts NL. The brief social phobia scale: a psychometric evaluation. Psychological medicine. 1997; 27(1):161-6.
[38] Abedi M. (dissertation). Cognitive biases in interpretation in people with social phobia.
[39] Tehran: Iran University of Medical Sciences; 2003. [in Persian].
[40] Carver CS, White TL, Behavioral inhibition, behavioral activation, and affective responses toimpending reward and punishment: The BIS/BAS scales, Journal of Personality and SocialPsychology 1994; 67(2): 319-333
[41] Choubdar M, The Relationship between behvioralinhibition/activation systems and attachmentstyles with cardio diseases, MA thesis, General Psychology, Tabriz University, Tabriz, Iran 2007. [in Persian].
[42] Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of psychopathology and behavioral assessment. 2004; 26(1):41-54.
[43] Shams J, Azizi A, Mirzaei A. Correlation between distress tolerance and emotional regulation with students smoking dependence. Hakim Research Journal. 2010; 13(1):11-8. [in Persian].
[44] Mennin DS, McLaughlin KA, Flanagan TJ. Emotion regulation deficits in generalized anxiety disorder, social anxiety disorder, and their co-occurrence. Journal of anxiety disorders. 2009; 23(7):866-71.
[45] Sung SC, Porter E, Robinaugh DJ, Marks EH, Marques LM, Otto MW, Pollack MH, Simon NM. Mood regulation and quality of life in social anxiety disorder: An examination of generalized expectancies for negative mood regulation. Journal of anxiety disorders. 2012; 26(3):435-41.
[46] Borkovec TD, Ray WJ, Stober J. Worry: A cognitive phenomenon intimately linked to affective, physiological, and interpersonal behavioral processes. Cognitive Therapy and Research. 1998; 22(6):561-76.
[47] Zelenski JM, Larsen RJ. Predicting the future: How affect-related personality traits influence likelihood judgments of future events. Personality and Social Psychology Bulletin. 2002; 28(7):1000-10.
[48] McNaughton N, Gray JA. Anxiolytic action on the behavioural inhibition system implies multiple types of arousal contribute to anxiety. Journal of affective disorders. 2000; 61(3):161-76.