Journal of Health System Research
مجله تحقیقات نظام سلامت
J Health Syst Res
Medical Sciences
http://hsr.mui.ac.ir
1
admin
2783-4093
2322-5564
10.48305
14
8888
13
fa
jalali
1399
1
1
gregorian
2020
4
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بررسی رابطه کمالگرایی و اضطراب با پدیدههای حسی در مبتلایان به اختلال وسواسی- اجباری شهرستان لاهیجان
The relationship Between Perfectionism and Anxiety with Sensory Phenomena in Patients with Obsessive-Compulsive Disorder in Lahijan City, Iran
پژوهشي
Research
<strong><span style="font-family:B Zar;"><span style="font-size:12.0pt;">مقدمه: </span></span></strong><span style="font-family:B Zar;"><span style="font-size:12.0pt;">پدیدههای حسی (</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">Sensory phenomena</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> یا </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">SP</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;">)، </span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;">حس بدنی، احساسات و امیال شدید ناخوشایندی هستند</span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> که در اغلب بیماران مبتلا به اختلال وسواسی- اجباری (</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">Obsessive compulsive disorder</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> یا </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">OCD</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;">) و سندرم </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">Tourette</span></span></span> <span style="font-family:B Zar;"><span style="font-size:12.0pt;">(</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">Tourette </span></span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">Syndrome</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> یا </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">TS</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;">) مشاهده میشود. پژوهش حاضر با هدف بررسی رابطه کمالگرایی و اضطراب با </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">SP</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> در مبتلایان به </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">OCD</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> انجام شد.</span></span><br>
<strong><span style="font-family:B Zar;"><span style="font-size:12.0pt;">روشها:</span></span></strong><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> این مطالعه تحلیلی- مقطعی از نوع همبستگی بود. از بین کلیه بیماران مبتلا به </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">OCD</span></span></span> <span style="font-family:B Zar;"><span style="font-size:12.0pt;">مراجعهکننده به مطب روانپزشکی در سال 1397 در شهرستان لاهیجان، نمونهای متشکل از 106 نفر به روش هدفمند انتخاب شدند. دادهها به وسیله مقیاس پدیدههای حسی دانشگاه سائوپائولو (</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">University of São Paulo’s Sensory Phenomena Scale</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> یا </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">USP-SPS</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;">)، مقیاس چند بعدی کمالگرایی (</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">Multidimensional Perfectionism Scale</span></span></span> <span style="font-family:B Zar;"><span style="font-size:12.0pt;">یا </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">MPS</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;">)، مقیاس اضطراب حالت- صفت </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">Spielberger</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> (</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">State-Trait Anxiety Inventory</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> یا </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">STAI</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;">) و </span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;">مقیاس تجدید نظر شده وسواس فکری- عملی (</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">Obsessive Compulsive Inventory-Revised</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> یا </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">OCI-R</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;">) </span></span> <span style="font-family:B Zar;"><span style="font-size:12.0pt;">جمعآوری </span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;">گردید. در نهایت، دادهها با استفاده از مدل </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">Logistic regression</span></span></span> <span style="font-family:B Zar;"><span style="font-size:12.0pt;">و ضریب</span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> همبستگی </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">Spearman</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> در نرمافزار </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">SPSS</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> مورد تجزیه و تحلیل قرار گرفت. </span></span><br>
<strong><span style="font-family:B Zar;"><span style="font-size:12.0pt;">یافتهها: </span></span></strong><span style="font-family:B Zar;"><span style="font-size:12.0pt;">حداقل یک </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">SP</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> در تمام بیماران مبتلا به </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">OCD</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> گزارش شد؛ در حالی که رابطه معنیداری بین وجود </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">SP</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> و جنسیت وجود نداشت. نتایج مدل </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">Logistic regression</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> نشان داد که کمالگرایی، اضطراب و </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">OCD</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> ارتباط مثبت و معنیداری با وجود و شدت </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">SP</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> داشت </span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;">(010/</span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;">۰</span></span> <span style="font-family:B Zar;"><span style="font-size:12.0pt;">> </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">P</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;">). اگرچه افزایش شدت </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">SP</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> تأثیری در افزایش رابطه ایجاد نکرد.</span></span><br>
<strong><span style="font-family:B Zar;"><span style="font-size:12.0pt;">نتیجهگیری:</span></span></strong><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> نتایج به دست آمده از اهمیت کمالگرایی و اضطراب در رابطه با وجود و شدت </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">SP</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> حمایت میکند. بر این اساس، به نظر میرسد که به منظور درمان </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">SP</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;"> در بیماران مبتلا به </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">OCD</span></span></span><span style="font-family:B Zar;"><span style="font-size:12.0pt;">، باید به نقش کمالگرایی و اضطراب توجه شود. </span></span>
<div><strong>Background</strong><strong>:</strong> Sensory phenomena (SP) are a physical, unpleasant sensations and anxiety that are seen in most patients with obsessive-compulsive disorder (OCD) and Tourette syndrome (TS). The aim of this study is to investigate the relationship between perfectionism and anxiety with SP in patients with OCD.<br>
<strong>Methods:</strong> This was a cross-sectional, analytical, correlational study. Among all patients with OCD who referred to psychiatric clinics in Lahijan, Iran in 2018, a sample of 106 people was selected through the purposive sampling method. In order to collect data, the University of São Paulo's Sensory Phenomena Scale (USP-SPS), Multidimensional Perfectionism Scale (MPS), Spielberger State-Trait Anxiety Scale (STAI), and Obsessive-Compulsive Inventory-Revised (OCI-R) were employed. The collected data were then analyzed using the logistic regression model and Spearman correlation coefficient in SPSS software.<br>
<strong>Findings:</strong> At least one case of SP was reported in all patients with OCD. However, there was no significant relationship between SP and gender. The results of the logistic regression model showed that perfectionism, anxiety, and OCD have a positive and significant relationship with the presence and severity of SP, however the increase in SP intensity did not promote this effect (P < 0.010).<br>
<strong>Conclusion:</strong> The present results support the importance of perfectionism and anxiety in relation to the presence and severity of SP. Therefore, in order to treat SP in patients with OCD, it seems that the role of perfectionism and anxiety should be considered<span dir="RTL">.</span></div>
وسواس فکری- عملی, کمالگرایی, اضطراب
Obsessive-compulsive disorder, Perfectionism, Anxiety
7
14
http://hsr.mui.ac.ir/browse.php?a_code=A-10-25-6&slc_lang=other&sid=1
Maedeh
Sarlati
مائده
سرلاتی
maedeh.sarlati.ms@gmail.com