بررسی نقش واسطه‌ای انعطاف‌پذیری روان‌شناختی در رابطه‌ی بین طرح‌واره‌های ناسازگار اولیه با پریشانی روان‌شناختی

نویسندگان
1 دانشگاه تربیت دبیر شهید رجایی تهران
2 دانشگاه لرستان
چکیده
پژوهش حاضر با هدف نقش واسطه‌ای انعطاف‌پذیری روان‌شناختی در رابطه‌ی بین طرح‌واره‌های ناسازگار اولیه با پریشانی روان‌شناختی صورت پذیرفت. این پژوهش توصیفی- همبستگی و به روش مدل‌یابی معادلات ساختاری بود. جامعه‌ی این پژوهش شامل تمامی دانشجویان مقطع کارشناسی مرکز آموزش عالی پلدختر در سال تحصیلی 1400-1399 بود. حجم نمونه آماری بر اساس قاعده سرانگشتی کلاین برابر 230 نفر تعیین شد که به روش نمونه‌گیری در دسترس و با پرسشنامه آنلاین انجام شد. برای جمع‌آوری داده‌ها از پرسشنامه‌های طرح‌واره یانگ، پرسشنامه‌ی انعطاف‌پذیری شناختی دنیس و وندروال و پرسشنامه‌ی ارزیابی پریشانی روان‌شناختی کسلر و همکاران استفاده شد. تحلیل داده‌ها به روش آماری مدل معادلات ساختاری انجام شد و برای بررسی نقش واسطه‌ای متغیرها از آزمون بوت‌استراپ استفاده شد. نتایج نشان داد طرح‌واره‌های ناسازگار بر پریشانی روان‌شناختی تأثیر مستقیم (01/0>P) و به ‌واسطه‌ی انعطاف‌پذیری روان‌شناختی تأثیر غیرمستقیم دارد (01/0> P). بر اساس نتایج، مدل پژوهش از برازش مطلوب برخوردار است. با کاهش طرح‌واره‌های ناسازگار اولیه می‌توان به دانشجویان کمک کرد تا انعطاف‌پذیری روان‌شناختی بیشتری داشته باشند که نتیجه‌ی آن می‌تواند غلبه بر مسائل و مشکلات تحصیلی و کاهش پریشانی روان‌شناختی باشد.
کلیدواژه‌ها

عنوان مقاله English

Investigating the Mediating Role of Psychological Flexibility in the Relationship between Early Maladaptive Schemas and Psychological Distress

نویسندگان English

narges hafezi 1
Houshang Garavand 2
1 Shahid Rajaee Teacher Training university
2 Lorestan University
چکیده English

This study aimed to examine the mediating role of psychological flexibility in the relationship between maladaptive schemas and psychological distress. The research design employed in this study was descriptive-correlational, utilizing structural equation modeling. The population of this study included all undergraduate students of Poldokhtar Higher Education Center during 2020-2021. The size of the statistical sample according to Klein's rule of thumb equals 230 people, which was done by an available sampling method and an online questionnaire. The Young Schema Questionnaire, the Cognitive Flexibility Inventory by Dennis and Vanderwal, and the Kessler Psychological Distress Scale were used to collect the data. The data was analyzed using structural equation modeling, and bootstrapping was employed to examine the mediating role of variables. The results indicated that maladaptive schemas have a direct significant effect on psychological distress (P < 0.01) and an indirect effect through psychological flexibility (P < 0.01). Based on the results, the research model demonstrated a good fit. By reducing maladaptive schemas, students can enhance their psychological flexibility, which may lead to overcoming academic issues and reducing psychological distress.

کلیدواژه‌ها English

Early maladaptive schemas
psychological distress
Psychological flexibility
Abadi, R. G. H., Motlagh, M. G., & Jajarmi, M. The mediating role of cognitive emotion regulation strategies in the relationship between early maladaptive schemas with psychological distress. Social Determinants of Health, 9, 1-11.

Akdeniz, S., & Gültekin Ahçı, Z. (2023). The role of cognitive flexibility and hope in the relationship between loneliness and psychological adjustment: a moderated mediation model. Educational and Developmental Psychologist, 40(1), 74-85.

Anayurt, A., & YALÇIN, İ. (2021). Investigation of Relations between Emotion Regulation, Early Maladaptive Schemas, Cognitive Flexibility, and Rumination. Kastamonu Eğitim Dergisi, 29(4), 194-204.

Anderson, L. S., Grimsrud, A., Myer, L., Williams, D. R., Stien, D. J., & Seedat S. (2011). The psychometric properties of the K10 and K6 scales in screening for mood and anxiety disorders in the South African Stress and Health study. International Journal Methods Psychiatr Research, 20(4): 215-223.

Andrews, G., Slade, T (2001). Interpreting scores on the Kessler Psychological Distress Scale (k10). Australian and New Zealand Journal of Public Health, 25, 494-497.

Ang, C. W., Tan, M. M., Bärnighausen, T., Reininghaus, U., Reidpath, D., & Su, T. T. (2022). Mental distress along the cascade of care in managing hypertension. Scientific Reports, 12(1), 15910.

Arslan, G. (2023). Dysfunctional parenting and emotional problems and substance misuse: Enhancing psychological flexibility in college students. Journal of ethnicity in substance abuse, 1-17.

Arslan, G., & Allen, K. A. (2022). Exploring the association between coronavirus stress, meaning in life, psychological flexibility, and subjective well-being. Psychology, Health & Medicine, 27(4), 803-814.

Ateş-Ös, A., & Bulut-Serin, N. (2023). Cognitive flexibility and belonging among university students: mediating role of adaptation. Current Psychology, 1-9.

Best, R., Strough, J., & Bruine de Bruin, W. (2023). Age differences in psychological distress during the COVID-19 pandemic: March 2020–June 2021. Frontiers in Psychology, 14, 1101353.

Bilgiç, R., & Bilgin, M. (2016). Ergenlerin cinsiyet ve öğrenim kademesi düzeylerine göre bilişsel esneklik düzeyleri ile karar stratejileri arasındaki ilişkinin incelenmesi. Uşak Üniversitesi Eğitim Araştırmaları Dergisi, 2(2), 39–55. https://doi.org/10.29065/usakead.232432

Bilgin, M. (2017). Ergenlerin beş faktör kişilik özelliği ile bilişsel esneklik ilişkisi. Elektronik Sosyal Bilimler Dergisi, 16(62), 945–954. https://doi.org/10.17755/esosder.285296

Boyda, D., McFeeters, D., Dhingra, K., & Rhoden, L. (2018). Childhood maltreatment and psychotic experiences: Exploring the specificity of early maladaptive schemas. Journal of Clinical Psychology, 74(12), 2287–2301. https://doi.org/10.1002/jclp.22690

Breslau, J., Finucane, M. L., Locker, A. R., Baird, M. D., Roth, E. A., & Collins, R. L. (2021). A longitudinal study of psychological distress in the United States before and during the COVID-19 pandemic. Preventive medicine, 143, 106362.

Bruysters, N. Y. F., & Pilkington, P. D. (2023). Overprotective parenting experiences and early maladaptive schemas in adolescence and adulthood: A systematic review and meta‐analysis. Clinical Psychology & Psychotherapy, 30(1), 10-23.

Bryan, C. J., Ray-Sannerud, B., & Heron, E. A. (2015). Psychological flexibility as a dimension of resilience for posttraumatic stress, depression, and risk for suicidal ideation among Air Force personnel. Journal of Contextual Behavioral Science, 4(4), 263-268. doi:10.1016/j. jcbs.2015.10.002.

Couper, M. P. (2000). Web surveys: A review of issues and approaches. The Public Opinion Quarterly, 64(4), 464-494.

Dennis, J. P., & Vander Wal, J. S. (2010). The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cognitive therapy and research, 34(3), 241-253.

Dheer, R. J. , & Lenartowicz, T. (2019). Cognitive flexibility: Impact on entrepreneurial intentions. Journal of Vocational Behavior, 115, 103339.

Diamond, A. (2013). Executive functions. Annual Review of Psychology, 64, 135–168. https://doi.org/10.1146/annurev-psych-113011-143750

Dickstein, D. P., Nelson, E., McClure, E. B., Grimley, M. E., Knopf, L., Brotman, M. A., Rich, B. A., Pine, D. S., & Leibenluft, E.(2007). Cognitive flexibility in phenotypes of pediatric bipolar disorder. Child adolesc, 46(3), 341-355.

Dostal, A. L., & Pilkington, P. D. (2023). Early maladaptive schemas and obsessive-compulsive disorder: A systematic review and meta-analysis. Journal of Affective Disorders.

Dutra, L., Callahan, K., Forman, E., Mendelsohn, M., & Herman, J. (2008). Core schemas and suicidality in a chronically traumatized population. Journal of Nervous and Mental Disease, 196(1), 71-74. https://doi.org/10.1097/NMD.0b013e31815fa4c1

Fischer, T. D., Smout, M. F., & Delfabbro, P. H. (2016). The relationship between psychological flexibility, early maladaptive schemas, perceived parenting and psychopathology. Journal of contextual behavioral science, 5(3), 169-177.

Flesia, L., Adeeb, M., Waseem, A., Helmy, M., & Monaro, M. (2023). Psychological distress related to the COVID-19 pandemic: The protective role of hope. European journal of investigation in health, psychology and education, 13(1), 67-80.

GBD ( 2019) Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet 2020, 396, 1204–1222. [Google Scholar] [CrossRef]

Genet, J. J., Malooly, A. M., & Siemer, M. (2013). Flexibility is not always adaptive: Affective flexibility and inflexibility predict rumination use in everyday life. Cognition and Emotion, 27(4), 685-695.

Gloster, A. T., Meyer, A. H., & Lieb, R. (2017). Psychological flexibility as a malleable public health target: Evidence from a representative sample. Journal of Contextual Behavioral Science, 6(2), 166–171. https://doi.org/10.1016/j.jcbs.2017.02.003

Hedley, L. M., Hoffart, A., & Sexton, H. (2001). Early maladaptive schemas in patients with panic disorder with agoraphobia. Journal of Cognitive Psychotherapy, 15(2), 131–142. https://doi.org/10.1891/0889-8391.15.2.131

Hinrichsen, H. Waller, G., & Emanuelli, F. (2004). Social anxiety and agoraphobia in the eating disorders: Associations with core beliefs. The Journal of Nervous and Mental Disease, 192(11), 784–787. https://doi.org/10.1097/01.nmd.0000144698.69316.02

Hiramoto, T., Oka, T., Yoshihara, K., & Kubo, C. (2009). Pyrogenic cytokines did not mediate a stress interview-induced hyperthermic response in a patient with psychogenic fever: a case report. Psychosomatic Medicine, 71(9), 932-936.

Ho, C. Y., Ben, C. L., & Mak, W. W. (2022). Nonattachment mediates the associations between mindfulness, well -being, and psychological distress: A meta -analytic structural equation modeling approach. Clinical Psychology Review, 102175. https://doi.org/10.1016/j.cpr.2022.102175

Höhne, E., Banaschewski, T., Bajbouj, M., Böge, K., Sukale, T., & Kamp-Becker, I. (2023). Prevalences of mental distress and its associated factors in unaccompanied refugee minors in Germany. European Child & Adolescent Psychiatry, 32(7), 1211-1217.

Horwitz, A. V. (2007). Distinguishing distress from disorder as psychological outcomes of stressful social arrangements. Health:, 11(3), 273-289.



Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30(7), 865–878. https://doi.org/10.1016/j.cpr.2010.03.001
Kessler RC, Barker PR, Colpe LJ, Epstein JF, Gfroerer JC, Hiripi E, & et al. (2003). Screening for serious mental illness in the general population. Arch Gen Psychiatry. 60(2):184-9.

Kessler, R.C., Andrews, G., Colpe, D., .et al. (2002) Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32, 959- 956.
Kim, D., & Runco, M. A. (2022). Role of cognitive flexibility in bilingualism and creativity. Journal of Creativity, 32(3), 100032.

Kline, R. B. (2015). Principles and practice of structural equation modeling: Guilford publications.

Kopels, M. C., & Roulette, C. J. (2023). Food insecurity, diet and mental distress among resource insecure students during COVID-19. Evolution, Medicine, and Public Health, 11(1), 18-29.

Körük, S., Aykaç, B., & Vapurlu, S. (2023). The Mediating Role of Psychological Flexibility in the Relationship between Job Satisfaction–Job-related Emotional Exhaustion and Dyadic Marital Adjustment. Marriage & Family Review, 59(7), 480-499.

Kroska, E. B., Roche, A. I., Adamowicz, J. L., & Stegall, M. S. (2020). Psychological flexibility in the context of COVID‐19 adversity: Associations with distress. Journal of Contextual Behavioral Science, 18, 28–33. https://doi.org/10.1016/j.jcbs.2020.07.011

Lkhagvasuren, B., Hiramoto, T., Tumurbaatar, E., Bat-Erdene, E., Tumur-Ochir, G., Viswanath, V., ... & Jadamba, T. (2023, March). The Brain Overwork Scale: A Population-Based Cross-Sectional Study on the Psychometric Properties of a New 10-Item Scale to Assess Mental Distress in Mongolia. In Healthcare (Vol. 11, No. 7, p. 1003). MDPI.

Marshall, E. J., & Brockman, R. N. (2016). The relationships between psychological flexibility, self-compassion, and emotional well-being. Journal of Cognitive Psychotherapy, 30(1), 60-72. doi: 10.1891/0889 - 8391.30.1.60.

Martin, D. J., Oren, Z., & Boone, K. (1991). Major depressives’ and dysthymics’ performance on the Wisconsin Card Sorting Test. Journal of Clinical Psychology, 47, 684-690.

Mazloom, M., Mohammadkhani, S., Akbari, M., Hasani, J., & Esfandbod, M. (2023). Comparing the Mechanism of Change of Cognitive-Behavioral Therapy and Emotion Efficacy Therapy in Improving Psychological Adjustment of Women with Breast Cancer: the Role of Cognitive and Emotional Flexibility, Illness Perception, and Valued Action. International Journal of Cognitive Therapy, 1-24.

Motevalli, S., Salahshour, H. M., & Bailey, R. P. (2023). The mediating role of cognitive flexibility in the relationship between cognitive emotion regulation strategies and mindfulness in patients with type 2 diabetes. Journal of affective disorders, 339, 676-682.

Nagel, E. M., Howland, M. A., Pando, C., Stang, J., Mason, S. M., Fields, D. A., & Demerath, E. W. (2022). Maternal psychological distress and lactation and breastfeeding outcomes: A narrative review. Clinical therapeutics , 44(2), 215 - 227. https://doi.org/10.1016/j.clinthera.2021.11.007

Nakao, M., & Barsky, A. J. (2007). Clinical application of somatosensory amplification in psychosomatic medicine. BioPsychoSocial Medicine, 1, 1-7.

Oka, T. (2018). Stress-induced hyperthermia and hypothermia. Handbook of clinical neurology, 157, 599-621.

Nathan, G. (2003). Methodologies for internet surveys and other telesurveys. Paper presented at the Proceedings of Exchange of Technology and Know-how and the Fourth New Techniques and Technologies for Statistics (NTTS) Seminar.

Ridner, S. H. (2004). Psychological distress: concept analysis. Journal of advanced nursing, 45(5), 536-545.

Robinson, E., Sutin, A. R., Daly, M., and Jones, A. (2022). A systematic review and meta-analysis of longitudinal cohort studies comparing mental health before versus during the COVID-19 pandemic in 2020. J. Affect. Disorders 296, 567–576. doi: 10.1016/j.jad.2021.09.098

Ryu, S., & Fan, L. (2023). The relationship between financial worries and psychological distress among US adults. Journal of Family and Economic Issues, 44(1), 16-33.

Semiromi, R. T., Daneshgar, N., Divsalar, M., & Ghezelseflo, M. (2023). Investigating the mediating role of psychological flexibility in the relationship between emotional intelligence and psychological well-being of couples. Journal of Assessment and Research in Applied Counseling, 5(1), 58-64. https://journals.kmanpub.com/index.php/jarac/article/view/135

Shorey, R. C., Anderson, S., & Stuart, G. L. (2014). The relation between antisocial and borderline personality symptoms and early maladaptive schemas in a treatment seeking sample of male substance users. Clinical Psychology & Psychotherapy, 21(4), 341–351. https://doi.org/10.1002/cpp.1843

Tanhan, F., Özok, H. İ., Kaya, A., & Yıldırım, M. (2023). Mediating and moderating effects of cognitive flexibility in the relationship between social media addiction and phubbing. Current Psychology, 1-12.

Thapar, A., Collishaw, S., Pine, D. S., & Thapar, A. K. (2012). Depression in adolescence. The lancet, 379(9820), 1056-1067.

Thimm, J. C., & Chang, M. (2022). Early maladaptive schemas and mental disorders in adulthood: A systematic review and meta-analysis. International Journal of Cognitive Therapy, 15(4), 371-413.

Tindle, R., Hemi, A., & Moustafa, A. A. (2022). Social support, psychological flexibility and coping mediate the association between COVID-19 related stress exposure and psychological distress. Scientific Reports, 12(1), 8688.

Turan, Z., Kucuk, S., & Cilligol Karabey, S. (2022). The university students’ self-regulated effort, flexibility and satisfaction in distance education. International Journal of Educational Technology in Higher Education, 19(1), 1-19.

Turner, M. J., Aspin, G., & Gillman, J. (2019). Maladaptive schemas as a potential mechanism through which irrational beliefs relate to psychological distress in athletes. Psychology of Sport and Exercise, 44, 9-16.

Veit, C. T., & Ware, J. E., Jr. (1983). The structure of psychological distress and well-being in general populations. Journal of Consulting and Clinical Psychology, 51(5), 730–742. https://doi.org/10.1037//0022-006x.51.5.730

Wellburn, K., Coristine, M., Dagg, P., Pontefract, A., & Jordan, S. (2002). The schema questionnaire-short form: Factor analysis and relationship between schemas and symptoms. Cognitive Therapy and Research. 26, 519-530.

Woodruff, S. C., Glass, C. R., Arnkoff, D. B., Crowley, K. J., Hindman, R. K., & Hirschhorn, E. W. (2014). Comparing self-compassion, mindfulness, and psychological inflexibility as predictors of psychological health. Mindfulness, 5, 410-421.

World Health Organization.(2022) Mental Disorders. Available online: https://www.who.int/news-room/fact-sheets/detail/mental-disorders (accessed on 8 June 2022).

Yıldız, E. (2021). Toplum ruh sağliği ve psikolojik esneklik konusunda neler söylenebilir? [What can be said about community mental health and psychological flexibility? In R. Aylaz (Ed.), Toplum ruh sağliğinda hemşirelik yaklaşımları (pp. 12–18). Türkiye Klinikleri.

Young .J. (1990). Cognitive therapy for personality disorders: A schema – Focused approach. Sarasota. FL. Professional resource exchange Inc.

Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy. New York: Guilford, 254.

Yu, Y., Yu, Y., & Lin, Y. (2020). Anxiety and depression aggravate impulsiveness: the mediating and moderating role of cognitive flexibility. Psychology, health & medicine, 25(1), 25-36.