مدل‌یابی علی بهبودی از اختلال دوقطبی نوع یک بر اساس حساسیت به پاداش با نقش میانجی آشفتگی خواب و بینش شناختی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران.

2 استاد، دانشگاه محقق اردبیلی، اردبیل، ایران.

چکیده

مطالعه حاضر با هدف بررسی مدل‌یابی علی بهبودی از اختلال دوقطبی نوع یک بر اساس حساسیت به پاداش و با نقش میانجی آشفتگی خواب و بینش شناختی انجام شد. این مطالعه‌ی مقطعی با روش نمونه‌گیری در دسترس روی 126 بیمار مبتلا به اختلال دوقطبی نوع یک در فاز شیدایی که در بازه زمانی مهر سال 1399 تا اردیبهشت سال 1400 به کلینیک‌های روانپزشکی استان یزد مراجعه کرده بودند، انجام شد. افراد نمونه 30 روز پس از پر کردن پرسشنامه‌ها و سنجش اولیه، مورد سنجش مجدد شدت مانیا قرار گرفتند. برای سنجش افراد از پرسشنامه محقق ساخته، مقیاس برداشت کلی بالینی برای اختلال دوقطبی، مقیاس درجه‌بندی مانیای یانگ، آزمون یادگیری کلامی شنیداری هیجانی، آزمون حافظه‌ی کاری دانیمن و کارپنتر و مقیاس حساسیت به پاداش و تنبیه استفاده شد. داده‌ها با مدل معادلات ساختاری و با نرم افزار Smartpls-3 تحلیل شدند. یافته‌ها نشان داد مقدار آماره t برای کلیه مسیر‌ها بجز مسیر حساسیت به پاداش به بینش شناختی و مسیر بینش شناختی به بهبودی از اختلال، بالاتر از 1/96 بوده و در نتیجه در سطح اطمینان 95% معنادار می‌باشند. میتوان نتیجه‌گیری کرد حساسیت به پاداش به صورت مستقیم و غیر‌مستقیم (از طریق تاثیر بر آشفتگی خواب) می‌تواند بر بهبودی از اختلال دوقطبی نوع یک تاثیرگذار باشد. با این حال حساسیت به پاداش از طریق بینش شناختی بر بهبودی از اختلال دوقطبی نوع یک تاثیر ندارد.

کلیدواژه‌ها


عنوان مقاله [English]

Causal Modeling of Recovery from Bipolar I Disorder Based on Reward Sensitivity Mediated by Sleep Disturbance and Cognitive Insight

نویسندگان [English]

  • Negin Anbari Meibodi 1
  • Sajjad Basharpoor 2
  • ئohammad دarimani 2
1 PhD Student in Psychology, Mohaghegh Ardabili University, Ardabil, Iran.
2 Professor, General Psychology, Mohaghegh Ardabili University, Ardabil, Iran.
چکیده [English]

The aim of this study was to investigate the causal modeling of recovery from bipolar I disorder based on reward sensitivity and with the mediating role of sleep disturbance and cognitive insight. This cross-sectional study was performed by available sampling method on 126 patients with bipolar I disorder in the manic phase, which was referred to the psychiatric clinics of Yazd province in the period of October 2020 to May 2021, was performed. Sample subjects were reassessed for mania severity 30 days after completing the questionnaires and initial assessment. A researcher-made questionnaire, Clinical Global Impressions Scale for Bipolar Disorder, Young Mania Rating Scale, Emotional Auditory Verbal Learning Test, Daneman & Carpenter Working Memory Test, and the Sensitive to Reward and Sensitive to Punishment Scale were used to assess individuals. Data were analyzed using structural equation modeling and Smartpls-3 software. The results showed that the value of t-statistic for all pathways except the path of reward sensitivity to cognitive insight and the path of cognitive insight to recovery from the disorder, is higher than 1.96 and as a result are significant at 95% confidence level. It can be concluded that Reward sensitivity can directly and indirectly (through its effect on sleep disturbance) affect the recovery from bipolar I disorder. However, reward sensitivity through cognitive insight has no effect on recovery from bipolar I disorder.

کلیدواژه‌ها [English]

  • Sleep Disturbance
  • Bipolar I Disorder
  • Cognitive Insight
  • Reward Sensitivity
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