مدل ساختاری پیش بینی تجربیات شبه‌روان‌پریشی بر اساس ترومای کودکی با نقش میانجی انعطاف ‌پذیری روان‌شناختی در دانشجویان

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد، گروه روان‌شناسی بالینی و تربیتی، دانشکده روان‌شناسی و علوم تربیتی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران

2 گروه روان‌شناسی بالینی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران

چکیده

پژوهش حاضر با هدف بررسی مدل ساختاری پیش‌­بینی تجربیات شبه‌روان‌پریشی بر اساس ترومای کودکی با نقش میانجی انعطاف‌‏پذیری روان‌شناختی در دانشجویان انجام شده است. روش پژوهش حاضر توصیفی - همبستگی با استفاده از مدل­‌سازی معادلات ساختاری بود. جامعه آماری کل دانشجویان دانشگاه آزاد اسلامی واحد تهران مرکز در زمستان سال 1403 بودند. حجم نمونه بر اساس مدل کلاین (2023) و با روش نمونه‌‏گیری در دسترس (به شیوه آنلاین) 200 نفر انتخاب شد. با استفاده از مقیاس پرسشنامه ارزیابی عمومی از تجربه‌­های روان‌پریشی (CAPE-42؛ استفانیز و همکاران، 2002)، فرم کوتاه پرسشنامه ترومای کودکی (CTQ-SF؛ برنشتاین و همکاران، 2003) و سیاهه چندبعدی انعطاف‌‏پذیری روانشناختی (MPFI؛ رولفس و همکاران، 2018) داده‌‏ها جمع‌آوری شد. با استفاده از نرم‌افزار SPSS و AMOS نسخه 29 داده‌­ها تحلیل شد. یافته­‌های پژوهش نشان داد که اثرات مستقیم ترومای کودکی (0/65=β و 0/001>p) و انعطاف‌­پذیری روان‌شناختی (0/29- =β و 0/003>p) بر روی تجربیات شبه‌روان‌پریشی معنادار است. همچنین نتایج نشان داد که انعطاف‏‌پذیری روان‌شناختی در رابطه بین ترومای کودکی (0/62- =β و 0/001>p) با تجربیات شبه‌روان‌پریشی نقش میانجی و معنادار دارد. همچنین مدل پژوهش از برازش مطلوبی برخوردار بود (RMSEA=0/06, SRMR=0/03, p<0/5) و 64 درصد از واریانس تجربیات شبه‌روان‌پریشی تبیین می­‌شود. این مطالعه درک مکانیسم‌های احتمالی تجربیات روان‌پریشی دانشجویان را عمیق‌تر کرد. برای دانشجویانی که از تروماهای کودکی رنج می‌برند، انعطاف‌­ناپذیری روان‌شناختی ممکن است یک راهبرد مقابله‌ای ناسازگارانه باشد که دانشجویان را به سمت تجربیات روان‌پریشی سوق می‌دهد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Structural Model of Predicting Psychotic-Like Experiences Based on Childhood Trauma with the Mediating Role of Psychological Flexibility in University Students

نویسندگان [English]

  • Sarina Imani 1
  • Noshirvan Khezri Moghadam 2
  • Mahnaz Majidi 2
1 MSc Student, Department of Clinical and Educational Psychology, Faculty of Psychology and Educational Sciences, Central Tehran Branch, Islamic Azad University, Tehran, Iran
2 Department of Clinical Psychology, SR.C., Islamic Azad University, Tehran, Iran
چکیده [English]

The aim of the present study was to investigate the structural model of predicting psychotic-like experiences based on childhood trauma with the mediating role of psychological flexibility in university students. The present study was descriptive-correlational using structural equation modeling. The statistical population was university students Islamic Azad Universitys in Central Tehran the during 2025. The sample size was selected based on Kline model (2023) and with convenience sampling of 200 University students. Data were collected using thecommunity assessment of psychic experiences questionnaire (CAPE-42; Stefanis et al, 2002), short form of the childhood trauma questionnaire (CTQ-SF; Bernstein et al, 2003) and multidimensional psychological flexibility inventory (MPFI; Rolffs et al, 2018). Using SPSS version 29 and AMOS software data were analyzed. Data were analyzed using Pearson correlation and structural equations modeling. The results showed direct effect of childhood trauma (β=0.65 and p<0.001) and psychological flexibility (β= - 0.29 and p<0.001) on psychotic-like experiences are significant. The results also showed that psychological flexibility has a significant mediating role in the relationship between childhood trauma (β= -0.62 and p<0.001) with psychotic-like experiences. Also, the final research model had a good fit (RMSEA=0.06, SRMR=0.03, p<0.05) and 64% of the variance of psychotic-like experiences is explained. This study deepened our understanding of the possible mechanisms of students' psychotic-like experiences. For students who suffer from childhood trauma, psychological inflexibility may be a maladaptive coping strategy that predisposes students to psychotic-like experiences.

کلیدواژه‌ها [English]

  • childhood trauma
  • psychological flexibility
  • psychotic-like experiences
Aldhmadi, B. K., Kumar, R., Perera, B., & Algarni, M. (2025). Examining factor structure and psychometric properties of Ethical Leadership Questionnaire with Healthcare Professionals in Saudi Arabia. Pakistan Journal of Medical Sciences, 41(1), 101-106. https://doi.org/10.12669/pjms.41.1.10861
Arslan, G., Bişkin, S. Ö., & Kocaayan, F. (2025). Adverse childhood experiences, self-compassion, psychological flexibility, and posttraumatic stress disorder. Children and Youth Services Review, 169(1), 1-10.
Azadfar, Z., Abdollahi, A., Patra, I., Chang, Y. P., Alghazali, T., & Talib, S. G. (2022). The Iranian form of psychometric properties of the Multidimensional Psychological Flexibility Inventory. Psicologia: Reflexão e Crítica, 35(1), 1-10. https://doi.org/10.1186/s41155-022-00236-w
Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., & Zule, W. (2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child abuse & neglect, 27(2), 169-190. https://doi.org/10.1016/s0145-2134 (02)00541-0
Bitsoih, J., Patock-Peckham, J. A., Canning, J. R., Ong, A., Becerra, A., & Broussard, M. (2023). Do coping motives and perceived impaired control mediate the indirect links from childhood trauma facets to alcohol-related problems?. Behavioral Sciences, 13(3), 197-216. https://doi.org/10.3390/bs13030197
Browne, A., Stafford, O., Berry, A., Murphy, E., Taylor, L. K., Shevlin, M., ... & Burke, T. (2022). Psychological flexibility mediates wellbeing for people with adverse childhood experiences during COVID-19. Journal of Clinical Medicine, 11(2), 377-388. https://doi.org/10.3390/jcm11020377
Bruijnen, C. J., Young, S. Y., Marx, M., & Seedat, S. (2019). Social anxiety disorder and childhood trauma in the context of anxiety (behavioural inhibition), impulsivity (behavioural activation) and quality of life, South African Journal of Psychiatry, 1(1), 1608-9685. https://doi.org/10.4102/sajpsychiatry.v25i0.1189
Carlyle, M., Constable, T., Walter, Z. C., Wilson, J., Newland, G., & Hides, L. (2021). Cannabis-induced dysphoria/paranoia mediates the link between childhood trauma and psychotic-like experiences in young cannabis users. Schizophrenia Research, 238(1), 178-184. https://doi.org/10.1016/j.schres.2021.10.011
Chaharrahi, M., Zarbakhsh Bahri, M.R., Khalatbari, J., & Tizdast, T. (2024). Evaluation of the Structural Model for Predicting Early Maladaptive Schemas Based on Childhood Trauma with Mediating Role of Attachment Styles in Students. Journal of Modern Psychological Researches, 18(72), 83-92. https://doi.org/10.22034/jmpr.2024.17338 [in Persian]
Fazioli, L., Abu-Akel, A., Hadad, B. S., & Yashar, A. (2025). Validation of the Hebrew version of the Community Assessment of Psychic Experiences in a sample of Israeli Hebrew speakers. Frontiers in Psychiatry, 16(1), 1-10. https://doi.org/10.3389/fpsyt.2025.1548310
Fonseca, S., Trindade, I. A., Mendes, A. L., & Ferreira, C. (2020). The buffer role of psychological flexibility against the impact of major life events on depression symptoms. Clinical Psychologist, 24(1), 82-90. https://psycnet.apa.org/doi/10.1111/cp.12194
Goldberg, D. P., & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological medicine, 9(1), 139-145. https://doi.org/10.1017/s0033291700021644
Gong, J., Luo, Y., He, Y., Zhou, L., Zhao, L., & Liu, J. (2022). Epidemiology of psychotic-like experiences by subtypes and their relationship with emotional regulation and affective lability among Chinese college students. Schizophrenia Research, 244(1), 39-45. https://doi.org/10.1016/j.schres.2022.02.037
González-Medina, G. A., Corral, S. A., Castillo-Passi, R. I., Irarrazaval, M., Maturana-Hurtado, A. J., & Gaspar, P. A. (2025). Lifetime prevalence of psychotic-like experiences and associated factors in Chile. Social psychiatry and psychiatric epidemiology, 60(2), 329-339. https://doi.org/10.1007/s00127-024-02741-y
Gratz, K. L., & Roemer, L. (2004). 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, 26(1), 41-54. https://psycnet.apa.org/doi/10.1023/B:JOBA.0000007455.08539.94
Guarino, A., Forte, G., Giovannoli, J., & Casagrande, M. (2020). Executive functions in the elderly with mild cognitive impairment: A systematic review on motor and cognitive inhibition, conflict control and cognitive flexibility. Aging & Mental Health, 24(7), 1028-1045. https://doi.org/10.1080/13607863.2019.1584785
Heath, M., & Shukla, D. (2020). A single bout of aerobic exercise provides an immediate “boost” to cognitive flexibility. Frontiers in Psychology, 11(1), 1-10. https://doi.org/10.3389/fnhum.2022.899988
Henseler, J., Dijkstra, T. K., Sarstedt, M., Ringle, C. M., Diamantopoulos, A., Straub, D. W., ... & Calantone, R. J. (2014). Common beliefs and reality about PLS: Comments on Rönkkö and Evermann (2013). Organizational research methods, 17(2), 182-209. https://doi.org/10.1177/1094428114526928
Hohl, K., & Dolcos, S. (2024). Measuring cognitive flexibility: A brief review of neuropsychological, self-report, and neuroscientific approaches. Frontiers in Human Neuroscience, 18 (1), 1-10. https://doi.org/10.3389/fnhum.2024.1331960
Hu, H., Chen, C., Xu, B., & Wang, D. (2024). Moderating and mediating effects of resilience between childhood trauma and psychotic-like experiences among college students. BMC Psychiatry, 24(1), 273-283. https://doi.org/10.1186/s12888-024-05719-x
Kabul, E. G., Aksoy, C. C., & Calik, B. B. (2025). The validity of Turkish version of Social Frailty Index in older adults: An index of social attributes predictive of mortality. Revista Española de Geriatría y Gerontología, 60(2), 1-10. https://doi.org/10.1016/j.regg.2024.101556
Kalia, V., & Knauft, K. (2020). Emotion regulation strategies modulate the effect of adverse childhood experiences on perceived chronic stress with implications for cognitive flexibility. PloS One, 15(6), 1-10. https://doi.org/10.1371/journal.pone.0235412
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
Khoraminejad, A., Jahan, F., Sabahi, P., & Afrakhteh, S. (2024). The comparing the effectiveness of acceptance/commitment therapy and affect regulation training on psychological flexibility in people with epilepsy. Journal of Applied Psychological Research, 21(1), 1-10. https://doi.org/10.22059/japr.2025.369345.644811 [in Persian]
Kline, R. B. (2023). Principles and practice of structural equation modeling. Guilford publications. https://www.guilford.com/books/Principles-and-Practice-of-Structural-Equation-Modeling/Rex-Kline/9781462551910
Klune, C. B., Jin, B., & DeNardo, L. A. (2021). Linking mPFC circuit maturation to the developmental regulation of emotional memory and cognitive flexibility. Elife, 10(1), 1-10. https://doi.org/10.7554/elife.64567
Kordnoghabi, R., & Veisi, S. (2024). Developing a Model of Wisdom Based on Successful Intelligence and Psychological Well-Being in Students: The Mediating Role of Creativity. Positive Psychology Research, 10 (3), 29-50. https://doi.org/10.22108/ppls.2025.139681.2473 [in Persian]
Li, Y., Zhou, L., Zhou, H., Yang, X., Wang, J., Wang, R., ... & Sun, M. (2025). The role of psychotic-like experiences, depressive symptoms, and anxiety symptoms in suicide ideation among college students with self-injurious behavior. Journal of Affective Disorders, 386(1), 1-10. https://doi.org/10.1016/j.jad.2025.119454
Lindgren, M., & Therman, S. (2024). Psychotic-like experiences in a nationally representative study of general population adolescents. Schizophrenia Research, 270(1), 237-245. https://doi.org/10.1016/j.schres.2024.06.046
Lindgren, M., Numminen, L., Holm, M., Therman, S., & Tuulio-Henriksson, A. (2022). Psychotic-like experiences of young adults in the general population predict mental disorders. Psychiatry Research, 312(1), 1-10. https://doi.org/10.1016/j.psychres.2022.114543
Linscott, R. J., & Van Os, J. (2013). An updated and conservative systematic review and meta-analysis of epidemiological evidence on psychotic experiences in children and adults: on the pathway from proneness to persistence to dimensional expression across mental disorders. Psychological Medicine, 43(6), 1133-1149. https://doi.org/10.1017/s0033291712001626
Mamah, D., Mutiso, V. N., & Ndetei, D. M. (2021). Psychotic-like experiences among 9,564 Kenyan adolescents and young adults. Psychiatry Research, 302(2), 1-10. https://doi.org/10.1016/j.psychres.2021.113994
Meyers, L. S., Gamst, G., & Guarino, A. J. (2016). Applied multivariate research: Design and interpretation. Sage publications. https://psycnet.apa.org/record/2013-39233-000
Miles, S., Howlett, C. A., Berryman, C., Nedeljkovic, M., Moseley, G. L., & Phillipou, A. (2021). Considerations for using the Wisconsin Card Sorting Test to assess cognitive flexibility. Behavior Research Methods, 53(5), 2083-2091. https://doi.org/10.3758/s13428-021-01551-3
Misiak, B., Frydecka, D., Slezak, R., Piotrowski, P., & Kiejna, A. (2014). Elevated homocysteine level in first-episode schizophrenia patients—the relevance of family history of schizophrenia and lifetime diagnosis of cannabis abuse. Metabolic Brain Disease, 29(1), 661-670. https://doi.org/10.1007/s11011-014-9534-3
Misiak, B., Krefft, M., Bielawski, T., Moustafa, A. A., Sąsiadek, M. M., & Frydecka, D. (2017). Toward a unified theory of childhood trauma and psychosis: a comprehensive review of epidemiological, clinical, neuropsychological and biological findings. Neuroscience & Biobehavioral Reviews, 75(1), 393-406. https://doi.org/10.1016/j.neubiorev.2017.02.015
Omidbeygi, M., Hassanabadi, H., Hatami, M., & Vaezi, A.A. (2020). The Effectiveness of Acceptance and Commitment Therapy on Psychological Flexibility, Post Traumatic Growth and Quality of Life in Women with Breast Cancer. Journal of Clinical Psychology, 12(3), 47-58.  https://doi.org/10.22075/jcp.2020.18211.1701 [in Persian]
Ringle, C. M., Sarstedt, M., Mitchell, R., & Gudergan, S. P. (2020). Partial least squares structural equation modeling in HRM research. The international journal of human resource management, 31(12), 1617-1643. https://doi.org/10.1080/09585192.2017.1416655
Rolffs, J. L., Rogge, R. D., & Wilson, K. G. (2018). Disentangling components of flexibility via the hexaflex model: Development and validation of the Multidimensional Psychological Flexibility Inventory (MPFI). Assessment, 25(4), 458-482. https://doi.org/10.1177/1073191116645905
Shafiei, M., Rezaei, F., & Sadeghi, M. (2021). Model of contrast avoidance of generalized anxiety disorder in people with symptoms of generalized anxiety disorder. Journal of Psychology, 25(1), 99-119. http://www.iranapsy.ir/Article/22268/FullText [in Persian]
Shai, A., Makarov, M., & Sher-Cenzor, E. (2024). 292P Association between adverse childhood events and baseline cognitive functioning in patients with localized breast cancer. ESMO Open, 9(1), 1-10. https://doi.org/10.1016/j.esmoop.2024.103349
Spreizer, A., Vučković, V., & Kajtna, T. (2025). Do people with different personalities react differently to the interventions of acceptance and commitment therapy?. Kinesiologia Slovenica: scientific journal on sport, 31(2), 252-277. https://doi.org/10.52165/kinsi.31.2.252-277
Stefanis, N. C., Hanssen, M., Smirnis, N. K., Avramopoulos, D. A., Evdokimidis, I. K., Stefanis, C. N., ... & van Os, J. (2002). Evidence that three dimensions of psychosis have a distribution in the general population. Psychological Medicine, 32(2), 347-358. https://doi.org/10.1017/s0033291701005141
Sun, M., Sun, H., Ma, Z., Zhong, S., Yang, X., Li, Y., ... & Zhou, L. (2024). A longitudinal network of psychotic-like experiences, depressive and anxiety symptoms, and adverse life events: a cohort study of 3,358 college students. Epidemiology and Psychiatric Sciences, 33 (1), 1-15. https://doi.org/10.1017/S2045796024000726
Veisi, S., Kashefi, F., & Imani, S. (2024). Fittness the Causal-Structural Relationships of Successful Intelligence with Wisdom with the Mediation of Musical Intelligence in Piano Players. Social Psychology Research, 14 (54), 1-14. https://doi.org/10.22034/spr.2024.424119.1877 [in Persian]
Veisi, S., Kordnoghabi, R., Imani, S., & Kashefi, F. (2024). Psychometric Properties of the Persian Version Abbreviated Wisdom Scale in Iranian Adults. Journal of Applied Psychological Research, 16(3), 161-179. https://doi.org/10.22059/japr.2024.361950.644670 [in Persian]
Wang, P., Xie, X., Chen, M., Zhang, N., Wang, W., Ma, S., ... & Liu, Z. (2023). Measuring childhood trauma in young adults with depression: A latent profile analysis. Asian Journal of Psychiatry, 80(1), 1-10. https://doi.org/10.1016/j.ajp.2022.103387
Xu, B., Chen, C., & Wang, D. (2024). Current psychotic-like experiences among Chinese college students: prevalence, correlates, and its relationship with suicidal ideation. Psychology Research and Behavior Management, 1(2), 799-811. https://doi.org/10.2147/PRBM.S451889
Yang, J., Zhai, S., & Wang, D. (2024). Childhood trauma associated with psychotic-like experiences among people living with HIV: The chain mediation effect of stigma and resilience. Schizophrenia Research, 270(1), 68-75. https://doi.org/10.1016/j.schres.2024.06.004
Zamanian, Z., & Rahimi, C. (2022). Psychometric Properties of the Community Assessment of Psychic Experiences in University Students. Clinical Psychology Studies, 13 (48), 1-29. https://doi.org/10.22054/jcps.2023.63820.2657  [in Persian]