Feyz Medical Sciences Journal
مجله علوم پزشکی فيض
Feyz
Medical Sciences
http://feyz.kaums.ac.ir
29
journal29
1029-7855
2008-9821
fa
jalali
1398
2
1
gregorian
2019
5
1
23
2
online
1
fulltext
fa
افسردگی اساسی: مطالعه ای بر پایه تئوری تجدیدنظرشدهی حساسیت به تقویت شخصیت
Major depressive disorder: a study based on revised-reinforcement sensitivity theory of personality
medicine, paraclinic
medicine, paraclinic
پژوهشي
Research
<div style="text-align: justify;"><strong><span style="font-family:b zar;"><span style="font-size:9.0pt;">سابقه و هدف:</span></span></strong><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;"> مطالعه شخصیت می</span></span></strong><strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">­</span></span></span></strong><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">تواند به توضیح آسیب­شناسی در اختلالات روانی کمک کند. هدف این پژوهش، بررسی اختلال افسردگی اساسی (</span></span></strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">(MDD</span></span></span> <span dir="LTR"><span style="font-size:9.0pt;"><span style="font-family:times new roman;">Major Depressive</span> <span style="font-family:times new roman;">Disorder</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;"> براساس تئوری تجدیدنظرشدهی حساسیت به تقویت (</span></span></strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">r-RST</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">)</span></span></strong> <span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">revised-Reinforcement Sensitivity Theory</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;"> می ­باشد. </span></span></strong><br>
<strong><span style="font-family:b zar;"><span style="font-size:9.0pt;">مواد و روش</span></span></strong><strong><span dir="LTR"><span style="font-size:9.0pt;">­</span></span></strong><strong><span style="font-family:b zar;"><span style="font-size:9.0pt;">ها:</span></span></strong> <strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">چهل ­وپنج بیمار </span></span></strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">MDD</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;"> به ­همراه 45 فرد سالم به­ عنوان گروه کنترل در مطالعه حاضر شرکت کردند. به دنبال فرم رضایت آگاهانه، مصاحبه بالینی ساختاریافته (</span></span></strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">SCID-I</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">)، آزمون هوش عمومی (</span></span></strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">SGIT</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">)، پرسشنامه 5 عاملی جکسون برای سنجش شخصیت، و سیاهه افسردگی بک (</span></span></strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">BDI<strong>-</strong>II</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">) برای دو گروه اجرا شدند. داده</span></span></strong><strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">­</span></span></span></strong><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">ها با استفاده از خی دو، آزمون </span></span></strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">t</span></span></span><span style="font-family:b lotus;"><span style="font-size:9.0pt;"> <strong>مستقل، تحلیل واریانس (</strong></span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">ANOVA</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">) و تحلیل واریانس چندراهه (</span></span></strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">MANOVA</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">) تحلیل شدند.</span></span></strong><br>
<strong><span style="font-family:b zar;"><span style="font-size:9.0pt;">نتایج:</span></span></strong><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;"> نتایج </span></span></strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">MANOVA</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;"> تفاوت معناداری بین گروه</span></span></strong><strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">­</span></span></span></strong><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">های </span></span></strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">MDD</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;"> و گروه کنترل در آیتم ­های پرسشنامه 5 عاملی جکسون نشان دادند. نمره گروه </span></span></strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">MDD</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;"> در </span></span></strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">r-BAS)</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">) </span></span></strong><span style="font-family:times new roman;"><span dir="LTR"><span style="font-size: 9pt;">Behavioral Activation</span></span></span> <span style="font-family:times new roman;"><span dir="LTR"><span style="font-size: 9pt;">System</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;"> (0/242</span></span></strong><span dir="LTR"><span style="font-family:symbol;"><span style="font-size:9.0pt;">h</span></span><sup><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">2</span></span></sup><span style="font-family:symbol;"><span style="font-size:9.0pt;">=</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">،</span></span></strong><strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;"> </span></span></span></strong><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">0/001</span></span></strong><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">></span></span><em><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">P</span></span></span></em><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">) کمتر از نمره گروه کنترل؛ اما در </span></span></strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">r-BIS</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;"> (0/367</span></span></strong><span dir="LTR"><span style="font-family:symbol;"><span style="font-size:9.0pt;">h<sup>2</sup>=</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">،</span></span></strong> <strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">0/001</span></span></strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">></span></span><em><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">P</span></span></span></em><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">)، </span></span></strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">Fight</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;"> (0/245</span></span></strong><span dir="LTR"><span style="font-family:symbol;"><span style="font-size:9.0pt;">h<sup>2</sup>=</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">،</span></span></strong> <strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">0/001</span></span></strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">></span></span><em><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">P</span></span></span></em><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">)، </span></span></strong> <span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;"> Flight</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">(0/068</span></span></strong><span dir="LTR"><span style="font-family:symbol;"><span style="font-size:9.0pt;">h<sup>2</sup>=</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">،</span></span></strong> <strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">0/003</span></span></strong><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">=</span></span><em><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">P</span></span></span></em><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">)، </span></span></strong><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">Freeze</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;"> (0/081</span></span></strong><span dir="LTR"><span style="font-family:symbol;"><span style="font-size:9.0pt;">h</span></span><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;"></span></span><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;"><sup>2</sup>=</span></span></span><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">، 0/001</span></span></strong><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">></span></span><em><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">P</span></span></span></em><strong><span style="font-family:b lotus;"><span style="font-size:9.0pt;">) بیشتر بود.</span></span></strong><br>
<strong><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;"><span style="font-size:9.0pt;">نتیجه</span></span></span></strong><strong><span dir="LTR" style="letter-spacing:-.1pt;"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">­</span></span></span></strong><strong><span style="letter-spacing:-.1pt;"><span style="font-family:b zar;"><span style="font-size:9.0pt;">گیری:</span></span></span></strong><strong><span style="letter-spacing:-.1pt;"><span style="font-family:b lotus;"><span style="font-size:9.0pt;"> افسردگی به</span></span></span></strong><strong><span dir="LTR" style="letter-spacing:-.1pt;"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">­</span></span></span></strong><strong><span style="letter-spacing:-.1pt;"><span style="font-family:b lotus;"><span style="font-size:9.0pt;">طور قابلملاحظه</span></span></span></strong><strong><span dir="LTR" style="letter-spacing:-.1pt;"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">­</span></span></span></strong><strong><span style="letter-spacing:-.1pt;"><span style="font-family:b lotus;"><span style="font-size:9.0pt;">ای مرتبط با </span></span></span></strong><span dir="LTR" style="letter-spacing:-.1pt;"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">BIS)</span></span></span><strong><span style="letter-spacing:-.1pt;"><span style="font-family:b lotus;"><span style="font-size:9.0pt;">)</span></span></span></strong> <span style="font-family:times new roman;"><span dir="LTR" style="letter-spacing: -0.1pt;"><span style="font-size: 9pt;">Behavioral Inhibition System</span></span></span><strong><span style="letter-spacing:-.1pt;"><span style="font-family:b lotus;"><span style="font-size:9.0pt;"> است، اما با </span></span></span></strong><span dir="LTR" style="letter-spacing:-.1pt;"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;">BAS)</span></span></span><strong><span style="letter-spacing:-.1pt;"><span style="font-family:b lotus;"><span style="font-size:9.0pt;">)</span></span></span></strong><span style="font-family:times new roman;"><span dir="LTR" style="letter-spacing: -0.1pt;"><span style="font-size: 9pt;">Behavior Activation System</span></span></span><strong><span style="letter-spacing:-.1pt;"><span style="font-family:b lotus;"><span style="font-size:9.0pt;"> در ارتباط نیست.</span></span></span></strong> <strong><span style="letter-spacing:-.1pt;"><span style="font-family:b lotus;"><span style="font-size:9.0pt;">دانش بیشتری از </span></span></span></strong><span dir="LTR" style="letter-spacing:-.1pt;"><span style="font-family:times new roman,serif;"><span style="font-size:9.0pt;"> r-RST</span></span></span><strong><span style="letter-spacing:-.1pt;"><span style="font-family:b lotus;"><span style="font-size:9.0pt;">می ­تواند به تشخیص، سبب­ شناسی و تداوم اختلالات روانی رایج کمک­ کننده باشد.</span></span></span></strong><strong><span style="letter-spacing:-.1pt;"><span style="font-family:b lotus;"><span style="font-size:9.0pt;"> نتایج این پژوهش می­ تواند به فهم آسیب­ شناسی مرتبط با شخصیت بیماران مبتلا به اختلال افسردگی اساسی کمک کند.</span></span></span></strong></div>
<pre style="text-align: justify;">
<span style="font-family: times new roman;"><strong>Background:</strong> Study of personality can help to explanation of pathology in mental disorders. The aim of this study was to examine major depressive disorder (MDD) based on revised- reinforcement sensitivity theory (r-RST).</span></pre>
<pre style="text-align: justify;">
<span style="font-family: times new roman;"><strong>Materials and Methods:</strong> Forty-five patients with MDD along with 45 healthy individuals as a control group participated in the present study. Following the informed consent form, Structured Clinical Interview (SCID-I), General Intelligence Test (SGIT), Jackson's 5-factor questionnaire for assessing personality, and Beck Depression Inventory (BDI-II) were administered to the two groups. Data were analyzed using Chi-square, independent t-test, analyses of variance (ANOVA), and multiple analyses of variance (MANOVA).</span></pre>
<div style="text-align: justify;"><span style="font-family: times new roman;"><strong>Results:</strong> MANOVA results showed a significant difference between MDD and control groups in the items of Jackson's 5-items questionnaire. The MDD group score in r-BAS (<em>P</em><0.001, h<sup>2</sup>=0.242) was lower than that of the control group but was higher in r-BIS (<em>P</em><0.001, h<sup>2</sup>=0.367), Fight (<em>P</em><0.001, h<sup>2</sup>=0.245), Flight (<em>P</em><0.001, h<sup>2</sup>=0.068) and Freeze (<em>P</em><0.001, h<sup>2</sup>=0.081).<br>
<strong>Conclusion:</strong> Depression is significantly related to behavioral inhibition system but not related to behavior activation system. A more knowledge of r-RST can help in the diagnosis, aberration and continuation of common mental disorders. The results of this study can help in understanding the pathology associated with the personality of patients with MDD.</span></div>
شخصیت, تئوری تجدیدنظرشدهی حساسیت به تقویت, اختلال افسردگی اساسی
Personality, Revised reinforcement sensitivity theory, Major depressive disorder
185
191
http://feyz.kaums.ac.ir/browse.php?a_code=A-10-2492-4&slc_lang=fa&sid=1
Behrooz
Afshari
بهروز
افشاری
behrooz.afshari71@gmail.com
2900319475328460025274
2900319475328460025274
Yes
Department of Clinical Psychology, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, I. R. Iran.
گروه روانشناسی بالینی، دانشکده پزشکی، دانشگاه علوم پزشکی کاشان، کاشان، ایران
Fatemeh Sadat
Ghoreishi
فاطمه سادات
قریشی
behrooz.afshari71@gmail.com
2900319475328460025275
2900319475328460025275
No
Department of Psychiatry, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, I. R. Iran.
گروه روانپزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی کاشان، کاشان، ایران
Shafigheh
Yousefi
شفیقه
یوسفی
behrooz.afshari71@gmail.com
2900319475328460025276
2900319475328460025276
No
Student Research Committee, Kashan University of Medical Sciences, Kashan, I. R. Iran.
کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی کاشان، کاشان، ایران
Vajiheh
Ghorbani
وجیهه
قربانی
behrooz.afshari71@gmail.com
2900319475328460025277
2900319475328460025277
No
Student Research Committee, Kashan University of Medical Sciences, Kashan, I. R. Iran.
کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی کاشان، کاشان، ایران