Razi Journal of Medical Sciences

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Extended Abstract

1.Introduction Decompositional experiences are unintended disturbances in consciousness and behavior, along with a lack of, inability to access information, or control mental functions. Decomposition occurs to some degree in nonclinical and healthy individuals (1). Among the variables affecting decomposition that are most agreed upon by the injury model and the cognitive model include past injuries, cognitive distortion, and emotional regulation (3). Decomposition theories clearly show the link between injury and decomposition, and this link has been explored in many studies, and the results of socio-psychological research on cognitive and emotional effects do not necessarily rule out the role of injury (2).

Injury can involve neglect in childhood, and disintegration is seen as the result of a child trying to develop a false self or becoming caught up in adapting to the needs of a caregiver or caregiver. In the scientific literature, various forms of child abuse have been described: physical, sexual, emotional and neglectful abuse. They may be found individually in individuals, or more often, they may occur in combination (5, 6).

2.Method: The research method was descriptive-correlational. The statistical population included all students of Marvdasht Islamic Azad University in the academic year of 1998-99. Due to the nature of the research population, the available random sampling method using coefficient was used. The non-clinical sample consisted of 329 students (187 girls and 142 boys). Four questionnaires were used to collect data. Analytical Experiences Questionnaire (2018): A 28-item self-assessment scale, respondents are asked to rate the frequency of their experiences (excluding alcohol or drug-related experiences) using a 100-point scale. The total score is calculated by summing all the questions and dividing by 28. A score of 30 is used as the cut-off point to define high discontinuities. Disruption is forgetfulness (10 questions), self-nasal alteration and environmental nasal alteration (8 questions) and imaginary conflict and absorption are (10 questions) (7).

Childhood Injury Questionnaire (2003): This questionnaire has 28 questions and five types of childhood misbehavior including emotional abuse (5 questions), physical abuse (5 questions), sexual abuse (5 questions), emotional neglect (5 questions) Measures physical negligence (5 questions). 3 questions to assess the validity or denial of the problem in childhood. Interpersonal Cognitive Distortion Scale (2004): This questionnaire has 19 questions and has three dimensions of rejection in interpersonal relationships (8 questions), unrealistic expectations (8 questions) and misunderstanding in interpersonal relationships (3 questions). Emotion Regulation Questionnaire (2001): This questionnaire has 18 items and consists of 9 subscales of cognitive strategy of self-blame, rumination, catastrophe and blame of others (as negative emotion regulation strategies); Acceptance, positive refocus, refocus on planning, positive reassessment, perspective (as positive emotion regulation strategies) are formed. Finally, the structural equation method was used to analyze the data.

3.Results: The results of statistical analysis of the data showed that the obtained values ​​of skewness and elongation for the research variables are approximately between -1 and +1, which indicates that the distribution of all variables is normal (Table 1). The results of the correlation matrix showed that there is a significant relationship between the exogenous variable (childhood injuries) and analytical experiences. It was also found that among the endogenous variables (positive emotion component) with coefficient (0.35) and (cognitive distortion) with coefficient (0.15) have the highest and lowest correlation coefficient with analytical experiences (Table 2).

To assess the suitability of the model, fitness indicators have been used. In this study, x2 / df fit indices, NFI, RMSEA, CFI, GFI and AGFI are reported. Which shows that the fit of the predictive model of analytical experiences is at a relatively desirable level (Table 3). Finally, it was found that childhood injuries as an exogenous variable of research had a direct effect on analytical experiences. Also, the indirect effect of child injuries on analytical experiences is statistically significant at the level of 0.01. The total effects of all components are significant (Table 4).

4.Conclusion: The results showed that the direct effect of childhood injuries on dissociative experiences was significant at the level of one hundredth. Injury can be thought of as a complex factor in which different types of distressing experiences occur and over-activate the disintegration process. Are together. (14). The link between decomposition phenomena and childhood trauma has been proven in a number of studies.

The indirect effect of childhood trauma through negative emotion regulation, positive emotion regulation and cognitive distortion was significant on dissociative experiences. Numerous studies show that childhood injuries affect a variety of health variables. Those who have experienced emotional abuse have a high rate of negative attitudes toward the environment and harm in adulthood (16). Exposure to multiple traumatic experiences with personality preparations, less flexibility, and more vulnerable emotional regulation capacity is associated with disturbed psychological and emotional processes such as breakdown (17,18).

The indirect effect of childhood trauma through negative emotion regulation, positive emotion regulation and cognitive distortion was significant on dissociative experiences. Numerous studies show that childhood injuries affect a variety of health variables. Those who have experienced emotional abuse have a high rate of negative attitudes toward the environment and harm in adulthood (16). Exposure to multiple traumatic experiences with personality preparations, less flexibility, and more vulnerable emotional regulation capacity is associated with disturbed psychological and emotional processes such as breakdown (17,18). Cognitive distortions also play an important role in the occurrence of many mental disorders, so that most of the time we think that we are victims of our surroundings and external events cause us discomfort and interpersonal problems and misinterpretation of these external events causes negative emotions. They become. The results of research show that psychological and emotional dysregulation in individuals is associated with dissociative experiences (19). A number of other studies have found a causal link between trauma and subsequent degenerative states. Analyzed individuals had the highest rate of early life trauma compared to other clinical groups. So that emotional, physical and sexual harassment was very common in this disease before the age of five (3). Studies show that people with high scores on analytical experiences are unable to recognize and differentiate between different emotions. (20).

Keywords: Dissociative Experiences, Childhood Trauma, Cognitive Distortion, Emotion Regulation

     

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