Volume 28, Issue 7 (10-2021)
RJMS 2021, 28(7): 16-25 |
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Research code: 22222222
Ethics code: 22222222
Clinical trials code: 2222222222
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Fathi K, Shirmardi S, Mahar Z, Koraei A. Predicting Corona disease anxiety based on maladaptive schemas of abandonment, vulnerability to harm and disease, and perceived social support. RJMS 2021; 28 (7) :16-25
URL: http://rjms.iums.ac.ir/article-1-6802-en.html
URL: http://rjms.iums.ac.ir/article-1-6802-en.html
ACECR Khoozestan, Ahvaz, Iran , keihan.fathi99@gmail.com
Abstract: (2500 Views)
Background & Aims: Considering the epidemic irreversible effects of the corona virus disease and the lack of any definitive treatment resulting in the prevalence of the stress and great worry in the community. There seem to be psychological factors that affect people's anxiety. These factors can be individual or social. Individual factors are like the beliefs and schemas of individuals, and social factors are like the support that individuals receive from family, friends, and important people in their lives. Research shows that these variables are associated with anxiety Therefore, the present study aims to Determining the role of maladaptive schemas of abandonment, vulnerability to harm and disease, and perceived social support in coronary disease anxiety.
Methods: The descriptive and correlational methods were applied in this study. The study society composed of Health Network Personnel of Darab in 1399 in which 200 individuals were selected via available sampling method. The Perceived social Support Questionnaire (Zimet et al. 1998), Young's Early Maladaptive Schemas (2003), and Corona Disease Anxiety Scale (Alipour et al.2019) were applied to collect data. Criteria for inclusion in this study included: 1) having at least 20 years, 2) employee of Darab health network, 3) conscious consent and voluntary to answer the questions of the questionnaire; Exclusion criteria included: Deficiency in answering the questions of the questionnaire. Data was analyzed via Enter and Stepwise regression method in SPSS 22.
Results: Findings showed that there was a significant relationship between predictor variables including vulnerability to harm and disease schema, maladaptive abandonment schema and perception of support of others with corona disease anxiety (P>0.001). On the other hand, the relationship between perceived support of family and friends with corona disease anxiety was not significant. Enter regression results showed that approximately 31% of the variance related to the corona anxiety variable is explained by the predictor variable. Also, among the predictor variables, vulnerability schema to harm and disease and abandonment maladaptive schema are the best predictors for teachers' corona disease anxiety, respectively (P<0.001).
Conclusion: This study showed that there is a significant relationship between predictors of vulnerability to harm and disease schema and coronary disease anxiety. This results is in line with the research of Kalvete and Cardenoso (4) and Arefinia (6) et al. The prevalence of coronary disease and the media coverage of injuries associated with the disease cause people to experience anxiety, wich is primarily triggered by coronary heart disease but is rooted in the beliefs and schemas of the anxious person; Research has also shown that the vulnerability to harm and disease schema plays an important role in disease anxiety; These people think that it is possible for them or their loved ones to get coronary disease and they can have no control over this condition. In fact, distorted interpretations of coronary disease, its magnification and catastrophe, become a stimulus for the activation of anxiety and fear of the disease. Therefore, vulnerability to harm and disease schema may play a role in the development of coronary disease anxiety. Another finding of this study was that there was a significant relationship between the predictor variables of maladaptive abandonment schema and coronary disease anxiety. This finding is in line with the research of Kalvete and Cardenoso (4) research, Which showed that schema of fear of abandonment are major predictor variables in anxiety symptoms. Because of outbreak of the disease, people usually try to protect themselves by creating a home quarantine, and as a result, people's relationships with each other weaken, so this situation is a stimulus to activate the abandonment schema of people, which follows, Anxiety occurs, an anxiety that is triggered by illness and the fear of abandonment. Also, the results of the present study on the non-significance of the family and friends dimension of perceived social support with coronary disease anxiety are in line with the results of Ghasemi, Ganjeh, Saqezi et al. (22). Perceived social support theorists state that not all relationships one has with others are social support. In other words, social communication is not a source of social support, unless one assesses it as an accessible and appropriate source to meet one's needs (23). Another finding of the study was a positive and significant relationship of important another dimension in the scale of perceived social support of coronary disease anxiety, which is in line with the research of Rashedi et al. (33). Another important dimension has an adaptive function and is negatively correlated with the psychological disorders of people at risk (35). Therefore, having social support, especially from important people in life, leads a person to physical health, psychological and ultimately mental well-being, and leads to better adaptation to difficult and critical situations associated with illness (36). Therefore, in examining the effective factors in corona disease anxiety of clients, it is recommended to pay attention to the schemas of vulnerability to harm and disease and the abandonment schema to counselors and psychologists. Also, considering the research results and the special importance of the important role in mental and physical health, it is suggested to prioritize educational and treatment programs to improve these relationships in counseling and education.
Methods: The descriptive and correlational methods were applied in this study. The study society composed of Health Network Personnel of Darab in 1399 in which 200 individuals were selected via available sampling method. The Perceived social Support Questionnaire (Zimet et al. 1998), Young's Early Maladaptive Schemas (2003), and Corona Disease Anxiety Scale (Alipour et al.2019) were applied to collect data. Criteria for inclusion in this study included: 1) having at least 20 years, 2) employee of Darab health network, 3) conscious consent and voluntary to answer the questions of the questionnaire; Exclusion criteria included: Deficiency in answering the questions of the questionnaire. Data was analyzed via Enter and Stepwise regression method in SPSS 22.
Results: Findings showed that there was a significant relationship between predictor variables including vulnerability to harm and disease schema, maladaptive abandonment schema and perception of support of others with corona disease anxiety (P>0.001). On the other hand, the relationship between perceived support of family and friends with corona disease anxiety was not significant. Enter regression results showed that approximately 31% of the variance related to the corona anxiety variable is explained by the predictor variable. Also, among the predictor variables, vulnerability schema to harm and disease and abandonment maladaptive schema are the best predictors for teachers' corona disease anxiety, respectively (P<0.001).
Conclusion: This study showed that there is a significant relationship between predictors of vulnerability to harm and disease schema and coronary disease anxiety. This results is in line with the research of Kalvete and Cardenoso (4) and Arefinia (6) et al. The prevalence of coronary disease and the media coverage of injuries associated with the disease cause people to experience anxiety, wich is primarily triggered by coronary heart disease but is rooted in the beliefs and schemas of the anxious person; Research has also shown that the vulnerability to harm and disease schema plays an important role in disease anxiety; These people think that it is possible for them or their loved ones to get coronary disease and they can have no control over this condition. In fact, distorted interpretations of coronary disease, its magnification and catastrophe, become a stimulus for the activation of anxiety and fear of the disease. Therefore, vulnerability to harm and disease schema may play a role in the development of coronary disease anxiety. Another finding of this study was that there was a significant relationship between the predictor variables of maladaptive abandonment schema and coronary disease anxiety. This finding is in line with the research of Kalvete and Cardenoso (4) research, Which showed that schema of fear of abandonment are major predictor variables in anxiety symptoms. Because of outbreak of the disease, people usually try to protect themselves by creating a home quarantine, and as a result, people's relationships with each other weaken, so this situation is a stimulus to activate the abandonment schema of people, which follows, Anxiety occurs, an anxiety that is triggered by illness and the fear of abandonment. Also, the results of the present study on the non-significance of the family and friends dimension of perceived social support with coronary disease anxiety are in line with the results of Ghasemi, Ganjeh, Saqezi et al. (22). Perceived social support theorists state that not all relationships one has with others are social support. In other words, social communication is not a source of social support, unless one assesses it as an accessible and appropriate source to meet one's needs (23). Another finding of the study was a positive and significant relationship of important another dimension in the scale of perceived social support of coronary disease anxiety, which is in line with the research of Rashedi et al. (33). Another important dimension has an adaptive function and is negatively correlated with the psychological disorders of people at risk (35). Therefore, having social support, especially from important people in life, leads a person to physical health, psychological and ultimately mental well-being, and leads to better adaptation to difficult and critical situations associated with illness (36). Therefore, in examining the effective factors in corona disease anxiety of clients, it is recommended to pay attention to the schemas of vulnerability to harm and disease and the abandonment schema to counselors and psychologists. Also, considering the research results and the special importance of the important role in mental and physical health, it is suggested to prioritize educational and treatment programs to improve these relationships in counseling and education.
Type of Study: Research |
Subject:
Clinical Psychiatry
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