Razi Journal of Medical Sciences

fa ارائه مدل پیش‌بینی تمایل به خودکشی بر اساس متغیرهای دشواری تنظیم هیجانی، انعطاف پذیری شناختی و انعطاف پذیری خانواده با توجه به نقش میانجی تحمل پریشانی Presenting a model for predicting suicidal ideation based on variables of emotional regulation difficulty, cognitive flexibility and family flexibility according to the mediating role of distress tolerance روانشناسی بالینی Clinical Psychiatry پژوهشي Research زمینه و هدف: خودکشی دومین علت اصلی مرگ‌ومیر در بین نوجوانان در سراسر جهان با علل متفاوت است؛ ازاین رو هدف از انجام پژوهش حاضر تعیین میزان برازش مدل پیش‌بینی تمایل به خودکشی بر اساس متغیرهای دشواری تنظیم هیجانی، انعطاف پذیری شناختی و انعطاف پذیری خانواده با توجه به نقش متغیر میانجی تحمل پریشانی بود. روش کار: پژوهش حاضر توصیفی از نوع همبستگی بود که در جامعه آماری کلیه نوجوانان و جوانان خانواده‌های در آستانه طلاق شهر اصفهان در شش ماه دوم سال 1398 اجرا شد که براساس فرمول کوکران 373 نفر انتخاب و به پرسش‌نامه‌های پژوهش از قبیل مقیاس بک برای افکار خودکشی (Beck Scale for Suicidal Ideation-BSSI)، مقیاس دشواری در تنظیم هیجان گرانفسکی و همکاران (2001) پرسش‌نامه انعطاف‌پذیری شناختی دنیس و وندروال (٢٠٠٩)،  پرسش‌نامه انعطاف‌پذیری خانــواده شاکری (1382) و مقیاس تحمل پریشانی سیمونز و گاهر (2005) پاسخ دادند. داده‌های جمع آوری شده به روش معادلات ساختاری با استفاده از نرم‌افزار AMOS-24 مورد تجزیه و تحلیل قرار گرفت. یافته‌ها: یافته های پژوهش نشان داد مدل پیش‌بینی تمایل به خودکشی بر اساس متغیرهای دشواری تنظیم هیجانی، انعطاف پذیری روان‌شناختی و انعطاف پذیری خانواده با توجه به نقش متغیر میانجی تحمل پریشانی از برازش مطلوبی برخوردار است و متغیر تحمل پریشانی می‌تواند در رابطه تمایل به خودکشی با دشواری تنظیم هیجانی، انعطاف پذیری روان‌شناختی و انعطاف پذیری خانواده نقش میانجی ایفا نماید (05/0p≤). نتیجه‌گیری: افزایش مهارت تحمل پریشانی می‌تواند سبب کاهش تمایل به خودکشی در افرا در معرض خطر گردد. Background & Aims: Suicide is the second leading cause of death among adolescents worldwide (1). Reducing suicide rates requires a wide range of public health interventions (2, 3). However, researchers and policymakers recommend strengthening positive social and family ties because family and social dependencies can reduce suicidal behavior in young people and adults (2). It is believed that the high prevalence of suicide in adolescents can be based on variables such as substance abuse (4), mood-emotional disorders (5), antisocial behavior (6), low self-esteem (7); Predicted family conditions (8), and poor economic conditions (9). However, few studies have examined the factors influencing it in families on the verge of divorce. The aim of the study was to determine the prediction of suicidal ideation based on the difficulty of emotional regulation, cognitive flexibility, family flexibility and distress tolerance in adolescents and young families on the eve of divorce in Isfahan. Methods: The present study was a descriptive correlation that was performed in the statistical population of all adolescents and young families on the eve of divorce in Isfahan in the second half of 2019. According to the Cochran's formula, 373 people were selected and answered Beck Scale for Suicide Ideation Gratz & Roemer Difficulties in Emotion Regulation Scale, Dennis& Vander Cognitive Flexibility Inventory, Shakeri Family Flexibility Questionnaire (2003), Simons & Gaher distress tolerance scale, (2005). Data collected by Pearson correlation coefficient and stepwise regression were analyzed using SPSS-24 software. Results: Findings showed that the predictive model of suicidal ideation based on the variables of emotional regulation difficulty, psychological flexibility and family flexibility has a favorable fit with respect to the mediating role of distress tolerance. The anxiety tolerance variable can play a mediating role between the variables of emotion regulation difficulty, family flexibility and cognitive flexibility. It also means that the indirect path, which starts from the predictor variables and starts from the difficult path of emotion regulation, cognitive flexibility and family flexibility, ends in suicidal tendencies, while the stress tolerance variable acts as a mediating variable between the predictor variables. And be the criterion, has more validity than direct routes (p <0.05). Conclusion: The results of this study show that suicide attempts in adolescents and young people living on the verge of divorce are influenced by individual, psychological and family variables, including difficulty in regulating emotion, cognitive flexibility, family flexibility and tolerance. Distress pointed out. Also, the present data showed that in this regard, the distress tolerance variable can be used as a mediating variable among the variables of suicidal ideation and difficulty in regulating emotion, cognitive flexibility and family flexibility and the effects of these variables on suicidal ideation. Adjust adolescents and young people living in divorced families; Therefore, according to the obtained result, due to limitations such as the use of the statistical population of families on the verge of divorce, caution should be observed in generalizing the research findings to individuals and other communities; Also, according to the findings of the present study, it is suggested that during the consensual divorce sessions offered to families, sessions be provided for children to teach them the skills of increasing anxiety tolerance to prevent self-harming behaviors. As a final result of the research, it can be said that increasing distress tolerance skills can reduce the tendency to commit suicide in high-risk maples. خودکشی, دشواری تنظیم هیجانی, انعطاف پذیری شناختی, انعطاف پذیری خانواده, طلاق Suicide, Emotional difficulty, Cognitive flexibility, Family flexibility, Divorce 114 124 http://rjms.iums.ac.ir/browse.php?a_code=A-10-5559-1&slc_lang=fa&sid=1 Mohsen HeidariNejad محسن حیدری نژاد 3900319475328460055594 3900319475328460055594 No Islamic Azad University, Khomein, Iran دانشگاه آزاد اسلامی، خمین، ایران Hassan heidari حسن حیدری heidarihassan@yahoo.com 3900319475328460055595 3900319475328460055595 Yes Islamic Azad University, Khomein, Iran دانشگاه آزاد اسلامی، خمین، ایران hosein Davoodi حسین داوودی 3900319475328460055596 3900319475328460055596 No Islamic Azad University, Khomein, Iran دانشگاه آزاد اسلامی، خمین، ایران