Razi Journal of Medical Sciences

fa پیش‌بینی اضطراب بیماری کرونا براساس طرحواره‌های ناسازگار رهاشدگی، آسیب‌پذیری نسبت به ضرر و بیماری و حمایت اجتماعی ادراک شده Predicting Corona disease anxiety based on maladaptive schemas of abandonment, vulnerability to harm and disease, and perceived social support روانشناسی بالینی Clinical Psychiatry پژوهشي Research زمینه و هدف: با توجه به اثرات جبران ناپذیر اپیدمی بیماری کرونا ویروس و عدم وجود هر گونه درمان یا پیشگیری قطعی و در نتیجه شیوع استرس و نگرانی زیاد در جامعه؛ هدف پژوهش حاضر، تعیین نقش طرح‌واره‌های ناسازگار رهاشدگی، آسیب‌پذیری نسبت به ضرر و بیماری و حمایت اجتماعی ادراک شده در اضطراب بیماری کرونا بود. روش کار: مطالعه حاضر از نوع توصیفی و همبستگی بود. جامعه پژوهش حاضر را پرسنل شبکه بهداشت شهرستان داراب در سال 1399 تشکیل دادند که 200 نفر از آن‌ها با روش نمونه‌گیری در دسترس به عنوان نمونه انتخاب شدند. برای جمع‌آوری داده‌ها از پرسشنامه حمایت اجتماعی ادراک شده (زیمت و همکاران، 1998)، پرسشنامه طرح‌واره‌های ناسازگار اولیه (یانگ، 2003) و مقیاس اضطراب بیماری کرونا (علی پور، 1399) استفاده شد. داده‌ها با روش رگرسیون همزمان و گام‌به‌گام  و در نرم‌افزار SPSS نسخه 22 تحلیل شدند. یافته‌ها: یافته‌ها نشان داد بین طرحواره ناسازگار رهاشدگی، آسیب‌پذیری نسبت به ضرر و بیماری و ادراک حمایت دیگران با اضطراب بیماری کرونا رابطه معنی‌داری وجود دارد (001/0p<). از سوی دیگر رابطه بین ادراک حمایت خانواده و دوستان با اضطراب بیماری کرونا معنی دار نیست. همچنین مشخص شد که تقریباً 31% واریانس مربوط به متغیر اضطراب کرونا به وسیلهی متغیرهای پیشبین تبیین میشود. نهایتاً، از میان متغیرهای پیشبین، به ترتیب آسیب‌پذیری نسبت به ضرر و بیماری و طرحواره ناسازگار رهاشدگی بهترین پیشبینی کننده برای اضطراب بیماری کرونا کارکنان شبکه بهداشت است (001/0p<). نتیجه‌گیری: بنابراین، در بررسی عوامل مؤثر در اضطراب مراجعان، توجه به طرح‌واره‌های مذکور به مشاوران و روان شناسان پیشنهاد می‌گردد. همچنین، نقش دیگری مهم در سلامت در برنامه‌های آموزشی و درمانی در دوران شیوع بیماری کرونا در اولویت بگیرند. 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.   طرح‌واره‌های ناسازگار, حمایت اجتماعی, اضطراب بیماری, کرونا Perceived Social Support, Maladaptive Schemas, Disease Anxiety, Corona 16 25 http://rjms.iums.ac.ir/browse.php?a_code=A-10-5888-1&slc_lang=fa&sid=1 Keihan Fathi کیهان فتحی keihan.fathi99@gmail.com 3900319475328460062231 3900319475328460062231 Yes ACECR Khoozestan, Ahvaz, Iran موسسه جهاد دانشگاهی خوزستان، اهواز، ایران Sara Shirmardi سارا شیرمردی shirmardi.sara1990@gmail.com 3900319475328460062232 3900319475328460062232 No chamran uni گروه مشاوره، دانشگاه شهید چمران اهواز، اهواز، ایران Zeynab Mahar زینب ماهار Z.mahar99@gmail.com 3900319475328460062233 3900319475328460062233 No khKharazmi University, Tehran, Iran گروه مشاوره، دانشگاه خوارزمی، تهران، ایران Amin Koraei امین کرایی am.koraei@gmail.com 3900319475328460062234 3900319475328460062234 No Department of Counseling, Ahvaz Branch, Azad-e-Eslami University, Ahvaz, Iran واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران