Razi Journal of Medical Sciences

fa مدل ساختاری خودکشی بر اساس تاب‌آوری و تحریف شناختی با میانجی‌گری هویت اخلاقی در نوجوانان Structural Model of Suicide Based on Resilience and Cognitive Distortion with the Mediation of Moral Identity in Adolescents روانشناسی بالینی Clinical Psychiatry پژوهشي Research زمینه و هدف: نوجوانان از جمله گروههای آسیبپذیر در برابر خودکشی هستنند که بسیاری از آنها نگرشهای ناکارآمد، خطاهای شناختی و مشکلات اخلاقی ناسازگارانه دارند. پژوهش حاضر با هدف بررسی مدل ساختاری خودکشی بر اساس تابآوری و تحریف شناختی با میانجی گری هویت اخلاقی در نوجوانان صورت گرفت. روش کار: پژوهش حاضر توصیفی از نوع همبستگی بود. جامعه‌ی آماری شامل کلیهی دانش‌آموزان دختر مقطع نهم شهرستان تاکستان در سال تحصیلی 1400-1401 بود که با استفاده از روش نمونه‌گیری در دسترس، حجم نمونه‌ای برابر با 300 شرکت‌کننده در نظرگرفته شد. ابزار پژوهش شامل: پرسشنامه تجدید نظر شده خودکشی، پرسشنامه تاب‌آوری کانر و دیویدسون (2003)، مقیاس تحریف شناختی عبدالله زاده و سالار (1389) و پرسشنامه هویت اخلاقی آکوئینو و رید (2002) بود. یافته‌ها: نتایج نشان داد بین تابآوری و گرایش به خودکشی رابطه معکوس معناداری وجود دارد (149/0-). همچنین بین تحریف شناختی و گرایش به خودکشی رابطه مثبت معنادار( 134/0) بدست آمد. نتایج آزمون بارون و کنی نشان داد که در مرحله دوم مدل، متغیر میانجی (هویت اخلاقی) وارد مدل شده و در بین دو متغیر تاب آوری و گرایش به خودکشی قرار گرفته است. ضریب مسیر بین این دو متغیر از 340/0- به 149/0- کاهش یافت. همچنین در بررسی نقش میانجی هویت اخلاقی در رابطه تحریف شناختی با خودکشی ضریب مسیر از 304/0 به 134/0کاهش یافت. نتیجه گیری: نتایج تاییدکننده رابطه معنادار بین تابآوری و گرایش به خودکشی از یکسو و تحریف شناختی با خودکشی از سوی دیگر بودند که هویت اخلاقی نیز در رابطه بین این مولفهها نقش میانجی دارد.   Background & Aims: Adolescents are among the vulnerable groups against suicide, many of them have dysfunctional attitudes, cognitive errors, and inconsistent moral problems. Therefore, it is important to know the antecedents of this problem. Therefore, the current study was conducted with the aim of investigating the structural model of suicide based on resilience and cognitive distortion with the mediation of moral identity in adolescents. Methods: The current research is a theoretical research and its design was descriptive-correlation and structural equation modeling. The statistical population of the research included all ninth grade female students of Takestan city with an average age of 15 years who study in the schools of Takestan city in the academic year of 1400-1401. The sample size to test the hypotheses was determined by referring to Klein's (2015) strategy for studies that use the structural equation modeling method. That is, the minimum ratio of the sample size for each observed variable is 5 people, the ratio of 10 people for each variable is more suitable and the ratio of 20 people for each variable is considered desirable; Therefore, in the present study, using available sampling method, a sample size of 300 participants was considered. Research tools included: Revised Suicide Questionnaire (SBQ-R), Connor and Davidson Resilience Questionnaire (2003), Abdullahzadeh and Salar's Cognitive Distortion Scale (2009) and Aquino and Reed's Moral Identity Questionnaire (2002). Results: The findings showed that the standardized factor loading for all questions is more than 0.4. It can be said that the validity of the measurement structures of the relevant variables is confirmed at a significance level of 0.05. The value of Cronbach's alpha coefficient of all variables is more than 0.7. Further, in order to confirm the factor analysis model and document the obtained results, it is necessary that the fit indices of the model are acceptable. The following table shows the indicators used along with their values. In the factor analysis model, the chi-square value for the degree of freedom is 1.309 and less than 3. Also, the value of the root mean square error estimate (RMSEA) is equal to 0.032 and less than 0.08. Also, Comparative Fit Index (CFI), Incremental Fit Index (IFI) and Goodness of Fit Index (GFI) have all been calculated at a reasonable level. Therefore, in general and according to the calculated indices, it is possible to conclude the optimal fit of the model. Also, in the research model, the chi-square value of the degree of freedom is 1.485 and smaller than 3. Also, the value of the root mean square error estimate (RMSEA) is equal to 0.040 and less than 0.08. The comparative fit index (CFI), goodness of fit index (GFI) and incremental fit index (IFI) are equal to 0.96, 0.86 and 0.96, respectively, and all of them are at a very favorable level, so the model shows a good fit and is approved. The findings showed that the existence of a relationship between resilience and suicide tendency is confirmed with a probability of 95%. Because the standard path coefficient between these two variables is positive and equal to -0.149. Therefore, it can be said that there is a significant and inverse relationship between resilience and the tendency to commit suicide. On the other hand, the existence of a relationship between cognitive distortion and suicidal tendencies is confirmed with a probability of 95%. Because the standard path coefficient between these two variables is positive and equal to 0.134. Therefore, it can be said that there is a significant and direct relationship between cognitive distortion and suicidal tendencies. In order to investigate the mediating role of moral identity between the independent (resilience) and dependent (suicidal) variables, Baron and Kenny's test was used. According to the conceptual model of the research, in addition to the direct relationship between resilience and suicidal tendency, its indirect relationship can also be obtained through the mediating variable of moral identity. Based on the findings in the first stage and the initial model, which considered only the relationship between resilience and suicidal tendencies, this relationship is significant and its path coefficient is estimated as -0.340. In the next step, the mediating variable (moral identity) is entered into the model and is placed between the two variables of resilience and tendency to commit suicide. The path coefficient between these two variables has decreased from -0.340 to -0.149 and is statistically significant. Therefore, it can be said that the mediation of moral identity in the relationship between resilience and suicidal tendency is confirmed. Also, the investigation of the mediating role of moral identity in the relationship between cognitive distortion and suicide was determined. In the first stage and the initial model, which only considered the relationship between cognitive distortion and suicide tendency, this relationship was significant and its path coefficient was estimated as 0.304. In the next step, the mediator variable (moral identity) is entered into the model and is placed between the two variables of cognitive distortion and suicidal tendency. The path coefficient between these two variables has decreased from 0.304 to 0.134 and is statistically significant. Therefore, it can be said that the mediation of moral identity in the relationship between cognitive distortion and suicidal tendency is confirmed. Conclusion: The results confirmed the significant relationship between resilience and tendency to commit suicide on the one hand and cognitive distortion with suicide on the other hand, and moral identity also plays a mediating role in the relationship between these components. Therefore, it is suggested that teaching resilience skills and recognizing distorted thoughts, along with paying attention to a rich moral identity and in order to prevent issues related to suicide, especially among teenage students, should be considered important by the school authorities and the country and should be on their agenda.   خودکشی, تاب‌آوری, تحریف شناختی, هویت اخلاقی, نوجوانان Suicide, Resilience, Cognitive Distortion, Moral Identity, Adolescents 30 42 http://rjms.iums.ac.ir/browse.php?a_code=A-10-7270-1&slc_lang=fa&sid=1 Samira Haji Omidi سمیرا حاج امیدی 3900319475328460071924 3900319475328460071924 No PhD Student in General Psychology, Department of Psychology, Rasht Branch, Islamic Azad University, Rasht, Iran دانشجوی دکترای روانشناسی عمومی، گروه روانشناسی، واحد رشت، دانشگاه آزاد اسلامی، رشت، ایران Bahman Akbari بهمن اکبری Bakbari44@yahoo.com 3900319475328460071925 3900319475328460071925 Yes Professor, Department of Psychology, Rasht Branch, Islamic Azad University, Rasht, Iran استاد، گروه روانشناسی، واحد رشت، دانشگاه آزاد اسلامی، رشت، ایران Leila Moqtader لیلا مقتدر 3900319475328460071926 3900319475328460071926 No Assistant Professor, Department of Psychology, Rasht Branch, Islamic Azad University, Rasht, Iran استادیار، گروه روانشناسی، واحد رشت، دانشگاه آزاد اسلامی، رشت، ایران