نقش اطمینان‌خواهی مفرط از دیگران و حساسیت بین فردی در پیش‌بینی اضطراب اجتماعی و علائم وسواس فکری-جبری

نوع مقاله : مقاله پژوهشی

نویسنده

Associate professor, Department of Psychology, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.

چکیده

مقدمه: اطمینان‌خواهی بیش از حد از دیگران و حساسیت بین فردی با کاهش موقت اضطراب نقش اساسی در تداوم اختلالات اضطرابی دارد. پژوهش حاضر به بررسی نقش اطمینان‌جویی بیش از حد دیگران و حساسیت بین فردی در پیش‌بینی اضطراب اجتماعی و علائم وسواس فکری-جبری می‌پردازد.
روش‌ کار: جامعه آماری را کلیه زنان خانه‌دار شهر سبزوار در تابستان 1401 تشکیل می‌دادند که با استفاده از روش نمونه‌گیری خوشه‌ای دو مرحله‌ای، 339 نفر از زنان خانه‌دار انتخاب شدند. آنها پرسشنامه های وسواس فکری-جبری، اضطراب اجتماعی، کسب اطمینان از دیگران و حساسیت بین فردی را پر کردند. داده ها با استفاده از آزمون های همبستگی، رگرسیون و تحلیل واریانس تجزیه و تحلیل شدند.
یافته‌ها: یافته‌ها نشان داد که اطمینان مفرط و حساسیت بین فردی با نمره کل اضطراب اجتماعی وسواسی همبستگی معنادار دارد و اطمینان بیش از حد و حساسیت بین فردی 6 درصد از واریانس مربوط به اضطراب اجتماعی و 33 درصد از واریانس اضطراب اجتماعی را پیش‌بینی می‌کنند.  نتایج نشان داد که گروه دارای علائم وسواس در مقایسه با گروه دارای علائم اضطراب اجتماعی و گروه سالم بالاترین امتیاز را در حساسیت بین فردی و اطمینان بیش از حد داشتند (001/0 P<).
نتیجه گیری: اطمینان بیش از حد و حساسیت بین فردی، تبیین مهمی برای اختلالات اضطرابی به ویژه اختلال وسواس فکری- جبری است.

کلیدواژه‌ها

موضوعات


  1. Javaid SF, Hashim IJ, Hashim MJ, Stip E, Samad MA, Ahbabi AA. Epidemiology of anxiety disorders: global burden and sociodemographic associations. Middle East Curr Psychiatry 2023; 30: 44.
  2. Rector NA, Katz DE, Quilty LC, Laposa JM, Collimore K, Kay T. Reassurance seeking in the anxiety disorders and OCD: Construct validation, clinical correlates and CBT treatment response. J Anxiety Disord 2019; 67: 102109.
  3. Kobori O, Sawamiya Y, Iyo M, Shimizu E. A comparison of manifestations and impact of reassurance seeking among Japanese individuals with OCD and depression. Behav Cogn Psychother 2015; 43(5): 623-34.
  4. Lord KA, Harkness KL, Suvak MK, Stewart JG. The affective dynamics of reassurance-seeking in real-time interactions. J Soc Pers Relat 2020; 37(2): 676-94.
  5. Meyer AE, Silva SG, Curry JF. Is everything really okay?: Using ecological momentary assessment to evaluate daily co-fluctuations in anxiety and reassurance seeking. Behav Res Ther 2023; 171: 104429.
  6. Kobori O, Salkovskis PM. Patterns of reassurance seeking and reassurance-related behaviours in OCD and anxiety disorders. Behav Cogn Psychother 2013; 41(1): 1-23.
  7. Cougle JR, Fitch K E, Fincham FD, Riccardi C J, Keough ME, Timpano KR. Excessive reassurance seeking and anxiety pathology: Tests of incremental associations and directionality. J Anxiety Disord 2012; 26(1): 117-25.
  8. Katz DE, Laposa JM, Rector NA. Excessive reassurance seeking in depression versus obsessive-compulsive disorder: Cross-sectional and cognitive behavioural therapy treatment comparisons. J Anxiety Disord 2020; 75: 102280
  9. Haciomeroglu B, Inozu M. Is reassurance seeking specific to OCD? Adaptation study of the Turkish version of reassurance seeking questionnaire in clinical and non-clinical samples. Behav Cogn Psychother 2019; 47(3): 363-85.
  10. Haciomeroglu B. The role of reassurance seeking in obsessive compulsive disorder: The associations between reassurance seeking, dysfunctional beliefs, negative emotions, and obsessive-compulsive symptoms. BMC Psychiatry 2020; 20(1): 356.
  11. Parrish CL, Radomsky AS. Why do people seek reassurance and check repeatedly? An investigation of factors involved in compulsive behavior in OCD and depression. J Anxiety Disord 2010; 24(2): 211-22.
  12. Starcevic V, Berle D, Brakoulias V, Sammut P, Moses K, Milicevic D, et al. Functions of compulsions in obsessive-compulsive disorder. Aust N Z J Psychiatry 2011; 45(6): 449-57.
  13. Kobori O, Salkovskis PM, Read J, Lounes N, Wong V. A qualitative study of the investigation of reassurance seeking in obsessive–compulsive disorder, J Obsessive Compuls Relat Disord 2012; 1(1): 25-32.
  14. Alizadeh Sahraei O, Khosravi Z, Ameri F, Mootabi F, Khodabakhsh R. [Reassurance seeking in OCD patients with scrupulosity of Najes-Paki: Qualitative study]. Journal of psychological studies 2017; 12(4): 65-82. (Persian)
  15. Parsons CA, Alden LE. Online reassurance-seeking and relationships with obsessive-compulsive symptoms, shame, and fear of self. J Obsessive Compuls Relat Disord 2022; 33: 100714
  16. Radomsky AR, Neal RL, Parrish CL, Lavoie SL, Schell SE. The covert and overt reassurance seeking inventory (CORSI): Development, validation and psychometric analyses. Behav Cogn Psychother 2020; 49(1): 3-20.
  17. Abe K, Nakashima K. Excessive-reassurance seeking and mental health: Interpersonal networks for emotion regulation. Curr Psychol 2022; 41: 4711-21.
  18. Karamat A, Hafeez Q, Zahra ST, Saleem S. Reassurance seeking behavior and interpersonal difficulties in university students: Mediating role of self-esteem. Pakistan journal of psychological research 2023; 38(1): 31-49.
  19. Halldorsson B, Salkovskis PM. Why do people with OCD and health anxiety seek reassurance excessively? An investigation of differences and similarities in function. Cognit Ther Res 2017; 41(4): 619-31.
  20. Sadock BJ, Sadock VA, Ruiz P. Synopsis of psychiatry: Behavioral sciences clinical psychiatry. 11th New York: Wolters Kluwer; 2015.
  21. Boyce P, Parker G. Development of a scale to measure interpersonal sensitivity. Aust N Z J Psychiatry 1989; 23(3): 341-51.
  22. Otani K, Suzuki A, Matsumoto Y, Shibuya N, Sadahiro R, Enokido M. Correlations of interpersonal sensitivity with negative working models of the self and other: Evidence for link with attachment insecurity. Ann Gen Psychiatry 2014; 13(1): 5.
  23. Kumari RS, Sudhir PM, Mariamma P. Perfectionism and interpersonal sensitivity in social phobia: The interpersonal aspects of perfectionism. Psychol Stud 2012; 57(4): 357-68.
  24. Mohammadian Y, Mahaki B, Dehghani M, Vahid MA, Lavasani FF. Investigating the role of interpersonal sensitivity, anger, and perfectionism in social anxiety. Int J Prev Med 2018; 9: 2.
  25. Vidyanidhi K, Sudhir PM. Interpersonal sensitivity and dysfunctional cognitions in social anxiety and depression. Asian J Psychiatr 2009; 2(1): 25-8.
  26. Luo Y, Shi Z, Zhang B, Peng Y, Zhang A, Zeng Y. Interpersonal sensitivity and social avoidance and distress in female college students: Mediating role of self-inconsistency and moderating role of self-consciousness. J Psychol Afr 2021; 31(3): 219-25.
  27. Nyström M, Kjellberg E, Heimdahl U, Jonsson B. Shame and interpersonal sensitivity: Gender differences and the association between internalized shame coping strategies and interpersonal sensitivity. Bull Menninger Clin 2018; 82(2): 137-55.
  28. Kendler KS, Thornton LM, Prescott CA. Gender differences in the rates of exposure to stressful life events and sensitivity to their depressogenic effects. Am J Psychiatry 2001; 158(4): 587-93.
  29. Tabachnick B, Fidell L. Using multivariate statistics. 5th New York: Allyn and Bacon; 2007.
  30. Foa EB, Kozak MJ, Salkovskis PM, Coles ME, Amir N. The validation of a new obsessive-compulsive disorder scale: The Obsessive-Compulsive Inventory. Psychol Assess 1998; 10(3): 206-14.
  31. Simonds LM, Thorpe SJ, Elliott SA. The Obsessive Compulsive Inventory: Psychometric properties in a nonclinical student sample. Behav Cogn Psychother 2000; 28(2): 153-9.
  32. Azizi M, Shahbaziyankhonig A. [Study of obsessive-compulsive disorder in migraine sufferers and compared them with normal individuals]. Razi journal of medical sciences 2017; 24: 106-13. (Persian)
  33. Anisi J, Babaei S, Barani M, Mohammadlo H, Ebrahimi F. [Determining the psychometric properties by Symptom Checklist-90-Revised (SCL-90-R) among military forces]. Ebnesina journal 2016; 17(4): 13-18. (Persian)
  34. Aslami N, Khayer M, Hashemi L. [Relationship between perfectionism and social anxiety in regard to self-esteem role as a mediator among the third grade high school students in Shiraz]. Journal of instruction and evaluation 2013; 6: 105-21. (Persian)
  35. Leonhart MW, Radomsky AS. Responsibility causes reassurance seeking, too: An experimental investigation. J Obsessive Compuls Relat Disord 2019; 20: 66-74. 
  36. Champion SM, Grisham JR. Excessive reassurance seeking versus compulsive checking in OCD: Comparing implicit motivators and mechanisms. J Behav Ther Exp Psychiatry 2022; 75: 101720.
  37. Dugas M J, Gosselin P, Ladouceur R. Intolerance of uncertainty and worry: Investigating specificity in a nonclinical sample. Cognit Ther Res 2001; 25(5): 551-8.
  38. Boelen P A, Reijntjes A. Intolerance of uncertainty and social anxiety. J Anxiety Disord 2009; 23(1): 130-35.
  39. Kazeem O. Interpersonal sensitivity, psychoticism and moderating effect of psychological hardiness on obsessive compulsive disorder among mental health outpatients in Lagos, Nigeria: A descriptive moderating study (September 27, 2019). Available from: SSRN: https://ssrn.com/abstract=3460678
  40. Taylor DL, Kraines MA, Grant DM, Wells TT. The role of excessive reassurance seeking: An eye tracking study of the indirect effect of social anxiety symptoms on attention bias. Psychiatry Res 2019; 274: 220-27.