پیش بینی کیفیت خواب بر اساس استرس، افسردگی و اضطراب با نقش میانجی راهبردهای تنظیم شناختی هیجان در زنان باردار

نوع مقاله: اصیل پژوهشی

نویسندگان

1 دانشیار گروه روانشناسی عمومی، دانشکده علوم اجتماعی، دانشگاه رازی، کرمانشاه، ایران.

2 کارشناس ارشد روانشناسی عمومی، دانشکده علوم اجتماعی، دانشگاه رازی، کرمانشاه، ایران.

چکیده

مقدمه: کاهش کیفیت خواب، یکی از شکایات شایع دوران بارداری است که می‌تواند بستر مناسبی را برای بسیاری از اختلالات روانی در این دوران ایجاد کند. کیفیت نامناسب خواب با پیامدهای منفی در زمینه سلامت روانی مادران باردار در ارتباط است. مطالعه حاضر با هدف پیش‌بینی کیفیت خواب بر اساس استرس، افسردگی و اضطراب با نقش میانجی راهبردهای تنظیم شناختی هیجان در زنان باردار انجام شد.
روش کار: این مطالعه توصیفی در سال 1394 بر روی 302 زن باردار مراجعه کننده به مراکز بهداشت شهر کرمانشاه انجام شد. به منظور ارزیابی روابط بین متغیرهای مستقل و وابسته و اندازه‌گیری شده در مدل مفهومی پیشنهاد شده از الگوی معادلات ساختاری استفاده شد. آزمودنی‌ها به روش خودسنجی به تکمیل پرسشنامه کیفیت خواب پیترزبورگ (PSQI)، پرسشنامه راهبردهای تنظیم شناختی هیجان گرانفسکی و پرسشنامه افسردگی، استرس و اضطراب (DASS-21) پرداختند. تجزیه و تحلیل داده‌ها با استفاده از نرم افزارهای آماری AMOS (نسخه 21) و SPSS (نسخه 22) و آزمون های ضریب همبستگی پیرسون، ضریب رگرسیون و تحلیل مسیر انجام گرفت. میزان p کمتر از 05/0 معنی دار در نظر گرفته شد.
یافته ها: بین کیفیت خواب و بهداشت روان در زنان باردار از طریق راهبردهای تنظیم شناختی هیجان ارتباط معنی‌داری وجود داشت؛ به گونه ای که استفاده از راهبردهای منفی تنظیم هیجان مانند نشخوار فکری و فاجعه پنداری باعث ابتلاء به افسردگی و اضطراب و در نتیجه کاهش کیفیت خواب شد (05/0>p).
نتیجه گیری: بهداشت روان نامناسب و استفاده از راهبردهای منفی و غیر انطباقی تنظیم شناختی هیجان می‌توانند باعث کاهش کیفیت خواب در زنان باردار شوند.

کلیدواژه‌ها


عنوان مقاله [English]

Prediction of sleep quality based on stress, depression and anxiety with role of mediator cognitive emotion regulation strategies in pregnant women

نویسندگان [English]

  • Jahangir Karami 1
  • Khodamorad Momeni 1
  • Faride Alimoradi 2
1 Associate professor, Department of Public Psychology, School of Social Sciences, Razi University, Kermanshah, Iran
2 M.Sc. of Public Psychology, School of Social Sciences, Razi University, Kermanshah, Iran.
چکیده [English]

Introduction: Reducing the quality of sleep is one of the most common complaints during pregnancy that can create appropriate field for many mental disorders in this period. Inappropriate sleep quality is related with negative consequences on the mental health in pregnant women. This study was performed with aim to predict the sleep quality based on stress, depression and anxiety with role of mediator cognitive emotion regulation strategies in pregnant women.
Methods: This descriptive study was done on 302 pregnant women referred to health centers in Kermanshah city in 2015. To evaluate the relationship between measured variables in suggested conceptual model, structural equations pattern was used. The subjects as self-assessment completed Pittsburgh sleep quality questionnaire (PSQI), Granfeski cognitive emotion regulation strategies questionnaire and depression, anxiety and stress questionnaire (DASS-21). Data analysis was performed using SPSS software (version 22) and AMOS 21, and Pearson correlation coefficient, regression coefficient, path analysis. PResults: significant relationship was observed between sleep quality and mental health in pregnant women through cognitive emotion regulation strategies, so that, use of negative emotion regulation strategies such as thought rumination and disaster concept increases the risk of developing depression  and anxiety and reduced sleep quality ( P<0.05)
Conclusion: Poor mental health and maladaptive cognition emotion regulation strategies can reduce sleep quality in pregnant women

کلیدواژه‌ها [English]

  • Anxiety
  • Depression
  • pregnancy
  • stress
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