نقش تعدیل‌کننده شخصیت نوع D در رابطه بین نشانگرهای زیستی و شدت تنگی عروق کرونری

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه تهران، تهران، ایران

2 دانشگاه تهران

3 مرکز مداخلات قلبی عروقی شهید رجایی

4 گروه روانشناسی، دانشگاه تربیت مدرس ،تهران، ایران

10.29252/apsy.2021.222439.1074

چکیده

هدف: بیماری کرونری قلب (CAD) یک بیماری التهابی و علت اصلی مرگ و میر در سراسر جهان است. پژوهش ­های اخیر در کنار عوامل زیستی، به نقش عوامل روانشناختی در بروز و شدت این بیماری توجه کرده­اند. پژوهش حاضر با هدف بررسی نقش تعدیل­ کننده شخصیت نوع D (بازداری اجتماعی و عاطفه منفی) در رابطه بین نشانگرهای زیستی (تروپونین، نسبت نوتروفیل به لنفوسیت، تعداد گلبول­ های سفید) با شدت تنگی عروق کرونری انجام شده است. روش: در این پژوهش تعداد 200 بیمار (145 مرد، 55 زن) مبتلا به تنگی عروق کرونری بستری در بیمارستان شهید رجایی تهران شرکت کردند که با روش نمونه ­گیری هدفمند انتخاب شدند. از شرکت­کنندگان خواسته شد مقیاس شخصیت نوع D (DS14؛ دنولت، 2005) را تکمیل کنند. همچنین میزان نشانگرهای زیستی از طریق انجام آزمایش خون و تعداد رگ­ های درگیر از طریق انجام آنژیوگرافی بررسی شد. یافته ­ها: نتایج رگرسیون سلسله ­مراتبی نشان داد که در گام اول 62 درصد از واریانس شدت تنگی عروق توسط شاخص‌های زیستی پیش‌بینی می‌شود و در گام دوم با وارد شدن متغیر شخصیت نوع D این پیش‌بینی به 67 درصد رسید. همچنین در گام سوم با وارد شدن تعامل این متغیرها، پیش‌بینی با افزایش 8 درصدی به 75 درصد رسید. نتیجه­ گیری: بر اساس یافته­ های پژوهش، شخصیت نوع D رابطه بین نشانگرهای زیستی و شدت تنگی عروق کرونر را تحت تأثیر قرار می­ دهد و از این رو به­ عنوان عامل روانشناختی، در پیشگیری از بیماری­ های قلبی می ­تواند نقش مهمی داشته باشد.
 

کلیدواژه‌ها


عنوان مقاله [English]

The Moderating Role of Type D Personality on The Relationship Between Biomarkers and The Severity of Coronary Artery Disease

نویسندگان [English]

  • masoumeh darvishi lord 1
  • Mohammad Ali Besharat 2
  • Ali Zahedmehr 3
  • Hojatolah Farahani 4
1 Department of Psychology, Faculty of Psychology and Educational Science, University of Tehran, Tehran, Iran.
2 Department of Psychology, Faculty of Psychology and Educational Science, University of Tehran, Tehran, Iran.
3 Shahid Rajaei Cardiovascular Intervention Center
4 Department of Psychology, Tarbiat Modares University, Tehran, Iran
چکیده [English]

Aim: The aim of this study was to investigate the psychometric properties (validity and reliability) of the student version of the Academic Motivation Scale. Method: This study was a psychometric correlation study. The sample consisted of 400 students of the Islamic Azad University, South Tehran Branch, who were selected by available sampling method and completed the student version of the Vallerand, Pelletier, Blais, and Briere (1992) Academic Motivation Scale. Data were analyzed using expolary factor analysis, confirmatory factor analysis, Cronbach's alpha and retest. Results: The results of exploratory factor analysis showed 23 items 7 intrinsic motivation factors (with the amount of variance explained 12.85), achievement (with the amount of variance explained 11.89), identified (with the amount of variance explained 10.44), amotivation (with an explained variance of 10.40), extroversion (with an explained variance of 10.19), stimulation (with an explained variance of 7.9), and knowledge (with an explained variance of 6.57). The results of confirmatory factor analysis confirmed the findings of exploratory factor analysis. Fit indices were obtained in both models of confirmatory factor analysis at the appropriate level of 0.001. The overall reliability coefficient of the scale was obtained by Cronbach's alpha (0.88) and retest method (0.86) for the desired level. Conclusion: The results of the study showed that the student version of the Academic Motivation Scale has good validity and reliability and can be used to measure academic motivation in students.

کلیدواژه‌ها [English]

  • Coronary artery disease
  • Biomarkers
  • social inhibition
  • negative affective
  • type D personality
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