نقش واسطه‌ای پردازش هیجانی در رابطه بین سیستم‌های مغزی رفتاری با اختلال پانیک

نوع مقاله : مقاله پژوهشی

نویسندگان

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

2 گروه روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه ارومیه، ارومیه، ایران

3 گروه روانشناسی، دانشکده روانشناسی ، دانشگاه تبریز، ایران

4 گروه روانشناسی، دانشکده علوم انسانی، دانشگاه آزاد واحد ارومیه، ارومیه، ایران

10.48308/apsy.2024.234845.1619

چکیده

هدف از مطالعه حاضر، بررسی نقش واسطه‌ای پردازش هیجانی در رابطه بین سیستم‌های مغزی رفتاری با اختلال پانیک بود. روش: طرح پژوهش حاضر از نوع توصیفی-همبستگی بود. جامعه آماری پژوهش حاضر تمامی دانشجویان دانشگاه ارومیه در نیمسال اول تحصیلی ١٤٠٢-١٤٠٣ بودند که تعداد ٣٦٢ نفر از آن‌ها با استفاده از نمونه‌گیری خوشه‌ای چند مرحله‌ای انتخاب و پرسش‌نامه‌های سیستم‌های مغزی رفتاری کارور و وایت (١٩٩٤)، پردازش هیجانی (بارکر، ٢٠٠٧) و پرسش‌نامه نشانه‌های پانیک لیبویتز (١٩٨٤) را تکمیل کردند. تحلیل داده‌ها با استفاده از مدل‌یابی معادلات ساختاری انجام شد. تجزیه‌و‌تحلیل داده‌ها با استفاده از ضریب همبستگی پیرسون و مدل‌سازی معادلات ساختاری از طریق نرم‌افزارهای SPSS نسخه ۲۴ و AMOS نسخه ۲۴ صورت گرفت.
یافته‌ها: ارزیابی مدل فرضی پژوهش با استفاده از شاخص‌های نیکویی برازش نشان داد که مدل فرضی، با مدل اندازه‌گیری شده برازش داشت (٩٣/٠=CFI، ٩٦/٠=NFI، ٠٦/٠= RMSEA). مسیر‌های مستقیم بین سیستم‌های مغزی رفتاری با پردازش هیجانی و همچنین سیستم‌های مغزی رفتاری و پردازش هیجانی با اختلال پانیک معنادار است (٠١/٠p<). بنابراین می‌توان گفت پردازش هیجانی در رابطة بین سیستم‌های مغزی رفتاری با اختلال پانیک نقش میانجی ایفا می‌کند.
نتیجه‌گیری: این یافته‌ها نقش پردازش هیجانی را در اختلال پانیک مورد‌تایید قرار می‌دهد و بیانگر توجه هر چه بیشتر به سیستم‌های مغزی رفتاری می‌باشد. همچنین مدل سبب شناختی پیشنهادی حاضر می‌تواند به فهم هرچه بیشتر نقش پردازش هیجانی در اختلال پانیک و اثربخشی درمان‌های شناختی رفتاری در افراد مبتلا به پانیک کمک کند.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The Mediating Role Of Emotional Processing In The Relationship Between Brain-Behavioral Systems and Panic Disorder

نویسندگان [English]

  • Saeid Asadnia 1
  • Muhammad Rasul Mufassery 2
  • Mansour Agashteh 3
  • Naser Torabzadeh 1
  • Parisa Hoseinpour 4
1 Department of Psychology, Faculty of Psychology and Educational Sciences, Tabriz University, Tabriz, Iran
2 Department of Psychology, Faculty of Psychology and Educational Sciences, Urmia University, Urmia, Iran
3 Department of Psychology, Faculty of Psychology, Tabriz University, Tabriz, Iran
4 Department of Psychology, Faculty of Humanities, Azad University of Urmia, Urmia, Iran
چکیده [English]

In this study, the role of emotional processing in the relationship between brain-behavioral systems and panic disorder was investigated. Method: The present research design is descriptive-correlational. The statistical population of the study included all Urmia University students in the academic semester of 2023-2024. A total of 362 participants were selected using multi-stage cluster sampling and completed the questionnaires related to brain-behavioral systems (Carver & White, 1994), emotion processing (Barkley, 2007), and panic symptoms (Leibowitz, 1984). Data analysis was performed using structural equation modeling through SPSS version 24 and AMOS version 24. Results: The evaluation of the hypothetical model using goodness-of-fit indices demonstrated that the proposed model fit the measurement model (CFI = 0.93, NFI = 0.96, RMSEA = 0.06). Direct paths between brain-behavioral systems and emotional processing, as well as between brain-behavioral systems and panic disorder, were significant (p < 0.01). Conclusion: Therefore, it can be said that emotional processing plays a mediating role in the relationship between brain-behavioral systems and panic disorder.  These findings confirm the role of emotional processing in panic disorder and highlight the importance of attending to brain-behavioral systems. The proposed cognitive model can enhance our understanding of emotional processing in panic disorder and the effectiveness of cognitive-behavioral treatments for individuals with panic disorder.

کلیدواژه‌ها [English]

  • Panic
  • Emotional Processing
  • Brain Behavioral Systems
  • Abdullahi Magarshin, R., Bakshipour, A & Mahmoud Alilou, M. (2010). The relationship of personality traits related to behavioral inhibition/activation systems with conceptual and overt implicit memory bias based on appropriate transfer processing (TAP). Psychological Studies, 6 (1), 57-88. [link] [In Persian].
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. 5th ed. Washington DC: American Psychiatric Association. [link]
  • Asadnia, S.; Mahmoud Alilou, M.; Biryami, M.; Bakhsi Pour, A. (2023). The mediating role of disgust sensitivity in the relationship between personality dimensions and panic disorder. Applied Psychology Journal, 17 (4), 142-121[link] [In Persian]
  • Baker, R., Holloway, J., Thomas, P. W., Thomas, S., & Owens, M. (2004). Emotional processing and panic. Behaviour research and therapy42 (11), 1271-1287. [link]
  • Baker, R., Thomas, S., Thomas, P. W., & Owens, M. (2007). Development of an emotional processing scale. Journal of Psychosomatic Research, 62 (2), 167- [link]
  • Baker, R., Thomas, S., Thomas, P. W., & Owens, M. (2007). Development of an emotional processing scale. Journal of psychosomatic Research62 (2), 167-178. [link]
  • Balconi, M., Falbo, L., Brambilla, E., (2009). BIS/BAS Responses to Emotional Cues: Self Report, Autonomic Measure and Alpha Band Modulation, Personality and Individual Differences, 47,858-803. [link]
  • Bandelow, B., Broocks, A., Pekrun, G., George, A., Meyer, T., Pralle, L., & Rüther, E. (2000). The use of the Panic and Agoraphobia Scale (P & A) in a controlled clinical trial. Pharmacopsychiatry, 33 (05) [link]
  • Barlow, D. H. (Ed.). (2021). Clinical handbook of psychological disorders: A step-by-step treatment manual. Guilford.publications.[link]
  • Carver, C. S., & White, T. L. (1994). Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: the BIS/BAS scales. Journal of personality and social psychology67 (2), 319. [link]
  • Doğan, E., Serdar, T. O. K., Güven, Ş., & Nihal, D. A. L. (2023). The Effects of Personality Traits and Emotional Intelligence on Emotional Information Processing Speed. The Online Journal of Recreation and Sports12 (4), 539-543.
  • Gomez, A., & Gomez, R. (2002). Personality traits of the behavioural approach and inhibition systems: Associations with processing of emotional stimuli. Personality and individual differences32 (8), 1299-1316. [link]
  • Gray, J. A., & McNaughton, N. (2000). The neuropsychology of anxiety: an enquiry into the functions of the septohippocampal system. [link]
  • Gray, V., Douglas, K. M., & Porter, R. J. (2021). Emotion processing in depression and anxiety disorders in older adults: systematic review. BJPsych Open7 (1), e7. [link]
  • Jobst, L. J., Bader, M., & Moshagen, M. (2023). A tutorial on assessing statistical power and determining sample size for structural equation models. Psychological Methods28 (1), 207. [link]
  • Kim, H. J., Jung, H. Y., Bang, M., Pae, C., & Lee, S. H. (2023). Poor treatment response in panic disorder patients with suicide attempts and their symptom network characteristics. Depression and anxiety2023. [link]
  • Korgaonkar, M. S., Tran, J., Felmingham, K. L., Williams, L. M., & Bryant, R. A. (2021). Neural correlates of emotional processing in panic disorder. NeuroImage: Clinical, 32, 102902. [link]
  • Lai, Chien-Han. "Fear network model in panic disorder: the past and the future." Psychiatry Investigation 16, no. 1 (2019): 16. [link]
  • Liu, Q., Davey, D., Jimmy, J., Ajilore, O., & Klumpp, H. (2023). Network Analysis of Behavioral Activation/Inhibition Systems and Brain Volume in Individuals With and Without Major Depressive Disorder or Social Anxiety Disorder. Biological Psychiatry: Cognitive Neuroscience and Neuroimaging. [link]
  • MacNamara, A., Kotov, R., & Hajcak, G. (2016). Diagnostic and symptom-based predictors of emotional processing in generalized anxiety disorder and major depressive disorder: An event-related potential study. Cognitive therapy and research40, 275-289.[link]
  • Manjunatha, N., & Ram, D. (2022). Panic disorder in general medical practice-A narrative review. Journal of Family Medicine and Primary Care11 (3), 861-869. [link]
  • Meuret, A. E., Tunnell, N., Corner, S., Roque, A., Kroll, J., & Ritz, T. (2023). Biobehavioral Approach to Distinguishing Panic Symptoms from Medical Illness. Frontiers in Psychiatry15, 1296569. [link]
  • Mihić, L., Čolović, P., Ignjatović, I., Smederevac, S., & Novović, Z. (2015). Anxiety between personality and cognition: The gray zone. Personality and Individual Differences78, 19-23. [link]
  • Mikhailova, E. S. (2023). Facial Emotion Perception in Young Female Students with Single Panic Attacks. Journal ISSN2766, 2276. [link]
  • Mitrović, D., Nikolašević, Ž., Smederevac, S., & Čolović, P. (2012). Dimensions of the revised Gray's model of personality as predictors of panic. Biobehavioral Reviews, 21, 783-789. [link]
  • Montijn, N. D., Gerritsen, L., van Son, D., & Engelhard, I. M. (2023). Positive future thinking without task-relevance increases anxiety and frontal stress regulation. Biological Psychology182, 108620. [link]
  • Nikitin, J., & Schoch, S. (2021). Social approach and avoidance motivations. The handbook of solitude: Psychological perspectives on social isolation, social withdrawal, and being alone, 191-208. [link]
  • Olaya, B., Moneta, M. V., Miret, M., Ayuso-Mateos, J. L., & Haro, J. M. (2018). Epidemiology of panic attacks, panic disorder and the moderating role of age: Results from a population-based study. Journal of affective disorders241, 627-633.[link]
  • Oliva, A., Torre, S., Taranto, P., Delvecchio, G., & Brambilla, P. (2021). Neural correlates of emotional processing in panic disorder: A mini review of functional magnetic resonance imaging studies. Journal of Affective Disorders, 282, 906-914. [link]
  • Oussi, A., Hamid, K., & Bouvet, C. (2023). Managing emotions in panic disorder: A systematic review of studies related to emotional intelligence, alexithymia, emotion regulation, and coping. Journal of Behavior Therapy and Experimental Psychiatry, 79, 101835. [link]
  • Pattyn, T., Schmaal, L., Van Den Eede, F., Cassiers, L., Penninx, B. W., Sabbe, B. C. G., & Veltman, D. J. (2021). Emotional processing in panic disorder and its subtypes: An fMRI study using emotional faces. Journal of affective disorders287, 427-432. [link]
  • Rachman, S. (2001). Emotional processing, with special reference to posttraumatic stress disorder. International Review of Psychiatry, 13, 164- 171. [link]
  • Rahimi, F.; Asadnia, S.; Mufasseri, M. (2023). Structural relationships of behavioral brain systems with social anxiety disorder: The mediating role of disgust sensitivity. Psychological Growth, 12 (2), 207-218. [link] [In Persian]
  • Schultz, J., Baumeister, A., Schmotz, S., Moritz, S., & Jelinek, L. (2023). Efficacy of an Internet-based intervention with self-applied exposure therapy in virtual reality for people with panic disorder: study protocol for a randomized controlled trial. Trials24 (1), 521. [link]
  • Sønderland, N. M., Solbakken, O. A., Eilertsen, D. E., Nordmo, M., & Monsen, J. T. (2023). Emotional changes and outcomes in psychotherapy: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology. [link]
  • Taghipour, B.; Basharpour, S.; Esmaili, M. (2021). The effectiveness of emotion regulation training on emotion processing and panic symptoms in women with panic disorder. Clinical Psychology, 13 (3), 79-88[link] [In Persian]
  • Vanek, J., Minarikova, K. B., Prasko, J., Genzor, S., Subova, D., Hodny, F., ... & Ociskova, M. (2023). Obstruction sleep apnoea and panic disorder. Neuroendocrinology Letters44 (2). [link]
  • Vinograd, M., Williams, A., Sun, M., Bobova, L., Wolitzky-Taylor, K. B., Vrshek-Schallhorn, S., & Craske, M. G. (2020). Neuroticism and interpretive bias as risk factors for anxiety and depression. Clinical Psychological Science8 (4), 641-656. [link]
  • Zargham Hajebi, M., Pourabdol, S., Beyki, M., & Sajjadpour, S. H. (2019). The Role of Brain/Behavioral Systems and Emotional Processing in Predicting Social Anxiety of Students. International journal of school health6 (3), 1-7. [link] [In Persian