ارتباط علی مقایسه‌ای اختلال استرس پس از تروما و افسردگی با رفتار مقابله‌ای والدین دردوران اپیدمی بیماری کرونا: تحلیل مسیر

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 کمیته تحقیقات دانشجویی، کارشناس ارشد مامایی، گروه مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

2 دانشیار، مرکز تحقیقات مامایی و بهداشت باروری، گروه مامایی و بهداشت باروری، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

3 استاد، گروه روانپزشکی، دانشکده‌ی پزشکی، مرکز تحقیقات علوم رفتاری، بیمارستان امام حسین (ع(، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

4 استادیار، مرکز تحقیقات اپیدمیولوژی چشم، بیمارستان نور، تهران، ایران

5 دانشیار، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشگاه علوم پزشکی البرز، کرج، ایران

چکیده

مقاله پژوهشی




مقدمه: مطالعه‌ی حاضر با هدف بررسی ارتباط علی مقایسه‌ای اختلال استرس پس از تروما و افسردگی با رفتار مقابله‌ای والدین ایرانی در دوران اپیدمی کووید-19 انجام گردید.
روش‌ها: این مطالعه از نوع مقطعی است که بر روی والدین دارای نوزاد متولد شده در دوران پاندمی کووید-19 مراجعه‌کننده به مراکز جامع سلامت منتخب وابسته به دانشگاه علوم پزشکی شهید بهشتی به مدت یک‌سال انجام شد. روش نمونه‌گیری به صورت طبقه‌ای و سپس سهمیه‌ای بود. ابزار مطالعه، مشخصات فردی و مامایی، پرسش‌نامه‌ی افسردگی بک، پرسش‌نامه اختلال استرس پس از تروما در مادران و پدران و پرسش‌نامه‌ی استراتژی‌های مقابله‌ای بود. جهت آنالیز آماری از روش تحلیل مسیر با استفاده از نرم‌افزار لیزرل استفاده شد.
یافته‌ها: مطالعه بر روی 203 مادر و 206 پدر انجام شد. بر اساس نتایج تحلیل مسیر در گروه مادران، نمره‌ی اختلال استرس پس از تروما بیشترین ارتباط علی مثبت را با حیطه‌ی سوء مصرف مواد و بیشترین ارتباط منفی معنی‌دار را با حیطه‌ی حمایت عاطفی داشت. در این گروه، نمره‌ی افسردگی، ارتباط علی مثبت را با حیطه‌ی سوء مصرف مواد و بیشترین ارتباط منفی معنی‌دار با مقابله‌ی فعال داشت. در گروه پدران، نمره‌ی افسردگی بیشترین ارتباط علی مثبت با حیطه‌ی سوء مصرف مواد و ارتباط منفی را با حیطه‌ی مقابله‌ی فعال داشت.
نتیجه‌گیری: با توجه به نتایج تدوین اقدامات حمایتی و مداخلات مناسب درمانی از جمله حمایت عاطفی و آگاهی از استراتژی‌های مقابله‌ای فعال در والدین و عوارض سوء مصرف مواد، می‌تواند نقش مؤثری در روند مراقبت از نوزاد داشته باشد.

کلیدواژه‌ها

عنوان مقاله [English]

Comparative Causal Relationship of Post-Traumatic Stress Disorder and Depression with Parents' Coping Behavior during the Corona Virus Pandemic: Path Analysis

نویسندگان [English]

  • Victoria Karimian 1
  • Mahrokh Dolatian 2
  • Jamal Shams 3
  • Mahdi Khabazkhoob 4
  • Zohreh Mahmoodi 5
1 Student Research Committee, MSc of Midwifery, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Associate Professor, Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Professor, Department of Psychiatry, School of Medicine, Behavioral Sciences Research Center, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Assistant Professor Noor Research Center for Ophthalmic Epidemiology, Noor eye Hospital, Tehran, Iran
5 Associate Professor, Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
چکیده [English]

Background: The present study was conducted with the purpose of investigating the comparative causal relationship of post-traumatic stress disorder and depression with Iranian parents' coping behavior during the COVID-19 pandemic.
Methods: This cross-sectional study was conducted on parents with children born during the COVID-19 pandemic, who referred to selected comprehensive health centers affiliated with Shahid Beheshti University of Medical Sciences for one year. The sampling method was stratified and then quota. The study tools included the Beck depression questionnaire, post-traumatic stress disorder questionnaire in mothers and fathers, and coping strategies questionnaire. The path analysis method was used for statistical analysis, using LISREL software.
Findings: The study was conducted on 203 mothers and 206 fathers. According to the results in the group of mothers, the post-traumatic stress disorder score had the highest positive causal relationship with the substance abuse domain and the most significant negative relationship with the emotional support domain. In this group, the depression score had a positive causal relationship with the substance abuse area and the most significant negative relationship with active coping. In the fathers group the depression score had the most positive causal relationship with the substance abuse domain  and a negative relationship with the active coping domain.
Conclusion: Based on the results, developing support measures and appropriate therapeutic interventions, including awareness of active coping strategies in parents and the side effects of drug abuse, can play an effective role in the process of caring for a baby.

کلیدواژه‌ها [English]

  • Depression
  • Post-traumatic stress disorder
  • Coping strategies
  • COVID-19 pandemics

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مجله دانشکده پزشکی اصفهان
دوره 41، شماره 710
هفته 2 اردیبهشت
فروردین و اردیبهشت 1402
صفحه 138-147

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سابقه مقاله

  • تاریخ دریافت: 20 دی 1401
  • تاریخ بازنگری: 27 فروردین 1402
  • تاریخ پذیرش: 27 فروردین 1402

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