Shenakht Journal of Psychology and Psychiatry
مجله روانشناسی و روانپزشکی شناخت
Shenakht Journal of Psychology and Psychiatry
Medical Sciences
http://shenakht.muk.ac.ir
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اثر ساختاری سبک‌های دلبستگی ناایمن بر علائم وسواسی جبری رابطهای: نقش واسطه‌ای ذهنی‌سازی
The Structural Effect of Insecure Attachment Styles on Relationship Obsessive-Compulsive Disorder Symptoms: The Mediating Role of Mentalization
تخصصي
Special
پژوهشي
Research
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Trebuchet MS",sans-serif"><span style="color:black"><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.1pt">زمینه</span></span></span></span></span></span></b><b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.1pt"> و هدف:</span></span></span></span></span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">اختلال وسواسی جبری رابطهای با تردید درباره شریک عاطفی مشخص می‌شود و می‌تواند بنیان روابط زوجی را تضعیف کند. براساس نظریه دلبستگی، الگوهای ناایمن اولیه می‌توانند با ایجاد نقص در ظرفیت ذهنی‌سازی، بستر مناسبی برای بروز این علائم فراهم کنند. پژوهش حاضر با هدف بررسی نقش واسطه‌ای ذهنی‌سازی در رابطه بین سبک‌های دلبستگی ناایمن و علائم وسواسی‌جبری رابطهای انجام شد.</span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Trebuchet MS",sans-serif"><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.15pt">مواد</span></span></span></span></span></span></b><b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"> و روش‌‌ها:</span></span></span></span></span></b> <span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">این پژوهش توصیفی ـ هم‌بستگی از نوع معادلات ساختاری است. جامعه آماری شامل زنان متأهل شهر بابل در سال </span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">۱۴۰</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">4 بود که </span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">۳</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">15 نفر به روش نمونه‌گیری در دسترس انتخاب شدند. ابزارهای پژوهش شامل مقیاس وسواسی ـ جبری رابطهای قومیان و همکاران (2021)، پرسش‌نامه تجدیدنظرشده تجربه روابط نزدیک برنان و همکاران (1998) و پرسش‌نامه ذهنی‌سازی دیمیترییچ و همکاران (2018) بود. داده‌ها با استفاده از نرم‌افزارهای </span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">SPSS-26</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""> و </span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">AMOS-24</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""> تحلیل شدند</span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">.</span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Trebuchet MS",sans-serif"><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.2pt">یافته‌ها</span></span></span></span></span></span></b><b><span lang="AR-SA" style="font-family:"B Nazanin""><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.2pt">: </span></span></span></span></span></b><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">یافته‌ها نشان داد که <a name="_Hlk119879726">سبک دلبستگی اجتنابی (24/0</a></span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">β=</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">) و اضطرابی (36/0</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">β=</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">) در </span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">علائم وسواسی‌جبری رابطهای اثر مستقیم و معناداری دارد. همچنین، اثر مستقیم سبک دلبستگی اجتنابی (19/0-</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">β=</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">) و اضطرابی (47/0-</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">β=</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">) در ذهنی‌سازی و اثر ذهنی‌سازی (31/0-</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">β =</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">) در علائم وسواسی‌جبری رابطهای نیز معنادار شدند. طبق نتایج، ذهنی‌سازی رابطه بین سبک دلبستگی اضطرابی (147/0=</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">β</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">؛ 01/0></span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">P</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">) و اجتنابی (061/0=</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">β</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">؛ 01/0></span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">P</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">) را با علائم وسواسی‌جبری رابطهای واسطه می‌کند و مدل برازش مطلوبی دارد (97/0</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">CFI=</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">، 94/0</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">GFI=</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">، 96/0</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">NFI=</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">، 97/0</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">IFI=</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""> و 076/0</span></span><span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif">RMSEA=</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin"">).</span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<b><span dir="RTL" lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:-.15pt">نتیجه‌گیری:</span></span></span></span></span></span> </b><span dir="RTL" lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""><span style="color:black">دلبستگی ناایمن با کاهش ظرفیت ذهنی‌سازی، علائم وسواس رابطهای را تشدید می‌کند و این یافته بر ضرورت مداخلات متمرکز بر ذهنی‌سازی در درمان‌های زوجی تأکید دارد</span></span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""><span style="color:black">.</span></span></span><br>
<span style="font-size:12pt"><span style="background:white"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:#222222">Abstract</span></span></b></span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span style="font-family:"Trebuchet MS",sans-serif"><span style="color:black"><b><span style="font-size:9.0pt"><span style="font-family:Optima"><span style="color:#274cc3"><span style="letter-spacing:.15pt">Background and Aim:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="font-family:Optima">Relationship Obsessive-Compulsive Disorder (ROCD) is characterized by doubts about one's romantic partner and can undermine the foundation of couple relationships. According to attachment theory, early insecure attachment patterns may provide a fertile ground for the emergence of these symptoms by creating deficits in mentalization capacity. The present study aimed to investigate the mediating role of mentalization in the relationship between insecure attachment styles and ROCD. </span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span style="font-family:"Trebuchet MS",sans-serif"><span style="color:black"><b><span style="font-size:9.0pt"><span style="font-family:Optima"><span style="color:#274cc3">Materials and Methods: </span></span></span></b><span style="font-size:9.0pt"><span style="font-family:Optima">This descriptive-correlational study employed structural equation modeling. The statistical population consisted of married women in Babol, Iran, in 2025, from whom 315 participants were selected via convenience sampling. The research instruments included the Relationship Obsessive-Compulsive Inventory (Qomian et al., 2021), the Experiences in Close Relationships-Revised Questionnaire (Brennan et al., 1998), and the Mentalization Questionnaire (Dimitrijević et al., 2018). Data were analyzed using SPSS software (version 26) and AMOS software (version 24).</span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span style="font-family:"Trebuchet MS",sans-serif"><span style="color:black"><b><span style="font-size:9.0pt"><span style="font-family:Optima"><span style="color:#274cc3"><span style="letter-spacing:.15pt">Results:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="font-family:Optima">The findings indicated a direct and significant effect of avoidant attachment (β = 0.24) and anxious attachment (β = 0.36) on ROCD symptoms. Furthermore, the direct effects of avoidant attachment (β = -0.19) and anxious attachment (β = -0.47) on mentalization, as well as the effect of mentalization (β = -0.31) on ROCD symptoms, were also significant. Mentalization significantly mediated the relationship between anxious attachment (β = 0.147; P < 0.01) and avoidant attachment (β = 0.061; P < 0.01) with ROCD symptoms. The model demonstrated good fit indices (CFI = 0.97, GFI = 0.94, NFI = 0.96, IFI = 0.97, RMSEA = 0.076).</span></span><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="unicode-bidi:embed"><span style="font-family:"Trebuchet MS",sans-serif"><span style="color:black"><b><span style="font-size:9.0pt"><span style="font-family:Optima"><span style="color:#274cc3"><span style="letter-spacing:-.1pt">Conclusion:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="font-family:Optima">Insecure attachment exacerbates ROCD symptoms by reducing mentalization capacity. This finding underscores the necessity of mentalization-focused interventions in couple therapy.</span></span></span></span></span></span>
سبک دلبستگی ناایمن, ذهنی‌سازی, علائم وسواسی‌جبری رابطهای
Insecure Attachment Style, Mentalization, Relationship Obsessive-Compulsive Symptoms
182
192
http://shenakht.muk.ac.ir/browse.php?a_code=A-10-2308-5&slc_lang=fa&sid=1
Masoumeh
Askari Firozjaii
معصومه
عسکری فیروزجائی
m_askari@semnan.ac.ir
100319475328460019053
100319475328460019053
No
MA in Clinical Psychology, Department of Clinical Psychology, Semnan University, Semnan, Iran
کارشناسی ارشد، گروه روانشناسی بالینی، دانشکده روان شناسی و علوم تربیتی، دانشگاه سمنان، سمنان، ایران
Mahmoud
Najafi
محمود
نجفی
m_najafi@semnan.ac.ir
100319475328460019054
100319475328460019054
Yes
Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran
استاد، گروه روانشناسی بالینی، دانشکده روان شناسی و علوم تربیتی ، دانشگاه سمنان، سمنان، ایران