Volume 33, Issue 10 (January 2023)                   Studies in Medical Sciences 2023, 33(10): 708-719 | Back to browse issues page

Ethics code: IR.IAU.B.REC.1401.070


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Taheri Z, Tanha Z, Amraee K, Hassanvand S. DETERMINING THE EFFECT OF BRAIN BEHAVIORAL SYSTEM ON PSYCHOLOGICAL VULNERABILITY WITH THE MEDIATION OF ANXIETY SENSITIVITY, EMOTIONS, AND DISTRESS TOLERANCE IN THE PATIENTS WITH DIABETES MELLITUS. Studies in Medical Sciences 2023; 33 (10) :708-719
URL: http://umj.umsu.ac.ir/article-1-5942-en.html
Assistant Professor, Department of Psychology, Borujerd Branch, Islamic Azad University, Borujerd, Iran, (Corresponding Author) , zahraTanha461@yahoo.com
Abstract:   (1328 Views)
Background & Aim: People with diabetes are potentially threatened by other factors such as negative emotions, nervous system defects, and sensitivity to anxiety, which affects whether or not they are affected by diabetes-related wounds. The aim of the study was to investigate the effect of brain-behavioral system on diabetic female patients exposed to psychological vulnerability with the mediating role of anxiety sensitivity, positive and negative emotions and distress tolerance.
Materials & Methods: This research was applied in terms of purpose, and structural in terms of methods. The statistical population consisted of all women with diabetes in the specialized diabetes clinic of Karaj city, Iran in the first half of 2011, which 390 people were selected by purposive sampling method. To collect data, the questionnaires of Carver and White's behavioral brain systems, mental health questionnaire (SCL-25), Taylor and Cox's anxiety sensitivity, Watson, Clark and Telgen's positive and negative emotions, and Simmons and Gaher's distress tolerance were used. Regression equation tests were used to analyze the data. Data analysis was done using SPSS 18 and Amos 23 softwares.
Results: The results showed that the variables of behavioral brain system, anxiety sensitivity, positive and negative emotions and distress tolerance have direct and significant effects on psychological vulnerability. Also, the indirect path of the effect of the brain-behavioral system through the mediation of anxiety sensitivity, positive and negative emotions and distress tolerance on psychological vulnerability was confirmed. In general, the research model was confirmed and the research variables had the ability to predict 69% of the psychological vulnerability variable.
Conclusion: Considering the role of the behavioral brain system, anxiety sensitivity, positive and negative emotions, and distress tolerance on mental vulnerability, it is necessary for therapists to develop programs to reduce the mental damage of the behavioral brain system, anxiety sensitivity, positive and negative emotions, and distress tolerance in order to reduce psychological damage in these patients by changing these variables.
 
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Type of Study: Research | Subject: روانپزشکی

References
1. Jamshidi L. Educational needs of diabetic patients whom referred to the diabetes center. Procedia Soc Behav Sci 2012; 31: 450-3. [DOI:10.1016/j.sbspro.2011.12.084]
2. Zarei F, Sherafati Moghadam M, Shabani M, Jokar M. the effects of 4 weeks high intensity interval training on mammalian rapamycin target protein (mTOR) and sterol transcription factor regulatory protein-1 (srebp1) proteins content in diabetics obese rat's adipose tissue. Iran J Endocrinol Metab 2020;19(1):26-35. (Persian) [Google Scholar]
3. Zech AT, Singh SR, Schlossarek S, Carrier L. Autophagy in cardiomyopathies. Biochim Biophys Acta Mol Cell Res 2020;1867(3):118432. [DOI:10.1016/j.bbamcr.2019.01.013] [PMID]
4. Lee WC, Balu S, Cobden D, Joshi AV, Pashos CL. Medication adherence and the associated health-economic impact among patients with type 2 diabetes mellitus converting to insulin pen therapy: an analysis of third-party managed care claims data. Clin Ther 2021;28(10):1712-25. [DOI:10.1016/j.clinthera.2006.10.004] [PMID]
5. Khazaei S, Nowruzi shadmani R, Talebi S S, Borzouei S. The relationship between satisfaction with treatment services and the quality of life in type II diabetic patients in Hamadan, Iran, 2021. J Diabetes Nurs 2022;10(4):1965-75. (Persian) [Google Scholar]
6. Shahraki Moghadam E, Noori Sanchooli H, Poodineh moghadam M, Bamari F. Comparison of the Effect of Peer Education and Self-learning Module on Self-Care of Patients with Type II Diabetes. J Diabetes Nurs 2022;10 (4):1954-64. (Persian) [URL]
7. Jin T, Liu L. The Wnt signaling pathway effector TCF7L2 and type 2 diabetes mellitus. Mol Endocrinol 2018;22(11):2383-92. DOI:10.1210/me.2008-0135. [DOI:10.1210/me.2008-0135] [PMID]
8. Devi R, Kapoor B, Singh M. Effectiveness of self-learning module on the knowledge and practices regarding foot care among type II diabetes patients in East Delhi, India. Int J Community Med Public Health 2017;3(8):2133-41. [DOI:10.18203/2394-6040.ijcmph20162559]
9. Afkhami N, Rezapour-Mirsaleh Y, Ghafouri Charkhabi H, Mohammadpanah A. Relationship between Spiritual -Being and Religious Coping Styles with Self-Management in Type II Diabetes Patients Iran. J Diabetes Nurs 2022;10(4):2002-15. (Persian) [Google Scholar]
10. Jafarvand E, Ataey A, Edalati S. Epidemiology and Death Trends Due to Diabetes in Iran. Intern Med Today 2021;27(2):198-213. (Persian) [DOI:10.32598/hms.27.2.2764.1]
11. Dewanjee S, Vallamkondu J, Kalra RS, John A, Reddy PH, Kandimalla R. Autophagy in the diabetic heart: A potential pharmacotherapeutic target in diabetic cardiomyopathy. Ageing Res Rev 2021;68:101338. [DOI:10.1016/j.arr.2021.101338] [PMID]
12. Mutyambizi C, Pavlova M, Chola L, Hongoro C, Groot W. cost of diabetes mellitus in africa: a systematic review of existing literature. Glob Health J 2018;14(1):3. [DOI:10.1186/s12992-017-0318-5] [PMID] [PMCID]
13. Luo L, Pang B, Chen J, Li Y, Xie X. assessing the impact of lifestyle interventions on diabetes prevention in china: a modeling approach. Int J Environ Public Health 2019;16(10):1677. [DOI:10.3390/ijerph16101677] [PMID] [PMCID]
14. Shekarzadeh M, Mohammad poor A, Abasi Roshan M, Rajabi Sahneh Saraie M, Daryaie M. (Investigating the distribution of TCF7L2 (rs7903146) gene polymorphism in type 2 diabetic patients in West of Iran Mazandaran). J Ilam Univ Med Sci 2019;26(6):156-63. DOI: 10.29252/sjimu.26.6.156. (Persian) [DOI:10.29252/sjimu.26.6.156]
15. Bijjetbier P, Beck I, Clase L, Vanderecken W. Gray's reinforcement sensitivity theory as a framework for research on PersonalityPsychopathology associations. Clin Psychol Rev 2009;29(5):421-30. [DOI:10.1016/j.cpr.2009.04.002] [PMID]
16. Carver CS, White TL. Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: The BIS/BAS Scales. Journal of Personality and Social Psychology 1994;67(2):319-33. https://doi.org/10.1037/0022-3514.67.2.319 [DOI:10.1037/0022-3514.67.2.319.]
17. Abdollahi R, Bakhshipour R, Mahmoodaliloo M. Validity and Reliability of Behavioral Inhibition and Activation Systems (BIS/BAS) Scales among Tabriz University Students. J Modern Psychol Res 2013;7(28):123-39. (Persian) [Google Scholar]
18. Najarian B, Dawoodi I. Construction and validation of the SCS scale for measuring schizotypal traits in the general population. Psychol Res 2001;6(3-4):37-50. (Persian) [URL]
19. Taylor S, Cox BJ. An expanded anxiety sensitivity index: evidence for a hierarchic structure in a clinical sample. J Anxiety Dis 1998;12(5):463-83. [DOI:10.1016/S0887-6185(98)00028-0] [PMID]
20. Moradi Manesh F, Mirjafari SA, Guderzi MA, Mohammadi N. Examining the psychometric properties of the revised anxiety sensitivity index (ASIR). J Psychology 2007;11(44):426-46. [URL]
21. Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol 1988;54(6):1063. [DOI:10.1037/0022-3514.54.6.1063] [PMID]
22. Bakhshipour R, Dezhkam M. A confirmatory factor analysis of the positive affect and negative affect scales (PANAS); 2006;9(4):351-65. [URL]
23. Simons JS, Gaher RM. The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation and Emotion 2005;29(2):83-102. [DOI:10.1007/s11031-005-7955-3]
24. Alavi K, Modarres GM, Amin YSA, Salehi J. Effectiveness of group dialectical behavior therapy (based on core mindfulness, distress tolerance and emotion regulation components) on depressive symptoms in university students. Q J Fundam Mental Health Summer 2011;13:2(50);124-35. (Persian) [URL]
25. Dixon LJ, Witcraft SM, Perry MM. How Does Anxiety Affect Adults with Skin Disease? Examining the Indirect Effect of Anxiety Symptoms on Impairment Through Anxiety Sensitivity. Cognit Ther Res 2019;43(1):14-23. [DOI:10.1007/s10608-018-9942-5]
26. Farrell AK, Slatcher RB, Tobin ET, Imami L, Wildman DE, Luca F, Zilioli S. Socioeconomic status, family negative emotional climate, and anti-inflammatory gene expression among youth with asthma. Psychoneuroendocrinology 2018;91:62-7. [DOI:10.1016/j.psyneuen.2018.02.011] [PMID] [PMCID]
27. Johnson AL, McLeish AC, Alsaid-Habia T, Shear PK, Privitera M. Anxiety sensitivity as a predictor of epilepsy-related quality of life and illness severity among adult epilepsy. Cognit Ther Res 2019;43(1):6-13. [DOI:10.1007/s10608-018-9951-4]
28. Hassanvand Amouzadeh M, Roshan Chesly R. Association of brain-behavioral systems and gender with social anxiety. Pejouhandeh 2013;18(3):114- 21. [URL]
29. Garratt G, Ingram RE, Rand KL, Sawalani G. Cognitive processes in cognitive therapy: Evaluation of the mechanisms of change in the treatment of depression. Clin Psychol Sci Pract 2017;14(3):224-39. [DOI:10.1111/j.1468-2850.2007.00081.x]
30. Mohammadi N. The Psychometric Properties of the Behavioral Inhibition System (BIS) and Behavioral Activation System (BAS) scales Among Students of Shiraz University. Clin Psycol Pers 2018;1(28):61-8. (Persian) [Google Scholar]
31. Wild J, Clark DM, Ehlers A, McManus F. Perception of arousal in social anxiety: effects of false feedback during a social interaction. J Behav Ther Exp Psychiatry 2008;39(2):102-16. [DOI:10.1016/j.jbtep.2006.11.003] [PMID] [PMCID]
32. Hatamloo M, Babapour-Khierodin J. Comparing the behavioral activation/inhibition systems and personality traits among the diabetic and non-diabetic women. Feyz 2014;18(3):239-46. [Google Scholar]
33. MCFarland BR, Shankman SA, Tenke CE, Bruder GE, Klein DN. Behavioral activation system deficits predict the six-month course of depression. J Affect Disord 2006;91(2-3):229-34. [DOI:10.1016/j.jad.2006.01.012] [PMID]
34. Schermelleh-Engel K, Moosbrugger H, Müller H. Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Meth Psychol Res 2003;8:23-74. [Google Scholar]
35. Kidd T, Carey N, Mold F, Westwood S, Miklaucich M, Konstantara E, Cooke D. A systematic review of the effectiveness of self-management interventions in people with multiple sclerosis at improving depression, anxiety and quality of life. PloS One 2017;12(10):e0185931. [DOI:10.1371/journal.pone.0185931] [PMID] [PMCID]
36. Marrie RA, Patten SB, Berrigan LI, Tremlett H, Wolfson C, Warren S, Fisk JD. Diagnoses of depression and anxiety versus current symptoms and quality of life in multiple sclerosis. Int J MS Care 2018;20(2):76-84. [DOI:10.7224/1537-2073.2016-110] [PMID] [PMCID]
37. MacCallum RC, Browne MW, Sugawara HM. Power analysis and determination of sample size for covariance structure modeling. Psychol Methods 2016;1(2):130. [DOI:10.1037/1082-989X.1.2.130]
38. Marck CH, De Livera AM, Weiland TJ, Jelinek PL, Neate SL, Brown CR, Jelinek GA. Pain in people with multiple sclerosis: Associations with modifiable lifestyle factors, fatigue, depression, anxiety, and mental health quality of life. Front Neurol 2017;8:461. [DOI:10.3389/fneur.2017.00461] [PMID] [PMCID]
39. Morales-Raveendran E, Goodman E, West E, Cone JE, Katz C, Weiss J, Wisnivesky JP. Associations between asthma trigger reports, mental health conditions, and asthma morbidity among world trade center rescue and recovery workers. J Asthma 2018;1(7):1-8. [DOI:10.1080/02770903.2018.1502300] [PMID]
40. McLeish AC, Kraemer KM, O'Bryan EM. Discomfort Intolerance in Relation to Asthma Outcomes. Cognit Ther Res 2019;43(1):24-31. [DOI:10.1007/s10608-018-9965-y] [PMID] [PMCID]
41. Miles MP, Lewis GK, Hall-Phillips A, Morrish SC, Gilmore A, Kasouf CJ. The influence of entrepreneurial marketing processes and entrepreneurial self-efficacy on community vulnerability, risk, and resilience. J Strat Marketing 2016;24(1):34-46. [DOI:10.1080/0965254X.2015.1035038]
42. Mataix‐Cols D, Frost RO, Pertusa A. Clark LA, Saxena S, Leckman JF, Wilhelm S. Hoarding disorder: A new diagnosis for DSM‐V. Depress Anxiety 2010; 27(6): 556-72. [DOI:10.1002/da.20693] [PMID]
43. Mullin A. Children, vulnerability, and emotional harm. Vulnerability 2014;266-87. [DOI:10.1093/acprof:oso/9780199316649.003.0012]

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