نوع مقاله : مطالعه پژوهشی اصیل
نویسندگان
1 دانشگاه آزاد اسلامی واحد کرج
2 استادیار گروه رفتار حرکتی پژوهشگاه علوم ورزشی
چکیده
هدف پژوهش تعیین ارتباط خودشناسی انسجامی و تاب آوری با اضطراب ابتلا به کووید-19 و نقش واسطه ای عدم تحمل ابهام، نگرانی و فعالیت بدنی بود. روش پژوهش توصیفی از نوع همبستگی و جامعه آماری پژوهش شامل تمام ساکنان شهر کرج در بهار سال 1399 بود. از میان آنها 360 نفر به روش هدفمند و در دسترس انتخاب شدند. ابزار پژوهش شامل مقیاس خودشناسی، مقیاس تاب آوری، پرسشنامة نگرانی ایالت پنسیلوانیا، مقیاس تحمل ابهام- نسخه دوم، نیمرخ ﺳﺒﻚ زﻧﺪﮔﻲ ارتقأ دﻫﻨﺪه ﺳﻼﻣﺘﻲ و مقیاس اضطراب بیماری کرونا بود. برای تحلیل داده ها از روش الگویابی معادله های ساختاری استفاده شد. در پژوهش حاضر رابطۀ مستقیم نگرانی و عدم تحمل ابهام با اضطراب ابتلا به کووید-19 مثبت و معنادار و رابطۀ مستقیم فعالیت بدنی با اضطراب ابتلا به کووید-19 منفی و معنادار بود. رابطۀ غیرمستقیم خودشناسی انسجامی و تاب آوری با اضطراب ابتلا به کووید-19 با واسطه گری فعالیت بدنی، نگرانی و عدم تحمل ابهام معنادار بود. آموزش های همگانی جهت ارتقأ خودشناسی افراد و یادگیری رویکردهای تاب آورانه و همچنین سبک زندگی سالم که فعالیت بدنی را در بردارد، در مواجه با بیماری ها و نگرانی ها و ابهامات ناشی از گستردگی شیوع آن پیشنهاد می شود.
کلیدواژهها
موضوعات
عنوان مقاله [English]
Relationship Between Integrated Self-Knowledge and Resilience with Anxiety of Being Infected by COVID-19: The Mediating Role of Intolerance of Ambiguity, Worry, and Physical Activity
نویسندگان [English]
- Roya Aftab 1
- Amir Shams 2
1 Islamic Azad University, Karaj Branch
2 Assistant Professor at Sport Science Research Institute (SSRI)
چکیده [English]
The purpose of the study was to determine the relationship between integrated self-knowledge and resilience with the anxiety of being infected by COVID-19 and the mediating role of intolerance of ambiguity, worry, and physical activity. The research method was descriptive correlational type and the statistical population of the study included all residents of Karaj city in the spring of 2020, among which 360 people were selected by target and available method. The research tool included the Self-Knowledge Scale; Resilience Scale; Penn State Worry Questionnaire; Ambiguity Tolerance Scale-II; Health-Promoting Lifestyle Profile and Corona Disease Anxiety Scale. Structural equation modelling was used to analyse the data. In the present study, the direct relationship between worry and intolerance of ambiguity and with the anxiety of being infected by COVID-19 was positive and significant and the direct relationship between physical activity and with the anxiety of being infected by COVID-19 was negative and significant. The indirect relationship between integrated self-knowledge and resilience with the anxiety of being infected by COVID-19 was significant by physical activity, worry, and intolerance of ambiguity mediation. Public education to promote self-knowledge and learn resilient approaches, as well as a healthy lifestyle that incorporates physical activity, is recommended in the face of diseases and worries, and ambiguities due to its prevalence.
کلیدواژهها [English]
- Ambiguity
- COVID-19
- Physical activity
- Resilience
- Self-knowledge
- Worry
2. Akin, A., Demirci, I., Yildiz, E., Turan, M. E., & Ozcan, M. (2013). The Validity and Reliability of the Turkish Version of the Integrative Self-knowledge Scale. Procedia - Social and Behavioral Sciences, 84, 177-181. https://doi.org/https://doi.org/10.1016/j.sbspro.2013.06.531
3. Alipour, A., Ghadami, A., Alipour, Z., & Abdollahzadeh, H. (2020). Preliminary validation of the Corona Disease Anxiety Scale (CDAS) in the Iranian sample. QUARTERLY JOURNAL OF HEALTH PSYCHOLOGY, 8(32), 163-175. https://doi.org/10.30473/hpj.2020.52023.4756
4. Alizadeh, A., Hasanzadeh, L., Mahmood Aliloo, M., & Poursharifi, H. (2014). Predict of worry based on behavioral activation and inhibition systems(BAS/BIS), cognitive emotion regulation and intolerance of uncertainty in students [Research]. Journal of Cognitive Psychology, 2(3), 1-11.
5. Alizadeh Fard, S., & Saffarinia, M. (2020). The prediction of mental health based on the anxiety and the social cohesion that caused by Coronavirus. Social Psychology Research, 9(36), 129-141.
6. Anderson, E., & Shivakumar, G. (2013). Effects of exercise and physical activity on anxiety. Frontiers in psychiatry, 4, 27-27. https://doi.org/10.3389/fpsyt.2013.00027
7. Bair, A., Reyes del Paso, G. A., & Duschek, S. (2020). Parasympathetic cardiac control and attentional focus in trait worry. International Journal of Psychophysiology. https://doi.org/https://doi.org/10.1016/j.ijpsycho.2020.05.002
8. Borkovec, T. (1994). The nature, functions, and origins of worry. Worrying: Perspectives on Theory, Assessment and Treatment.
9. Borkovec, T. D., Alcaine, O. M., & Behar, E. (2004). Avoidance Theory of Worry and Generalized Anxiety Disorder. In Generalized anxiety disorder: Advances in research and practice. Guilford Press.
10. Charney, D. S. (2003). The psychobiology of resilience and vulnerability to anxiety disorders: implications for prevention and treatment. Dialogues in clinical neuroscience, 5(3), 207-221.
11. Chavez, S., Long, B., Koyfman, A., & Liang, S. Y. (2020). Coronavirus Disease (COVID-19): A primer for emergency physicians. Am J Emerg Med. https://doi.org/10.1016/j.ajem.2020.03.036
12. Chen, S., Yao, N., & Qian, M. (2018). The influence of uncertainty and intolerance of uncertainty on anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 61, 60-65. http://www.sciencedirect.com/science/article/pii/S0005791618300077
13. Clarke, P. J. F., Sprlyan, B. F., Hirsch, C. R., Meeten, F., & Notebaert, L. (2020). tDCS increases anxiety reactivity to intentional worry. Journal of Psychiatric Research, 120, 34-39. https://doi.org/https://doi.org/10.1016/j.jpsychires.2019.10.013
14. Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety, 18(2), 76-82. https://doi.org/10.1002/da.10113
15. Curran, L., Sharpe, L., & Butow, P. (2017). Anxiety in the context of cancer: A systematic review and development of an integrated model. Clinical Psychology Review, 56, 40-54. Dana, A., Soltani, N., & Fathizadan, A. (2019). The effectiveness of communication skills training on the resilience and exercise self-efficacy of adolescent athletes. Sport Psychology Studies, 7(26), 91-106. https://doi.org/10.22089/spsyj.2018.5518.1576
16. Dar, K. A., Iqbal, N., & Mushtaq, A. (2017). Intolerance of uncertainty, depression, and anxiety: Examining the indirect and moderating effects of worry. Asian Journal of Psychiatry, 29, 129-133.
17. Deforche, B., & De Bourdeaudhuij, I. (2015). Attentional distraction during exercise in overweight and normal-weight boys. International Journal of Environmental Research and Public Health, 12(3), 3077-3090. https://doi.org/10.3390/ijerph120303077
18. Dehshiri, G. R., Golzari, M., Borjali, A., & Sohrabi, F. (2009). Psychometrics particularity of Farsi Version of Pennsylvania State Worry Questionnaire for college students. Journal of Clinical Psychology, 1(4), 67-75. https://doi.org/10.22075/jcp.2017.1988
19. Eime, R. M., Young, J. A., Harvey, J. T., Charity, M. J., & Payne, W. R. (2013). A systematic review of the psychological and social benefits of participation in sport for children and adolescents: informing development of a conceptual model of health through sport. Int J Behav Nutr Phys Act, 10, 98. https://doi.org/10.1186/1479-5868-10-98
20. Feizi, A., Mahbobi, T., Zare, H., Mostafaei, A. (2012). The relationship of cognitive intelligence and ambiguity tolerance with entrepreneurship among students of West Azarbayjan Payam Noor University, Iran. Journal Of Research In Behavioural Sciences, 10(4), 276-284.
21. Feshangchi, N., Karbalaee Mohammad Meigooni, A., & Bahrami Hidaji, M. (2018). The Mediation Role of Narcissistic Personality Traits and Interpersonal Problems in the Relationship between Early Maladaptive Schemas and Anabolic Steroids Use in Athletes. Sport Psychology Studies, 7(24), 17-34. https://doi.org/10.22089/spsyj.2017.3912.1396
22. Fialko, L., Bolton, D., & Perrin, S. (2012). Applicability of a cognitive model of worry to children and adolescents. Behav Res Ther, 50(5), 341-349. https://doi.org/10.1016/j.brat.2012.02.003
23. Fibbins, H., Lederman, O., & Rosenbaum, S. (2020). Get Moving: Physical Activity and Exercise for Mental Health. In (pp. 493-510). https://doi.org/10.1016/B978-0-12-815012-2.00021-3
24. Foroghi, Z., Zaeinalii Sh, Akbari B. (2017). The role of fundamental psychological needs, integrated self-knowledge, self-compassion in predicting death anxiety. The Journal of New Advances in Behavioral Sciences, 2(13), 31-48.
25. Froutan, R., Mahroughi, N., Malekzadeh, J., & Mazlom, S. R. (2018). The effect of stress management training on anxiety and resilience of emergency medical staff [Research]. Journal of Nursing Education, 6(3), 46-53.
26. Gee, C. J. (2010). How does sport psychology actually improve athletic performance? A framework to facilitate athletes' and coaches' understanding. Behav Modif, 34(5), 386-402. https://doi.org/10.1177/0145445510383525
27. Gholizadeh, M., Khosropour, F., Pourranjbar, M., & Khodadadi, M. R. (2018). The effect of the aerobic, non-aerobic and relaxation exercises on anxiety and stress among female students of Kerman University of Medical Sciences [Research]. Health and Development Journal, 7(4), 333-343. https://doi.org/10.22034/7.4.333
28. Ghorbani, N., Cunningham, C., & Watson, P. (2010). Comparative analysis of integrative self-knowledge, mindfulness, and private self-consciousness in predicting responses to stress in Iran. International journal of psychology : Journal international de psychologie, 45, 147-154. https://doi.org/10.1080/00207590903473768
29. Ghorbani, N., Watson, P., & Hargis, M. (2008). Integrative Self-Knowledge Scale: Correlations and Incremental Validity of a Cross-Cultural Measure Developed in Iran and the United States. The Journal of psychology, 142, 395-412. https://doi.org/10.3200/JRPL.142.4.395-412
30. Ghorbani, N., Watson, P. J., Bing, M. N., Davison, H. K., & LeBreton, D. (2003). Two facets of self-knowledge: cross-cultural development of measures in Iran and the United States. Genet Soc Gen Psychol Monogr, 129(3), 238-268.
31. Ghorbanzadeh, B., & Lotfi, M. (2018). The effect of mindfulness and physical exercise on addicted women's behavioral characteristics and preventing them from further addiction. Sport Psychology Studies, 7(24), 1-17.
32. Guadagnoli, E., & Velicer, W. (1988). Relation of sample size to the stability of component patterns. Psychological bulletin, 103, 265-275. https://doi.org/10.1037//0033-2909.103.2.265
33. Habibi-Vatan, M., Noorbakhsh, M., Nourbakhsh, P., & Navabinejad, S. (2017). The effect of physical activity on resilience, subjective well-being, and work engagement among female employees. Journal Of Research In Behavioural Sciences, 5(2), 205-212.
34. Haible, S., Volk, C., Demetriou, Y., Höner, O., Thiel, A., & Sudeck, G. (2019). Physical activity-related health competence, physical activity, and physical fitness: Analysis of control competence for the self-directed exercise of adolescents. International Journal of Environmental Research and Public Health, 17, 39. https://doi.org/10.3390/ijerph17010039
35. Hu, Y., Sun, J., Dai, Z., Deng, H., Li, X., Huang, Q., Wu, Y., Sun, L., & Xu, Y. (2020). Prevalence and severity of corona virus disease 2019 (COVID-19): A systematic review and meta-analysis. J Clin Virol, 127, 104371. https://doi.org/10.1016/j.jcv.2020.104371
36. Hui, E. K. P., & Tsang, S. K. M. (2012). Self-Determination as a Psychological and Positive Youth Development Construct. The Scientific World Journal, 759358. https://doi.org/10.1100/2012/759358
37. Keyhani, M., Taghvaei, D., Rajabi, A., & Amirpour, B. (2015). Internal consistency and confirmatory factor analysis of the Connor-Davidson Resilience Scale (CD-RISC) among nursing female students [Original research article]. Iranian Journal of Medical Education, 14(10), 857-865. http://ijme.mui.ac.ir/article-1-3254-fa.html
38. Krohne, H. W. (1989). The concept of coping modes: Relating cognitive person variables to actual coping behavior. Advances in Behaviour Research and Therapy, 11(4), 235-248. https://doi.org/https://doi.org/10.1016/0146-6402(89)90027-1
39. Lee, J. S. (2018). Effect of resilience on intolerance of uncertainty in nursing university students. Nursing Forum.
40. Liśkiewicz, A., Przybyła, M., Wojakowska, A., Marczak, Ł., Bogus, K., Nowacka-Chmielewska, M., Liśkiewicz, D., Małecki, A., Barski, J., Lewin-Kowalik, J., & Toborek, M. (2020). Physical activity reduces anxiety and regulates brain fatty acid synthesis. Molecular Brain, 13(1), 62. https://doi.org/10.1186/s13041-020-00592-7
41. Mallo Ferrer, F. (2019). Physical Activity and Exercise. In I. Huhtaniemi & L. Martini (Eds.), Encyclopedia of Endocrine Diseases (Second Edition) (pp. 436-441). Academic Press. https://doi.org/https://doi.org/10.1016/B978-0-12-801238-3.66178-0
42. Malm, C., Jakobsson, J., & Isaksson, A. (2019). Physical Activity and Sports-Real Health Benefits: A Review with Insight into the Public Health of Sweden. Sports (Basel, Switzerland), 7(5), 127. https://doi.org/10.3390/sports7050127
43. McDermott, K. A., & Cougle, J. R. (2020). Disengagement training for the treatment of pathological worry: A preliminary test. Behavior Therapy, https://doi.org/https://doi.org/10.1016/j.beth.2020.02.005
44. McLain, D. (2009). Evidence of the properties of an ambiguity tolerance measure: The multiple stimulus types Ambiguity Tolerance Scale-II (MSTAT-II) 1. Psychological reports, 105, 975-988. https://doi.org/10.2466/PR0.105.3.975-988
45. Meister, R. E., Weber, T., Princip, M., Schnyder, U., Barth, J., Znoj, H., Schmid, J. P., & von Känel, R. (2015). Resilience as a correlate of acute stress disorder symptoms in patients with acute myocardial infarction. Open Heart, 2(1), e000261. https://doi.org/10.1136/openhrt-2015-000261
46. Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28(6), 487-495.
47. Milioni, M., Alessandri, G., Eisenberg, N., Castellani, V., Zuffianò, A., Vecchione, M., & Caprara, G. V. (2015). Reciprocal relations between emotional self-efficacy beliefs and ego-resiliency across time. Journal of personality, 83(5), 552-563. https://doi.org/10.1111/jopy.12131
48. Mohammadi Zeidi, I., Pakpour Hajiagha, A., & Mohammadi Zeidi, B. (2012). Reliability and Validity of Persian Version of the Health-Promoting Lifestyle Profile [Research(Original)]. Journal of Mazandaran University of Medical Sciences, 21(1), 102-113.
49. Newman, M. G., Cho, S., & Kim, H. (2017). Worry and Generalized Anxiety Disorder: A Review. In Reference Module in Neuroscience and Biobehavioral Psychology. Elsevier. https://doi.org/https://doi.org/10.1016/B978-0-12-809324-5.05108-7
50. Osmanağaoğlu, N., Creswell, C., & Dodd, H. F. (2018). Intolerance of Uncertainty, anxiety, and worry in children and adolescents: A meta-analysis. Journal of Affective Disorders, 225, 80-90. https://doi.org/https://doi.org/10.1016/j.jad.2017.07.035
51. Prout, T., Malone, A., Rice, T., & Hoffman, L. (2019). Resilience, defense mechanisms, and implicit emotion regulation in psychodynamic child psychotherapy. Journal of Contemporary Psychotherapy. https://doi.org/10.1007/s10879-019-09423-w
52. Qadiri, S., Salehian MH. (2019). Anticipation of Emotion Regulation and Psychological Well-being on Athletic Performance of Professional and Semi-professional Athletes. Sport Psychology Studies, 8(29), 151-170. https://doi.org/10.22089/spsyj.2019.7244.1770
53. Ramezanzade, H., Abdoli, B., & Arab Narmi, B. (2016). Prediction level of resiliency based of stages of exercise behavior change and self-efficacy in students. Sport Psychology Studies, 5(17), 83-98. https://doi.org/10.22089/spsyj.2016.746
54. Rhodes, R., & Boudreau, P. (2017). Physical Activity and Personality Traits. Oxford Research Encyclopedia of Psychology. https://doi.org/10.1093/acrefore/9780190236557.013.210
55. Ruotsalainen, I., Gorbach, T., Perkola, J., Renvall, V., Syväoja, H. J., Tammelin, T. H., Karvanen, J., & Parviainen, T. (2020). Physical activity, aerobic fitness, and brain white matter: Their role for executive functions in adolescence. Developmental Cognitive Neuroscience, 42, 100765. https://doi.org/https://doi.org/10.1016/j.dcn.2020.100765
56. Sacdalan, K., & Bozkuş, K. (2018). The Mediator Role of Resilience Between Self-Determination and Self-Efficacy. Education Science and Psychology, 4(50), 49-60.
57. Salehmirhassani, V., Ghorbani, N., Alipour, A., & Farzad, V. (2016). The mediating role self-knowledge process(integrative self-knowledge and mindfulness) and self control in regulating of relationship between perceived and objective stress and anxiety, depression, and physical symptoms [Research]. Journal of Research in Psychological Health, 10(3), 1-15. https://doi.org/10.18869/acadpub.rph.10.3.1
58. Sarawgi, S., Oglesby, M. E., & Cougle, J. R. (2013). Intolerance of uncertainty and obsessive-compulsive symptom expression. Journal of Behavior Therapy and Experimental Psychiatry, 44(4), 456-462.
59. Shahmohammadi, K., Ghorbani, N., & Besharat, M. A. (2006). The role of self-knowledge in stress, defensive styles, and physical health. Scientific Journal Management System, 3(10), 145-156. http://jip.azad.ac.ir/article_512505_7c6480cb2d021a54ff9c6fbf255078a5.pdf
60. Shamsipour Dehkordi, P., & Bahrami, H. (2016). The comparison of sport self-regulation and meta-cognition beliefs between athletes with three different levels of skill. Sport Psychology Studies, 5(16), 81-98. https://doi.org/10.22089/spsyj.2016.736
61. Sonstroem, R. J., Harlow LL, Josephs L. (1994). Exercise and Self Esteem: Validity of Model Expansion and Exercise Associations. Journal of Sport & Exercise Psychology, 16(1), 29-42.
62. Strohacker, K., Galarraga, O., & Williams, D. M. (2014). The impact of incentives on exercise behavior: a systematic review of randomized controlled trials. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 48(1), 92-99. https://doi.org/10.1007/s12160-013-9577-4
63. Tabik, M. T., Gorbani, N., & Rezazadeh, M. R. (2013). The role of self-knowledge processes and big personality traits in moral virtues. Ravanshenasi-va Din, 6(2), 71-80.
64. Tolea, M. I., Terracciano, A., Simonsick, E. M., Metter, E. J., Costa, P. T., Jr., & Ferrucci, L. (2012). Associations between personality traits, physical activity level, and muscle strength. Journal of research in personality, 46(3), 264-270. https://doi.org/10.1016/j.jrp.2012.02.002
65. Viskovich, S., & De George-Walker, L. (2019). An investigation of self-care related constructs in undergraduate psychology students: Self-compassion, mindfulness, self-awareness, and integrated self-knowledge. International Journal of Educational Research, 95, 109-117. https://doi.org/https://doi.org/10.1016/j.ijer.2019.02.005
66. Walker, S. N., Sechrist, K. R., & Pender, N. J. (1987). The Health-Promoting Lifestyle Profile: development and psychometric characteristics. Nursing research, 36(2), 76-81.
67. Wehmeyer, M. L. (2010). Self-Determination. In P. Peterson, E. Baker, & B. McGaw (Eds.), International Encyclopedia of Education (Third Edition) (pp. 857-864). Elsevier. https://doi.org/https://doi.org/10.1016/B978-0-08-044894-7.01160-X
68. Weinberg, R. S., & Gould D. (2018). Foundations of Sport and Exercise Psychology. 7th . Human Kinetics.
69. Xiao, Y. J., & Van Bavel, J. J. (2019). Sudden shifts in social identity swiftly shape implicit evaluation. Journal of Experimental Social Psychology, 83, 55-69.
70. Zahrt, O. H., & Crum, A. J. (2020). Effects of physical activity recommendations on mindset, behavior and perceived health. Preventive Medicine Reports, 17, 101027. https://doi.org/https://doi.org/10.1016/j.pmedr.2019.101027