نوع مقاله : مقاله پژوهشی

نویسندگان

1 دکتری روانشناسی، گروه روانشناسی، دانشکدۀ علوم تربیتی و روانشناسی دانشگاه اصفهان، اصفهان، ایران

2 استاد گروه روانشناسی، دانشکدۀ علــوم تربیتـی و روانشناسـی دانشگاه اصفهان، اصفهان، ایران

3 استاد، گروه مشاوره، دانشکدۀ علوم تربیتی و روانشناسی دانشگاه اصفهان. اصفهان، ایران

4 دانشیار روانشناسی بالینی، مرکز تحقیقات روانپزشکی و علوم رفتاری، دانشگاه علوم پزشکی مشهد، مشهد، ایران

چکیده

هدف از پژوهش حاضر، بررسی نقش طرحواره های ناسازگار اولیه به عنوان عوامل شناختی و نقش دشواری در تنظیم هیجان و سبک های مقابله به عنوان عوامل هیجانی در بروز نارضایتی جنسیتی در افراد متقاضی تغییر جنسیت بود. طرح پژوهش حاضر، توصیفی- همبستگی بود. جامعة آماری، کلیة افراد مبتلا به نارضایتی جنسیتی بودند که برای طی مراحل قانونی تغییرجنسیت به اداره کل پزشکی قانونی خراسان رضوی مراجعه داشتند. نمونه پژوهش 100 فرد مبتلا به نارضایتی جنسیتی بود که بصورت نمونه گیری در دسترس انتخاب شدند و پس از اخذ رضایت نامه آگاهانه پرسشنامه های دشواری در نظم بخشی، طرحواره یانگ، سبک های مقابله و اختلال هویت جنسی را تکمیل نمودند. داده ها با استفاده از روش آماری رگرسیون چندگانه به شیوه گام به گام تحلیل شدند. سطح معنی داری برای آزمون های آماری 05/0 بود. نتایج تحلیل در زمینه طرحواره های ناسازگار اولیه، به ترتیب طرحواره های محرومیت هیجانی، بی اعتمادی و بازداری هیجانی را استخراج می کند. مهمترین متغیرها به ترتیب راهبردهای محدود، بی اعتمادی، دشواری در کنترل تکانه و محرومیت هیجانی را نشان می دهد. بر اساس یافته های پژوهش، نقش همزمان عوامل شناختی و هیجانی در بروز نارضایتی جنسیتی در افراد متقاضی تغییر جنسیت شایان توجه است.

کلیدواژه‌ها

عنوان مقاله [English]

Investigating the role of early incompatible schemas, difficulty in emotional regulation and coping styles in the prediction of gender dysphoria in people undergoing gender transitions

نویسندگان [English]

  • somaye rahimi 1
  • mehrdad kalantari 2
  • Mohammad Raza Abedi 3
  • morteza modares gharavi 4

1 Psychology, Department of Psychology, Faculty of Education and psychology, University of Isfahan, Isfahan, Iran

2 Professor, Department of Psychology, Faculty of Education and psychology, University of Isfahan, Isfahan, Iran

3 Professor, Department of Counseling, Faculty of Education and psychology, University of Isfahan, Isfahan, Iran

4 Associate Professor of clinical psychology, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

چکیده [English]

The purpose this study was to investigate the role of early maladaptive schemas as cognitive factors and the role of difficulty in emotional regulation and coping styles as emotional factors in the prediction of gender dysphoria. This study was correlational. The statistical population included all individuals with gender dysphoria, visiting the Iranian Legal Medicine Organization of Razavi Khorasan Province, Iran, in order to follow legal proceedings for gender reassignment. Hundred participants were selected via convenience sampling, gave informed consent, and completed questionnaires: Difficulties in Emotion Regulation, Young Schema, coping styles, and Gender Identity Disorder The data were analyzed by stepwise regression .Based on the results of stepwise regression analysis in the field of difficulty in emotional regulation, the most important variable is limited strategies and the other important variables are the difficulty in performing the purposeful behavior, lack of emotional awareness and difficulty in controlling the momentum and the style of emotion-focused coping. The results of this analysis in the context of early maladaptive schemas extract the emotional exclusion schemas, distrust, and emotional inhibition. The results of this analysis, in general, show the most important variables in terms of limited strategies, distrust, difficulty in controlling impulse and emotional deprivation.

کلیدواژه‌ها [English]

  • early maladaptive schemas
  • Difficulty in Emotional Regulation
  • coping styles
  • gender dysphoria
Ahi, Gh. (2006). Standardization of short form of Yang Schema Questionnaire (Factor Analysis) among students of Tehran University. Tehran: Allameh Tabatabai.
Akafi, R. (2011).Preparation and compilation of a questionnaire on sexual identity disorder. Professional doctoral dissertation. Azad University, Medical Sciences Branch of Tehran.
Amani, A. (2013). The relationship between early maladaptive schemas and identity styles in male students. International Journal of Behavioral Sciences7(1), 75-82.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.‏
Amstadter, A. (2008). Emotion regulation and anxiety disorders. J Anxiety Disord, 22(2), 211-21.
Anzabdashti, S., Asgharnejadfarid, A., & Rayisi, Z. (2015). Comparison of Early Maladaptive Schemas and Parental Origins in Patients With Gender Identity Disorder and Normal Individuals. Journal of Clinical Psychology7(2), 49-60.
Azad, H. (2009). Psychology of Abnormality. Tehran: Besat.
Campbell-Sills, L., & Barlow, D. H. (2007). Incorporating emotion regulation into conceptualizations and treatments of anxiety and mood disorders.‏
Cohen- Kettenis, P .T. & J. G. Gooren (1999) “Transsrxualism: Areview of Etiology, Diagnosis and Treatment, Journal of Psychosomatic Research , 46, 315-333.
 
Cole, C., O’Boyle, M., Emory, L., & Meyer, W. (1997). Comorbidity of gender dysphoria and other major psychiatric diagnoses. Archives of Sexual Behavior, 26 , 13–26.
Colizzi, M., Costa, R., Pace, V., & Todarello, O. (2013). Hormonal treatment reduces psychobiological distress in gender identity disorder, independently of the attachment style. The journal of sexual medicine10(12), 3049-3058.‏
Delavar, A. (2018). Research method in psychology and educational sciences. Tehran: Virayesh.
Endler, N. S., & Parker, J. D. (1990). Multidimensional assessment of coping: a critical evaluation. Journal of personality and social psychology58(5), 844.‏
Ghamkharfard, Z., Amrolahi nia, M., Azad Falah, P. (2012). Examining the predictors of childhood anxiety based on early maladaptive schemas of children and parenting styles of mothers. International Journal of Behavioral Sciences6(3), 253-262.
Gooren, L. J. (2011). Care of transsexual persons. New England Journal of Medicine364(13), 1251-1257.
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of psychopathology and behavioral assessment26(1), 41-54.‏
Gross, J. J., & Levenson, R. W. (1997). Hiding feelings: the acute effects of inhibiting negative and positive emotion. Journal of abnormal psychology106(1), 95.
Heylens, G., Elaut, E., Kreukels, B. P., Paap, M. C., Cerwenka, S., Richter-Appelt, H., ... & De Cuypere, G. (2014). Psychiatric characteristics in transsexual individuals: multicentre study in four European countries. The British Journal of Psychiatry, 204 (2), 151-156.
Jafarzadeh, M., AliPour, A., Orki, M., & Ghasemzadeh, A. (2014). Comparison of Coping Strategies and Attachment Styles of People with Sexual Dysfunction with Individuals Without Sexual Identity Disorder. Psychology of Health10, 98-109.
Khanzadeh, M., Saeediyan, M., Hosseinchari, M., & Edrissi, F. (2012). Factor structure and psychometric properties of difficulties in emotional regulation scale. International Journal of Behavioral Sciences6(1), 87-96.
Lawrence, A. (2007). Transgender health concerns. In I. Meyer & M. Northbridge (Eds.), The health of sexual minorities. Public health perspectives on lesbian, gay, bisexual and transgender populations (pp. 473–505). New York, NY: Springer.
Lawrence, A., & Zucker, K. (2012). Gender identity disorders. In M. Hersen & D. Beidel (Eds.), Adult psychopathology and diagnosis (6th ed., pp. 601–635). London: Wiley.
Lazarus, R. S., Folkaman, S.  (1984). Stress, appraisal and coping. New York: Springe .
Matsumoto, Y., Sato, T., Ohnishi, M., Kishimoto, Y., Terada, S., & Kuroda, S. (2009). (gender identity disorder). Psychiatry Clin Neurosci. 63(6),715-20.
Nourian, N., Doulatshahi, B., & Rezaei, O. (2008). Investigation of personality disorders and personality traits in men with gender identity disorder. Rehabilitation, Volume 9 (1), 55-60.
Qureshi Rad, F. (2010). Scale validation with Andler and Parker stressful situations. Journal of Behavioral Sciences, 4 (1), 7-1.
Rahimi Ahmadabadi, S. (2018). Develop a psychological model of gender dissatisfaction and compare the effect of treatment based on this model with cognitive-behavioral therapy on quality of life, mental health, depression, self-esteem and adaptation to sexual role in people with gender dissatisfaction. PhD Thesis, Faculty of Educational Sciences and Psychology, University of Isfahan.
Rezaei, A., Saberi, M., Shahmoradi, H. & Malek Khosravi, Gh. (2007). Family functioning in patients with sexual identity disorder. Journal of Rehabilitation Research, 8 (39), 58-63.
Sadock, B., Sadock, V. A., &   Ruiz, P. (2015). Kaplan & Sadock's synopsis of psychiatry: behavioral sciences. Walters Kluwer.
Shahamat, F. (2010). Prognosis of general health symptoms (physicalization, anxiety and depression) based on early maladaptive psychosis. Recent research on psychology5(20), 107-127.
Shorey, R. C., Stuart, G. L., & Anderson, S. (2012). The early maladaptive schemas of an opioid-dependent sample of treatment seeking young adults: A descriptive investigation. Journal of substance abuse treatment42(3), 271-278.‏
Simon, L., Zsolt, U., Fogd, D., & Czobor, P. (2011). Dysfunctional core beliefs, perceived parenting behavior and psychopathology in gender identity disorder: A comparison of male-to-female, female-to-male transsexual and nontranssexual control subjects. Journal of behavior therapy and experimental psychiatry42(1), 38-45.
Terada, S., Matsumoto, Y., Sato, T., Okabe, N., Kishimoto, Y., & Uchitomi, Y. (2012). Suicidal ideation among patients with gender identity disorder. Psychiatry Research, 200 , 469–474.
Thimm, J. C. (2010). Personality and early maladaptive schemas: A five-factor model perspective. Journal of behavior therapy and experimental psychiatry41(4), 373-380.‏
Torgersen, S. (2012). Epidemiology. In T. Widiger (Ed.), The Oxford handbook of personality disorders (pp. 186–205). Oxford: Oxford University Press.
Vermeylen, N., & Bauwens, F. (2005). Rorschach study in transsexual patients. Annals Medico Psychologiques163, 93-387.
Vitelli, R., & Riccardi, E. (2010). Gender identity disorder and attachment theory: The influence of the patient's internal working models on psychotherapeutic engagement and objective. A study undertaken using the adult attachment interview. International journal of transgenderism12(4), 241-253.‏
Wang, C. E., Halvorsen, M., Eisemann, M., & Waterloo, K. (2010). Stability of dysfunctional attitudes and early maladaptive schemas: A 9-year follow-up study of clinically depressed subjects. Journal of Behavior Therapy and Experimental Psychiatry41(4), 389-396.‏
Young, J. E. (1999). Cognitive therapy for personality disorders: A schema-focused approach. Professional Resource Press/Professional Resource Exchange.
Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema Therapy: A practitioners Guide. New York: The Guilford press.