مدل ساختاری پیش‌بینی نشانگان سندرم پیش از قاعدگی در دختران ورزشکار بر اساس طرحواره‌های ناسازگار اولیه: بررسی نقش میانجیگری مشکلات بین‌فردی و دشواری تنظیم هیجان

نویسندگان

1 کارشناسی ارشد روانشناسی بالینی، دانشگاه علوم پزشکی قم، قم، ایران.

2 دانشیار گروه علوم رفتاری در ورزش، پژوهشگاه تربیت بدنی و علوم ورزشی، تهران، ایران.

چکیده

هدف: هدف پژوهش حاضر تعیین مدل ساختاری پیش‌بینی نشانگان سندرم پیش از قاعدگی در دختران ورزشکار بر اساس طرحواره­های ناسازگار اولیه با میانجیگری مشکلات بین‌فردی و دشواری تنظیم هیجان بود.
روش‌ها: این پژوهش به لحاظ نوع هدف کاربردی و به لحاظ روش توصیفی از نوع همبستگی بود. جامعه آماری این پژوهش را تمام دختران ورزشکار شهر قم در سال 1404 تشکیل دادند که از میان آنها تعداد 320 نفر به روش نمونه­گیری دردسترس انتخاب شدند. ابزار پژوهش شامل مقیاس سنجش نشانه‌های پیش از قاعدگی، مقیاس مشکلات بین‌فردی، پرسشنامه دشواری در تنظیم هیجان و نسخه کوتاه پرسشنامه طرحواره یانگ بود. تحلیل داده‌ها با استفاده از روش مدلیابی معادلات ساختاری و نرم افزارهای SPSS-23 و AMOS-23 انجام شد.
یافته‌ها: نتایج نشان داد که سندرم پیش از قاعدگی براساس طرحواره­های ناسازگار اولیه با میانجیگری مشکلات بین‌فردی (001/0=P، 73/3=Z) و دشواری تنظیم هیجان (001/0=P، 11/4=Z) در دختران ورزشکار پیش‌بینی می­شود.
نتیجه گیری: این یافته‌ها بر اهمیت مداخلات مبتنی بر اصلاح طرحواره‌ها، بهبود مهارت‌های بین‌فردی و تقویت تنظیم هیجان در کاهش شدت علائم این نشانگان تأکید دارند.
 

کلیدواژه‌ها


عنوان مقاله [English]

The Structural Model for Predicting Premenstrual Syndrome Symptoms in Athlete Girls Based on Early Maladaptive Schemas: The Mediating Role of Interpersonal Problems and Difficulties in Emotion Regulation

نویسندگان [English]

  • Masoumeh Bakhtiarizadeh 1
  • Amir Shams 2
1 Master of Clinical Psychology, Qom University of Medical Sciences, Qom, Iran.
2 Department of Behavioral Sciences in Sport, Sport Sciences Research Institute, Tehran, Iran.
چکیده [English]

Purpose: The present study aimed to determine a structural model for predicting premenstrual syndrome (PMS) symptoms in athlete girls based on early maladaptive schemas, with the mediating role of interpersonal problems and difficulties in emotion regulation.
Methods: In terms of purpose, the study was applied research, and methodologically it employed a descriptive correlational design. The statistical population consisted of all female athletes in Qom city in 2025, from whom 320 participants were selected using convenience sampling. The research instruments included the Premenstrual Symptoms Assessment Scale, the Inventory of Interpersonal Problems, the Difficulties in Emotion Regulation Questionnaire, and the short form of the Young Schema Questionnaire. Data were analyzed using structural equation modeling with SPSS‑23 and AMOS‑23 software.
Results: The results indicated that premenstrual syndrome symptoms were predicted by early maladaptive schemas through the mediating roles of interpersonal problems (Z = 3.73, P = 0.001) and difficulties in emotion regulation (Z = 4.11, P = 0.001) among athlete girls.
Conclusion: These findings highlight the importance of interventions focused on schema modification, improvement of interpersonal skills, and strengthening emotion regulation to reduce the severity of PMS symptoms.
 

کلیدواژه‌ها [English]

  • Emotion Regulation
  • Athlete Girls
  • Premenstrual Syndrome
  • Schemas
  • Interpersonal Problems
  1. Yesildere Saglam H, Orsal O. Effect of exercise on premenstrual symptoms: A systematic review. Complement Ther Med. 2020;48:102272.
  2. Qin R, Mao C, Li G, Zhao D, Kong L, Li P. Network structure of complex interactions of premenstrual syndrome and influencing factors in young adult women. J Affect Disord. 2024;354:199‑205. https://doi.org/10.1016/j.jad.2024.03.030
  3. Moini J, LoGalbo A, Gutierrez A, Aragon PJ. Mood disorders. In: Moini J, LoGalbo A, Gutierrez A, Aragon PJ, editors. Essentials of Mental Health. Academic Press; 2025. p. 39‑67.

https://doi.org/10.1016/B978-0-443-22313-6.00004-0

  1. Vieira C, Kuss DJ, Griffiths MD. Early maladaptive schemas and behavioural addictions: A systematic literature review. Clin Psychol Rev. 2023;105:102340. https://doi.org/10.1016/j.cpr.2023.102340
  2. Farrell JM, Shaw IA, Behary WT, Young JE. Experiencing Schema Therapy from the Inside Out: A Self‑Practice/Self‑Reflection Workbook for Therapists. Guilford Press; 2017.
  3. Young JE, Klosko JS, Weishaar ME. Schema therapy: A practitioner’s guide. 1st ed. Guilford Press; 2006. https://www.amazon.com/Schema-Therapy-Practitioners-Jeffrey-Young/dp/1593853726
  4. Halvorsen M, Wang CEA, Eisemann M, Waterloo K. Dysfunctional attitudes and early maladaptive schemas as predictors of depression: A 9‑year follow‑up study. Cogn Ther Res. 2010;34(4):368‑379. https://doi.org/10.1007/s10608-009-9259-7
  5. Eisenlohr Moul TA, Schmalenberger KM, Owens SA, Peters JR, Dawson DN, Girdler SS, Johnson JL. Perimenstrual exacerbation of psychiatric symptoms in women: A review of the evidence and clinical implications. Clin Psychol Rev. 2019;74:101782. https://doi.org/10.1016/j.cpr.2019.101782
  6. Rapkin AJ, Akopians AL. Pathophysiology of premenstrual syndrome and premenstrual dysphoric disorder. Menopause Int. 2012;18(2):52‑59. https://doi.org/10.1258/mi.2012.012014
  7. Fassbinder E, Wilde OBd, Arntz A. Case formulation in schema therapy: Working with the mode model. In: Kramer U, editor. Case Formulation for Personality Disorders. Academic Press; 2019. p. 77‑94. https://doi.org/10.1016/B978-0-12-813521-1.00005-9
  8. Farrell JM. The Schema Therapy Clinician’s Guide. 1st ed. Wiley‑Blackwell; 2014.
  9. Farrell JM, Reiss N, Shaw IA. The Schema Therapy Clinician’s Guide. 1st ed. Wiley‑Blackwell; 2014.
  10. Lustyk MKB, Widman L, Paschane AA, Ecker E. Stress, quality of life and physical activity in women with varying degrees of premenstrual symptomatology. Women Health. 2004;39(3):35‑44. https://doi.org/10.1300/J013v39n03_03
  11. Yonkers KA, O’Brien PMS, Eriksson E. Premenstrual syndrome. Lancet. 2008;371(9619):1200‑1210. https://doi.org/10.1016/S0140-6736(08)60527-9
  12. Fassbinder E, Schweiger U, Martius D, Brand‑de Wilde O, Arntz A. Emotion regulation in schema therapy and dialectical behavior therapy. Front Psychol. 2016;7:1373. https://doi.org/10.3389/fpsyg.2016.01373
  13. Eisenlohr Moul TA, Peters JR, Rubinow DR. The significance of emotion regulation in premenstrual dysphoric disorder. Curr Psychiatry Rep. 2019;21(12):1‑9.
  14. Eisenlohr Moul TA, DeWall CN, Girdler SS, Segerstrom SC. Ovarian hormones and borderline personality features: Emotion regulation difficulties as a potential mechanism. Psychoneuroendocrinology. 2015;62:163‑171.
  15. Kline RB. Principles and practice of structural equation modeling. 4th ed. New York (NY): Guilford Press; 2016.
  16. Delara M, Ghofrani Pour F, Azadfallah P, Tavafian SS, Kazem Nejad A, Koushki M. Design and psychometric evaluation of a Premenstrual Syndrome Assessment Scale among high school adolescent girls in Sabzevar. North Khorasan Univ Med Sci. 2011;3(4):55‑62.
  17. Pilkonis PA, Kim Y, Proietti JM, Barkham M. Scales for personality disorders developed from the inventory of interpersonal problems. J Pers Disord. 1996;10(4):355‑369. https://psycnet.apa.org/record/1997-02361-006
  18. Aftab R. The mediating role of interpersonal difficulties in the relationship between experiential avoidance and depression and anxiety. Appl Psychol Q. 2016;10(4):521‑540.
  19. Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation. J Psychopathol Behav Assess. 2004;26(1):41‑54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94
  20. Khanzadeh M, Saidiyan M, Hosseinchary M, Edrissi F. Factor structure and psychometric properties of difficulties in emotional regulation scale. J Behav Sci. 2012;6(1):87‑96.
  21. Young JE. Young Schema Questionnaire – Short Form (YSQ‑SF, YSQ‑S, YSQ) [database record]. Washington (DC): APA PsycTests; 1998.
  22. Sedoughi Z, Aguilar Vafayi M, Rasoulzadeh Tabatabaei K, Esfahaniyan N. Factor analysis of the short form of the Young Schema Questionnaire in a non‑clinical Iranian sample. Iran J Psychiatry Clin Psychol. 2008;14(2):214‑219.
  23. Rafaeli E, Bernstein DP, Young J. Schema therapy: Distinctive features. New York (NY): Routledge; 2011.
  24. Bach B, Lockwood G, Young JE. A new look at the schema therapy model: Organization and role of early maladaptive schemas. Cogn Behav Ther. 2018;47(4):328‑349. https://doi.org/10.1080/16506073.2017.1410566
  25. Riso LP, du Toit PL, Stein DJ, Young JE, editors. Cognitive schemas and core beliefs in psychological problems: A scientist‑practitioner guide. Washington (DC): APA; 2007.
  26. Van Vreeswijk M, Broersen J, Nadort M. The Wiley‑Blackwell handbook of schema therapy: Theory, research, and practice. Chichester (UK): Wiley‑Blackwell; 2012.
  27. Arntz A, van Genderen H. Schema therapy for borderline personality disorder. Chichester (UK): Wiley‑Blackwell; 2009.
  28. Arntz A, Jacob G. Schema therapy in practice: An introductory guide to the schema mode approach. Wiley‑Blackwell; 2012.
  29. Jacob G, van Genderen H, Seebauer L. Breaking negative thinking patterns: A schema therapy workbook. Wiley‑Blackwell; 2015.
  30. Bernstein DP. Schema therapy for forensic and offender populations. Wiley‑Blackwell; 2021.
  31. Young JE, Klosko JS. Reinventing your life. Plume; 1994.
  32. Kellogg SH. Transformational chairwork: Using chairwork in schema therapy. Rowman & Littlefield; 2015.