مقایسه بازشناسی حالات هیجانی چهره و هیجانات خودآگاه شرم و احساس گناه بین دانشجویان دارای علائم اختلال اضطراب فراگیر و عادی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد روانشناسی، دانشگاه شهید مدنی آذربایجان، تبریز، ایران.

2 دانشیار، گروه روانشناسی، دانشکدۀ علوم تربیتی و روان‌شناسی، دانشگاه شهید مدنی آذربایجان، تبریز، ایران.

چکیده

مقدمه: افراد مبتلا به اختلال اضطراب فراگیر، دارای نقص­هایی در درک، تنظیم و ابراز هیجانات خود هستند. هدف از پژوهش حاضر، تعیین تفاوت بازشناسی حالات هیجانی چهره و هیجانات خودآگاه شرم و احساس گناه بین دانشجویان دارای علائم اختلال اضطراب فراگیر و عادی بود.
روش: این پژوهش یک طرح علی-  مقایسه­ ای، با جامعه آماری 400 نفر از دانشجویان دانشگاه شهید مدنی آذربایجان بود. پس از بررسی تمامی اعضای جامعه، تعداد 20 نفر از دانشجویانی که نمرات بالاتر از سطح برش مقیاس اختلال اضطراب فراگیر اسپیترز و همکاران (2006م) کسب کردند و سپس  ملاک ­های مصاحبه بالینی ساختار یافته تشخیص اختلال ­های روانی را برآورد نمودند، به عنوان گروه دارای علائم اختلال اضطراب فراگیر انتخاب شدند و سپس دانشجویان دیگری با همین تعداد و مبنا، متشکل از افراد بهنجار انتخاب گردید. همه آزمودنی­ها از لحاظ نمرات در منتخبی از تصاویر آزمون بازشناسی هیجانی چهره اکمن و فرایزن (1976) و مقیاس حالت شرم و گناه مارشال و همکاران (1994) مورد بررسی قرار گرفتند.
نتایج: برای تحلیل داده­ها از روش تحلیل واریانس چندمتغیره استفاده شد که نشان دهندة معنی­داری تفاوت بین دو گروه بود. در ادامه نتایج تحلیل تک متغیره نشان داد، بین گروه بهنجار و گروه دارای علائم اختلال اضطراب فراگیر در بازشناسی هیجانی حالات چهره تفاوت معناداری وجود ندارد. در حالی که بین دو گروه در هیجانات خودآگاه شرم و احساس گناه تفاوت معناداری وجود داشت و دانشجویان دارای علائم نمرات بالاتری در این مقیاس به دست آوردند.
بحث و نتیجه­ گیری: لازم است در تبیین و درمان اختلال اضطراب فراگیر به هیجانات خودآگاه شرم و احساس گناه افراد توجه گردد.

کلیدواژه‌ها


عنوان مقاله [English]

Comparison of Facial Emotion Recognition and Self- Conscious Emotions Shame and Guilt between University Students with Symptoms of Generalized Anxiety Disorder and Normal

نویسندگان [English]

  • Mostafa Hokmabadi 1
  • Ezzatollah Ahmadi 2
1 M.A. in General Psychology, Azarbaijan Shahid Madani. Tabriz. Iran.
2 Associate Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, Azarbaijan Shahid Madani University. Tabriz. Iran.
چکیده [English]

Introduction: People with generalized anxiety disorder have defects in perception, regulating, and expressing their emotions. The purpose of this research was to determine the difference in facial emotion recognition and self-conscious emotions of shame and guilt between university students with generalized anxiety disorder and normal university students.
Method: This research employed a causal-comparative design, with a statistical population of 400 students from Shahid Madani University of Azarbaijan. A group of 20 individuals exhibiting symptoms of generalized anxiety disorder was selected based on the cut-off scores of the generalized anxiety disorder scale and the structured clinical interview for diagnosing mental disorders. Another group comprising an equal number of individuals without such symptoms was also chosen. All participants underwent evaluations based on their scores in Ekman and Friesen's (1976) facial emotion recognition test and Marshall et al.'s (1994) scale measuring shame and guilt.
Results: Multivariate analysis of variance method was used to analyze the data, which showed a significant difference between the two groups. Further, the results of the univariate analysis showed that there is no significant difference between the normal group and the group with symptoms of generalized anxiety disorder in facial emotion recognition. While there was a significant difference between the two groups in the self-conscious emotions of shame and guilt, and university students with symptoms obtained higher scores on this scale.
Discussion and Conclusion: It is essential to consider individuals' conscious emotions of shame and guilt in explaining and treating generalized anxiety disorder.

کلیدواژه‌ها [English]

  • Generalized Anxiety Disorder
  • Facial Emotion Recognition
  • Self- Conscious Emotions Shame and Guilt
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    • Chen JT-H, Lovibond PF. Threat appraisal and negative affect under ambiguity in generalised anxiety disorder. Journal of Anxiety Disorders. 2020; 76: 102299.

    https://doi.org/10.1016/j.janxdis.2020.102299

    • Lelisho ME, Merera AM, Tareke SA, Hassen SS, Jemal SS, Bambo MM. Generalized anxiety disorder among mothers attending perinatal services during COVID-19 pandemic: using ordinal logistic regression model. Heliyon. 2022; 8(6): e09778.

    https://doi.org/10.1016/j.heliyon.2022.e09778

    • Richards D, Richardson T, Timulak L, McElvaney J. The efficacy of internet-delivered treatment for generalized anxiety disorder: a systematic review and meta-analysis. Internet Interventions. 2015; 2(3): 272-82.

    https://doi.org/10.1016/j.invent.2015.07.003

    • Eilert N, Enrique A, Wogan R, Mooney O, Timulak L, Richards D. The effectiveness of Internet-delivered treatment for generalized anxiety disorder: An updated systematic review and meta- Depression and Anxiety. 2021; 38(2): 196-219. https://doi.org/10.1002/da.23115
    • Curtiss J, Klemanski DH. Taxonicity and network structure of generalized anxiety disorder and major depressive disorder: An admixture analysis and complex network analysis. Journal of Affective Disorders. 2016; 199: 99-105. https://doi.org/10.1016/j.jad.2018.07.076
    • Asselmann E, Wittchen H-U, Lieb R, Perkonigg A, Beesdo-Baum K. Incident mental disorders in the aftermath of traumatic events: A prospective-longitudinal community study. Journal of affective disorders. 2018; 227: 82-9.

    https://doi.org/10.1016/j.jad.2017.10.004

    • Hazlett-Stevens H. Generalized anxiety disorder symptom improvement following mindfulness-based stress reduction in a general hospital setting. Journal of Medical Psychology. 2020; 22(1): 21-9.

    http://dx.doi.org/10.3233/JMP-170012

    • Wittchen H-U, Jacobi F, Rehm J, Gustavsson A, Svensson M, Jönsson B, et al. The size and burden of mental disorders and other disorders of the brain in Europe 2010. European neuropsychopharmacology. 2011; 21(9): 655-79. https://doi.org/10.1016/j.euroneuro.2011.07.018
    • Association AP. Neurodevelopmental disorders: DSM-5® selections. American Psychiatric Pub; 2015.
    • Sharifi V, Amin-Esmaeili M, Hajebi A, Motevalian A, Radgoodarzi R, Hefazi M, et al. Twelve-month prevalence and correlates of psychiatric disorders in Iran: the Iranian Mental Health Survey, 2011. Archives of Iranian medicine. 2015; 18(2): 76–84.
    • Wells A. Meta-cognition and worry: A cognitive model of generalized anxiety disorder. Behavioural and cognitive psychotherapy. 1995; 23(3): 301-20.

    https://psycnet.apa.org/doi/10.1017/S1352465800015897

    • LeBlanc NJ, Bartuska A, Blanchard L, Baker A, Bui E. Cognitive-behavioral treatment for generalized anxiety disorder: Theoretical foundations and empirically supported strategies. Psychiatric Annals. 2021; 51(5): 210-5.

    https://doi.org/10.3928/00485713-20210412-02

    • Newman MG, Llera SJ. A novel theory of experiential avoidance in generalized anxiety disorder: A review and synthesis of research supporting a contrast avoidance model of worry. Clinical psychology review. 2011; 31(3): 371-82. https://doi.org/10.1016%2Fj.cpr.2011.01.008
    • Mennin DS, Heimberg RG, Turk CL, Fresco DM. Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder. Behaviour research and therapy. 2005; 43(10): 1281-310.

    https://doi.org/10.1016/j.brat.2004.08.008

    • Pawluk EJ, Koerner N, Kuo JR, Antony MM. An experience sampling investigation of emotion and worry in people with generalized anxiety disorder. Journal of anxiety disorders. 2021; 84: 102478. https://doi.org/10.1016/j.janxdis.2021.102478
    • Tangney JP, Tracy JL. Self-Conscious Emotions. New York: Guilford Press. 2012.
    • Muris P, Meesters C. Small or big in the eyes of the other: On the developmental psychopathology of self-conscious emotions as shame, guilt, and pride. Clinical child and family psychology review. 2014; 17: 19-40.

    https://doi.org/10.1007/s10567-013-0137-z

    • Tangney JP, Stuewig J, Mashek DJ. Moral emotions and moral behavior. Annu Rev Psychol. 2007; 58: 345-72.

    https://doi.org/10.1146%2Fannurev.psych.56.091103.070145

    • Cândea D-M, Szentagotai-Tătar A. Shame-proneness, guilt-proneness and anxiety symptoms: A meta-analysis. Journal of anxiety disorders. 2018; 58: 78-106.

    https://doi.org/10.1016/j.janxdis.2018.07.005

    • Yakeley J. Shame, culture and mental health. Nordic Journal of Psychiatry. 2018; 72(sup1): S20-S2. https://doi.org/10.1080/08039488.2018.1525641
    • Poncet F, Soussignan R, Jaffiol M, Gaudelus B, Leleu A, Demily C, et al. The spatial distribution of eye movements predicts the (false) recognition of emotional facial expressions. Plos one. 2021; 16(1): e0245777.

    https://psycnet.apa.org/doi/10.1371/journal.pone.0245777

    • Ekman P, Friesen WV. Constants across cultures in the face and emotion. Journal of personality and social psychology. 1971;17(2):124.

    http://dx.doi.org/10.1037/h0030377

    • Ekman P, Friesen WV, O'sullivan M, Chan A, Diacoyanni-Tarlatzis I, Heider K, et al. Universals and cultural differences in the judgments of facial expressions of emotion. Journal of personality and social psychology. 1987; 53(4): 712. https://doi.org/10.1037//0022-3514.53.4.712
    • Ekman, P. Are there basic emotions? Psychological Review. 1992; 99(3), 550–553. https://psycnet.apa.org/doi/10.1037/0033-295X.99.3.550
    • Ekman P. Facial expressions. Handbook of cognition and emotion. 1999; 16(301): e320.
    • Richoz A-R, Lao J, Pascalis O, Caldara R. Tracking the recognition of static and dynamic facial expressions of emotion across the life span. Journal of vision. 2018; 18(9): 5.

    https://doi.org/10.1167/18.9.5

    • Burley DT, Hobson CW, Adegboye D, Shelton KH, Van Goozen SH. Negative parental emotional environment increases the association between childhood behavioral problems and impaired recognition of negative facial expressions. Development and psychopathology. 2022; 34(3): 936-45.

    https://doi.org/10.1017/s0954579420002072

    • Krause FC, Linardatos E, Fresco DM, Moore MT. Facial emotion recognition in major depressive disorder: A meta-analytic review. Journal of affective disorders. 2021; 293: 320-8. https://doi.org/10.1016/j.jad.2021.06.053
    • Bottinelli F, Delvecchio G, Moltrasio C, Ferro A, Diwadkar VA, Brambilla P. Facial emotion recognition in panic disorder: a mini-review of behavioural studies. Journal of Affective Disorders. 2021; 282: 173-8.

    https://doi.org/10.1016/j.jad.2020.12.064

    • Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of internal medicine. 2006; 166(10):1092-7.

    https://doi.org/10.1001/archinte.166.10.1092

    • Naeinian M, Shaeiri M, Sharif M, Hadian M. To study reliability and validity for a brief measure for assessing Generalized Anxiety Disorder (GAD-7). Clinical Psychology and Personality. 2011; 9(1): 41-50.

    https://dorl.net/dor/20.1001.1.23452188.1390.9.1.5.7

    • موسویان، الهام؛ نجاتی، سیده فرشته. بررسی بازشناسی هیجان چهره در افراد با علائم روان‌شناختی بر اساس پرسشنامه نشانگان روانی .(SCL-90-R) دوفصلنامه علمی- پژوهشی شناخت اجتماعی. 1395؛ 5(1): 29-113. https://dorl.net/dor/20.1001.23223782.1395.5.1.8.8
    • Ekman P, Friesen WV. Measuring facial movement. Environmental psychology and nonverbal behavior. 1976; 1: 56-75.

    https://psycnet.apa.org/doi/10.1007/BF01115465

    • Marschall D, Sanftner J, Tangney JP. The state shame and guilt scale. Fairfax. VA: George Mason University; 1994.
    • ورمقانی، حمیرا؛ پورشریفی، حمید؛ سلیمانی، علی؛ فتحی آشتیانی، علی. ویژگی‌های روان‌سنجی نسخه فارسی مقیاس حالت شرم و احساس گناه در دانشجویان. دانش و پژوهش در روان­شناسی کاربردی، 1401؛ 23(2):1-10.

    https://doi.org/10.30486/jsrp.2020.1901251.2459

    • Yoon S, Kim HS, Kim JI, Lee S, Lee SH. Reading simple and complex facial expressions in patients with major depressive disorder and anxiety disorders. Psychiatry and Clinical Neurosciences. 2016; 70(3): 151-8.

    https://doi.org/10.1111/pcn.12369

    • Dyer ML, Attwood AS, Penton-Voak IS, Munafò MR. The role of state and trait anxiety in the processing of facial expressions of emotion. Royal Society open science. 2022; 9(1): 210056. https://doi.org/10.1098/rsos.210056
    • بابایی نادینلویی، کریم؛ ستاری، مرضیه. بررسی مقایسه‌ای بازشناسی هیجانات پایه و پیچیده (صوتی و تصویری) در بیماران با اختلال افسردگی اساسی، اختلال اضطراب فراگیر و افراد عادی. دستاوردهای روانشناسی بالینی، 1396؛ 3(1): 17-36. https://doi.org/10.22055/jacp.2019.26033.1076
    • Goodwin H, Yiend J, Hirsch CR. Generalized Anxiety Disorder, worry and attention to threat: A systematic review. Clinical Psychology Review. 2017; 54: 107-22.

    https://doi.org/10.1016/j.cpr.2017.03.006

    • Berg HE, Ballard ED, Luckenbaugh DA, Nugent AC, Ionescu DF, Zarate Jr CA. Recognition of emotional facial expressions in anxious and nonanxious depression. Comprehensive psychiatry. 2016; 70: 1-8.

    https://psycnet.apa.org/doi/10.1016/j.comppsych.2016.06.007

    • Rappaport LM, Di Nardo N, Brotman MA, Pine DS, Leibenluft E, Roberson-Nay R, et al. Pediatric anxiety associated with altered facial emotion recognition. Journal of anxiety disorders. 2021; 82: 102432.

    https://doi.org/10.1016/j.janxdis.2021.102432

    • Newman MG, Llera SJ, Erickson TM, Przeworski A, Castonguay LG. Worry and generalized anxiety disorder: a review and theoretical synthesis of evidence on nature, etiology, mechanisms, and treatment. Annual review of clinical psychology. 2013; 9:275-97. https://doi.org/10.1146/annurev-clinpsy-050212-185544
    • Lelisho M E, Merera AM, TarekeSA, Hassen SS, Jemal SS, BamboMM. Generalized anxiety disorder among mothers attending perinatal services during COVID-19 pandemic: using ordinal logistic regression model. Heliyon. 2022; 8(6): e09778.

    https://doi.org/10.1016/j.heliyon.2022.e09778

    • MacLeod C, Mathews A. Cognitive bias modification approaches to anxiety. Annu. Rev. Psychol. 2012; 8: 189–217.

    https://doi.org/10.1146/annurev-clinpsy-032511-143052

    • Shahar B, Bar-Kalifa E, Hen-Weissberg A. Shame during social interactions predicts subsequent generalized anxiety symptoms: A daily-diary study. Journal of Social and Clinical Psychology. 2015; 34(10): 827-37.

    http://dx.doi.org/10.1521/jscp.2015.34.10.827

    • Schoenleber M, Chow PI, Berenbaum H. Self-conscious emotions in worry and generalized anxiety disorder. British Journal of Clinical Psychology. 2014; 53(3): 299-314.

    https://doi.org/10.1111/bjc.12047

    • Rüsch N, Corrigan PW, Bohus M, Jacob GA, Brueck R, Lieb K. Measuring shame and guilt by self-report questionnaires: A validation study. Psychiatry Research. 2007; 150(3): 313-25.

    https://doi.org/10.1016/j.psychres.2006.04.018

    • سعیدی، ضحی؛ قربانی، نیما، سرافراز؛ مهدی‌رضا، شریفیان، محمدحسین. رابطة شفقت خود، ارزش خود و تنظیم هیجانات خودآگاه. فصلنامه پژوهش در سلامت روانشناختی. ۱۳۹۱؛ ۶ (۳): ۱-۹. http://dorl.net/dor/20.1001.1.20080166.1391.6.3.1.2
    • Schoenleber M, Chow PI, Berenbaum H. Self-conscious emotions in worry and generalized anxiety disorder. British Journal of Clinical Psychology. 2014; 53(3): 299-314.

    https://doi.org/10.1111/bjc.12047

    • Tangney JP, Dearing RL. Shame and guilt. New York: Guilford Press. 2003.
    • Kranzler A, Young JF, Hankin BL, Abela JR, Elias MJ, Selby EA. Emotional awareness: A transdiagnostic predictor of depression and anxiety for children and adolescents. Journal of Clinical Child & Adolescent Psychology. 2016; 45(3): 262-9.

    https://doi.org/10.1080/15374416.2014.987379

    • جاویدفر، سمیه؛ محمود علیلو، مجید؛ بخشی پور، عباس. مقایسه ذهن­ آگاهی و بدتنظیمی هیجانی در افراد مبتلا به اختلال اضطراب فراگیر و عادی. فصلنامه پژوهش های نوین روانشناختی، 1401؛ 16(64):1-14.

    https://dorl.net/dor/20.1001.1.27173852.1400.16.64.1.0

    • Mennin DS, Fresco DM, Ritter M, Heimberg RG. An open trial of emotion regulation therapy for generalized anxiety disorder and cooccurring depression. Depression and anxiety. 2015; 32(8): 614-23. https://doi.org/10.1002/da.22377
    • Leleu A, Saucourt G, Rigard C, Chesnoy G, Baudouin JY, Rossi M, et al. Facial emotion perception by intensity in children and adolescents with 22q11. 2 deletion syndrome. European Child & Adolescent Psychiatry. 2016; 25: 297-310. https://doi.org/10.1007/s00787-015-0741-1