ارائه مدل علّی خودآگاهی در بیماران مبتلا به ام اس بر اساس تحول دیداری-فضایی؛ نقش واسطه ای تعادل ذهنی(کاربرد تحلیل مسیر)

نوع مقاله : مقاله پژوهشی / Released under (CC BY-NC 4.0) license/ Open Access

نویسندگان

1 گروه آموزش علوم تربیتی، دانشگاه فرهنگیان، صندوق پستی 888-56441 تهران، ایران

2 کارشناسی ارشد روانسنجی، دانشگاه علامه طباطبایی تهران، تهران، ایران

3 عضو هیات علمی، گروه روانشناسی، دانشگاه لرستان، خرم‌آباد، ایران

4 کارشناسی ارشد روانشناسی عمومی، دانشگاه آزاد گرمسار، گرمسار، ایران

5 کارشناسی ارشد روانشناسی عمومی، دانشگاه آزاد بروجرد، بروجرد، ایران

چکیده

هدف مطالعه حاضر ارائه مدل علّی خودآگاهی بر اساس تحول دیداری‌فضایی با نقش واسطه‌ای تعادل ذهنی بود. طرح پژوهش حاضر کاربردی و به لحاظ جمع‌آوری داده‌ها کمی و مبتنی بر رویکرد همبستگی با استفاده از تحلیل مسیر بود. جامعه آماری شامل کلیه بیماران مبتلا به ام‌اس شهر بروجرد در سال 1403-1402 بودند که تعداد 300 نفر به روش نمونه‌گیری در دسترس به عنوان نمونه انتخاب شدند. از پرسشنامه-های تحول دیداری‌فضایی، تعادل ذهنی و پرسشنامه خودآگاهی برای گردآوری داده‌ها استفاده شد. داده‌های بدست آمده با استفاده از نرم-افزارهایSPSS نسخه24 و AMOS تجزیه و تحلیل شدند. یافته‌ها نشان داد که ضرایب استاندارد مسیر تحول دیداری‌فضایی به تعادل ذهنی(001/0>P، 60/0=β)، مسیر تحول دیداری‌فضایی به خودآگاهی(001/0>P، 67/0=β) و ضریب استاندارد مسیر تعادل ذهنی به خودآگاهی(001/0>P، 57/0=β) در سطح معنی‌داری01/0>p معنی‌دار است. همچنین یافته‌ها نشان داد که 34 درصد از واریانس تعادل ذهنی و 42 درصد از واریانس خودآگاهی به‌وسیله مدل حاضر تبیین شد. علاوه بر این برای بررسی معنی‌داری نقش میانجی تعادل ذهنی از روش بیشینه‌نمایی بوت‌استراپ در نرم‌افزار AMOS استفاده شد. نتایج نشان داد که تعادل ذهنی در بین رابطه بین تحول دیداری‌فضایی و خودآگاهی به عنوان متغیر میانجی ایفای نقش می‌کند. بنابراین و با توجه به نتایج بدست آمده بدیهی است که افزایش تعادل ذهنی و به تبع آن افزایش سطح تحول دیداری‌فضایی باعث ارتقای میزان خودآگاهی در بیماران مبتلا به ام‌اس می‌شود که پیشنهاد می‌شود که مسولین ذیربط به نقش تعادل ذهنی به عنوان میانجی و ارتقادهنده تحول دیداری‌فضایی و خودآگاهی توجه بیشتری داشته باشند.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Presenting a causal model of self-awareness Patients with multiple sclerosis based on visual-spatial transformation; Mediating role of Mental balance (application of path analysis)

نویسندگان [English]

  • mehdi yousefvand 1
  • Marziyh mohamadaslani 2
  • Ahmad Haghi 3
  • Elaheh Akhshi 4
  • Zahra Ziar 5
1 Department of Educational Sciences, Farhangian University, P.O. Box 14665-889, Tehran, Iran Orcid; 0000-0002-0602-2193
2 Master's degree in psychometrics, Allameh Tabatabai University of Tehran, Tehran, Iran
3 Faculty member, Department of Psychology, Lorestan University, Khorramabad, Iran.
4 general Psychology, Garmsar Azad University, Garmsar, Iran
5 Master of General Psychology, Borujard Azad University, Borujard, Iran
چکیده [English]

The aim of the present study is to present a causal model of self-awareness based on visual-spatial transformation; The mediating role was mental balance. The design of the current research was practical in terms of purpose, and in terms of data collection, it included quantitative studies based on the correlation approach using path analysis. The statistical population included all patients suffering from multiple sclerosis in Borujerd city in 1402-1403, and 300 people were selected as a sample using the Krejsi-Morgan table using available sampling method. Visual-spatial transformation questionnaires, mental balance questionnaire and self-awareness questionnaire were used to collect data. The obtained data were analyzed using SPSS version 24 and AMOS software. The findings showed that the standard coefficients of the path of visual-spatial transformation to mental balance (P<0.001, β=0.60), the path of visual-spatial transformation to self-awareness (P<0.001, β=0.67) And the standard coefficient of the path of mental balance to self-awareness (P < 0.001, β = 0.57) is significant at the significance level of P < 0.01. Also, the findings showed that 34% of the variance of mental balance and 42% of the variance of self-awareness were explained by the current model. In addition, to investigate the significance of the mediating role of mental balance, the bootstrap maximization method was used in AMOS software, and the results showed that mental balance plays a role as a mediating variable in the relationship between visual-spatial transformation and self-awareness. slow Therefore, according to the obtained results, it is obvious that the increase in mental balance and consequently the increase in the level of visual-spatial transformation will improve the level of self-awareness in patients with multiple sclerosis, and it is suggested that the officials concerned with the role of mental balance as Mediator and promoter of visual-spatial transformation and self-awareness should be paid more attention.

کلیدواژه‌ها [English]

  • visual-spatial
  • transformation
  • Mental balance
  • self-awareness

مراجع

Bademli, K., & Lök, N. (2018). Relationship between the health perception and physical
activity of individuals. Turkish Journal of Sport and Exercise, 20(3), 127–131.
Barin, L., Salmen, A., Disanto, G., Babačić, H., Calabrese, P., Chan, A., Kamm, C. P., Kesselring,
J., Kuhle, J., Gobbi, C., Pot, C., Puhan, M. A., & von Wyl, V. (2018). The disease burden
of multiple sclerosis from the individual and population perspective: which symptoms
matter most? Multiple sclerosis and related disorders, 25(18), 112–121.
Bivona, U., Ciurli, P., Ferri, G., Fontanelli, T., Lucatello, S., Donvito, T., Villalobos, D.,
Cellupica, L., Mungiello, F., Lo Sterzo, P., Ferraro, A., Giandotti, E., Lombardi, G.,
Azicnuda, E., Caltagirone, C., Formisano, R., & Costa, A. (2020). The self-awareness
multilevel assessment scale, a new tool for the assessment of self-awareness after severe
acquired brain injury: preliminary findings. Frontiers in psychology, 11(3), 1732.
Carden, J., Jones, R. J., & Passmore, J. (2022). Defining self-awareness in the context of adult development:
A systematic literature review. Journal of Management Education, 46(1), 140–177.
Chen, S., & Wei, H. (2023). Linking temporal landmarks to voluntary simplicity: The
mediating roles of self-transcendence and self-enhancement. Journal of Business
Ethics, 188(4), 693–708.
Clinton, M. E., Hewett, R., Conway, N., & Poulter, D. (2022). Lost control driving home: A
dual-pathway model of self-control work demands and commuter driving. Journal of
Management, 188(4), 821–850.
Davis, B. E., Lakin, L., Binns, C. C., Currie, K. M., & Rensel, M. R. (2021). Patient and
provider insights into the impact of multiple sclerosis on mental health: a narrative
review. Neurology and Therapy, 10(15), 99–119.
de Oliveira, G., Cunha Gomes Fernandes Tavares, M. C., de Faria Oliveira, J. D., Rojo
Rodrigues, M., & Santaella, D. F. (2016). Yoga Training Has Positive Effects on
Postural Balance and Its Influence on Activities of Daily Living in People with Multiple
Sclerosis: A Pilot Study. Explore, 12(5), 325–332.
Ensari, I., Sandroff, B. M., & Motl, R. W. (2016). Effects of single bouts of walking exercise
and yoga on acute mood symptoms in people with multiple sclerosis. International
journal of MS care, 18.
Ghasemi, N., Razavi, S., & Nikzad, E. (2017). Multiple sclerosis: pathogenesis, symptoms,
diagnoses and cell-based therapy. Cell Journal (Yakhteh), 19(1), 1–7.
Gil González, I., Martín Rodríguez, A., Conrad, R., & Pérez San Gregorio, M. Á. (2020). Quality
of life in adults with multiple sclerosis: a systematic review. BMJ open, 10(11), 167–187.
Gilad, R., Sadeh, M., Boaz, M., & Lampl, Y. (2006). Visual spatial neglect in multiple sclerosis.
Cortex, 42(8), 1138– 1142.
Gomelsky, A., Stolzle, A. C., & Armstrong, W. P. (2023). Pathophysiology of Female
Micturition Disorders. In Female Genitourinary and Pelvic Floor Reconstruction (pp.
71–84). Springer International Publishing.
Gontkovsky, S. T. (2023). Understanding visual-spatial perceptual deficits in individuals with
multiple sclerosis: an analysis of patient performance on the Hooper Visual
Organization Test and Visual Form Discrimination. International Journal of
Neuroscience, 133(6), 636–641.
Hamaideh, S. H., Abuhammad, S., Khait, A. A., Al Modallal, H., Hamdan Mansour, A. M., Masa’deh,
R., & Alrjoub, S. (2024). Levels and predictors of empathy, self-awareness, and perceived stress
among nursing students: a cross sectional study. BMC nursing, 23(1), 131–133.
Han, A. (2021). Mindfulness-and acceptance-based interventions for symptom reduction in
individuals with multiple sclerosis: a systematic review and meta-analysis. Archives of
physical medicine and rehabilitation, 102(10), 2022–2031.
 
Herson, M., & Kulkarni, J. (2022). Hormonal agents for the treatment of depression associated
with the menopause. Drugs & Aging, 39(8), 607–618.
Idiculla, P. S. G., R. (2020). A Case of Cervical Spondylotic Amyotrophy Mimicking
Amyotrophic Lateral Sclerosis
Jhang, J. F., Jiang, Y. H., & Kuo, H. C. (2023). Discriminating Different Bladder and Bladder
Outlet Dysfunctions by Urinary Biomarkers in Women with Frequency–Urgency
Syndrome. Biomedicines, 11(3), 660–673.
Kahl, P. T. (2021). Domain-General Abilities and Mathematical Achievement: A
Developmental Perspective on the Roles of Executive Functions, Visual-Spatial Skills,
and Emotion Regulation (Doctoral dissertation, University_of_Basel)
Kalron, A., Menascu, S., Frid, L., Aloni, R., & Achiron, A. (2020). Physical activity in mild
multiple sclerosis: contribution of perceived fatigue, energy cost, and speed of walking.
Disability and rehabilitation, 42(9), 1240–1246.
Kang, W. (2022). Understanding the Effect of Multiple Sclerosis on General and Dimensions
of Mental Health. Journal of Clinical Medicine, 11(24), 74–83.
Kline, R. B. (2011). Principles and Practice of Structural Equation Modeling. The Guilford Press.
Kratz, A. L., Ehde, D. M., Hanley, M. A., Jensen, M. P., Osborne, T. L., & Kraft, G. H. (2016).
Cross-sectional examination of the associations between symptoms, community
integration, and mental health in multiple sclerosis. Archives of physical medicine and
rehabilitation, 97(3), 386–394.
Lakin, L., Davis, B. E., Binns, C. C., Currie, K. M., & Rensel, M. R. (2021). Comprehensive
approach to management of multiple sclerosis: addressing invisible symptoms—a
narrative review. Neurology and Therapy, 10(8), 75–98.
Li, C., Yu, Q., Wu, Y., Fan, L., & He, J. (2024). Internet gaming disorder and cognitive failures
in daily life among university students: The mediating role of sleep quality and the
moderating role of mindfulness. Current Psychology, 43(38), 30446–30458.
Liang, P., Jiang, H., Wang, H., & Tang, J. (2024). Mindfulness and impulsive behavior:
exploring the mediating roles of self-reflection and coping effectiveness among
highlevel athletes in Central China. Frontiers in psychology, 15(4), 130–143.
Liao, Y. C., Huang, T. Y., Lin, S. H., Wu, C. H., Chang, K. T., Hsieh, S., & Yang, C. T. (2023).
Mediating role of resilience in the relationships of physical activity and mindful self-
awareness with peace of mind among college students. Scientific reports, 13(1), 10386.
London, M., Sessa, V. I., & Shelley, L. A. (2023). Developing self-awareness: Learning
processes for self-and interpersonal growth. Annual Review of Organizational
Psychology and Organizational Behavior, 10(1), 261–288.
Mayo, C. D., Miksche, K., Attwell Pope, K., & Gawryluk, J. R. (2019). The relationship
between physical activity and symptoms of fatigue, mood, and perceived cognitive
impairment in adults with multiple sclerosis. Journal of clinical and experimental
neuropsychology, 41(7), 715–722.
Mertens, J. (2023). Walking to beats in music and metronomes in persons with progressive MS:
preliminary pilot study results. .
Morin, A. (2005). Possible links between self-awareness and inner speech theoretical
background, underlying mechanisms, and empirical evidence. Journal of
Consciousness Studies, 12(4-5), 115–134.
Naisby, J., Wilson Menzfeld, G., Baker, K., Morris, R., Robinson, J., & Barry, G. (2023). Yoga and
Multiple Sclerosis: Maintaining engagement in physical activity. PloS one, 18(7), 124–150.
Napier Hemy, T. P., Feyisetan, O., Stewart, H., Chamsin, A., Floyd, J., M.S., Samsudin, A., & Omar,
A. M. (2023). Prophylactic intravenous gentamicin with sedation-free cystoscopic injection of
BoNT-A: No demonstrable adverse extravesical neuromuscular effects in a pilot safety study
of 220 idiopathic overactive bladder patients. Journal of Clinical Urology, 16(2), 91–95
Nguyen, J., Rothman, A., Fitzgerald, K., Whetstone, A., Syc-Mazurek, S., Aquino, J., Balcer, L. J.,
Frohman, E. M., Frohman, T. C., Crainiceanu, C., Beier, M., Newsome, S. D., Calabresi,
P. A., & Saidha, S. (2018). Visual Pathway Measures are Associated with
Neuropsychological Function in Multiple Sclerosis Current eye research, 43(7), 941–948.
Ogunwale, O. R. (2023). Mathematics Education: Reducing Effects of Dyscalculia in Children
and Adults With Hearing Impairment. In Rethinking the Teaching and Learning of
Mathematics in the Pandemic Era (Vol. 56/209-211).
Pakmanesh, R., & Javdan, A. (2019). Predicting academic performance through self-control,
autonomy and self-awareness in second-year high school students in Bandar Abbas city.
Cognitive Strategies in Learning, 14(8), 37– 55.
Pfaff, D., Martin, E. M., Weingarten, W., & Vimal, V. (2008). The central neural foundations of
awareness and self-awareness. Progress of Theoretical Physics Supplement, 173(6), 79–98.
Potoczny, W., Herzog Krzywoszanska, R., & Krzywoszanski, L. (2022). Self-Control and
emotion regulation mediate the impact of karate training on satisfaction with life.
Frontiers in Behavioral Neuroscience, 15(9), 49–60.
Rae-Grant, A. D. (2013). Unusual symptoms and syndromes in multiple sclerosis. Continuum:
Lifelong Learning in Neurology, 19(4), 992–1006.
Rai, S. B., & Rai, R. (2023). Evolutionary association between self-awareness and self control.
In Towards Inclusive Societies (pp. 89–100). Routledge India.
Reuter, F., Del Cul, A., Malikova, I., Naccache, L., Confort Gouny, S., Cohen, L., & Audoin,
B. (2009). White matter damage impairs access to consciousness in multiple sclerosis.
Neuroimage, 44(2), 590–599.
Setyaningrum, F., & Siswantari, H. (2020). Visual-spatial and intrapersonal intelligence in
learning of rampak kendang art for elementary school students. International Journal
of Creative and Arts Studies, 20(1), 49–60.
Shi, Y., & Qu, S. (2022). The effect of cognitive ability on academic achievement: The
mediating role of self-discipline and the moderating role of planning. Frontiers in
psychology, 13(3), 230–242.
Siegel, B. (2022). Altered States of a Lifesaving Creative Trance. In The Creative Trance:
Altered States of Consciousness and the Creative Process (Vol. 174, pp. 659–670).
Soldatova, G. U. (2019). Features of the Development of the Cognitive Sphere in Children with
Different Online Activities: Is There a Golden Mean? , 27(3), 97-118. Материалы
Counseling Psychology and Psychotherapy, 27(3), 97–118.
Soyuer, F., Mirza, M., & Erkorkmaz, Ü. (2006). Balance performance in three forms of multiple
sclerosis. Neurological research, 28(5), 555–562.
Sprung, J. M., & Rogers, A. (2021). Work-life balance as a predictor of college student anxiety
and depression. Journal of American college health, 69(7), 775–782.
Tervonen, T., Fox, R. J., Brooks, A., Sidorenko, T., Boyanova, N., Levitan, B., &
PhillipsBeyer, A. (2023). Treatment preferences in relation to fatigue of patients with
relapsing multiple sclerosis: a discrete choice experiment. Multiple Sclerosis Journal–
Experimental, Translational and Clinical, 9(1), 234–240.
Tilak, S., Glassman, M., Kuznetcova, I., & Pelfrey, G. L. (2022). Applications of cybernetics
to psychological theory: Historical and conceptual explorations. Theory & Psychology,
32(2), 298–325.
Vago, D. R., & Silbersweig, D. A. (2012). Self-awareness, self-regulation, and self-
transcendence (S-ART): a framework for understanding the neurobiological
mechanisms of mindfulness. Frontiers in human neuroscience, 6(1), 296–301
 

فایل ها

سابقه مقاله

  • تاریخ دریافت: 03 شهریور 1403
  • تاریخ بازنگری: 01 دی 1403
  • تاریخ پذیرش: 16 اسفند 1403

هم رسانی

ارجاع به این مقاله

آمار