The Structural Correlation Modeling of Stress and Eating Disorder by mediating Meaning in Life and Experiential Avoidance.
Subject Areas : Psychology
Hadi Kheirabadi
1
,
Mahmoud Jajarmi
2
,
Abolfazl Bakhshipoor
3
1 - Department of counseling, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran.
2 - Department of counseling, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran.
3 - Department of counseling, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran.
Keywords: Structural Equation Modeling, Stress, Experiential Avoidance, Meaning in Life, Eating Disorder,
Abstract :
The purpose of this study was modeling the relationship between Stress and Eating Disorder by mediating the Meaning of Life and Experiential Avoidance. The research method is descriptive and type of Structural Correlation Modeling. The statistical population of this study is all studying students at Mashhad Ferdowsi University in 2020.. 387 people were selected from among the studying students by multi-stage cluster sampling method. The participants answered to Eating Attitudes Test (Garner et al., 1979), Multidimensional Experiential Avoidance Questionnaire (Gamez et al., 2011), Meaning of Life Questionnaire (Steger & Shin, 2010) and Student Stress Survey (Ross, Neibling, Heckert, 1999). Data were analyzed by SPSS 23 and AMOS 23 statistical software. P-value was smaller than 0.01 in the Total Effect Model analysis and the Mediation Effect Model analysis. The results of Total Effect Model analysis showed that the variable of Stress was directly and positively correlated with the variable of Eating Disorder. Also, the results of the Mediation Effect Model analysis showed that the variable of Experiential Avoidance mediates positively and partially the relationship between Stress and Eating Disorder. The Meaning of Life mediates negatively and partially the relationship between Stress and Eating Disorder. In addition to conceptualizing Eating Disorder, this study showed the relationship between Stress and Eating Disorder and revealed the role of Experiential Avoidance and the Meaning in life as two underlying and continuing factors that should be considered in the treatment of this disorder.
اصغري، فرهاد؛ قاسمی جوینه، رضا؛ یوسفی، نجف؛ سعادت، سجاد؛ رفیعی گزنی، فاطمه. 1393. نقش استرس ادراک شده و سبکهاي مقابله در اختلال خوردن دانش آموزان دبیرستانی شهر رشت در سال 1392. نشریه سلامت جامعه، دوره هشتم، شماره دو.
پهلوان شریف، سعید؛ مهدویان، وحید. (1397). مدل سازی معادلات ساختاری با Amos. تهران: انتشارات بیشه.
خانجاني، مهدي؛ سهرابي، فرامرز؛ اعظمی، یوسف. (1397). بررسي تاثير برنامه ارتقاي تاب آوري و مديريت استرس بر بهزيستي روانشناختي، معناي زندگي، خوش بيني و رضايت از زندگي زنان بي سرپرست. مجله روان پرستاری. دوره 6، شماره 2، 10-1.
عسگری، پرویز؛ پاشا، غلامرضا؛ امینیان مریم. (1388). رابطه تنظيم هيجاني، فشارزاهاي رواني زندگي و تصوير از بدن با اختلال خوردن در زنان. مجله انديشه و رفتار در روانشناسي باليني. دوره 4، شماره 13، 78-65.
علوی، موسی. (1392). مدلیابی معادلات ساختاری در پژوهش های مرتبط با آموزش علوم سلامت: معرفی روش و کاربرد آن. مجله ایرانی آموزش در علوم پزشکی، 13 (6)، 530-519.
محمد پور، عبدالباسط؛ برزگری دهج، ابوالفضل؛ سلیمی بجستانی، حسین و یوسفی، ناصر. (1397). پيش بيني استرس ادراک شده بر اساس تنظيم هيجان، اجتناب تجربي و حساسيت اضطرابي افراد وابسته به مواد. مجله مطالعات روانشناسی بالینی. دوره 8، شماره 30، 206-189.
مرادی، آسیه؛ برقی ایرانی، زیبا؛ بگیان کوله مرز، محمد جواد؛ کریمی نژاد، کلثوم و ضایط، مریم. (1396). تعیین ساختار عاملی و ویژگی های روانسنجی پرسشنامه چند بعدی اجتناب تجربی. دو فصلنامه علمی-پژوهشی شناخت اجتماعی. سال ششم، شماره دوم، پاییز و زمستان 96.
مکوندی، ماریا؛ مکوندی، بهنام. (1394). رابطه اجتناب تجربي با علائم اختلال خوردن در دانشجويان دانشگاه علوم پزشکي جندي شاپور اهواز. مجله علمي پزشكي جندي شاپور. دوره 14، شماره 6، 689-681.
ملازاده اسفنجانی، رحیم؛ اراضی، حمید؛ روحی، سمیه و محمدی، سید مهدی. (1391)، تأثیر تمرین های هوازی بر اختلال های تغذیه ای دانشجویان دختر غیر ورزشکار. مجله علمی پژوهشی دانشگاه علوم پزشکی شهید صدوقی یزد. دوره 20، شماره 3، مرداد و شهریور 1391، صفحه: 331-315.
ولی زاده، آیدین و آریا پوران، سعید. (1391). نقش اضطراب فیزیکی اجتماعی، تصور بدنی و عزت نفس در پیش بینی اختلال خوردن در زنان ورزشکار، مجله پژوهش ها علوم پزشکی زاهدان، دوره14، شماره ا، ص 60-56.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th Ed.). Arlington, VA: American Psychiatric Publishing.
Arcelus, J., Mitchell, A. J., Wales, J., & Nielsen, S. (2011). Mortality rates in patients with anorexia nervosa and other eating disorders: a meta-analysis of 36 studies. Archives of general psychiatry, 68(7), 724-731.
Barenz, J. D. (2017). Modeling effects of trauma and stress on disordered eating and substance abuse: the role of experiential avoidance and meaning in life (Doctoral dissertation, Colorado State University. Libraries).
Bramford, B., & Sly, Richard. (2009). Exploring quality of life in the eating disorders. Advance online publication. Wiley InterScience
Breen, W. E., & Kashdan, T. B. (2011). Anger suppression after imagined rejection among individuals with social anxiety. Journal of anxiety disorders, 25(7), 879-887.
Brougham, R. R., Zail, C. M., Mendoza, C. M., & Miller, J. R. (2009). Stress, sex differences, and coping strategies among college students. Current psychology, 28(2), 85-97.
Cowdrey, F. A., & Park, R. J. (2012). The role of experiential avoidance, rumination and mindfulness in eating disorders. Eating behaviors, 13(2), 100-105.
Cusack, A. (2014). The relationship between acceptance, thought suppression, and eating disordered behavior in an adult eating disorders population. Dissertation Abstracts International, 74, 8-B (E).
Dimaro, L. V., Dawson, D. L., Roberts, N. A., Brown, I., Moghaddam, N. G., & Reuber, M. (2014). Anxiety and avoidance in psychogenic nonepileptic seizures: the role of implicit and explicit anxiety. Epilepsy & Behavior, 33, 77-86. Eating Disorders Coalition (2014). Facts about eating disorders. Retrieved from http://eatingdisorderscoalition.org.s208556.gridserver.com/couch/uploads/file/factsheet_2016.pdf
Fox, A. P., & Leung, N. (2009). Existential well-being in younger and older people with anorexia nervosa – A preliminary investigation. European Eating Disorders Review, 17, 24-30.
Gamez, W., Chmielewski, M., Kotov, R., Ruggero, C., & Watson, D. (2011). Development of a measure of experiential avoidance: The Multidimensional Experiential Avoidance.
Garfinkel P. E., & Newman, A. (2001). The Eating Attitudes Test: Twenty-five years later. Eating and Weight Disorders, 6, 1–24.
Garner, D. M., & Garfinkel, P. E. (1979). The Eating Attitudes Test: An index of the symptoms of anorexia nervosa. Psychological medicine, 9(2), 273-279.
Garner, D. M., Rosen, L. W., & Barry, D. (1998). Eating disorders among athletes: Research and recommendations. Child and adolescent psychiatric clinics of North America, 7(4), 839-857.
Hayes, S. C. (2004). Acceptance and Commitment Therapy, Relational Frame Theory, and the Third Wave of Behavioral and Cognitive Therapies. Behavior Therapy, 35(4), 639-665.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and Commitment Therapy: The process and practice of mindful change (2nd ed.) New York, NY: Guilford Press
Heintzelman, S. J., & King, L. A. (2014). Life is pretty meaningful. American Psychologist, 69(6), 561.
Ho, M. Y., Cheung, F. M., & Cheung, S. F. (2010). The role of meaning in life and Optimism in promoting well-being. Personality and Individual Differences, 48(1), 658-663.
Juarascio, A., Shaw, J., Forman, E., Timko, C. A., Herbert, J., Butryn, M., & Lowe, M. (2014). Acceptance and commitment therapy as a novel treatment for eating disorders: An initial test of efficacy and mediation. Behavior Modification, 37(4), 459-489.
Kashdan, T. B., & Kane, J. Q. (2011). Post-traumatic distress and the presence of post-traumatic growth and meaning in life: Experiential avoidance as a moderator. Personality and Individual Differences, 50(1), 84-89.
Krause, N. (2007). Longitudinal study of social support and meaning in life. Psychology and aging, 22(3), 456.
Leahy, Robert L. (2018). Emotional Schema Therapy: Distinctive Features. Translated by H. kheirabadi & M. Ahowan (2019). Mashhad: Fraangizesh (Persian).
Mesrabadi, J., Jafariyan, S., & Ostovar, N. (2013). Discriminative and construct validity of meaning in life questionnaire for Iranian students. International Journal of Behavioral Sciences, 7(1), 83-90.
National Institute of Mental Health (NIMH) Eating disorders: About more than food (No. 11-4901) (2014) Available at: www.nimh.nih.gov/health/publications/eating-disorders/eating-disorders.pdf
Owens, G. P., Steger, M. F., Whitesell, A. A., & Herrera, C. J. (2009). Posttraumatic stress disorder, guilt, depression, and meaning in life among military veterans. Journal of Traumatic Stress: Official Publication of the International Society for Traumatic Stress Studies, 22(6), 654-657.
Park, J., & Baumeister, R. F. (2017). Meaning in life and adjustment to daily stressors. The Journal of Positive Psychology, 12(4), 333-341.
Rawal, A., Park, R. J., & Williams, J. G. (2010). Rumination, experiential avoidance, and dysfunctional thinking in eating disorders. Behavior Research and Therapy, 48(9), 851-859.
Ross, S. E., Neibling, B. C., & Heckert, T. M. (1999). Sources of stress among college students. College Student Journal, 33(2), 312-317.
Steger, M. F. & Shin, J. Y. (2010). The relevance of the Meaning in Life Questionnaire to therapeutic practice: A look at the initial evidence. The International Forum for Logo therapy, 33, 95-104.
Steger, M. F., Frazier, P., Oishi, S., & Kaler, M. (2006). The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53, 80-93.
Steger, M. F., Kawabata, Y., Shimai, S., & Otake, K. (2008). The meaningful life in Japan and the United States: Levels and correlates of meaning in life. Journal of Research in Personality, 42, 660-678.
Sulkowski M, Dempsey J, Dempsey AG. Effects of stress and coping on binge eating in female college students. Eating behaviors 2012; 12(3): 188- 91.
Wichianson, J. R., Bughi, S. A., Unger, J. B., Spruijt‐Metz, D., & Nguyen‐Rodriguez, S. T. (2009). Perceived stress, coping and night‐eating in college students. Stress and Health: Journal of the International Society for the Investigation of Stress, 25(3), 235-240.
Wonderlich-Tierney AL, Vander Wal JS .the effects of social support and coping on the relationship between social anxiety and eating disorders. Eating behaviors 2010; 11(2): 85- 91.
Yalom ID. (1980). Existential Psychotherapy. New York: Basic books.
