52-58 /1386 /4 9 / *** ** ** 1 * - *** - ** *. 86/8/20 : 86/4/27 : : :.. (GHQ) 65 : 65 (DAS-26) 26.. (GHQ-28). : 2/9-16/06) 6/82 (OR = 6/82 CI/ 95. 0/44.(P<0/001) : 26.. : (4 3 2) (5 4 3) (Cognitive vulnerability). (6) (Dysfunctional attitude) : (Vulnerability).(1) 1 E.mail: a_ebrahimi@med.mui.ac.ir 09133176187: - - : 52
..(7) 12 DAS.(12) DAS 5-HT2. 5-HT.(13) - (15 14).(15) (9). DAS.. (Risk factor).(7) -.(7) ( ).(8) (Cognitive style questionnaire=csq) ( ).(9) (Maladaptive cognitive patterns=mcps). ) (8) (.(11 10).(8) DAS 53
1386 /4 9 / 7. -.. (7) Oliver. DAS-26 82 82 ( ) 82.. :(GHQ-28) (2 4 1972. (16) 0/91.(17) 0/58 0/72. DAS-26. : 65 34 30/27±5/04 ) (. 1385. DSM-IV-TR (Diagnostic and statistical manual of mental (disorders 4th ed. text rev. ) ( -1 :..(DAS-26) 26 40. r=0/92 r=0/97 (General health questionnaire) GHQ-28. r=0/56 26 DAS-26 54
0/68 0/86 0/82 0/93 0/93 25 (DAS-26) 1/034 4/78 3/7 1/9 1/6.(1 ).. : GHQ-28 DAS-26. :1 0/80 0/908 0/907 0/96 0/96 0/55 0/81 0/82 0/90 0/89 0/95 (CI) 1/01-1/05 1/37-1/88 1/54-2/34 2/18-6/14 2/60-8/78 (P<0/01 r=0/49) (P<0/01 r=0/38) (P<0/01 r=0/44) ( ). DAS-26 (OR) 1/034 1/6 1/9 3/7 4/78 0/007 0/08 0/10 0/26 0/31 0/034 0/47 0/64 1/30 1/56 6/82.(2 ) [OR =6/82 (0/95 CI 2/9-16/06] (P<0/05 r=0/20) (P<0/01 r=0/36) :2 7/4±5/7 10/2±4/2 9/4±4/8 7/5±5/6 111/6±17/7 (DAS>82) DAS 2/4±3/8 6/3±3/7 5/65±4/8 5/6±4/6 53/5±12/41 (DAS<82) DAS. :DAS-. " ± " - 55
1386 /4 9 / DAS-26 β=0/448.(β=0/448 t=5/6 P<0/001) (BDI-II) Oliver. (7) DAS. (12) (GHQ-28). 4 (- ). 6/82 DAS -.. (18) ( )..(7) Oliver DAS-26. ) DAS-26 (GHQ F=32/2 df =128 1 P<0/001).(R=0/ 448 R 2 =0/201 : (GHQ-28 ) DAS-26 GHQ-28. DAS-26. DAS-26. (82 ) 6/8 DAS-26. Weich DAS. (12) (6) Lam. 56
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