fa رابطه‌ی ابعاد شناختی هیجانی با پیامدهای روانشناختی جنسی در افراد وابسته به ترامادول: نقش میانجی بدعملکردی جنسی با استفاده از مدل معادلات ساختاری روانشناسی پژوهشي Research <span style="font-size:11pt"><span style="line-height:17.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:15.0pt"><span b="" mitra="" style="font-family:"><span style="color:#16469d">چکیده</span></span></span></b><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:#16469d"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:17.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">زمینه</span></span></span></span></b><b><span dir="LTR" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">:</span></span></span></span></b> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">یکی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">از</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">عمده</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ترین</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">دلایل</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">گرایش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">به</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سمت</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سوء</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مصرف</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ترامادول،</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کمک</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">به</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بهبود</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بدعملکردی</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">های</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جنسی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">از</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جمله</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">تقویت</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نعوظ</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بالا</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بردن</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">زمان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مقاربت</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">طی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">رابطه</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جنسی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">است</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">همین</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">موضوع</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">می</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">تواند</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">زمینه</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ساز</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">اعتیاد</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شود</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بررسی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">این</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">موضوع</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بسیار</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بااهمیت</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">است</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">این</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پژوهش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">هدف</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بررسی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">رابطه</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ابعاد</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شناختی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">هیجانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پیامدهای</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">روانشناختی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جنسی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">افراد</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">وابسته</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">به</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ترامادول</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نقش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">میانجی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بدعملکردی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جنسی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">انجام</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شد</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">.</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:17.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">روش</span></span></span></span></b><b> </b><b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">کار</span></span></span></span></b><b><span dir="LTR" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">:</span></span></span></span></b> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">این</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پژوهش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">از</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نوع</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">توصیفی</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">-</span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مقطعی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">همبستگی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">است</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">که</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پاییز</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">زمستان</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black"> 1402 </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کلان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شهر</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">تبریز</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">انجام</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شده</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">است</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جامعه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">آماری</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">این</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پژوهش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شامل</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کلیه</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مردان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">وابسته</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">به</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ترامادول</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کلینیک</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">های</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ترک</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">اعتیاد</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شهر</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">تبریز</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بوده</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">است</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">طی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">این</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">تحقیق،</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black"> 405 </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">فرد</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">وابسته</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">به</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ترامادول</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">یک</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بازه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">زمانی</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black"> 5 </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ماهه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مورد</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بررسی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">قرار</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">گرفتند</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">این</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پژوهش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">از</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">روش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نمونه</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">گیری</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">دسترس</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">هدفمند</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">استفاده</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شد</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جهت</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جمع</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">آوری</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">داده</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ها</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">از</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پرسشنامه</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">های</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سبک</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">های</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جنسی،</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ناکارآمدی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جنسی،</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شاخص</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بین</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">المللی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">عملکرد</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نعوظ،</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مقیاس</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شاخص</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جنسی</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black"> (</span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">عزت</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نفس</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جنسی،</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">افسردگی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جنسی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مشغله</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جنسی</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">) </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پرسشنامه</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پریشانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جنسی،</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">فرم</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کوتاه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">استفاده</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جهت</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">تحلیل</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">داده</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ها</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">از</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">روش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ارزیابی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مدل</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">معادلات</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ساختاری</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نرم</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">افزارهای</span></span></span> <span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">SPSS</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نسخه</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black"> 21 </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span> <span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">AMOS</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نسخه</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black"> 22 </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">استفاده</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شد</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">.</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:17.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">یافته</span></span></span></span></b><b><span dir="LTR" style="font-size:12.5pt"><span style="color:black"><span style="letter-spacing:-.1pt">‌</span></span></span></b><b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">ها</span></span></span></span></b><b><span dir="LTR" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">:</span></span></span></span></b> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">این</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مطالعه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نشان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">داد</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">که</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ابعاد</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شناختی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">هیجانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پیامدهای</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">روانشناختی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جنسی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">افراد</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">وابسته</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">به</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ترامادول</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">از</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">طریق</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نقش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">میانجی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بدعملکردی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جنسی،</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">رابطه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">دارند</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">.</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:17.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">نتیجه</span></span></span></span></b><b><span dir="LTR" style="font-size:12.5pt"><span style="color:black"><span style="letter-spacing:-.1pt">‌</span></span></span></b><b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">گیری</span></span></span></span></b><b><span dir="LTR" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">:</span></span></span></span></b> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ابعاد</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">شناختی</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">هیجانی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بدعملکردی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جنسی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">رابطه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">داشته</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">و</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بدعملکردی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جنسی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">همراه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پیامدهای</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">روانشناختی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">منفی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">زمینه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">را</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">برای</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سوء</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مصرف</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ترامادول</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">هموار</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">می</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">کند</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">پیشنهاد</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">می</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">گردد</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">که</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">این</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">روابط</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">درمان</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">سوء</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مصرف</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">ترامادول</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">توجه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">به</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">نقش</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">میانجی</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black">‌</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">گری</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">بدعملکردی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">جنسی</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">مورد</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">توجه</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">قرار</span></span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">گیرد</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="font-family:Mitra"><span style="color:black">. </span></span></span></span></span></span></span></span></span></span> <span style="font-size:11pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:14.0pt"><span style="font-family:IRMitra"><span style="color:#16469d"><span style="letter-spacing:-.05pt">Abstract</span></span></span></span></b><b><span style="font-size:12.0pt"><span style="font-family:IRMitra"><span style="color:black"><span style="letter-spacing:-.05pt"></span></span></span></span></b></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:13.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="font-family:IRMitra"><span style="color:black"><span style="letter-spacing:-.05pt">Background:</span></span></span></span></b><i>&nbsp; </i><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.05pt">One of the main reasons for the tendency towards tramadol abuse is to help improve sexual dysfunctions, including strengthening erections and increasing the time of intercourse during sexual intercourse. This issue can lead to addiction and it is very important to investigate this issue. This study aimed to investigate the relationship between cognitive-emotional dimensions and psychological sexual outcomes in people dependent on tramadol and the mediating role of sexual dysfunction.</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:13.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="font-family:IRMitra"><span style="color:black"><span style="letter-spacing:-.3pt">Methods:</span></span></span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.05pt"> This is a descriptive-cross-sectional and correlational research that was conducted in the fall and winter of 2023 in the city of Tabriz. The statistical population of this research included all men dependent on tramadol in Tabriz addiction treatment clinics. During this research, 405 people dependent on tramadol were observed and examined in a period of 5 months. In this research, available and targeted sampling method was used. In order to collect data from questionnaires of&nbsp; Sexual modes questionnaire (SMQ), sexual dysfunction questionnaire (SDQ), International index of erectile function (IIEF), Sexuality scale (SS) (An Instrument to Measure Sexual-Esteem, Sexual-Depression, and Sexual-Preoccupation) and Sexual distress scale-short form (SDS-SF) was used and the direction of data analysis. Structural equation model evaluation method and SPSS version 21 and AMOS version 22 software were used.</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:13.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="font-family:IRMitra"><span style="color:black"><span style="letter-spacing:-.05pt">Results:</span></span></span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.05pt"> This study showed that cognitive-emotional dimensions are related to sexual psychological outcomes in tramadol-dependent individuals through the mediating role of sexual dysfunction.</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:13.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="font-family:IRMitra"><span style="color:black"><span style="letter-spacing:-.05pt">Conclusion: </span></span></span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"><span style="letter-spacing:-.05pt">Cognitive-emotional dimensions are related to sexual dysfunction, and sexual dysfunction with negative psychological consequences paves the way for tramadol abuse. It is suggested that these relationships should be taken into consideration in the treatment of tramadol abuse due to the mediating role of sexual dysfunction.</span></span></span></span></span></span></span></span></span> ترامادول, وابستگی به ترامادول, بدعملکردی جنسی, اختلال نعوظ, زودانزالی Tramadol, Tramadol dependence, Sexual dysfunction, Erectile dysfunction, Premature ejaculation. 35 46 http://jmciri.ir/browse.php?a_code=A-10-1856-1&slc_lang=fa&sid=1 Manijhe Saidi منیژه سعیدی saidimidwife@gmail.com 0057543852 0009-0008-9990-5411 No in Clinical Psycology, Bi.C. , Islamic Azad University, Birjand, Iran تخصصی روانشناسی بالینی، واحد بیرجند، دانشگاه آزاد اسلامی، بیرجند، ایران Fatemeh Shahabizadeh فاطمه شهابی‌زاده F_shahabizadeh@yahoo.com 0901177865 10031947532846009509 Yes Department of Psychology, Bi.C. , Islamic Azad University, Birjand, Iran گروه روانشناسی، واحد بیرجند، دانشگاه آزاد اسلامی، بیرجند، ایران Maryam Safara مریم صف‌آرا safara_maryam@yahoo.com 1091184402 10031947532846009510 No Department of Psychology, Women Research Center, Alzahra University, Tehran, Iran گروه روانشناسی، پژوهشکده زنان، دانشگاه الزهرا (س)، تهران، ایران Jalil Jarrahi Feriz جلیل جراحی فریز jarrahi@iaubir.ac.ir 10031947532846009511 10031947532846009511 No Department of Mathematics, Bi.C. , Islamic Azad University, Birjand, Iran گروه ریاضی، واحد بیرجند، دانشگاه آزاد اسلامی، بیرجند، ایران