اخبار و اعلانات

 آمار

تعداد نشریات49
تعداد شماره‌ها1,271
تعداد مقالات10,996
تعداد مشاهده مقاله22,598,267
تعداد دریافت فایل اصل مقاله15,261,502
Mahmood alilou, Majid, Esmaelpour, Khalil, Bakhshipour, Abbas, Pourjabbar Akhuni, Fariba. (1404). Coping Strategies, Emotional Dysregulation, and Somatoform Symptoms: A Mediation Model. فصلنامه علمی زیست فناوری گیاهان زراعی, 8(3), -. doi: 10.30473/ijohp.2024.71662.1368
Majid Mahmood alilou; Khalil Esmaelpour; Abbas Bakhshipour; Fariba Pourjabbar Akhuni. "Coping Strategies, Emotional Dysregulation, and Somatoform Symptoms: A Mediation Model". فصلنامه علمی زیست فناوری گیاهان زراعی, 8, 3, 1404, -. doi: 10.30473/ijohp.2024.71662.1368
Mahmood alilou, Majid, Esmaelpour, Khalil, Bakhshipour, Abbas, Pourjabbar Akhuni, Fariba. (1404). 'Coping Strategies, Emotional Dysregulation, and Somatoform Symptoms: A Mediation Model', فصلنامه علمی زیست فناوری گیاهان زراعی, 8(3), pp. -. doi: 10.30473/ijohp.2024.71662.1368
Mahmood alilou, Majid, Esmaelpour, Khalil, Bakhshipour, Abbas, Pourjabbar Akhuni, Fariba. Coping Strategies, Emotional Dysregulation, and Somatoform Symptoms: A Mediation Model. فصلنامه علمی زیست فناوری گیاهان زراعی, 1404; 8(3): -. doi: 10.30473/ijohp.2024.71662.1368

Coping Strategies, Emotional Dysregulation, and Somatoform Symptoms: A Mediation Model

Iranian Journal of Health Psychology
مقاله 3، دوره 8، شماره 3 - شماره پیاپی 25، آذر 2025
نوع مقاله: research
شناسه دیجیتال (DOI): 10.30473/ijohp.2024.71662.1368
نویسندگان
Majid Mahmood alilou1؛ Khalil Esmaelpour1؛ Abbas Bakhshipour1؛ Fariba Pourjabbar Akhuni* 2
1Professor of Clinical Psychology, University of Tabriz, Tabriz
2PhD student in Psychology, University of Tabriz, Tabriz
چکیده
Objective: The present study, a descriptive-cross-sectional design using structural equation modeling, aimed to determine the structural relationships between coping strategies and somatoform symptoms, with the mediating role of emotional dysregulation among individuals with somatoform disorders in Tehran.
Method: The statistical population consisted of all individuals with somatoform disorders referred to the psychosomatic departments of Tehran's hospitals. Following the recommendations of Guadagnoli and Velicer (1998), a sample of 250 patients (149 women and 101 men), who met the inclusion criteria, was recruited via purposeful sampling. Data were collected using the Lazarus and Folkman (1984) Coping Strategies Questionnaire, the Gratz and Roemer (2004) Difficulties in Emotion Regulation Scale, and the Rief and Hiller (2003) Somatoform Disorders Questionnaire. After confirmatory analysis, the proposed model was evaluated through structural equation modeling and path analysis.
Results: The findings showed that the developed model has a good fit. The mediating variable, emotional dysregulation, was found to be a positive and significant predictor of somatoform symptoms (p < .001). Furthermore, mediation analysis revealed that problem-focused and emotion-focused coping strategies can respectively decrease and increase somatoform symptoms by reducing and increasing emotional dysregulation.
Conclusion: According to the findings, it can be concluded that somatoform symptoms are affected by coping strategies and emotional dysregulation. Therefore, reducing the somatoform symptoms of people with this disorder requires serious attention to adopting appropriate, problem-focused coping strategies and correcting emotional dysregulation.
کلیدواژه‌ها
Coping Strategies؛ Emotional Dysregulation؛ Health؛ Somatoform Disorders؛ Somatoform Symptoms
عنوان مقاله [English]
رابطه راهبردهای مقابله ای و نشانه های جسمانی شکل با میانجی گری بدتنظیمی هیجانی در افراد دارای علائم جسمانی شکل: مدل یابی معادله ساختاری
نویسندگان [English]
مجید محمود علیلو1؛ خلیل اسماعیل پور1؛ عباس بخشی پور1؛ فریبا پورجبار آخونی2
1Professor of Clinical Psychology, University of Tabriz, Tabriz
2PhD student in Psychology, University of Tabriz, Tabriz
چکیده [English]
پژوهش حا ضر به منظور تعیین روابط ساختاری راهبردهای مقابله ای و نشانه های جسمانی شکل با نقش میانجیگری بدتنظیمی
هیجانی در میان افراد دارای علام جسمانی شکل شهر تهران انجام شده است . جامعه آماری اولیه عبارت است از تمامی افراد دارای
علائم جسمانی شکل مراجعه کننده به بخش های سایکو سوماتیک بیمارستان های شهر تهران که با توجه به پیجویی های لازم، بر
اساس پیشنهاد گاداگنولی و ولیسر ( 1998 ) پژوهشگر توانست همکاری 250 نفر از بیماران (149 نفر از زنان و 101 نفر از مردان)
که واجد ملاک ورود و فاقد ملاک خروج بودند را به صورت تصادفی ساده به عنوان نمونه مورد مطالعه جلب کند. برای گردآوری
داده ها از مقیاس های راهبردهای مقابله ای لازروس و فولکمن ( 1984)، دشواری هیجانی در تنظیم هیجانی گراتز و رومر (2004 )
و علائم جسمانی شکل ریف و هیلر ( 2003 ) ا ستفاده شد . بعد از برر سی تحلیل تأییدی، ارزیابی الگوی پیشنهادی از طریق الگو
یابی معادله ساختاری و تحلیل مسیر مورد تجزیه وتحلیل قرار گرفت. یافته های پژوهش نشان داد که الگوی تدوین شده از برازش
و برازندگی مطلوبی برخوردار است همچنین متغیر میانجی بدتنظیمی هیجانی به طور معناداری نشانه های جسمانی شکل را
پیش بینی کرد. این متغیر به طور مثبت و معنادار پیشبین نشانه های جسمانی شکل بود . همچنین روش تحلیل میانجی با آزمون مدل
معادله ساختاری و تحلیل مسیر به سوبل انجام گرفت که نتایج تحلیل گویا آن بود که راهبردهای مقابله ای مسئله مدار و هیجان
مدار به ترتیب می توانند از طریق کاهش و افزایش بدتنظیمی هیجانی میزان نشانه های جسمانی شکل را کاهش و افزایش دهند. با
توجه به یافته های پژوهش می توان نتیجه گرفت که نشانه های جسمانی شکل متأثر از راهبردهای مقابله ای و بدتنظیمی هیجانی
است. بنابراین به نظر می ر سد که لازمه کاهش میزان نشانه های جسمانی شکل افراد دارای علائم جسمانی شکل ، توجه جدی به
میزان اتخاذ راهبردهای مقابله ای مناسب و مسئله مدار و اصلاح بدتنظیمی هیجانی است.
کلیدواژه‌ها [English]
راهبردهای مقابله ای, نشانه های جسمانی شکل, سلامت, بدتنظیمی هیجانی, علام جسمانی شکل
مراجع

Attanasio, V., Andrasik, F., Blanchard, E. B., & Arena, J. G. (1984). Psychometric properties of the SUNYA revision of the Psychosomatic Symptom Checklist. Journal of behavioral medicine, 7, 247-257.

Bekaroğlu, E. & Yılmaz, T. (2023). How Perceptions of Parents’ Parenting Behaviors Pave the Way to Somatic Symptoms: The Mediating Role of Emotion Regulation Among Adults. Psychological Reports, 00332941231191722.

Beutel, M. E., Wiltink, J., Ghaemi Kerahrodi, J., Tibubos, A. N., Brähler, E., Schulz, A., ... & Henning, M. (2019). Somatic symptom load in men and women from middle to high age in the Gutenberg Health Study-association with psychosocial and somatic factors. Scientific reports, 9(1), 4610.

Boccagno, C. & Hooley, J. M. (2023). Emotion Regulation Strategy Choices Following Aversive Self-Awareness in People with Nonsuicidal Self-Injury or Indirect Self-Injury. Journal of Emotion and Psychopathology, 1(1), 8-22.

Bonanno, G. A., & Burton, C. L. (2013). Regulatory flexibility: An individual differences perspective on coping and emotion regulation. Perspectives on psychological science, 8(6), 591-612.

Bud, S. Nechita, D. & Szentagotai Tatar, A. (2023). Emotion regulation strategies in borderline personality disorder: a meta-analysis. Clinical Psychologist, 1-18.

Busch, I. M., Moretti, F., Purgato, M., Barbui, C., Wu, A. W., & Rimondini, M. (2020). Psychological and psychosomatic symptoms of second victims of adverse events: a systematic review and meta-analysis. Journal of patient safety, 16(2), e61-e74.

Chishti, S. H., & Rafiq, M. (2019). Psychosocial Issues, coping strategies and psychological symptoms of hirsute women. Pakistan Journal of Medical Research, 58(3), 141-148.

Cohen-Biton, L. Buskila, D. & Nissanholtz-Gannot, R. (2023). Problem-oriented coping and resilience among Fibromyalgia patients who live under security threats and have undergone a Fibrotherapy intervention program. Psychology, Health & Medicine, 1-14.

Cole, P. M. Ramsook, K. A. & Ram, N. (2019). Emotion dysregulation as a dynamic process. Development and Psychopathology, 31(3), 1191 -1201.

Cooley, J. L., Fite, P. J., & Hoffman, L. (2022). Interactive effects of coping strategies and emotion dysregulation on risk for peer victimization. Journal of applied developmental psychology, 78, 101356.

Cooley, J. L., Blossom, J. B., Tampke, E. C., & Fite, P. J. (2022). Emotion regulation attenuates the prospective links from peer victimization to internalizing symptoms during middle childhood. Journal of Clinical Child & Adolescent Psychology, 51(4), 495-504.

Dahabre, R. Roziner, I. Bentley, G. Poikonen-Saksela, P. Mazzocco, K. Sousa, B. & Pat-Horenczyk, R. (2022). The moderating role of coping flexibility in reports of somatic symptoms among early breast cancer patients. Social science & medicine, 308, 115219.

Ebrahimi, A., Rief, W., Mirshahzadeh, P., Zanjani, H. A., Dehsorkhi, H. N., Roohafza, H., ... & Adibi, P. (2018). Psychometric properties of the Persian version of screening for Somatic Symptom Disorders-7 (SOMS-7). Iranian journal of psychiatry, 13(4), 264.

Edgcomb, J. B., & Kerner, B. (2018). Predictors and outcomes of somatization in bipolar I disorder: a latent class mixture modeling approach. Journal of affective disorders, 227, 681-687.

Farahi, S., Naziri, G., Davodi, A., & Fath, N. (2023). Investigation of PsychometricProperties of Psychosomatic Complaints Scale among Individuals with Somatic Symptom Disorder. International Journal of Applied Behavioral Sciences, 10(2), 27-35.

Firouzi, R., Tizdast, T., & Khalatbari, J. (2019). Ghorban Shiroudi Sh. The Relationship Between Illness Perception and Difficulty in Emotion Regulation with the Mediating Role of Quality of Marital Life in Women With Breast Cancer. Avicenna J of Neuropsycho-physiology. 2019; 6 (4): 185-194.

Frei, J. M. Sazhin, V. Fick, M. & Yap, K. (2020). Emotion-oriented coping style predicts self-harm in response to acute psychiatric hospitalization. Crisis.

Garnefski, N. van Rood, Y. De Roos, C. & Kraaij, V. (2017). Relationships between traumatic life events, cognitive emotion regulation strategies, and somatic complaints. Journal of clinical psychology in medical settings, 24, 144-151.

Gök, F. & Eroǧlu, M. Z. (2019). The expression of emotion and coping with stress in major depressive disorder patiens with somatic symptoms. Psychiatry and Clinical Psychopharmacology, 29, 301-303.

Gratz, K. L. & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of psychopathology and behavioral assessment, 26, 41-54.

Gratz, K. L., Weiss, N. H., McDermott, M. J., Dilillo, D., Messman-Moore, T., & Tull, M. T. (2017). Emotion dysregulation mediates the relation between borderline personality disorder symptoms and later physical health symptoms. Journal of personality disorders, 31(4), 433-448.

 Guadagnoli, E., & Velicer, W. F. (1988). Relation of sample size to the stability of component patterns. Psychological bulletin, 103(2), 265.

Hammarström, P., Rosendahl, S., Gruber, M., & Nordin, S. (2023). Somatic symptoms in burnout in a general adult population. Journal of Psychosomatic Research, 168, 111217.

Heydari, M. Razban, F. Mirzaei, T. & Heidari, S. (2017). The effect of problem oriented coping strategies training on quality of life of family caregivers of elderly with Alzheimer. Asian Journal of Nursing Education and Research, 7(2), 168-172.

Irie, N., Morijiri, Y., & Yoshie, M. (2023). Symptoms of and coping strategies for music performance anxiety through different time periods. Frontiers in Psychology, 14, 1138922.

Jungmann, S. M. Wagner, L. Klein, M. & Kaurin, A. (2022). Functional somatic symptoms and emotion regulation in children and adolescents. Clinical Psychology in Europe, 4(2).

Khosravani, V. Alvani, A. Bastan, F. S. Ardakani, R. J. & Akbari, H. (2016). The alexithymia, cognitive emotion regulation, and physical symptoms in Iranian asthmatic patients. Personality and Individual Differences, 101, 214-219.

Kinnunen, P., Laukkanen, E., & Kylmä, J. (2010). Associations between psychosomatic symptoms in adolescence and mental health symptoms in early adulthood. International journal of nursing practice, 16(1), 43-50.

Koh, K. B. (2013). Somatization and psychosomatic symptoms. Springer, 201-210.

Kozusznik, M. W., Puig-Perez, S., Kożusznik, B., & Pulopulos, M. M. (2021). The relationship between coping strategies and sleep problems: The role of depressive symptoms. Annals of Behavioral Medicine, 55(3), 253-265.

Lazarus, R. S. & Folkman, S. (1984). Stress, appraisal, and coping. Springer publishing company.

Lazarus, R. S. & Folkman, S. (1984). Stress, appraisal, and coping. Springer publishing company.

Mazaheri, M. (2015). Difficulties in emotion regulation and mindfulness in psychological and somatic symptoms of functional gastrointestinal disorders. Iranian journal of psychiatry and behavioral sciences, 9(4).

Nazzal, Z., Maraqa, B., Abu Zant, M., Qaddoumi, L., & Abdallah, R. (2021). Somatic symptom disorders and utilization of health services among Palestinian primary health care attendees: a cross-sectional study. BMC Health Services Research, 21, 1-9.

Okur Güney, Z. E. Sattel, H. Witthöft, M. & Henningsen, P. (2019). Emotion regulation in patients with somatic symptom and related disorders: A systematic review. PloS one, 14(6), e0217277.

Okur Güney, Z. Sattel, H. Cardone, D. & Merla, A. (2015). Assessing embodied interpersonal emotion regulation in somatic symptom disorders: a case study. Frontiers in Psychology, 6, 68.

Pohontsch, N. J., Zimmermann, T., Lehmann, M., Rustige, L., Kurz, K., Löwe, B., & Scherer, M. (2021). ICD-10-Coding of Medically Unexplained Physical Symptoms and Somatoform Disorders—A Survey With German GPs. Frontiers in Medicine, 8, 598810.

Prosen, S., & Vitulić, H. S. (2016). Emotion regulation and coping strategies in pedagogical students with different attachment styles. Japanese Psychological Research, 58(4), 355-366.

Raasthøj, I. Rasmussen, S. Carstensen, T. B. W. Wehberg, S. Rosendal, M. & Jarbøl, D. E. (2023). Coping strategies among individuals with multiple physical symptoms: A general population-based cross-sectional study. Journal of Psychosomatic Research, 165, 111140.

Riediger, M. & Bellingtier, J. A. (2022). Emotion regulation across the lifespan. The Oxford handbook of emotional development, 92-109.

Rief, W. & Barsky, A. J. (2005). Psychobiological perspectives on somatoform disorders. Psychoneuroendocrinology, 30(10), 996-1002.

Rief, W., & Broadbent, E. (2007). Explaining medically unexplained symptoms-models and mechanisms. Clinical psychology review, 27(7), 821-841.

Rief, W., & Hiller, W. (2003). A new approach to the assessment of the treatment effects of somatoform disorders. Psychosomatics, 44(6), 492-498.

Sauceda, J. A., Patel, A. R., Santiago-Rodriguez, E. I., Garcia, D., & Lechuga, J. (2021). Testing for differences in the reporting of somatic symptoms of depression in racial/ethnic minorities. Health Education & Behavior, 48(3), 260-264.

Schnabel, K. Petzke, T. M. & Witthöft, M. (2022). The emotion regulation process in somatic symptom disorders and related conditions-A systematic narrative review. Clinical Psychology Review, 102196.

Schnabel, K. Schulz, S. M. & Witthöft, M. (2022). Emotional reactivity, emotion regulation, and regulatory choice in somatic symptom disorder. Psychosomatic Medicine, 84(9), 1077-1086.

Selvi, K. & Bozo, Ö. (2023). Emotion Regulation Difficulties as Moderators in the Relation Between Perceived Stress and the Severity of Somatic Symptoms. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 41(4), 967-985.

Smrtnik Vitulić, H. & Prosen, S. (2016). Strategije suočavanja i emocionalne regulacije u odrasloj dobi: specifičnosti s obzirom na dob, spol i razinu obrazovanja. Društvena istraživanja: časopis za opća društvena pitanja, 25(1), 43-62.

Söğüt, M. Yedidağ, E. Ray-Yol, E. Özdemir, A. B. & Altan-Atalay, A. (2022). Problem Orientation and Psychological Distress Among Adolescents: Do Cognitive Emotion Regulation Strategies Mediate Their Relationship? Psychological Reports, 125(5), 2317-2336.

Tacchini, G., & Vismara, M. (2019). Generalized anxiety disorder, somatization, and emotional dysregulation: A possible link. Clinical Cases in Psychiatry: Integrating Translational Neuroscience Approaches, 209-227.

Teixeira, R. J. Brandão, T. & Dores, A. R. (2022). Academic stress, coping, emotion regulation, affect and psychosomatic symptoms in higher education. Current Psychology, 41(11), 7618-7627.

Thompson, E. L., Broadbent, J., Fuller-Tyszkiewicz, M., Bertino, M. D., & Staiger, P. K. (2019). A network analysis of the links between chronic pain symptoms and affective disorder symptoms. International journal of behavioral medicine, 26, 59-68.

Tominaga, T. Choi, H. Nagoshi, Y. Wada, Y. & Fukui, K. (2013). Relationship between alexithymia and coping strategies in patients with somatoform disorder. Neuropsychiatric disease and treatment, 55-62.

Trull, T. J., Carpenter, R. W., & Widiger, T. A. (2013). Personality disorders. Handbook of psychology: Clinical psychology, 94-120.

Weijters, R. M. M. Zamorano, M. A. de Vroege, L. & van Boxtel, G. (2021). Coping Styles, Objective and Subjective Cognitive Complaints in Patients with Somatic Symptom and Related Disorders.

Witthöft, M., Hiller, W., Loch, N., & Jasper, F. (2013). The latent structure of medically unexplained symptoms and its relation to functional somatic syndromes. International journal of behavioral medicine, 20, 172-183.

Yang, Y. (2020). Aggression and somatic symptoms: The role of emotion regulation and distress tolerance. International Journal of Behavioral Medicine, 27, 466-474.

Ying-Chih, C., Yu-Chen, H., & Wei-Lieh, H. (2020). Heart rate variability in patients with somatic symptom disorders and functional somatic syndromes: A systematic review and meta-analysis. Neuroscience & Biobehavioral Reviews, 112, 336-344.

 

آمار
تعداد مشاهده مقاله: 24


سامانه مدیریت نشریات علمی. قدرت گرفته از سیناوب