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نقش فاجعهانگاری درد، تنیدگی ادراکشده و اجتناب تجربهای در تنهایی بیماران اسکلروز چندگانه | ||
روانشناسی سلامت | ||
دوره 13، شماره 49، خرداد 1403، صفحه 143-154 اصل مقاله (1.32 M) | ||
نوع مقاله: علمی- پژوهشی | ||
شناسه دیجیتال (DOI): 10.30473/hpj.2024.67221.5765 | ||
نویسندگان | ||
صدیقه خوش باور رستمی1؛ مجید برادران* 2؛ فرزانه رنجبر نوشری3 | ||
1کارشناس ارشد روانشناسی عمومی، دانشگاه پیام نور، آستانه اشرفیه، ایران. | ||
2استادیار، گروه روانشناسی، دانشگاه پیام نور، تهران، ایران. | ||
3استادیار گروه روانشناسی، دانشگاه پیام نور، تهران، ایران | ||
چکیده | ||
مقدمه: اسکلروز چندگانه یک بیماری مزمن پیشرونده در سیستم اعصاب مرکزی میباشد که بر جنبههای مختلف زندگی شخص اثرگذار است. بر این اساس، هدف پژوهش حاضر بررسی نقش فاجعهانگاری درد، تنیدگی ادراکشده و اجتناب تجربهای در تنهایی بیماران مبتلا به مولتیپل اسکلروزیس می باشد. روش: روش پژوهش از نوع توصیفی-همبستگی بود. جامعه مورد مطالعه شامل تمامی بیماران مبتلا به مولتیپل اسکلروزیس ساکن شهر رشت در سال 1401 بود که 120 نفر به روش نمونهگیری دردسترس انتخاب شدند. به منظور گردآوری دادهها، از پرسشنامه فاجعهسازی درد (سالیوان و همکاران، 1995)، مقیاس تنیدگی ادراکشده (کوهن و همکاران، 1983)، پرسشنامه پذیرش و عمل (بوند و همکاران، 2011) و مقیاس احساس تنهایی (دیتوماسو و همکاران، ۲۰۰۴) استفاده شد. دادهها با روش همبستگی پیرسون و رگرسیون گام به گام مورد تجزیه و تحلیل قرار گرفت. یافتهها: نتایج نشان داد که بین فاجعهانگاری درد، تنیدگی اداراکشده و اجتناب تجربهای با تنهایی همبستگی مثبت معنادار وجود دارد. همچنین، یافتهها نشانگر این بودند که تنها اجتناب تجربهای قدرت پیشبینی تنهایی را دارد ) 05/0 p< ). نتیجهگیری: فاجعهانگاری درد، تنیدگی ادراکشده و اجتناب تجربهای از طریق عدم پذیرش احساسات و افکار موجب افزایش تنهایی بیماران مبتلا به مولتیپل اسکلروزیس شده است. | ||
کلیدواژهها | ||
فاجعه انگاری درد؛ تنیدگی ادراک شده؛ اجتناب تجربهای؛ تنهایی؛ اسکلروز چندگانه | ||
عنوان مقاله [English] | ||
The Role of Pain Catastrophizing, Perceived Tension, and Experiential Avoidance in Loneliness of Patients with Multiple Sclerosis. | ||
نویسندگان [English] | ||
Sedigheh Khoshbavar Rostami1؛ majid baradaran2؛ Farzaneh Ranjbar Noushari3 | ||
1M.A in General Psychology, Payame Noor University, Astaneh-e Ashrafiyyeh, Iran | ||
2Assistant Professor, Department of Psychology, Payame Noor University, Tehran, Iran | ||
3Assistant Professor, Department of Psychology, Payame Noor University, Tehran, Iran | ||
چکیده [English] | ||
Objective: Multiple sclerosis (MS) is a chronic progressive disease of the central nervous system that affects various aspects of a person's life. Evidence suggests that patients with more disabilities have lower levels of participation in social, home, work, and educational domains. Therefore, people with MS may be at risk of loneliness due to the changes in the social network that occur during the course of the chronic disease. Loneliness is the most painful experience of all human experiences that leads to severe psychological and physical problems. Considering the extensive physical, psychological and social consequences of this disease and the high cost of MS treatment and control, which can be aggravated by the psychological disturbance of patients, it will be important to examine psychological variables in people suffering from this disease. Based on this, the aim of this study was to investigate the role of pain catastrophizing, perceived tension and experiential avoidance in the loneliness of patients with multiple sclerosis. Method: The method of the present research was a descriptive-correlation study. The studied population included all patients with multiple sclerosis living in Rasht in 2022 who 120 people were selected as a sample group by available sampling method. In order to collect data, pain catastrophizing questionnaire (Sullivan et al., 1995), perceived stress scale (Cohen et al., 1983), acceptance and action questionnaire (Bond et al., 2011) and loneliness scale (DiTomaso et al., 2004) was used, all of which were valid and reliable. Participating in this research was optional and all participants were free to quit any time. The identities of the participants in this research were ethically confidential. The research data collected using descriptive statistics, Pearson's correlation coefficient, and step-by-step regression using SPSS-27 software. Results: The results showed that there is a significant positive correlation between loneliness and pain catastrophizing (r= 0.22, p< 0.05), perceived tension (r= 0.42, p<0.01) and experiential avoidance (r=0.51, p<0.01). In other words, the greater the pain catastrophizing, the perceived tension and the experienced avoidance it is more in patients with multiple sclerosis, loneliness is more. Also, the findings showed that among the predictor variables of this study, only experiential avoidance with a beta coefficient of 0.405 at the error level of 0.05 can predict social loneliness of patients with multiple sclerosis. Conclusion: Based on the results of this study, it can be acknowledged that pain catastrophizing, perceived tension and experiential avoidance through non-acceptance of feelings and thoughts have increased the loneliness of patients with multiple sclerosis. Therefore, considering the high levels of injuries and mental disorders in patients with multiple sclerosis, it seems necessary to identify the causal and underlying factors in maintaining and improving the mental health and well-being of this group of chronic patients. The findings of this study can strengthen theoretical models related to health and especially health psychology. | ||
کلیدواژهها [English] | ||
Catastrophic Pain, Perceived Stress, Experiential Avoidance, loneliness, Multiple Sclerosis | ||
مراجع | ||
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