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Clustering somatic symptoms based on psychological risk factors | ||
Iranian Journal of Health Psychology | ||
مقاله 1، دوره 7، شماره 2 - شماره پیاپی 20، مرداد 2024، صفحه 9-20 اصل مقاله (423.07 K) | ||
نوع مقاله: research | ||
شناسه دیجیتال (DOI): 10.30473/ijohp.2024.68495.1317 | ||
نویسندگان | ||
Ehsan Tavakolian1؛ Hojjatollah Farahani* 2؛ Parviz Azadfallah2؛ Reyhaneh Razavi3 | ||
1Department of Psychology, Tarbiat Modares University, Tehran, Iran. | ||
2Department of Psychology, Tarbiat Modares University, Tehran, Iran | ||
3Department of Industrial Engineering, Sharif University of Technology, Tehran, Iran | ||
چکیده | ||
Objective: Somatic symptoms consist of a wide range of symptoms and until yet clustering them has been very challenging for researchers and therapists. The present study aims to explore underlying psychological factors of various functional somatic symptoms and determine if there are any similarities or differences in these factors that could help classify these symptoms as one syndrome or discrete ones. Method: This study adopted an association rule mining method based on data mining. 643 participants were recruited using a convenience sampling technique. Data were collected using the checklist of somatic symptoms (Lacourt et al., 2013), Attachment Questionnaire (Hazan & Shaver, 2017), Defense Style Questionnaire (Andrews et al., 1993), and Levels of Emotional Awareness Scale (Lane, 2006). Results: Cognitive, gastrointestinal, and fatigue symptoms are related more to immature defense mechanisms. Musculoskeletal, respiratory, and cardiac symptoms are associated with neurotic defenses. Fatigue symptoms are associated with ambivalent attachment and musculoskeletal symptoms are related more to avoidant attachment. Indeed, it could be said that there are two clusters of somatic symptoms, one of which is attachment and the other is defense mechanisms. This supports the splitters’ view about somatic syndromes. Conclusions: These findings show various types of somatic symptoms have qualitatively different risk factors. Our findings imply that psychotherapists should consider the kind of syndromes a patient has and their underlying psychological predispositions to manage the problem better. | ||
کلیدواژهها | ||
clusters؛ functional somatic symptoms؛ defense mechanisms؛ attachment style؛ level of emotional awareness | ||
عنوان مقاله [English] | ||
خوشه بندی علایم متفاوت روان تنی بر اساس عوامل روانشناختی | ||
نویسندگان [English] | ||
احسان توکلیان1؛ حجت الله فراهانی2؛ پرویز آزادفلاح2؛ ریحانه رضوی3 | ||
1Department of Psychology, Tarbiat Modares University, Tehran, Iran. | ||
2Department of Psychology, Tarbiat Modares University, Tehran, Iran | ||
3Department of Industrial Engineering, Sharif University of Technology, Tehran, Iran | ||
چکیده [English] | ||
مقدمه: در سال های اخیر طبقه بندی علایم روان تنی چالش بزرگی برای محققان بوده است که پژوهش و درمان این علائم را با مشکلاتی مواجه کرده است. هدف مطالعه حاضر بررسی عوامل روانشناختی زمینه ساز علائم روان تنی مختلف و تعیین شباهتها و تفاوتهای این علایم بر اساس متغیرهای روان شناختی و ارائه دسته بندی این علائم می باشد. روش: پژوهش حاضر از نوع کشف قواعد وابستگی و بر اساس داده کاوی می باشد و برای این منظور نمونه گیری به روش در دسترس انجام شد. 643 شرکت کننده از شهر تهران در پژوهش شرکت نمودند.جهت جمع آوری داده ها از چک لیست علائم جسمانی، پرسشنامه دلبستگی هازان و شیور، پرسشنامه سبک دفاعی و مقیاس سطوح آگاهی هیجانی استفاده شد. یافته ها: نتایج نشان داد علائم گوارشی، خستگی و علایم شناختی با مکانیسمهای دفاعی نابالغ، سبک دلبستگی دوسوگرا و سطوح پایین آگاهی هیجانی متمرکز بر دیگران مرتبط است. همچنین علائم اسکلتی-عضلانی، قلبی و تنفسی مربوط به مکانیسم های دفاعی روان رنجور و سبک دلبستگی اجتنابی است. نتیجه گیری: این یافتهها نشان میدهند که علائم جسمی را میتوان بر اساس پارامترهای روانشناختی به خوشههای مختلفی طبقهبندی کرد و باید مداخلات روانپزشکی و روانشناختی متفاوتی را برای هر گروه از آنها در نظر گرفت. | ||
کلیدواژهها [English] | ||
علایم روان تنی, خوشه بندی, مکانیزم های دفاعی, سبک دلبستگی, سطوح آگاهی هیجانی | ||
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