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ارتباط بین سبک دلبستگی ناایمن و کیفیت زندگی در مبتلایان به درد مزمن: نقش میانجی ناگویی هیجانی و تعدیلگری تابآوری | ||
روانشناسی سلامت | ||
دوره 13، شماره 50، شهریور 1403، صفحه 45-62 اصل مقاله (1.49 M) | ||
نوع مقاله: علمی- پژوهشی | ||
شناسه دیجیتال (DOI): 10.30473/hpj.2024.68731.5868 | ||
نویسندگان | ||
محمدرضا تمنایی فر* 1؛ اعظم منصوری نیک2؛ فرشته ملک زاده کاشانی3 | ||
1دانشیار، گروه روانشناسی دانشگاه کاشان، کاشان، ایران. | ||
2دکترای روانشناسی، کاشان، ایران. | ||
3دانشجوی کارشناسی ارشد روانشناسی، کاشان، ایران. | ||
چکیده | ||
مقدمه: درد مزمن به عنوان یک مشکل شایع میتواند بر سلامت جسمانی، بهزیستی روانی و کیفیت زندگی بیماران تأثیر گذارد. ازاینرو، پژوهش حاضر با هدف بررسی نقش میانجیگری ناگویی هیجانی و تعدیلکنندگی تابآوری در رابطه بین سبکهای دلبستگی ناایمن و کیفیت زندگی مبتلایان به درد مزمن انجام گرفت. روش: پژوهش حاضر از نوع مدلسازی معادلات ساختاری است. جامعه آماری پژوهش حاضر شامل مبتلایان به درد مزمن مراجعهکننده به کلینیکهای درمانی شهر کاشان در سال 1401 بودند که از میان آنها تعداد 181 نفر به روش نمونهگیری در دسترس انتخاب شدند. جهت گردآوری اطلاعات پرسشنامههای سبک دلبستگی (کالینز و رید، 1989)، پرسشنامه ناگویی هیجانی (تورنتو، 1992) و مقیاس تابآوری (کانر و دیویدسون،2003) و پرسشنامه کیفیت زندگی-فرم کوتاه بهکاربرده شد. یافتهها: نتایج نشان داد ناگویی هیجانی رابطه بین دلبستگی ناایمن اضطرابی و کیفیت زندگی (۰1/۰p<،347/۰-β=) و دلبستگی ناایمن وابستگی و کیفیت زندگی (۰5/۰p<،188/۰-β=) مبتلایان به درد مزمن را میانجی میکند. همچنین تابآوری رابطه بین ناگویی هیجانی و کیفیت زندگی مبتلایان به درد مزمن را تعدیل میکند (۰5/۰p<،121/۰-β=). نتیجهگیری: در بیماران مبتلا به درد مزمن سبک دلبستگی ناایمن میتواند از طریق ناگویی هیجانی بر کیفیت زندگی تأثیر بگذارد و تابآوری عامل محافظتکننده تأثیر منفی ناگویی هیجانی بر کیفیت زندگی این بیماران است. این نتایج تلویحات مهمی برای متخصصان بالینی و تحقیقات در زمینه روانشناسی سلامت دارد | ||
کلیدواژهها | ||
دلبستگی؛ ناگویی هیجانی؛ تابآوری؛ درد مزمن | ||
عنوان مقاله [English] | ||
Relationship between Insecure Attachment Style and Quality of Life in Chronic Pain Patients: The Mediating Role of Alexithymia and Moderating of Resilience | ||
نویسندگان [English] | ||
MohammadReza Tamannaeifar1؛ Azam Mansourinik2؛ Freshteh Malekzadeh Kashani3 | ||
1Associate Professor in Psychology, University of Kashan, Kashan, Iran. | ||
2Ph.D in Psychology, Kashan, Iran. | ||
3M.A. Student in Psychology, Kashan,Iran. | ||
چکیده [English] | ||
Objective: Chronic pain as a common problem may effect on the physical health, well-being and quality of life in patients. The aim of this study was to examine the mediating role of alexithymia and moderating resilience in the relationship between insecure attachment styles and the quality of life in chronic pain patients. Method: This study is a structural equation modeling. Among the chronic patients referred to Kashan therapeutic clinics in 2022, 188 patients were recruited through convenience sampling. In order to collect information, Revised Adult Attachment Scale (Collins & Reid, 1989), Toronto Alexithymia Scale (1992), Connor-Davidson Resilience Scale (2003) and Quality of Life Scale (WHOQOL- BREF) were used. Data were analyzed using SPSS and AMOS 24 software. Results: The results of correlation coefficients showed that there are significant negative correlation between the quality of life with anxious insecure attachment, dependency insecure attachment and alexithymia, while there are significant positive correlation between resilience and quality of life (P<0.01). The results showed that the proposed model of the present study has a good fit (x2/df=2.748, p<0.001, CFI= 0.91, RMSEA=0.06). In addition, the results showed that the direct effect of anxious attachment on alexithymia (β= 0.549, P<0.05) and the direct effect of alexithymia on quality of life is significant (β= -0.632, P<0.01). When alexithymia are included as mediator in the relationship between anxious attachment and quality of life, the indirect effect of anxious attachment on quality of life is -0.347, and this indirect effect is significant (P<0.01). Also, the direct effect of dependency attachment on alexithymia is significant (β= 0.297, P<0.05). When alexithymia are included as mediator in the relationship between dependency attachment and quality of life, the indirect effect of dependency attachment on quality of life is -0.188, and this indirect effect is significant (P<0.05). Therefore, The results showed that alexithymia mediates the relationship between anxious insecure attachment and quality of life (β=-0.347, p<0.01) and dependency insecure attachment and quality of life (β=-0.188, p<0.05) in chronic pain patients. Resilience also moderates the relationship between alexithymia and quality of life (β=-0.121, p<0.05). Conclusion: The insecure attachment may effect on quality of life through alexithymia and resilience can be a protective factor against the negative impact of this effect in chronic pain patients. These results have important implications for clinicians and researcher in the field of health psychology. Psycho-educational interventions to identify emotions and describe them and reduce alexithymia can help patients manage their emotions better and improve different aspects of their quality of life. Also, interventions based on resilience can lead to improving the quality of life in chronic pain patients. | ||
کلیدواژهها [English] | ||
Alexithymia, Attachment, Chronic Pain, Quality of Life, Resilience | ||
مراجع | ||
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