In collaboration with Payame Noor University and Iranian Health Psychology

Document Type : research


1 PhD student in Psychology, Faculty of Humanities, Islamic Azad University, Gorgan Branch. Gorgan, Iran.

2 Department of Psychology, Payame Noor University (PNU), P.O.Box 19395-4697, Tehran, Iran.

3 Assistant Professor, Department of Psychology, Gorgan Branch, Islamic Azad University, Gorgan, Iran


Objective: Cancer is one of the most essential health issues in the world and Iran which is usually associated with significant clinical and psychological discomfort in the optimal use of coping strategies. Therefore، the purpose of the present study was to analyze a structural model of medication adherence based on health anxiety, positive meta-emotion, and pain self-efficacy mediated by health locus of control in men with cancer.
Method: The research was descriptive-correlational using structural equation modeling to test the relationships between the variables. The statistical population was men with gastrointestinal cancer in Golestan province referred to Shafi Hyrkan Cancer Patients Support Center. According to, 227 people were selected through targeted sampling. The research instruments included the Salkowski and Warwick Health Anxiety Inventory, Beer and Moneta Positive Metacognitions and Positive Meta-Emotions Questionnaire, Nicholas Pain Self-Efficacy Questionnaire, Morisky, Ang, and Wood's Medication Adherence Questionnaire, and Wallston's Health Control Source Inventory. Data analysis was performed in LISREL software version 8.71.
Results: The results showed that health anxiety, internal health locus of control, and positive meta-emotion had a positive effect (P <0.005) and pain self-efficacy had a negative and significant effect on medication adherence (P <0.001). The source of internal health locus of control mediated the effect of pain self-efficacy and positive meta-emotion mediated the medication adherence positively and significantly (P <0.005).
Conclusion: Health anxiety, positive meta-emotion, and pain self-efficacy are correlated with medication adherence and affect medication adherence mediated by health locus of control.


Article Title [Persian]

مدل ساختاری تبعیت از درمان بر اساس اضطراب سلامت ، فراهیجان مثبت، خودکارآمدی درد با میانجیگری منبع کنترل سلامت در مبتلایان سرطان

Authors [Persian]

  • فاطمه سلیمانی نامقی 1
  • حسن عبداله زاده 2
  • جوانشیر اسدی 3

1 دانشجوی دکتری روان شناسی،دانشکده علوم انسانی، دانشگاه آزاد اسلامی واحد گرگان. گرگان ، ایران.

2 گروه روان شناسی، دانشگاه پیام نور،ص. پ. ،19395-4697 تهران، ایران

3 استادیار، گروه روان شناسی، واحد گرگان، دانشگاه آزاد اسلامی، گرگان، ایران

Abstract [Persian]

مقدمه: سرطان از مسایل مهم بهداشتی درمانی جهان و کشور ما میباشد و معمولا با ناراحتیهای چشمگیر بالینی و روانشناختی در استفاده مطلوب از راهبردهای مقابله ای همراه است. هدف پژوهش حاضر تحلیل مدل ساختاری تبعیت درمان بر اساس اضطراب سلامت ، فراهیجان مثبت، خودکارآمدی درد با میانجیگری منبع کنترل سلامت در مردان سرطانی بود.
روش:پژوهش توصیفی-همبستگی از نوع معادلات ساختاری است. جامعه آماری، مردان مبتلا به سرطانهای دستگاه گوارش در استان گلستان به کانون حمایت بیماران سرطانی شافی هیرکان بودند. نمونه از جدول کرجسی مورگان، 230 نفر و با نمونه گیری در دسترس انجام شد. ابزارها شامل پرسشنامه اضطراب سلامت سالکوسکیس و واروویک، فراهیجان بیرو مونته آ ، خودکارامدی درد نیکولاس، تبعیت دارویی موریسکی، انگ و وود، منبع کنترل سلامت والستون بودند.تحلیل داده ها در نرم افزار لیزرل8.71 انجام شد.
یافته ها:نشان داد که اضطراب سلامت و منبع کنترل سلامت درونی به صورت مثبت و فراهیجان مثبت(005/0>P).، خودکارامدی درد به صورت منفی و معنادار بر تبعیت درمان اثر دارند(001/0>P).منبع کنترل سلامت درونی اثر خودکارآمدی درد و فراهیجان مثبت بر تبعیت درمان را به صورت مثبت و معناداری میانجیگری کرد(005/0>P).
نتیجه گیری: اضطراب سلامت، فراهیجان مثبت، خودکارآمدی درد، با تبعیت درمان رابطه داشته و از طریق میانجیگری منبع کنترل سلامت تبعیت درمان را تحت تاثیر قرار می دهند.

Keywords [Persian]

  • اضطراب سلامت
  • فراهیجان مثبت
  • خودکارآمدی درد
  • تبعیت درمان
  • منبع کنترل سلامت
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