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

Document Type : research

Authors

1 Professor of Clinical Psychology, University of Tabriz, Tabriz

2 PhD student in Psychology, University of Tabriz, Tabriz

Abstract

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.

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Article Title [Persian]

رابطه راهبردهای مقابله ای و نشانه های جسمانی شکل با میانجی گری بدتنظیمی هیجانی در افراد دارای علائم جسمانی شکل: مدل یابی معادله ساختاری

Authors [Persian]

  • مجید محمود علیلو 1
  • خلیل اسماعیل پور 1
  • عباس بخشی پور 1
  • فریبا پورجبار آخونی 2

1 Professor of Clinical Psychology, University of Tabriz, Tabriz

2 PhD student in Psychology, University of Tabriz, Tabriz

Abstract [Persian]

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.

Keywords [Persian]

  • راهبردهای مقابله ای
  • نشانه های جسمانی شکل
  • سلامت
  • بدتنظیمی هیجانی
  • علام جسمانی شکل
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Iranian Journal of Health Psychology
Volume 8, Issue 3 - Serial Number 25
September 2025
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