Predicting Perceived Social Support based on Perceived Stress and Cognitive Emotion Regulation in Patients with Ulcerative Colitis

Maneshi Azghandi, Alireza; Pashang, Sarah; Khodaverdian, Soheila

doi:10.30473/ijohp.2022.55667.1138

Document Type : research

Authors

¹ Department of Health Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran

² Assistant Professor, Department of Health Psychology, Karaj Branch, Islamic Azad University, Alborz, Iran

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

https://doi.org/10.30473/ijohp.2022.55667.1138

Abstract

Objective: The aim of the present study was to predict perceived social support based on perceived stress mediated by cognitive emotion regulation in patients with ulcerative colitis.
Methods: The method of study was correlational, structural equation modeling type. The statistical population included all patients with ulcerative colitis, referred to gastroenterology clinics in Districts 4 and 7 of Tehran in 2019. Among them, 261 people were selected through purposeful sampling method. The research tools included perceived social support scale (Zimet et al., 1998), perceives stress scale (Cohen et al., 1983), and cognitive emotion regulation scale (Garnefski & Kraaij, 2006).
Results: The results revealed a negative relationship between perceived stress and perceived social support (β=-0.13, t=2.04) and negative relationship between perceived stress and cognitive emotion regulation (β=-0.21, t=2.96) in patients with ulcerative colitis. A positive relationship was also found between cognitive emotion regulation and perceived social support (β= 0.47, t=7.18), but cognitive emotion regulation had no mediating role between perceived stress and perceived social support in patients with ulcerative colitis (β= 0.09, p>0.05).
Conclusions: Although there were direct relationships between perceived stress, perceived social support, and cognitive emotion regulation, the results revealed no indirect relationship between perceived stress and perceived social support mediated by cognitive emotion regulation in patients with ulcerative colitis. Thus, paying attention to these variables helps researchers and therapists in design of appropriate therapy for Ulcerative Colitis patients

Keywords

Article Title [Persian]

پیش بینی رابطه بین حمایت اجتماعی ادراک شده بر اساس استرس ادراک شده و تنظیم شناخت هیجانی در بیماران مبتلا به کولیت اولسراتیو

Authors [Persian]

علیرضا منشی ازغندی ¹
سارا پاشنگ ²
سهیلا خداوردیان ³

¹ گروه روانشناسی سلامت ،واحد بین المللی کیش، دانشگاه آزاد اسلامی، جزیره کیش، ایران

² استادیار، گروه روانشناسی سلامت، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران

³ استادیار، گروه روانشناسی، واحد تهران مرکز، دانشگاه آزاد اسلامی، تهران، ایران

Abstract [Persian]

هدف: پژوهش حاضر به هدف بررسی رابطه بین حمایت اجتماعی ادراک شده بر اساس استرس ادراک شده با نقش میانجیگری تنظیم شناختی هیجان در بیماران مبتلا به کولیت اولسراتیو صورت کرفت.
روش: روش پژوهش همبستگی و از نوع مدل‌یابی معادلات ساختاری است. جامعه آماری این پژوهش را کلیه بیماران مبتلا به کولیت اولسراتیو مراجعه کننده به کلینیک‌های گوارشی منطقه 4 و 7 شهر تهران در سال 1398 تشکیل دادند، که از میان آن‌ها، تعداد 261 نفر با روش نمونه‌گیری هدفمند انتخاب شدند. ابزارهای پژوهش عبارت بودند از: حمایت اجتماعی ادراک شده (زیمت و همکاران، 1998)، استرس ادراک شده ( کوهن و همکاران، 1983) و تنظیم شناختی هیجان (گارنفسکی و کارایج، 2006).
نتیجه: نتایج حاکی از آن بود که بین استرس ادراک شده و حمایت اجتماعی ادراک شده رابطه منفی وجود دارد ( 2.04=t، 0.13-=β) و بین استرس ادراک شده و تنظیم شناختی هیجان نیز یک رابطه منفی بین بیماران مبتلا به کولیت اولسراتیو وجود دارد ( 2.96=t، 0.21-=β). بین تنظیم شناختی هیجان و حمایت اجتماعی ادراک شده یک رابطه مثبت وجود دارد ( 7.18=t، 0.47 =β) اما تنظیم شناختی هیجان بین استرس ادراک شده و حمایت اجتماعی ادراک شده در بمیاران مبتلا به کولیت اولسراتیو نقش میانچی را دارا نیست. بر این اساس توجه به این متغیرها می تواند به محققان و درمانگران در تدوین برنامه درمانی مناسب در بیماران کولیت اولسراتیو کمک کننده باشد.

Keywords [Persian]

حمایت اجتماعی ادراک شده؛ استرس ادراک شده؛ تنظیم شناخت هیجانی؛ کولیت اولسراتیو
روانشناسی سلامت

References

Agostini, A., Spuri Fornarini, G., Ercolani, M., & Campieri, M. (2016). Attachment and perceived stress in patients with ulcerative colitis, a case–control study. Journal of Psychiatric and Mental Health Nursing, 23(9-10), 561-567. https://doi.org/10.1111/jpm.12331

Aldao, A., & Nolen-Hoeksema, S. (2010). Specificity of cognitive emotion regulation strategies: A Trans diagnostic examination. Behavior Research and Therapy, 48, 974-983. https://doi.org/10.1016/j.brat.2010.06.002

Cassel, J. (1979). The contribution of the social environment to host resistance. American Journal of Epidemiology, 104, 107-125. https://doi.org/10.1093/oxfordjournals.aje.a112281

Dalgleish, T., Yiend, J., Schweizer, S., & Dunn, B. D. (2009). Ironic effects of emotion suppression when recounting distressing memories. Emotion, 9(5), 744. https://doi.org/10.1037/a0017290.

Delonge, A. Takis, T., Kompler, M., Houtman, I. (2004). Longitudinal research and the demand control – support model. Journal of Occupational Health Psychology, 18, 282-305. https://doi.org/10.1037/1076-8998.8.4.282

Ditzen, B., Schmid, S., & Strauss, B. (2008). Adult attachment and social support interact to reduce psychological but not cortisol responsesto stress. Journal of psychosomatic Research, 64(5), 479-486. https://doi.org/10.1016/j.jpsychores.2007.11.011

Engler, H., Elsenbruch, S., Rebernik, L., Köcke, J., Cramer, H., Schöls, M., & Langhorst, J. (2018). Stress burden and neuroendocrine regulation of cytokine production in patients with ulcerative colitis in remission. Psychoneuroendocrinology, 98, 101-107. https://doi.org/10.1016/j.psyneuen.2018.08.009

Farahbakhshbeh, S., Mehri Nejad, S., moazedian, A. (2019). Predicting Self-Efficacy of Women with Breast Cancer based on Quality of Life, Religious Orientation, Resilience, Death Anxiety, Psychological Hardiness and Perceived Social Support. Iranian Journal of Health Psychology, 2(1), 65-78. doi: 10.30473/ijohp.2020.47518.1053

Federenko, I., Schioltz, W., Kirschbaum, C.,Bartels, M. (2006). The heritability of perceived stress. Psychological Medicine, 3(3), 375-385

Gangster, D. C., Victor, B. (1988). The impact of social support on mental and physical health. British Journal of Medical psychology, 61, 8-17. https://doi.org/10.1111/j.2044-8341.1988.tb02763.x

Garnefski, N., & Kraaij, V. (2006). Cognitive emotion regulation questionnaire–development of a short 18-item version (CERQ-short). Personality and individual differences, 41(6), 1045-1053.

Glozah, F. N. & D. Pevalin. (2014). Social Support, Stress, Health, and Academic Suc-cess in Ghanaian Adolescents: a Path Analysis. Journal of Adolescence, 37(4), 451–460. https://doi.org/10.1016/j.adolescence.2014.03.010

Hood, M. M., Wilson, R., Gorenz, A., Jedel, S., Raeisi, S., Hobfoll, S., & Keshavarzian, A. (2018). Sleep Quality in Ulcerative Colitis: Associations with Inflammation, Psychological Distress, and Quality of Life. International journal of behavioral medicine, 25(5), 517-525. https://doi.org/10.1007/s12529-018-9745-9

Kemp, K., Dibley, L., Chauhan, U., Greveson, K., Jäghult, S., Ashton, K., et al. (2018). Second N-ECCO Consensus statements on the European nursing roles in caring for patients with Crohn’s disease or ulcerative colitis. Journal of Crohn's and Colitis, 12(7), 760-776. https://doi.org/10.1093/ecco-jcc/jjy020

Larsson, K., Lööf, L., & Nordin, K. (2017). Stress, coping and support needs of patients with ulcerative colitis or C rohn's disease: a qualitative descriptive study. Journal of clinical nursing, 26(5-6), 648-657. https://doi.org/10.1111/jocn.13581

Latefa, A. D. & Muayyad, M. (2015). For Fathers Raising Children with Autism, Do Coping Strategies Mediateor Moderatethe Relationship between Parenting Stressand Quality of Life. Researhin Developmental Disabilities, (36), 620-629. https://doi.org/10.1016/j.ridd.2014.10.047

Lazarus, R. S. (2000). Stress appraisal and coping. New York Springer: Publication.

Lee, H. S., & Kim, C. (2016). Structural Equation Modeling to Assess Discrimination, Stress, Social Support, and Depression among the Elderly Women in South Korea. Asian nursing research, 10(3), 182-188. https://doi.org/10.1016/j.anr.2016.06.003

Li, N., Wang, X. M., Jiang, L. J., Zhang, M., Li, N., Wei, Z. Z., et al. (2016). Effects of endoplasmic reticulum stress on the expression of inflammatory cytokines in patients with ulcerative colitis. World journal of gastroenterology, 22(7), 2357. https://doi.org/10.3748/wjg.v22.i7.2357

Melissa, H., Bellin, P., Joan, K., Mary, E. B., Mona, T., Laurie, C., & Arlene, M. (2015). Stress and quality of life in urban caregivers of children with poorly controlled asthma: a longitudinal analysis. Journal of Pediatric Health Care, 29(6), 536-546. https://doi.org/10.1016/j.pedhc.2015.04.018

Mohamad, N., Alavi, K., Mohamad, M. S., & Aun, N. S. M. (2016). Intergenerational Support and Intergenerational Social Support Among Elderly–A Short Review in Malaysian Context. Procedia-Social and Behavioral Sciences, 219, 513-519. https://doi.org/10.1016/j.sbspro.2016.05.028

‏Parian, A., & N Limketkai, B. (2016). Dietary supplement therapies for inflammatory bowel disease: Crohn’s disease and ulcerative colitis. Current Pharmaceutical Design, 22(2), 180-188.

Pasandideh, M., SaulekMahdee, F. (2019). Comparison of perceived stress, emotion regulation strategies and cognitive flexibility in patients with G.I.S. diseases and normal individuals. QUARTERLY JOURNAL OF HEALTH PSYCHOLOGY, 8(29), 82-100. doi: 10.30473/hpj.2019.40179.3992 [Persian]

Pin, S., & Spini, D. (2016). Impact of falling on social participation and social support trajectories in a middle-aged and elderly European sample. SSM-Population Health, 2, 382-389. https://doi.org/10.1016/j.ssmph.2016.05.004

Rezaie, A., Buresi, M., Lembo, A., Lin, H., McCallum, R., Rao, S., et al. (2017). Hydrogen and methane-based breath testing in gastrointestinal disorders: the North American Consensus. The American Journal of Gastroenterology, 112(5), 775. https://doi.org/10.1038/ajg.2017.46

Rothrock, N. E., Hays, R. D., Spritzer, K., Yount, S. E., Riley, W., & Cella, D. (2010). Relative to the general US population, chronic diseases are associated with poorer health-related quality of life as measured by the Patient-Reported Outcomes Measurement Information System (PROMIS). Journal of Clinical Epidemiology, 63(11), 1195-1204. https://doi.org/10.1016/j.jclinepi.2010.04.012

Singh, P., Staller, K., Barshop, K., Dai, E., Newman, J., Yoon, S., et al. (2015). Patients with irritable bowel syndrome-diarrhea have lower disease-specific quality of life than irritable bowel syndrome-constipation. World Journal of Gastroenterology: WJG, 21(26), 8103. https://doi.org/10.3748/wjg.v21.i26.8103

Strazdins, L., & Broom, D. (2008). The mental health costs and benefits of giving social support. International. Journal of Stress Management, 14(4), 370-385. https://doi.org/10.1037/1072-5245.14.4.370

Tortella-Feliu, M., Balle, M., & Sese, A. (2010). Relationships between negative affectivity, emotion regulation, anxiety, and depressive symptoms in adolescents as examined through structural equation modeling. Journal of Anxiety Disorders, 24, 686–693.

Trindade, I. A., Ferreira, C., & Pinto-Gouveia, J. (2015). Ulcerative colitis symptomatology and depression: the exacerbator role of maladaptive psychological processes. Digestive diseases and sciences, 60(12), 3756-3763.

Wang, M., & Saudino, K. J. (2011). Emotion regulation and stress. Journal of Adult Development, 18(2), 95-103.

Wang, Z., Li, S., Cao, Y., Tian, X., Zeng, R., Liao, D. F., & Cao, D. (2016). Oxidative stress and carbonyl lesions in ulcerative colitis and associated colorectal cancer. Oxidative Medicine and Cellular Longevity, 2016, 9875298. https://doi.org/10.1155/2016/9875298

Wong, S. T., Wu, A., Gregorich, S., & Pérez-Stable, E. J. (2014). What Type of Social Support Influences Self-Reported Physical and Mental Health Among Older Women? Journal of aging and health, 26(4),663-678. https://doi.org/10.1177/0898264314527478

Wongpakaran, T., Wongpakaran, N., & Ruktrakul, R. (2011). Reliability and validity of the multidimensional scale of perceived social support (MSPSS): thai version. Clinical practice and epidemiology in mental health: CP & EMH, 7, 161. https://doi.org/10.2174/1745017901107010161

Xie, H., Peng, W., Yang, Y., Zhang, D., Sun, Y., Wu, M., et al. (2017). Social Support as a Mediator of Physical Disability and Depressive Symptoms in Chinese Elderly. Archives of Psychiatric Nursing, 32, 256-262. https://doi.org/10.1016/j.apnu.2017.11.012

Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of personality assessment, 52(1), 30-41.

Predicting Perceived Social Support based on Perceived Stress and Cognitive Emotion Regulation in Patients with Ulcerative Colitis

References

References

Volume 5, Issue 1 - Serial Number 11March 2022Pages 39-48

Volume 5, Issue 1 - Serial Number 11
March 2022
Pages 39-48