با همکاری مشترک دانشگاه پیام نور و انجمن روانشناسی سلامت ایران

نوع مقاله : پژوهشی

نویسندگان

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

چکیده

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.

کلیدواژه‌ها

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 Nursing23(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. Psychoneuroendocrinology98, 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 medicine25(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 Colitis12(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 nursing26(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 research10(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 gastroenterology22(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 Care29(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 Sciences219, 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 Design22(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 Health2, 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 Gastroenterology112(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 Epidemiology63(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: WJG21(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 sciences60(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 Longevity2016, 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 health26(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 & EMH7, 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.