In collaboration with Payame Noor University and Iranian Health Psychology

Document Type : research


1 PhD Candidate.Department of Psychology, Central Tehran Branch, Islamic . Azad University, Tehran. Iran

2 Assistant Professor in Psychology, Department of Psychology, Central Tehran Branch, Islamic . Azad University, Tehran. Iran

3 Department of Psychology, Payame Noor University, Tehran, Iran

4 Assistant Professor, Department of Psychology, Faculty of Psychology and Educational Science, Central Tehran Branch, Islamic Azad University, Tehran, Iran


Objective: The role of cognitive, metacognitive, and meta-emotional factors in psychological distress has been clearly confirmed. The current research aims to examine a psychological distress model based on intolerance of uncertainty and emotional schemas of cancer patients with the mediating role of metacognitive beliefs and cognitive avoidance.
Method: Regarding the methodology, the present study was correlational based on structural equation modeling. The study sample included 300 cancer patients who visited various hospitals in Tehran and completed the questionnaires of uncertainty intolerance, stress, depression, anxiety, emotional schemas, metacognitive beliefs, and cognitive avoidance.
Results: Findings demonstrated that the proposed model has appropriate fitness among cancer patients. Also, the relationship between mediating variables and endogenous and exogenous variables is significant. The variables under investigation explained 46 percent of psychological distress variance in the patients.
Conclusion: Psychological distress in cancer patients is affected by the interaction of excessive emotional states, intolerance of uncertainty, such as metacognitive beliefs, and emotional schemas.


Article Title [Persian]

پریشانی روانشناختی بر اساس مولفه‌های شناختی، فراشناختی و فراهیجانی در بیماران مبتلا به سرطان

Authors [Persian]

  • سمیه هاشمی زاده 1
  • مهدیه صالحی 2
  • امین رفیعی پور 3
  • افسانه قنبری پناه 4

Abstract [Persian]

مقدمه: نقش مولفه‌های شناختی، فراشناختی و فراهیجانی در پریشانی ‌روان‌شناختی مورد تائید قرارگرفته است. هدف پژوهش حاضر بررسی مدل پریشانی روانشناختی بر اساس عدم تحمل ابهام و طرحواره‌های هیجانی افراد مبتلا به سرطان: نقش میانجی باورهای فراشناختی و اجتناب شناختی  بود. روش: پژوهش حاضر به روش همبستگی و با استفاده از مدل‌سازی معادلات ساختاری انجام شد. نمونه شامل 300 نفر از بیماران مبتلا به سرطان مراجعه‌کننده به بیمارستان‌های شهر تهران بودند که پرسش‌نامه‌های عدم تحمل ابهام، استرس، افسردگی و اضطراب، طرحواره‌های هیجانی، باورهای فراشناختی و اجتناب شناختی را تکمیل کردند. یافته‌ها: نتایج نشان داد این مدل در بیماران مبتلا به سرطان برازش مناسبی دارد و روابط بین متغیرهای میانجی با متغیرهای درون‌زا و برون‌زا معنادار بود. متغیرهای مورد بررسی مدل، 46 درصد از وایانس پریشانی روانشناختی را در این بیماران تبیین کردند. نتیجه‌گیری: پریشانی روانشناختی بیماران مبتلا به سرطان تحت تاثیر تعامل حالت‌های هیجانی شدید، عدم تحمل ابهام، مانند باورهای فراشناختی، طرحواره‌های هیجانی قرار دارد.

Keywords [Persian]

  • سرطان
  • پریشانی روانشناختی
  • طرحواره‌های هیجانی
  • روانشناسی سلامت
  • ابعاد شناختی
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