عدم تحمل ابهام و درد مزمن در مبتلایانِ مالتیپل اسکلروزیس:اجتناب شناختی، جهت‌گیری منفی به مشکل، باورهای مثبت به نگرانی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشیار گروه روان‌شناسی، دانشکده علوم انسانی، واحد قم، دانشگاه آزاد اسلامی، قم،ایران.

2 دانشجوی دکتری روان‌شناسی، گروه روان‌شناسی، دانشکده علوم انسانی، واحد قم، دانشگاه آزاد اسلامی، قم، ایران.

10.48308/apsy.2024.236440.1685

چکیده

هدف: این پژوهش با هدف آزمون نقش میانجیگر اجتناب شناختی، جهت‌گیری منفی نسبت به مشکل و باورهای مثبت نسبت به نگرانی در رابطة عدم تحمل ابهام و درد مزمن در بیماران مبتلا به مالتیپل اسکلروزیس انجام شد.
 
روش: در این پژوهش هبستگی، 350 بیمار (194 مرد و 156 زن) از بین مراجعه کنندگان به مرکز تصویربرداری کوثر و انجمن ام‌اس ایران، واقع در شهر تهران، به کمک روش نمونه‌گیری دردسترس انتخاب و به مقیاس عدم تحمل ابهام (فرستون و همکاران، 1994)، پرسشنامه باورهای فراشناخت (ولز و کارتارایت‌هاتون، 2004)، پرسشنامه جهت‌گیری منفی نسبت به مشکل (رابی‌چاوود و دوگاس، 2005)، پرسشنامه اجتناب شناختی (سکستون و دوگاس، 2004) و نسخة کوتاه سیاهه درد (کلیلند، 1989)، پاسخ دادند.
 
یافته‌ها: نتایج روش آماری تحلیل مسیر نشان داد که مدل واسطه‌مندی نسبی اجتناب شناختی، جهت‌گیری منفی نسبت به مشکل و باورهای مثبت نسبت به نگرانی در رابطة عدم تحمل ابهام و درد مزمن در بیماران مبتلا به مالتیپل اسکلروزیس با داده‌ها برازش مطلوبی داشت.
 
نتیجه‌گیری: در مجموع، نتایج موافق با مواضعِ مدل‌های شناختی آسیب‌شناسی روانی در بافتارِ پیش‌بینیِ درد مزمن به کمکِ عدم تحمل ابهام در بیماران مبتلا به مالتیپل اسکلروزیس، از نقش سازوکارهای علّی چندگانة اجتناب شناختی، جهت‌گیری منفی نسبت به مشکل و باورهای مثبت نسبت به نگرانی، حمایت کرد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Intolerance of Uncertainty and Chronic Pain in Multiple Sclerosis Patients: Cognitive Avoidance, Negative Problem Orientation and Positive Beliefs to Worry

نویسندگان [English]

  • Majid Zargham Hajebi 1
  • Maryam Shahmoradipilehrood 2
  • Malek Mirhashemi 1
1 Associated Professor, Department of Psychology, Islamic Azad University of Qom, Qom, Iran.
2 Ph.D. Student in Psychology, Department of Psychology, Islamic Azad University of Qom, Qom, Iran.
چکیده [English]

Aim: This research aimed to test the mediating role of cognitive avoidance, negative problem orientation, and positive beliefs about worry in the relationship between intolerance of uncertainty and chronic pain in patients with multiple sclerosis. Method: In this correlational study, 350 patients (194 men and 156 women) were selected from visitors to the Kosar Imaging Center and the MS Society of Iran in Tehran using convenience sampling. Participants responded to the Intolerance of Uncertainty Scale (Freeston et al., 1994), the Metacognitive Beliefs Questionnaire (Wells & Cartwright-Hatton, 2004), the Negative Problem Orientation Questionnaire (Robichaud & Dugas, 2005), the Cognitive Avoidance Questionnaire (Sexton & Dugas, 2004), and the Short-Form Pain Inventory (Cleeland, 1989). Results: Results from path analysis indicated that the model incorporating cognitive avoidance, negative problem orientation, and positive beliefs about worry as mediators between intolerance of uncertainty and chronic pain had a good fit with the data. Conclusion: Overall, the findings of this study provide additional evidence in the context of understanding chronic pain in patients with multiple sclerosis through intolerance of uncertainty, mediated by multiple mechanisms, including cognitive avoidance, negative problem orientation, and positive beliefs about worry. These results further support the validity of cognitive models of psychological pathology.

کلیدواژه‌ها [English]

  • Cognitive Avoidance
  • Negative Problem Orientation
  • Positive Beliefs about Worry
  • Chronic Pain
  • Multiple Sclerosis

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