فصلنامه روان‌شناسی کاربردی

فصلنامه روان‌شناسی کاربردی

نقش حمایت اجتماعی ادراک‌شده بر کیفیت زندگی در ناباروری اولیه: میانجی‌گری تاب‌آوری و راهبردهای تنظیم شناختی هیجان

نوع مقاله : مقاله پژوهشی

نویسندگان
1 دانشیار گروه روانشناسی، دانشگاه کاشان، کاشان، ایران
2 دانشجوی دکتری روان‌شناسی، دانشکده علوم اقتصادی و اجتماعی، دانشگاه بوعلی سینا، همدان، ایران
3 گروه روان‌شناسی، دانشکده علوم اقتصادی و اجتماعی، دانشگاه بوعلی سینا
10.48308/apsy.2026.245806.2072
چکیده
هدف: هدف پژوهش حاضر، بررسی نقش حمایت اجتماعی ادراک‌شده بر کیفیت زندگی در ناباروری اولیه با نقش میانجی تاب‌آوری و راهبردهای تنظیم شناختی هیجان بود.
روش: این مطالعه با طرح توصیفی-همبستگی روی زنان مراجعه‌کننده به کلینیک‌های تخصصی ناباروری شهرستان قم در زمستان ۱۴۰۴ و بهار 1405 صورت گرفت. ۳۵۰ نفر با نمونه‌گیری در دسترس انتخاب و نهایتا 331 داده تحلیل شد. ابزار پژوهش مقیاس‌های کیفیت زندگی (FertiQoL)، حمایت اجتماعی ادراک‌شده (PSSS-12) تاب‌آوری (CD-RISC-10) و فرم کوتاه پرسشنامه تنظیم شناختی هیجان (CERQ-18)بود. داده‌ها با استفاده از ضریب همبستگی پیرسون و معادلات ساختاری تحلیل شد.
یافته‌ها: حمایت اجتماعی ادراک‌شده بر کیفیت زندگی (2/۰ β=)، تاب‌آوری(۴۵/۰ β= )، راهبردهای سازگارانه (۳۸/۰ β =) و ناسازگارانه تنظیم هیجان (44/-۰ β = ) اثر مستقیم معنادار داشت (۰۰۱/۰ > p ). تاب‌آوری (۱۷/۰ β =) و راهبردهای ناسازگارانه (۶۱/۰ β =) بر کیفیت زندگی اثر مستقیم معنادار داشتند (۰۰۱/۰ > p ). اثر مستقیم راهبردهای سازگارانه بر کیفیت زندگی معنادار نبود (۰۲/۰ β = ، ۷۳۳/=۰. (p. تحلیل غیرمستقیم با روش بوت‌استراپ نقش میانجی تاب‌آوری (۳۹/۰ β =) و راهبردهای ناسازگارانه تنظیم شناختی هیجان (42/۰ β =) در رابطه حمایت اجتماعی ادراک شده و کیقیت زندگی را تایید و نقش میانجی راهبردهای ناسازگارانه را رد نمود (۰۰۱/۰ > p ). برازش مدل مطلوب بود.
نتیجه‌گیری: حمایت اجتماعی ادراک‌شده، مستقیم و با افزایش تاب‌آوری و کاهش راهبردهای ناسازگارانه تنظیم هیجان، کیفیت زندگی زنان نابارور اولیه را بهبود می‌دهد؛ بنابراین مداخلات روان‌شناختی باید بر حمایت اجتماعی، آموزش تنظیم شناختی هیجان سازگارانه و کاهش راهبردهای ناسازگارانه متمرکز شوند.
کلیدواژه‌ها
موضوعات

عنوان مقاله English

Role of Perceived Social Support in Quality of Life in Primary Infertility: Resilience and Cognitive Emotion Regulation Strategies as Mediators

نویسندگان English

Mohammad Reza Tamannaifar 1
Mahboobe Esmikhani 2
Shahryar Yarmohamadi Vasel 3
Hossein Mohagheghi 3
1 Associate Professor, Department of Psychology, University of Kashan, Kashan, Iran
2 Ph.D. Student in Psychology, Department of Psychology, Faculty of Economics and Social Sciences, Bu-Ali Sina University, Hamedan, Iran
3 Department Of Psychology, Faculty Of Economics and Social Sciences, BU-Ali Sina University
چکیده English

Aim: This study examined the role of perceived social support on quality of life in primary infertility with mediated by resilience and cognitive emotion regulation strategies.
Methods: In this descriptive-correlational study, women attending specialized infertility clinics in Qom, Iran, during winter 2025 and spring 2026 were recruited. Through convenience sampling, 350 were selected, and 331 datasets were analyzed. Instruments were the FertiQoL, PSSS-12, CD-RISC-10, and CERQ-18. Data were analyzed using Pearson correlation and structural equation modeling.
Results: Perceived social support had significant direct effects on quality of life (β=0.20), resilience (β=0.45), adaptive strategies (β=0.38), and maladaptive emotion-regulation strategies (β=-0.44) (p<0.001). Resilience (β=0.17) and maladaptive strategies (β=-0.61) had significant direct effects on quality of life (p<0.001). The direct effect of adaptive strategies on quality of life was not significant (β=0.02, p=0.733). Bootstrap indirect-path analysis confirmed the mediating roles of resilience (β=0.39) and maladaptive cognitive emotion-regulation strategies (β=-0.42) in the relationship between perceived social support and quality of life, while rejecting the mediating role of adaptive strategies (p<0.001). Model fit was good
Conclusion: Perceived social support improves quality of life in women with primary infertility directly and by increasing resilience and reducing maladaptive emotion-regulation strategies. Therefore, psychological interventions should focus on social support, training adaptive cognitive emotion regulation, and reducing maladaptive strategies.

کلیدواژه‌ها English

Resilience
Perceived Social Support
Cognitive Emotion Regulation Strategies
Quality of Life
Primary Infertility
Aghdak, F., & Seddighiarfaee, F. (2023). The roles of perceived social support and anger in predicting adolescents' addiction tendency. Research on Addiction, 17(67), 229-244. [Link]
Al Sabbah, S., Tantry, A., & Bayliss-Pratt, L. (2025). Do perceived social support mitigate the influence of infertility stigma on fertility quality of life? Frontiers in Global Women's Health, 6, Article 1577951.  [Link]
Alamri, G.S. (2026). Executive functions and cognitive emotion regulation in adults with deaf and hard-of-hearing: The mediating role of quality of life. Applied Neuropsychology: Adult, 7,1-8. [Link]
Altmann, T. (2020). Distinctions in friendship research: variations in the relations between friendship and the Big Five. Personality and Individual Differences, 154, 109727. [Link]
Behbahani Mondanizadeh, A., Homaei, R., Hafezi, F., & Talebzadeh Shoushtari, M. (2025). Psychological resilience as a mediator in infertile women: A structural equation modeling analysis of self-efficacy, stigma, and fertility quality of life. Preventive Care in Nursing & Midwifery Journal, 15(3), 14-23. [Link]   
Besharat, M., Haeri, M., Ahmadvand Shahverdi, M., & Ramezani Moghadam Arani, F. (2022). Comparison of Impulsiveness, Ego strength, Alexithymia and Perceived Social Support in Addicts Who Continue Treatment and Those Who Quit. Quarterly of Applied Psychology, 16(2): 133_156. [Link]
Boivin, J., Takefman, J., & Braverman, A. (2011). The fertility quality of life (FertiQoL) tool: development and general psychometric properties. Human Reproduction, 26(8), 2084-91. [Link]
Campbell‐Sills, L., & Stein, M. B. (2007). Psychometric analysis and refinement of the connor–davidson resilience scale (CD‐RISC): Validation of a 10‐item measure of resilience. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies, 20(6), 1019-1028.  [Link]
Chadha, L., Rani, R., & Gupta, S. (2023). A cross-sectional study to assess resilience and perceived social support among cancer patients. Indian Journal of Psychiatric Nursing, 20(1), 58-65. [Link]
Chang, C. Y. M., De Vries, M., Groom, M. J., Michelini, G., & Bellato, A. (2026). The association between emotion regulation strategies, anxiety, autonomic arousal, and quality of life in Malaysian young adults. Journal of Health Psychology. [Link]
Chang, Y., Zhang, X. N., Yu, F., Zhang, R., Li, X. D., Zhao, J., & Lu, H. Y. (2022). Influence of self‐perceived burden on quality of life in patients with urostomy based on structural equation model: The mediating effects of resilience and social support. BioMed Research International, (1). [Link]
Chen, J., Lei, X., Wangmu, L., Xie, S., Qian, S., Tan, H., Li, Y., Ren, Q., Deng, Q., & Zhou, Y. (2026). Coping strategies as mediators of the relationship between fertility quality of life and psychological resilience among infertile patients: A cross‑sectional mediation analysis. BMC Women's Health, 26(1), 31. [Link]
Cutajar, K., & Bates, G. W. (2025). Australian women in the perinatal period during COVID-19: The influence of self-compassion and emotional regulation on anxiety, depression, and social anxiety. In Healthcare, 13(2), 120-150. [Link]
Dayhimi, M., Por Hosein, R., Gholamali Lavasani, M., & Afrooz, G. (2025). The efficacy of an educational program based on psychological well-being on reducing infertility stress in infertile women. Journal of Psychological Science. 24(151), 1-17. [Link]
Ditella, M., Adenzato, M., Catmur, C., Miti, F., Castelli, L., Ardito, R.B. (2020). The role of alexithymia in social cognition: Evidence from a non_clinical population. Journal of Affective Disorders,(273), 482- 492. [Link]
Fallah Lemraski, A. & Pourfaraj, M. (2025). Effectiveness of schema therapy on the resilience and quality of life of infertile women: A semi-experimental study. Community Health Journal, 18(3), 38-47. [Link]
Farzan Azar F & Mehrabi, F. (2023). The effect of reality therapy counseling on the psychological well-being of infertile women. Complementary Medicine Journal, 13 (3), 21-29. [Link]
Fathnezhad-Kazemi, A., & Abri Aghdam, B. (2025). Investigating the relationship between hope and social support with quality of life in women with breast cancer. Medical Sciences, 35(2), 191-199. [Link]
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. [Link]
Ghobadi ُ, Kakabraee, K., & Goudarzi, M. (2024). The effectiveness of cognitive-behavioral coping training package with infertility stress on distress tolerance and cognitive regulation of emotion in infertile women: A quasi-experimental study. Journal of Rafsanjan University of Medical Sciences, 23 (9) ,797-811. [Link]
Hekmatzadeh, S.-F., Bazarganipour, F., Hosseini, N., Allan, H., Jalali, S., Abbasian ,Z., . . . Taghavi, S. A. (2018). Psychometrics properties of the Iranian version of fertility quality of life tool: A cross- sectional study. International Journal of Reproductive BioMedicine, 16(3), 191-198. [Link]
Hosseinzadeh, G. and Panahali, A. (2024). Relationship between infertility stress and social support with post-traumatic growth due to the mediating role of resilience in infertile couples. Journal of Family Research, 20(3), 71-92. [Link]
Jafari, Z., Alinia, S., Zandieh, M., Ghorbani, S. & Rafieyan, M. (2024). Effect of perceived social support on Life Satisfaction in Infertile Women Undergoing Treatment: Mediating Role of Positive Thoughts. Razavi Journal of Medicine, 12(2), 33-39. [Link]
Kline, R. B. (2023). Principles and practice of structural equation modeling. Guilford [Link]
Kyriazos, T. A. (2018). Applied psychometrics: Sample size and sample power considerations in factor analysis (EFA, CFA) and SEM in general. Psychology, 9(8), 2207–2230. [Link]
Li, J., Mo, Y., Li, C., Chen, J., Liu, Y., Deng, X., & Zhang, X. (2026). Resilience, marital quality and quality of life in infertile couples: Application of an actor-partner interdependence mediation model. Psychology, Health & Medicine, 1-12. [Link]
Lopez, R. B., Courtney, A. L., Liang, D., Swinchoski, A., Goodson, P., & Denny, B. T. (2024). Social support and adaptive emotion regulation: Links between social network measures, emotion regulation strategy use, and health. Emotion, 24(1), 130–138. [Link]
Lv, F., Lv, C., Abudurexiti, B., Ma, Q., Yang, Q., Ouyang, M., & Shi, D. (2026). How social support impacts depression in Chinese emerging adults: Mediators of cognitive reappraisal and loneliness. Frontiers in Psychology, 17, 1792698. [Link] 
Marroquín, B. (2011). Interpersonal emotion regulation as a mechanism of social support in depression. Clinical Psychology Review, 31(8), 1276–1290. [Link]
Minguez-Alarcon, L., Williams, PL., Souter, I., Ford, JB., Hauser, R., Chavarro, JE. (2024). Women’s preconception psychological stress and birth outcomes in a fertility clinic: the EARTH study . Front Glob Womens Health. 5, 1293255. [Link]
Mohsenabadi, H., & Fathi-Ashtiani, A. (2021). Evaluation of psychometric properties of the Persian version of the short form of Cognitive Emotion Regulation Questionnaire (CERQ-18). Payesh, 20(2), 167-178. [Link]
Moradi, S., Mohammadpour, S., & Ahi, Q. (2021). The role of psychological distress and resilience in the quality of life in infertility in infertile women in Mashhad. Research in Clinical Psychology and Counseling, 11 (1), 81–100. [Link] 
Pang, X., Hai-yan, D., Deng, L., & Zhang, Y. (2021). Perceived social support and depressive symptoms in Chinese patients with ovarian cancer and the mediating role of resilience. Research Square, 16. [Link]
Papadimitriou, F. (2024). Modelling landscape resilience. In Modelling Landscape Dynamics: Determinism, Stochasticity and Complexity (pp. 101-118). Springer. [Link]
Rock, L. Y., Tajudeen, F. P., & Chung, Y. W. (2024). Usage and impact of the internet-of-things-based smart home technology: a quality-of-life perspective. Universal Access in the Information Society, 23(1), 345-364. [Link]
Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57(6), 1069. [Link]
Sadeghian, A. M., Dashti, F., Shariati, B., Mokhtare, M., & Sotoudeheian, M. J. (2024). The role of cognitive emotion regulation strategies in predicting the resilience, symptom severity, and quality of life of patients with irritable bowel syndrome. Clinics and Research in Hepatology and Gastroenterology, 48(5), 102341. [Link] 
Sanagoo, A., Fakharian Moghaddam, S., & Azizi Ziabari, L. S. (2024). Development of health‐related quality of life of infertile women based on infertility problems: the mediating role of illness cognitions. Rooyesh. 13(10), 211-220. [Link]
Saranya, K., Pradeep, S., Mounika, K., Prarthana, B., & Sravani, G. L. (2026). Psychological, psychosocial and economic factors affecting infertile couples visiting a rural tertiary care hospital: A cross-sectional study. Journal of Human Reproductive Sciences, 27,19(1), 77-84. [Link]
Shabir, M. S., Mubeen, A., & Suleman, N. (2024). The impact of resilience on perceived stress among cancer patients: The mediating role of social support. Contemporary Issues In Social Sciences and Management Practices 3(1), 189-199. [Link]
Shahi, R., & ZadeMohamadi, K. (2024). Investigating the Effect of Effective Emotion Regulation Strategies on Alexithymia with the Mediation of Self-Compassion. Appl. Psychol 18 (1):180-206. [Link]
Shafieetabar, M. (2023). The comparison of resilience and perceived social support in infertile women with high and low levels of infertility stigma. Journal of Psychology, 27 (1), 70-78. [Link]
Shen, T., Li, D., Hu, Z., Li, J., & Wei, X. (2022). The impact of social support on the quality of life among older adults in China: An empirical study based on the CFPS. Front. Public Health, 914707. [Link]
Sisto, A., Vicinanza, F., Campanozzi, L. L., Ricci, G., Tartaglini, D., & Tambone, V. (2019). Towards a transversal definition of psychological resilience: A literature review. Medicina, 55(11), 745-767. [Link]
Tamannaeifar, M. R & Suleimanian, Z. (2025). Structural equation modeling of resilience based on cognitive emotion regulation strategies and perceived social support with the mediating role of self-efficacy in breast cancer patients: A descriptive study. J Rafsanjan Univ Med Sci, 24 (4), 360-74. [Link]
Tamannaeifar, M. R., & Shirani, Z. (2024). Mediating role of self-efficacy in relationship between cognitive emotion regulation and psychological well-being of patients with irritable bowel syndrome. Applied Psychology, 18(2), 107-130. [Link]
Tamannaeifar, M. R., & Shirani, Z. (2024). Structural equation modeling of the mediating role of resilience in the relationship between cognitive emotion regulation strategies and psychological well-being of patients with irritable bowel syndrome. Clinical Psychology and Personality, 22(2), 131-142. [Link]
Wagnild, G. M., & Collins, J. A. (2009). Assessing resilience. Journal of Psychosocial Nursing and Mental Health Services, 47(12), 28–33. [Link]
Wallace, R., Smith, I., Day, D., Alexander, M., Weihs, KL., Wiley, J. F (2025). A randomized controlled trial: Evaluating whether a cognitive behavioral internet-delivered intervention targeting emotion regulation improves health-related quality of life in cancer survivors. Health Psychol, 44(10), 909-921. [Link]
Wang, Z. J., Liu, C. Y., Wang, Y. M., & Wang, Y. (2024). Childhood psychological maltreatment and adolescent depressive symptoms: Exploring the role of social anxiety and maladaptive emotion regulation strategies. Journal of affective disorders, 344(1), 365-372. [Link]
Weliangan, H., Ardradhika , A. N., & Huda, N. (2024). The influence of psychological empowerment and self compassion on resilience in women with dual roles. Bulletin of Counseling and Psychotherapy, 6(2). [Link]
Xu, J., Zhang, X.-Y., Zhouchen, Y.-B., Luo, Y., Wang, S.-Y., Redding, S. R., Ouyang, Y.-Q., & Fu, D. (2025). Relationship between resilience and fertility quality of life in infertile women: Mediating roles of infertility self-efficacy and infertility coping. Healthcare, 13(20), 2589. [Link]
Yan, Y., Ma, Y., Xu, L., & Lv, Y. (2025). Impact of perceived social support on anxiety and depression in women undergoing in vitro fertilization-embryo transfer: The role of psychological resilience. Journal of Assisted Reproduction and Genetics, 42(1), 231–242. [Link]
Yang, Y., Zhao, S, Lin, L., Qian, J., Zdhhang, H., & Cai, F. ( 2023). Social support and quality of life in migrant workers: Focusing on the mediating e ect of healthy lifestyle. Front. Public Health,1061579.
Zhang, Y., Guo, H., Ren, M., Ma, H., Chen, Y., & Chen, C. (2024). The multiple mediating effects of self-efficacy and resilience on the relationship between social support and procrastination among vocational college students: a cross-sectional study. BMC Public Health, 24, 1958. [Link]
Zhu, C., Yan, L., He, C., Wang, Y., Wu, J., Chen, L., & Zhang, J. (2022). Incidence and risk factors of infertility among couples who desire a first and second child in Shanghai, China: A facility-based prospective cohort study. Reproductive Health, 19(1), 155. [Link]
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. [Link]