Self and Other Mental Representations in Multiple Sclerosis Patients: The Role of Cultural-Social Context

Document Type : Scientific-research

Authors

1 M.A. in General Psychology. Department of Psychology, Faculty of Psychology and Educational Sciences, Shahid Behehsti University, Tehran, Iran.

2 Professor of Psychology. Department of Psychology, Faculty of Psychology and Educational Sciences, Shahid Behehsti University, Tehran, Iran.

3 Assistant Professor of Psychology. Department of Psychology, Faculty of Psychology and Educational Sciences, Shahid Behehsti University, Tehran, Iran.

4 Professor of Neurology. Department of Neurosurgery, School of Medicine Neurosciences Research Center Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.

10.48308/apsy.2023.231575.1487

Abstract

Aim: The present study investigated self and others' mental representations in multiple sclerosis (MS) patients and compared mental representations across the cultures of Isfahan and Tehran.
 
Method: This research was quasi-experimental with a mixed factorial design. The statistical population included MS patients and non-MS individuals living in Isfahan, as well as non-MS individuals from Tehran. In total, 244 participants (82 MS patients and 82 non-patients from Isfahan, and 80 non-patients from Tehran) adjusted interpersonal distances with protagonists (childhood self-image, current self-image, mother, love partner, and friend) in the comfortable interpersonal distance test (CID) under both active and passive modes.
 
Results: The analysis of repeated measures ANOVA showed that MS patients preferred greater interpersonal distances than non-patients when faced with their current self-image, a close friend, and a partner. Additionally, participants from Isfahan, both MS patients and non-patients, chose significantly larger interpersonal distances with all protagonists compared to the Tehran group.
 
Conclusion: The findings suggest a kind of self-alienation experience in MS patients at the level of mental representation and highlight the importance of cultural context in shaping mental representations.

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Main Subjects


Abdevali, M., & zabihzadeh, A.. (2021). Self-concept and Regulation of Interpersonal Distance in Close Relationships: A Study with Comfortable Interpersonal Distance Test. journal of applied psychology, 15(2 (58), 207-225. [Link]
Abdevali, M., Mazaheri, M. A., Besharat, M. A., Zabihzadeh, A., & Green, J. D. (2021). Borderline personality disorder and larger comfortable interpersonal distance in close relationships. Personality and Individual Differences, 182, 111067. [Link]
Akbarian, H., Mazaheri, M. A., Zabihzadeh, A., & Green, J. D. (2020). Attachment-related anxiety and avoidance and regulation of interpersonal distance in close relationships. Current Psychology, 1–7. [Link]  
Alareqe, N. A., Roslan, S., Taresh, S. M., & Nordin, M. S. (2021). Universality and Normativity of the Attachment Theory in Non-Western Psychiatric and Non-Psychiatric Samples: Multiple Group Confirmatory Factor Analysis (CFA). International Journal of Environmental Research and Public Health, 18(11), 5770. [Link]
Barazzone, N., Santos, I., McGowan, J., & Donaghay‐Spire, E. (2019). The links between adult attachment and post‐traumatic stress: A systematic review. Psychology and Psychotherapy: Theory, Research and Practice, 92(1), 131–147. [Link]
Blum, B., Goodman, G., Rentrop, C., Malberg, N., & Agrawal, P. (2022). Gender, Attachment Patterns, and Mental Representations of Parents and Self as Predictors of Young Adolescents’ Trauma Symptoms. Journal of Infant, Child, and Adolescent Psychotherapy, 21(4), 309–324. [Link]
Cherniak, A. D., Mikulincer, M., Shaver, P. R., & Granqvist, P. (2021). Attachment theory and religion. Current Opinion in Psychology, 40, 126–130. [Link]  
Clegg, J. M., Wen, N. J., DeBaylo, P. H., Alcott, A., Keltner, E. C., & Legare, C. H. (2021). Teaching through collaboration: Flexibility and diversity in caregiver–child interaction across cultures. Child Development, 92(1), e56–e75. [Link]
Duke, M. P., & Nowicki, S. (1972). A new measure and social-learning model for interpersonal distance. Journal of Experimental Research in Personality.
Etemadifar, M., Ghourchian, S., Sabeti, F., Akbari, M., Etemadifar, F., & Salari, M. (2020). The higher prevalence of multiple sclerosis among Iranian Georgians; new clues to the role of genetic factors. Revue Neurologique, 176(1–2), 113–117. [Link]
Huang, C.-Y., Sirikantraporn, S., Pichayayothin, N. B., & Turner-Cobb, J. M. (2020). Parental attachment, adult-child romantic attachment, and marital satisfaction: An examination of cultural context in Taiwanese and Thai heterosexual couples. International Journal of Environmental Research and Public Health, 17(3), 692. [Link]
Khalatbari, Javad, Noroozi, Farzaneh, Hemmati Sabet, Vahid, Maddahi, Mohammad Ebrahim, & Maddahi, Mohammad Ebrahim. (2018). Mediating Role of Cognitive-Emotional Ordering Strategies in Relation to Attachment Styles and Quality of Life in Patients with Multiple Sclerosis. Journal of Shahid Sadoughi University of Medical Sciences, 26 (5), 410-425. [Link]
Lee, E. Y. L. (2019). Application of myelin water imaging to detect diffuse white matter damage in multiple sclerosis. [Link]
Mohamadirizi, S., Shaygannejad, V., & Mohamadirizi, S. (2017). The survey of mindfulness in multiple sclerosis patients and its association with attachment style. Journal of Education and Health Promotion, 6. [Link]
Ozdemir, A. (2008). Shopping malls: Measuring interpersonal distance under changing conditions and across cultures. Field Methods, 20(3), 226-248. [Link]
Perry, A., Nichiporuk, N., & Knight, R. T. (2016). Where does one stand: A biological account of preferred interpersonal distance. Social Cognitive and Affective Neuroscience, 11(2), 317–326. [Link]
Ponizovsky, A. M., Finkelstein, I., Poliakova, I., Mostovoy, D., Goldberger, N., & Rosca, P. (2013). Interpersonal distances, coping strategies and psychopathology in patients with depression and schizophrenia. World Journal of Psychiatry, 3(3), 74. [Link]
Rodríguez Murúa, S., Farez, M. F., & Quintana, F. J. (2022). The immune response in multiple sclerosis. Annual Review of Pathology: Mechanisms of Disease, 17, 121–139. [Link]
Sorokowska, A., Sorokowski, P., Hilpert, P., Cantarero, K., Frackowiak, T., Ahmadi, K., ... & Pierce Jr, J. D. (2017). Preferred interpersonal distances: A global comparison. Journal of Cross-Cultural Psychology, 48(4), 577-592. [Link]
Stern, J. A., Barbarin, O., & Cassidy, J. (2022). Working toward anti-racist perspectives in attachment theory, research, and practice. Attachment & Human Development, 24(3), 392–422. [Link]
Van Ijzendoorn, M. H., & Bakermans-Kranenburg, M. J. (2019). Bridges across the intergenerational transmission of attachment gap. Current Opinion in Psychology, 25, 31–36. [Link]
Veitch, R., Getsinger, A., & Arkkelin, D. (1976). A note on the reliability and validity of the comfortable interpersonal distance scale. The Journal of Psychology, 94(2), 163-165. [Link]
Zaidman-Mograbi, R., le Roux, L. M., & Hall, H. (2020). The influence of culture on maternal attachment behaviours: A South African case study. Children Australia, 45(1), 30–39. [Link]