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.

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، ۳۵۰ بیمار (۱۹۴ مرد و ۱۵۶ زن) از بین مراجعه‌کنندگان به مرکز تصویربرداری کوثر و انجمن‌ام‌اس ایران، واقع در شهر تهران، به کمک روش نمونه‌گیری دردسترس انتخاب و به مقیاس عدم تحمل ابهام (فرستون و همکاران، ۱۹۹۴)، پرسشنامه باور‌های فراشناخت (ولز و کارتارایت‌هاتون، ۲۰۰۴)، پرسشنامه جهت‌گیری منفی نسبت به مشکل (رابی‌چاوود و دوگاس، ۲۰۰۵)، پرسشنامه اجتناب شناختی (سکستون و دوگاس، ۲۰۰۴) و نسخة کوتاه سیاهه درد (کلیلند، ۱۹۸۹)، 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 study aimed to examine the mediating roles 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: This correlational study included 350 patients (194 men and 156 women) selected through convenience sampling from visitors to the Kosar Imaging Center and the MS Society of Iran in Tehran. Participants completed 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). Path analysis was used to examine the proposed model.
 
Results: The findings 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 demonstrated a good fit with the data.
 
Conclusion: These findings provide further evidence for understanding chronic pain in multiple sclerosis patients through the lens of intolerance of uncertainty, mediated by cognitive avoidance, negative problem orientation, and positive beliefs about worry. The results also support the relevance of cognitive models in explaining psychological aspects of chronic pain.

کلیدواژه‌ها [English]

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

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