نقش ارتباط واسطه‌ای اضطراب درد با مؤلفه‌های روان‌تنی بر کیفیت زندگی بیماران مبتلا به سردرد میگرنی: تحلیل مسیر

نویسندگان

1 1 -دانشیار، گروه روانشناسی سالمت، دانشکدهی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 2 -دانشجوی کارشناسی ارشد ،گروه روانشناسی سالمت، دانشکدهی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 3 -استاد، گروه روانشناسی سالمت، دانشکدهی پزشکی و مرکز تحقیقات علوم رفتاری، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

4 4 -استادیار، گروه ایپدمیولوژی وآمار زیستی، دانشکدهی بهداشت، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

5 5 -استاد، گروه داخلی اعصاب، دانشکدهی پزشکی و مرکز تحقیقات علوم اعصاب، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: سردرد‌های میگرنی، یکی از اختلالات روان‌تنی است که با واسطه‌گری مشکلات روان‌شناختی، کیفیت زندگی و عملکرد عمومی بیماران را به شدت مختل می‌کند. هدف از انجام پژوهش حاضر، بررسی نقش میانجی‌گری اضطراب درد در ارتباط بین مؤلفه‌های روان‌تنی بر کیفیت زندگی بیماران مبتلا به میگرن بود.
روشها: در این مطالعه‌ی مقطعی، 250 بیمار مبتلا به میگرن، بر مبنای ملاک‌های ورود و خروج، از بین افراد مبتلا به میگرن مراجعه‌کننده به کلینیک درد و نورولوژی وابسته به علوم پزشکی اصفهان در سال 1399 به روش نمونه‌گیری در دسترس انتخاب شدند. در موقعیت مناسب روان‌شناختی، پس از توجیه آن‌ها از اهداف تحقیق، پرسش‌نامه‌ی ۲۶ سؤالی کیفیت زندگی سازمان بهداشت جهانی (World Health Organization's Quality of Life یا WHOQOL-BREF)، فرم کوتاه مقیاس نشانگان اضطراب مرتبط با درد (20-Pain Anxiety Symptoms Scale یا PASS-20) و همچنین، پرسش‌نامه‌ی مؤلفه‌های تشخیصی- پژوهشی روان‌تنی (Diagnostic Criteria for Psychosomatic Research یا DCPR) تکمیل گردید.
یافتهها: بین مؤلفه‌های روان‌تنی و اضطراب درد با ابعاد کیفیت زندگی همبستگی منفی مشاهده شد. همچنین، مؤلفه‌های روان‌تنی به طور غیر مستقیم با ابعاد کیفیت زندگی و اضطراب درد نیز به طور مستقیم با ابعاد کیفیت زندگی ارتباط داشت. بر اساس یافته‌ها، مدل پیشنهادی تحلیل مسیر متغیرها دارای برازش مناسبی بود.
نتیجهگیری: نتایج به دست آمده از پژوهش‌ حاضر، سهم برخی عوامل زیربنایی روان‌شناختی در پدید آمدن و تداوم سردرد را تبیین می‌کند و تدوین بسته‌های مداخله‌ای روان‌شناختی مبتنی بر مدل تبیینی را جهت ارتقای کیفیت زندگی بیماران مبتلا به میگرن پیشنهاد می‌نماید.



 

کلیدواژه‌ها


عنوان مقاله [English]

The Role of Mediating the Relationship between Pain Anxiety and Psychosomatic Components on Quality of Life in Patients with Migraine Headache: Path Analysis

نویسندگان [English]

  • Amrollah Ebrahimi . 1
  • Mehdi Borouni . 2
  • Reza Bagherian-Sararoudi . 3
  • , Zahra Heidari . 4
  • Fariborz Khorvash . 5
چکیده [English]

Background: Migraine headaches are one of the psychosomatic disorders that severely impair patients' quality
of life and general functioning by mediating psychological problems. The aim of this study was to investigate
the mediating role of pain anxiety in the relationship between psychosomatic components on quality of life in
these patients.
Methods: In this cross-sectional study, using available sampling method, 250 patients with migraine were
selected based on inclusion and exclusion criteria among people with migraine referred to the Pain and
Neurology Clinic affiliated to Isfahan Medical Sciences, Isfahan, Iran, in year 2020. In the appropriate
psychological situation, after justifying the goals of the research, the World Health Organization Quality of Life
Questionnaire (WHOQOL-BREF), McCracken Pain Anxiety Questionnaire (PASS-20) and also the Diagnostic
Criteria for Psychosomatic Research Questionnaire (DCPR) were completed.
Findings: There was a negative correlation between the components of psychosomatic and pain anxiety with the
dimensions of quality of life. Moreover, there was an indirect relation between the components of psychosomatic
with the dimensions of quality of life, a direct relation between pain anxiety and the dimensions of quality of life.
Besides, the proposed model of path analysis of variables had a good fit.
Conclusion: The findings of this study explain the contribution of some underlying psychological factors in the
occurrence and persistence of headache. Moreover, this study suggests the development of psychological
intervention packages based on an explanatory model to improve the quality of life of patients with migraine.

کلیدواژه‌ها [English]

  • Migraine headache
  • Pain
  • Health
  • Anxiety
  • Irritable mood
  • Alexithymia
  • Quality of Life 
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