ارتباط سرسختی روان‌شناختی با Alexithymia و شدت علایم گوارشی در مبتلایان به اختلالات عملکردی گوارشی

نوع مقاله : مقاله های پژوهشی

نویسنده

دانشجوی دکتری، مرکز تحقیقات روان‌تنی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: فرض بر این است که سرسختی به عنوان یک عامل سرشتی مثبت می‌تواند سلامت روان فرد را با وجود تجربه‌ی موقعیت‌های استرس‌زا افزایش دهد. هدف مطالعه‌ی حاضر، بررسی ارتباط سرسختی روان‌شناختی با Alexithymia و شدت علایم گوارشی در مبتلایان به اختلالات عملکردی گوارشی بود.روش‌ها: این مطالعه،‌ به روش همبستگی انجام شد. جامعه‌ی آماری، کلیه‌ی بیماران مبتلا به اختلالات عملکردی گوارشی ارجاع شده به کلینیک فوق تخصصی روان‌پزشکی در شهر اصفهان را شامل می‌شد. نمونه‌گیری به شیوه‌ی سرشماری انجام شد و 167 بیمار با توجه به معیارهای مطالعه و طی یک دوره‌ی زمانی معین انتخاب شدند. برای جمع آوری اطلاعات، از مقیاس‌های سرسختی روان‌شناختی (Lang and Goulet Hardiness Scale یا LGHS)، Toronto Alexithymia Scale (TAS-20) و علایم گوارشی (Gastrointestinal Symptoms Rating Scale یا GSRS) استفاده گردید.یافته‌ها: تحلیل همبستگی Pearson نشان داد که بین سرسختی کل و مؤلفه‌های کنترل و تعهد با شدت علایم گوارشی و سرسختی کل و مؤلفه‌های کنترل و چالش با Alexithymia ارتباط منفی معنی‌داری وجود داشت. همچنین، Logistic regression نشان داد که تنها، عامل کنترل، به عنوان یک عامل محافظتی، هم برای علایم گوارشی و هم برای Alexithymia، بود.نتیجه‌گیری: با توجه به نتایج، اجرای مداخلات روان‌شناختی که منجر به تقویت ویژگی سرسختی و مؤلفه‌های آن گردد، می‌تواند با تغییر در نظام روان‌شناختی بیماران، گامی اساسی در روند بهبود آن‌ها و کاهش عوامل خطرساز بیماری، از جمله Alexithymia برداشته، حتی از بروز بیماری در افراد جلوگیری کند.

کلیدواژه‌ها

عنوان مقاله [English]

The Relationship of Psychlogical Hardiness with Alexithymia and Severity of Gastrointestinal Symptoms in Patients with Functional Gastrointestinal Disorders

نویسنده [English]

  • Mina Mazaheri
PhD Student, Psychosomatic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: It is assumed that the hardiness, as a positive natural factor, can increase mental health in spite of the experience of stressful situations. The present study investigated the relationship of psychological hardiness with alexithymia and severity of gastrointestinal symptoms in patients with functional gastrointestinal disorders. Methods: In this descriptive-correlation study, the statistical population consisted of all patients with functional gastrointestinal disorders referred to the Subspecialty Center of Psychiatry in Isfahan, Iran. Sampling was done via census method, namely, 167 patients were selected according to the study criteria and during a certain period of time. To collect information, the scales of the psychological hardiness (Lang and Goulet Hardiness Scale or LGHS), the Toronto Alexithymia Scale (TAS-20) and the Gastrointestinal Symptoms Rating Scale (GSRS) were used.Findings: The Pearson correlation test showed that there were significant negative correlations between the hardiness total score and the components of control and commitment with severity of gastrointestinal symptoms, and the hardiness total score and the components of control and challenge. However, logistic regression analyses showed that only, the control factor was as a protective factor for both severity of gastrointestinal symptoms and alexithymia. Conclusion: The implementation of psychological interventions that lead to the reinforcement of the features of hardiness and its components can alter patients' psychological system. Thus, it takes an essential step in healing process and decreases the risk factors of disease, such as alexithymia, and even prevent illness incidence.

کلیدواژه‌ها [English]

  • Psychological hardiness (control, commitment and challenge)
  • Severity of gastrointestinal symptoms
  • Alexithymia

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مجله دانشکده پزشکی اصفهان
دوره 33، شماره 328 - شماره پیاپی 328
فروردین و اردیبهشت 1394
صفحه 378-388

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سابقه مقاله

  • تاریخ دریافت: 22 آذر 1393
  • تاریخ بازنگری: 07 اردیبهشت 1403
  • تاریخ پذیرش: 17 فروردین 1401

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