الگوی ساختاری روابط بین دشواری‌های تنظیم هیجانی، مشکلات روان‌شناختی، جسمانی‌سازی و شدت علایم گوارشی در اختلالات گوارشی عملکردی

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشیار، گروه روان‌شناسی، دانشگاه پیام نور، تهران، ایران

2 استاد، گروه روان‌شناسی، دانشگاه پیام نور، تهران، ایران.

3 دانشجوی دکتری، گروه روان‌شناسی، مرکز تحقیقات روان‌تنی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

4 دانشیار، گروه گوارش، مرکز تحقیقات جامع عملکردی گوارش، دانشگاه علوم پزشکی اصفهان، ایران

چکیده

مقدمه: امروزه، بهترین مدل ارزیابی و درمان اختلالات گوارشی عملکردی (Functional gastrointestinal disorders یا FGID)، مدل زیستی- روانی- اجتماعی است. هدف پژوهش حاضر، بررسی الگوی ساختاری روابط بین دشواری‌های تنظیم هیجانی، مشکلات روان‌شناختی نظیر اضطراب و افسردگی، جسمانی سازی و شدت علایم گوارشی در بیماران مبتلا به اختلالات گوارشی عملکردی بود.روش‌ها: 240 بیمار مبتلا به اختلالات گوارشی عملکردی به روش نمونه‌گیری در دسترس انتخاب شدند. این افراد، با پاسخ دادن به چهار پرسش‌نامه‌ی مقیاس دشواری‌های تنظیم هیجان (Difficulties in emotion regulation scale یا DERS)، مقیاس اضطراب و افسردگی بیمارستانی (HADS یا Hospital anxiety and depression scale)، پرسش‌نامه‌ی ادراک جسمی تعدیل شده (MSPQ یا Modified somatic perception questionnaire) و مقیاس شدت علایم گوارشی (GSRS یا Gastrointestinal symptom rating scale) در پژوهش شرکت کردند. برای تحلیل داده‌ها از آزمون مدل‌سازی معادلات ساختاری استفاده شد.یافته‌ها: دشواری‌های تنظیم هیجانی بر اضطراب، افسردگی و جسمانی‌سازی اثر مستقیم و بر شدت علایم گوارشی اثر غیرمستقیم معنی‌داری داشت (001/0> P). همچنین، از نقش واسطه‌ای اضطراب و جسمانی‌سازی در رابطه‌ی بین دشواری‌های تنظیم هیجانی و شدت علایم گوارشی در بیماران مبتلا به اختلالات گوارشی عملکردی حمایت شد؛ در حالی که، نقش واسطه‌ای افسردگی در این ارتباط، تأیید نشد.نتیجه‌گیری: نتایج این پژوهش بر نقش دشواری‌های تنظیم هیجان از طریق افزایش اضطراب و جسمانی‌سازی در ایجاد علایم گوارشی این بیماران تأکید دارد.

کلیدواژه‌ها

عنوان مقاله [English]

The Structural Model of Difficulties in Emotion Rgulation, Psychological Problems, Somatization and Gastrointestinal Symptoms Intensity in Functional Gastrointestinal Disorders

نویسندگان [English]

  • Mahnaz Aliakbari-Dehkordi 1
  • Ahmad Alipoor 2
  • Narges Mohammadi 3
  • Hamed Daghaghzadeh 4
1 Associate Professor, Department of Psychology, Payame Noor University, Tehran, Iran
2 Professor, Department of Psychology, Payame Noor University, Tehran, Iran
3 PhD Student, Department of Psychology, Psychosomatic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
4 Associate Professor, Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Nowadays, bio-psycho-social model is the best model for the assessment and treatment of functional gastrointestinal disorders. This study aimed to evaluate the structural pattern of the relationships between the difficulties in emotion regulation, psychological problems (anxiety and depression), somatization and gastrointestinal symptoms intensity in patients with functional gastrointestinal disorders.Methods: 240 patients with functional gastrointestinal disorders were selected using convenience sampling method. They participated in the research by filling four questionnaires: Difficulties in Emotion Regulation Scale (DERS), Hospital Anxiety and Depression Scale (HADS), Modified Somatic Perception Questionnaire (MSPQ) and Gastrointestinal Symptom Rating Scale (GSRS). Data were analyzed using structural equation modeling method.Findings: The difficulties in emotion regulation had significantly direct effects on anxiety, depression and somatization, and indirect effect on gastrointestinal symptoms intensity (P < 0.001). Besides, the mediatory roles of anxiety and somatization in the relationship between the difficulties in emotion regulation and gastrointestinal symptoms intensity were supported.Conclusion: In sum, the results of the study emphasize the role of difficulties in emotion regulation in development of gastrointestinal symptoms intensity in these patients by increasing anxiety and somatization.

کلیدواژه‌ها [English]

  • Difficulties in emotion regulation
  • Psychological problems
  • Somatization
  • Gastrointestinal symptoms
  • Functional gastrointestinal disorders

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مجله دانشکده پزشکی اصفهان
دوره 33، شماره 321 - شماره پیاپی 321
فروردین و اردیبهشت 1394
صفحه 28-44

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سابقه مقاله

  • تاریخ دریافت: 22 آذر 1393
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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