راهبردهای تنظیم شناختی هیجان بر خودمراقبتی در بیماران قلبی- عروقی: بررسی نقش میانجی شفقت به خود

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشجوی دکتری تخصصی، گروه روانشناسی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران

2 استادیار، گروه روانشناسی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، ایران

3 استادیار، متخصص قلب و عروق، فلوشیپ اینترونشنال کاردیولوژی، گروه داخلی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

4 استادیار، گروه پرستاری سلامت بزرگسالان، مرکز تحقیقات مراقبت‌های پرستاری و مامایی، دانشکده‌ی پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقاله پژوهشی




مقدمه: بیماری‌های قلبی- عروقی به عنوان یک اختلال مزمن متأثر از عوامل روان‌شناختی است. این مطالعه با هدف تعیین راهبردهای تنظیم شناختی خودمراقبتی با میانجی‌گری شفقت‌ به خود در بیماران قلبی انجام گردید.
روش‌ها: مطالعه‌ی مقطعی از نوع همبستگی به شیوه‌ی مدل‌یابی معادلات ساختاری اجرا گردید. جامعه‌ی پژوهش،‌ بیماران قلبی 70-25 ساله‌ی مراجعه‌کننده به مراکز آموزشی اصفهان در سال 1398-1399 بودند. 400 بیمار با نمونه‌گیری تصادفی ساده انتخاب و به پرسش‌نامه‌های تنظیم شناختی هیجان Garnefski، شفقت‌ به خود Neff رفتار مراقبت از خود در بیماران نارسایی قلبی Jarasma پاسخ دادند. تجزیه وتحلیل داده‌ها به روش همبستگی  Pearsonو رگرسیون سلسله‌مراتبی همزمان انجام شد.
یافته‌ها: نتایج نشان داد بین نمره‌ی تنظیم هیجانی مثبت با شفقت‌ورزی به خود (0/020 = P؛ 0/116 = r) و با خودمراقبتی (0/001 = P؛ 0/205 = r) همبستگی مستقیم و معنی‌دار وجود داشت. با توجه به ضریب تأثیر غیرمستقیم 046/0 = β از نقش میانجی شفقت‌ورزی به خود در ارتباط بین تنظیم هیجانی مثبت و خودمراقبتی حمایت شد. همچنین ضریب تأثیر غیرمستقیم 0/046 = β شفقت‌ورزی به خود می‌تواند میانجی مطلوبی بین تنظیم هیجانی منفی و خودمراقبتی باشد.
نتیجه‌گیری: راهبردهای تنظیم شناختی هیجان و شفقت به خود می‌تواند بهبود خودمراقبتی در بیماران قلبی را تبیین نماید و شفقت به خود میانجی‌گر مهم تلقی می‌شود. به درمانگران پیشنهاد می‌شود به خودشفقتی و سرمایه‌ی روان‌شناختی توجه نمایند، زیرا آگاهی از متغیرها می‌تواند موجب ارائه‌ی خدمات با کیفیت به بیماران شود.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Cognitive Emotion Regulation Strategies on Self-care in Patients with Cardiovascular Disease: Investigating the Mediating Role of Self-compassion

نویسندگان [English]

  • Azam Moladoost 1
  • Sheida Jabalameli 2
  • Amirreza Sajjadieh Khajouei 3
  • Sedigheh Farzi 4
1 PhD Student, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran
2 Assistant Professor, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran
3 Assistant Professor, Cardiologist, Interventional Cardiology Fellowship, Department of Internal, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
4 Assistant Professor, Adult Health Nursing Department, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Cardiovascular diseases are the most common disorders that are highly influenced by psychological factors. The aim of this study was to determine the cognitive emotion regulation strategies on self-care in patients with cardiovascular disease.
Methods: The research method was cross-sectional descriptive correlational and was performed by structural equations. The study population included all patients with cardiovascular disease aged from 25 to 70 years old who referred to educational and medical centers in Isfahan during 2016-2017. Four hundred patients were selected by convenience sampling method and they answered three questionnaires of Garnefski Cognitive Emotion Regulation, Neff Self-compassion, and Jarasma Self-care Behavior in patients with heart failure. Data was analyzed by Pearson correlation and hierarchical regression simultaneously.
Findings: The results showed a direct and significant correlation between the positive emotion regulation score with self-compassion (P = 0.020 and r = 0.116) and with self-care (P = 0.001; r = 0.205). According to the indirect effect coefficient β = 0.046, the mediating role of self-compassion in the relationship between positive emotion regulation and self-care was supported. Also, the indirect effect coefficient β = 0.046 of self-compassion can be a good mediator between negative emotion regulation and self-care.
Conclusion: The cognitive emotion regulation strategies and self-compassion can explain the improvement of self-care in patients with cardiovascular disease; and self-compassion is considered an important mediator. Therapists are suggested to pay attention to self-compassion and psychological capital, because awareness of variables can provide quality services to patients.

کلیدواژه‌ها [English]

  • Self-care
  • Self-compassion
  • Cardiovascular diseases
  • Cognitive behavioral therapy
  • Emotional regulation

مراجع

  1. Heo S, Moser DK, Lennie TA, Zambroski CH, Chung ML. A comparison of health-related qualityof life between older adults with heart failure and healthy older adults. Heart Lung 2007; 36(1): 16-24.
  2. Cheraghi MA, Davari Dolatabadi E, Salavati M, Moghimbeigi A. Association between perceivedsocial support and quality of life in patients with heart failure [in Persian]. IJN 2012; 25(75): 21-31.
  3. Hekmatpou D, Mohammadi E, Ahmadi F, Arefi SH. Non-compliance factors of congestive heartfailure patients readmitted in cardiac care units [in Persian]. J Crit Care Nurs 2010; 2(3): 91-9.
  4. Mansouri K, Hasavari F, Sedghi Sabet M. Self-care status and it’s related factors in patients with heart failure [in Persian]. JHC 2018; 19(4): 232-41.
  5. Lorig K. Chronic disease self-management program: Insights from the eye of the storm. Front Public Health 2014; 2: 253.
  6. Kessing D, Denollet J, Widdershoven J, Kupper N. Fatigue and self-care in patients with chronicheart failure. Eur J Cardiovasc Nurs 2016; 15(5): 337-44.
  7. Oksel E, AkbiyIk A, Kocak G. Self-care behavior analysis of patients with chronic heart failure. Eur J Cardiovasc Nurs 2009; 31(7): s22.
  8. Shojaei F, Asemi S, Najaf Yarandi A, Hosseini F. Self-care behaviors in patients with heart failure [in Persian]. Payesh 2010; 8(4): 361-9.
  9. Peyman N, Abdolahi M, Zadeahmad Z. The study of related factors with self-care and self-efficacy in heart failure patients [in Persian]. JMS 2018; 6(1): 55-61.
  10. Ghorbani Taghlidabadi B, Tasbihsazan Mashhadi R. The relationship between cognitive emotion regulation mechanisms and lifestyle with perceived stress in patients with irritable bowel syndrome [in Persian]. J Thought Behav Clin Psychol 2016; 11(39): 17-26.
  11. Avat Bahram K, Rabiei M, Donyavi V, Nikfarjam M. Comparison between emotion regulation strategies and life styles of couples with or without marital satisfaction in Sardasht [in Persian]. NPWJM 2015; 2(4): 124-30.
  12. Hadian S, Jabalameli Sh. The effectiveness of compassion-focused therapy (CFT) on subjective well-being of students with sleep disorders [in Persian]. Daneshvar Medicine 2020; 27(1): 19-28.
  13. Neff KD. The development and validation of a scale to measure self-compassion. Self and Identity 2003; 2(3): 223-50.
  14. Bagean Koulemarz M, Karami J, Momeni K, Elahi A. The effectiveness of cognitive behavioral analysis system of psychotherapy (CBASP) and integration of dialectical behavior therapy and cognitive therapy based on compassionate-mind on reduction mental pain and dificulty emotion regulation people attempted suicide [in Persian]. Clin Psychol Stud 2019; 9(34): 35-63.
  15. Mansouri A, Khodayarifard M, Besharat MA, Gholamali-Lavasani M. Moderating and mediating role of spiritual coping and cognitive emotion regulation strategies in the relationship between transdiagnostic factors and symptoms of generalized anxiety disorder: Developing a conceptual model [in Persian]. J Res Behav Sci 2018; 16(2): 130-42.
  16. Kord B, Karimi S. The prediction of emotional regulation based on the students' self-compassion and body image [in Persian]. J Educ Psychol Stud 2017; 14(28): 207-30.
  17. Saeedi Z, Ghorbani N, Sarafraz MR, Sharifian MH. The effect of inducing self-compassion and self-esteem on the level of the experience of shame and guilt [In Persian]. BJCP 2013; 8(1): 91-102.
  18. Hooman H. Structural equation modeling using laser software [in Persian]. Tehran, Iran: Samat Publications; 2005.
  19. Garnefski N, Kraaij V, Spinhoven P. Negative life events, cognitive emotion regulation, and emotional problems. Pers Individ Differ 2001; 30(8): 1311-27.
  20. Besharat MA, Bazzazian S. Psychometri properties of the cognitive emotion regulation questionnaire in a sample of Iranian population [in Persian]. Adv Nurs Midwifery 2014; 24(84): 61-70.
  21. Momeni F, Shahidi SH, Mootabi F, Heydari M. Psychometric properties of a Farsi version of the self-compassion scale (SCS) [in Persian]. BJCP 2014; 8(2): 27-40.
  22. Khoshtarash M, Momeni M, Ghanbari A, Salehzadeh A, Rahmatpour P. Self-care behaviors and related factors in patients with heart failure reffering to medical & educational center of heart in Rasht [in Persian]. J Holist Nurs Midwifery 2013; 23(1): 22-9.
  23. Goldin PR, Lee I, Ziv M, Jazaieri H, Heimberg RG, Gross JJ. Trajectories of change in emotion regulation and social anxiety during cognitive-behavioral therapy for social anxiety disorder. Behav Res Ther 2014; 56: 7-15.
  24. Mohammadi SY, Ahmadi S. Effectiveness of progressive relaxation and emotional regulation on quality of life of heart patients [in Persian]. JQUMS 2018; 22(5): 59-69.
  25. Kazemi Rezaei SV, Kakabraee K, Hosseini SS. The effectiveness of emotion regulation skill training based on dialectical behavioral therapy on cognitive emotion regulation and quality of life of patients with cardiovascular diseases [in Persian]. J Arak Uni Med Sci 2019; 22(4): 98-111.
  26. Akin A, Akin U. An investigation of the predictive role of self-compassion on hope in Turkish university students. J Education Scie & Psycho 2014; 4(2): 96-104.
  27. Zarei S, Fooladvand K. A mediating role of hope in the relationship between self-compassion and life satisfaction; a non-interventional study [in Persian]. Health Res J 2019; 4(3): 159-67.
  28. Bahaodini H, Zandekarimi G. Stress inoculation training on cognitive emotional regulation: The effect on vulnerable married female adolescents. J Behav Brain Sci 2018; 8(6): 329-38.
  29. Richardson CME, Trusty WT, George KA. Trainee wellness: self-critical perfectionism, self-compassion, depression, and burnout among doctoral trainees in psychology. Couns Psychol Q 2020; 33(2): 187-98.
  30. Yörük S, Güler D. The relationship between psychological resilience, burnout, stress, and sociodemographic factors with depression in nurses and midwives during the COVID‐19 pandemic: A cross‐sectional study in Turkey. Perspect Psychiatr Care 2021; 57(1): 390-8.
  31. Gresham D, Gullone E. Emotion regulation strategy use in children and adolescents: The explanatory roles of personality and attachment. Pers Individ Differ 2012; 52(5): 616-21.
  32. Nelis D, Quoidbach J, Hansenne M, Mikolajczak M. Measuring individual differences in emotion regulation: The emotion regulation profile-revised (ERP-R). Psychol Belg 2011; 51(1): 49-91.
مجله دانشکده پزشکی اصفهان
دوره 40، شماره 696
هفته 4 دی ماه
آذر و دی 1401
صفحه 957-965

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