مدل پیش‌بینی نقش عوامل شناختی در بهزیستی ذهنی بیماران مبتلا به صرع شهر اصفهان

مهرابی, سحر; صالحی, اعظم

مدل پیش‌بینی نقش عوامل شناختی در بهزیستی ذهنی بیماران مبتلا به صرع شهر اصفهان

نوع مقاله : مقاله های پژوهشی

نویسندگان

¹ گروه روان‌شناسی، دانشکده‌ی علوم انسانی، دانشگاه آزاد اسلامی واحد نجف‌آباد، اصفهان، ایران

² گروه روان‌شناسی، دانشکده‌ی علوم انسانی، دانشگاه آزاد اسلامی واحد نجف‌آباد و استادیار، گروه مشاوره، دانشکده‌ی علوم تربیتی، دانشگاه پیام نور، تهران، ایران

چکیده

مقدمه: صرع یکی از بیماری‏های شایع است که برخی از کارکردهای شناختی مانند ادراک، نگرش‌ها و بهزیستی ذهنی را متأثر می‏سازد. بنابراین، پژوهش حاضر با هدف بررسی رابطه‌ی عوامل شناختی با بهزیستی ذهنی افراد مصروع و تدوین مدل معادله‌ی ساختاری آن صورت پذیرفت.روش‌ها: پژوهش حاضر توصیفی از نوع مدل‏سازی معادلات ساختاری بود. جامعه‏ی این پژوهش، افراد بالای 14 سال مبتلا به صرع مراجعه کننده به انجمن خیریه‌ی‌ صرع شهر اصفهان در سال 1395 بودند که تعداد 120 نفر از آن‏ها به روش نمونه‌گیری در دسترس انتخاب شد. ابزار پژوهش شامل پرسش‌نامه‌ی بهزیستی ذهنی، پرسش‌نامه‌ی نگرش‏های ناکارآمد، پرسش‌نامه‌ی ادراک از بیماری و پرسش‌نامه خطاهای شناختی بود. برای تحلیل نتایج پژوهش از نرم‌افزارهای SPSS و AMOS استفاده شد.یافته‌ها: مدل اصلی با مدل پیش‌فرض برازش مطلوبی داشت. تحلیل مدل اصلی نشان داد که درک پاسخ عاطفی به بیماری (81/0 = β)، میزان اعتماد به درمان (66/0 = β)، خطاهای شناختی (53/0 = β) و نگرش‌های ناکارآمد (42/0- = β) با بهزیستی ذهنی همبستگی دارد. همچنین، درک پاسخ عاطفی به بیماری (65/0)، میزان اعتماد به درمان (43/0)، خطاهای شناختی (28/0) و نگرش‏های ناکارآمد (17/0) در بهزیستی ذهنی بیماران مبتلا به صرع سهیم بودند.نتیجه‌گیری: بهزیستی ذهنی افراد مصروع تا حد زیادی به درک پاسخ عاطفی به بیماری و میزان اعتماد به درمان آن‌ها نسبت به بیماری بستگی دارد. لازم است درمانگران در کنار درمان‏های دارویی، به این دو عامل توجه کنند.

کلیدواژه‌ها

عنوان مقاله [English]

Predictive Model of Cognitive Factors in Mental Well-being among Patients with Epilepsy in Isfahan City, Iran

نویسندگان [English]

Sahar Mehrabi ¹
Azam Salehi ²

¹ Department of Clinical Psychology, School of Human Sciences, Najaf Abad Branch, Islamic Azad University, Isfahan, Iran

² Department of Clinical Psychology, School of Human Sciences, Najaf Abad Branch, Islamic Azad University, Isfahan AND Assistant Professor, Department of Consulting, School of Educational Sciences, Payame Noor University, Tehran, Iran

چکیده [English]

Background: Epilepsy is one of the common diseases affect some cognitive functions such as perception, attitudes and subjective well-being. Therefore, this study aimed to investigate the relationship between cognitive factors with subjective well-being among people with epilepsy, and also develop a structural equation model for this relevance.Methods: This was a descriptive study of the type of structural equation modeling. This study population was people over 14 years old suffered from epilepsy and referred to Isfahan’s epilepsy charity, Iran, in the year of 2016; 120 of them were chosen via available sampling method. Research tools included subjective well-being questionnaire, dysfunctional attitude questionnaire, perception of illness questionnaire, and cognitive errors questionnaire. To analyze the results of this study, SPSS and AMOS software were used.Findings: There was a good fit with the default model. Analysis of the original model indicated that understanding the emotional response to the disease (β = 0.81), the confidence to treat (β = 0.66), cognitive errors (β = 0.53), and dysfunctional attitude scale (DAS) (β = -0.42) were correlated with subjective well-being. In addition, understanding the emotional response to the disease (0.65), the confidence to treat (0.43), cognitive errors (0.28), and dysfunctional attitude scale (0.1.7) were involved in patients' subjective well-being.Conclusion: The results show that subjective well-being in patients with epilepsy greatly appreciates the understanding emotional response to the disease and the confidence in the treatment. So, that is necessary for therapists to pay attention to these two factors beside the medical treatments.

کلیدواژه‌ها [English]

Epilepsy
Cognitive dysfunction
Attitudes
Perception

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