نقش واسطه‌ای ناگویی هیجانی در رابطه‌ی بین حمایت اجتماعی ادراک‌شده و شکایات جسمانی زنان افسرده
محورهای موضوعی : فصلنامه زن و جامعه
1 - استادیار گروه روانشناسی، واحد شیراز، دانشگاه ازاد اسلامی، شیراز، ایران
2 - مشاور مهد کودک
کلید واژه: : ناگویی هیجانی, حمایت اجتماعی ادراک‌شده, شکایات جسمی,
چکیده مقاله :
هدف از پژوهش حاضر بررسی نقش واسطه‌ای ناگویی هیجانی در ارتباط بین حمایت اجتماعی ادراک‌شده و شکایات جسمی بیماران زن افسرده بود. جامعه‌ی آماری پژوهش شامل تمام زنان افسرده‌ی اساسی شهر شیراز بود. بدین منظور با روش نمونه‌گیری در دسترس، 101 زن مبتلا به اختلال افسردگی اساسی که به کلینیک های روانپزشکی و روانشناختی شهر شیراز مراجعه کرده بودند، پرسشنامه‌های ناگویی هیجانی تورنتو(TAS-20)، مقیاس چندگانه‌ی حمایت اجتماعی درک‌شده(MSPSS) و اختلالات روان تنی ریاحی و همکاران(1386) را تکمیل نمودند. نتایج تحلیل همبستگی نشان داد که بین حمایت اجتماعی ادراک‌شده و شکایات جسمی رابطه‌ی معکوس معنی‌دار و بین ناگویی هیجانی و شکایات جسمی رابطه‌ی مثبت معنی‌دار وجود دارد. نتایج تحلیل مسیر نشان داد که حمایت اجتماعی ادراک‌شده بر شکایات جسمی اثر مستقیم و غیرمستقیم دارد. همچنین مدل تحقیق قادر به برآورد 38/0 از تغییرات شکایات جسمی بیماران زن افسرده بود. بنابراین حمایت اجتماعی ادراک‌شده هم به طور مستقیم و هم از طریق ناگویی هیجانی می‌تواند بر سلامت جسمی زنان مبتلا به افسردگی تاثیر بگذارد. بعنوان نتیجه گیری میتوان گفت که زنان بعنوان سنگ زیر بنای هر جامعه یی نیازمند دریافت توجه و حمایت و تشخیص زودهنگام اختلالات خلقی جهت پیشگیری از تبدیل به مشکلات جسمانی، هستند
The aim of this study was to evaluation mediating role of Alexithymia between perceived social support and somatic complaints among depressed women. Subjects were 101 women suffering from depression disorder whom were referred to psychiatric and psychological clinic in Shiraz city. Measures were Alexithymia Toronto Scale (ATS-20), Multi-dimensional Perceived Social Support (MPSS) and Riahi and colleagues psychosomatic disorders scale. The results of correlation and analysis showed a significant negative relation between perceived social support and somatic complaints and there was a positive relation between alexithymia and somatic complaints. The results of path analysis showed direct and indirect effect of perceived social support on somatic complaints. The research model is able to estimate 0/38 of variances of somatic complaints. Consequently, perceived social support both directly and through alexithymia can affect the somatic health of depressed women. Conclusion would be the idea that, women as cornerstone of every society need to receive social support in order to prevent them to be depressed and consequently somatized patients.
–Afshari A, Afshar H, Shafiee K, Adibi N. 2014. Dimensions of Alexithymia and their Relationships to Anxiety and Depression in Psychodermatologic Patients. Horizon Med Sci, 19(5): 33-39. ]PERSIAN[.
–Alkandari Y. and Crews ED. 2014. Social support and health among elderly Kuwaitis. Journal of Biosocial Science, 46(4): 518-530.
–Besharat MA. 2007. Reliability and Factorical validity of a Farsi version of the Torono Alexithymia Scale with a sample of Iranian students. Psychological Reports, 101: 209-220] PERSIAN[.
–Blazer DG. 2005. The age of melancholy: “major depression” and its social origins. Routledge publication, New York.
–Bruwer B. Emsley R. Kidd M. Lochner C. and Seedat S. 2008. Psychmetric properties of the Multidimensional Scale of Perceived Social Support in youth. Comprehensive Psychiatry, 49: 195-201.
–Chan, CW. Molassiotis A. Yam BM. Chang S.J. and Lam CS. 2004. Traveling through the cancer trajectory: Social support perceived by women with gynecologic cancer in Hong Kong. Cancer Nurs, 24(5): 387-394.
–EIzagurre AE. Cabezona AOS. Alda IO. Olariaga LJ and Joaniz M. 2004. Alexithymia and its relationship with anxiety and depression in eating disorders. Personality and individual differences. 36: 321-331.
–Ganjalivand N, akbari A, taheri M, visi N. The survey relationship between social network size and physical health in parents with educable mental retardated children. sjimu. 2013; 21 (5) :34-43URL: http:/ sjimu.medilam.ac.ir/article-1-470-en.html ]PERSIAN[.
–Gulpek D. Kaplan FK. Kesebir S. and Bora O. 2014. Alexithymia in patients with conversion disorder. Nordic Journal of Psychiatry.68(5): 300-305.
–Grant I. Patterson TL. and Yager J. 1988. Social supports in relation to physical health and symptoms of depression in the eldery. Am J Psychiatry, 145(10): 1254-1258.
–Heo S. Lennie TA. Moser DK. and Kennedy RL. 2014. Types of social support and their relationships to physical and depressive symptoms and health-related quality of life in patients with heart failure. Heart Lung, 43(4): 299-305.
–Karukivi M. Joukamaa M. Hautala L. Kaleva O. Pezo KMH. Liuksila PR. And Saarijarvi S. 2011. Does perceived social support and parental attitude relate to alexithymia? A study in Finnish adolescents late. Psychiatry Research. 187: 254-260.
–KatonW. Kleinman A. and Rosen G. 1982. Depression and somatization: a review. Am J Med. 27:127-135.
–Kellner R. 1990. Somatization theories and research. J Nerv Ment Dis. 178: 150-159.
–Kojima M. Hayano J. Tokudome S. Suzuki S. Ibuki K. Tomizawa H. and et al 2007. Independent association of alexithymia and social support with depression in hemodialysis patients. J Psychosome Res, 63(4): 349-356.
–Lee EH. Yae Chung B. Boog Park H. and Hong Chung K. 2004. Relationships of mood disturbance and social support to symptom experience in Korean women with breast cancer. J Pain Symptom Manage, 27(5): 425-433.
–Madhakar H. Trivedi MD. 2004. The link between depression and physical symptoms. J. Clin. Psychiatry, 6: 12-16.
–Martinez MP. Sanchez AL. Miro E. Lami MJ. Prados G and Morales A. 2015. Relationships between physical symptoms, emotional distress, and pain appraisal in fibromyalgia: the moderator effect of alexithymia. J psychol. 149(2): 115-140.
–Mumford DB. Bavington JT. And Bhatnagar KS. 1991. Bradford somatic inventory, a multi-ethnic inventory of somatic symptoms reported by anxious and depressed patients in Britain and the Indo-Pakistan subcontinent. Br Psychiatry. 158: 379-386.
–Ohayon MM. Schatzberg AF .2003. Using pain to predict depressive morbidity in the general population. Arsh. Jen. Psychiatry, 60: 39-47.
–Riahi M. E..2009. Supervisors’ knowledge of hospital infections control in one of the medical sciences universities related hospitals. J Mil Med. 11 (3) :175-182. URL: http://militarymedj.ir/article-1-546-fa.html ]PERSIAN[.
–Riahi M. E, Aliverdinia, A. Pourhossein, Z. 2011. Relationship between Social Support and Mental Health, Social Welfare Quarterly. 10(39), 85-121. magiran.com/p848313
–Rieffe C, Nasiri H, Latifian M. Alexithymia and its Relationship with Physical Complaints and Emotional Competency in Children and Adolescents. IJPCP. 2009;15(3) :248-257
URL: http://ijpcp.iums.ac.ir/article-1-823-en.html
–Seifesafari SH. Firoozaabadi A. Ghanizadeh A and Salehi A. 2013. A Symptom Profile Analysis of Depression in a Sample of Iranian Patients. IJMS. 38(1): 22-29.
–Shareh H. Soltani E and Ghasemi A. 2012. Prediction of Quality of Life of Non–Insulin-Dependent Diabetic Patients Based on Perceived Social Support, Zahedan Journal of Research in Medical Sciences, (2): 82-85. ]PERSIAN[.
–Shakeri Nia I. Effect of Social Assists and Hopefulness in Elderly Health Status with Chronic Pain.2012. Salmand; 7 (1) :7-15. URL: http://salmandj.uswr.ac.ir/article-1-491-fa.html ]PERSIAN[.
–Taylor GJ. Bagby RM. and Parker JDA. 2003. The Twenty-Item Toronto Alexithymia Scale-IV: Reliability and factorial validity in different languages and cultures. Journal of Psychosomatic Research, 55: 277-283.
–Teja JS. Narang RL. and Aggarwal AK. 1971. Depression across cultures. Br J Psychiatry, 119: 253-260.
–Tominaga T. Choi H. Nagoshi Y. Wada Y and Fukui K. 2014. Relationship between alexithymia and coping strategies in patients with somatoform disorder. Neuropsychiatr Dis Treat. 10: 55-62.
–Velasques RJ. And Callahan WJ. 1991. MMPI differences among Mexican-American male and female psychiatric inpatients. Psychol Rep. 68: 123-127.
_||_