پیش بینى ناگویی هیجانی بر اساس طرحواره هاى ناسازگار اولیه و ابرازگرى هیجانى با نقش میانجیگری انعطاف پذیری شناختی در بیماران مبتلا به درد مزمن
محورهای موضوعی : روانشناسیلیلی وکیلیان 1 , مرتضی ترخان 2 , جواد خلعتبری 3
1 - دانشجوی دکتری، دانشگاه آزاد اسلامی، واحدتنکابن، ایران
2 - دانشیار روانشناسی دانشگاه پیام نور، تهران، ایران.
3 - دانشگاه آزاد اسلامی واحد تنکابن
کلید واژه: ابرازگرى هیجانى, ناگویی هیجانی, طرحواره هاى ناسازگار اولیه, درد مزمن, انعطاف پذیری شناختی,
چکیده مقاله :
هدف پژوهش، پیش بینى ناگویی هیجانی بر اساس طرحواره‌هاى ناسازگار اولیه و ابرازگرى هیجانى با نقش میانجیگری انعطاف‌پذیری شناختی در بیماران مبتلا به درد مزمن است. روش پژوهش حاضر، همبستگی و از نوع مطالعات تحلیل مسیر بود. برای انجام پژوهش 300 نفر از بیماران دچار درد مزمن مراجعه کننده به بیمارستان های شهر تهران در سال 1397 با شیوۀ نمونه گیری پژوهش خوشه ای چندمرحله ای انتخاب شدند. شرکت کنندگان پرسشنامه های طرحواره های ناسازگار اولیه (Young, 1998)، ابرازگرى هیجان (King & Emmons, 1990)، ناگویی هیجانی تورنتو (Babgy, Parker & Taylor, 1994) انعطاف‌پذیری شناختی (Taghizadeh & Nikhah, 2015) را تکمیل نمودند. برای تحلیل داده ها از نرم‌افزارهای Amos و SPSS استفاده گردید. نتایج تحلیل مسیر نشان داد فقط حوزه های محدودیت های مختل به میزان 18/0 و دیگر جهت مندی به میزان 14/0 در تبیین واریانس ناگویی هیجانی تأثیر مثبتی دارد (05/0 >p). ابرازگرى هیجانى در تبیین واریانس ناگویی هیجانی 27/0-؛ بر متغیر میانجی (انعطاف‌پذیری شناختی) 44/0- تأثیر دارد (01/0 >p). در نهایت، ابرازگرى هیجانى با ضریب تأثیر 31/0- بر ناگویی هیجانی از طریق انعطاف پذیری شناختی تأثیر غیرمستقیم دارد (01/0 >p). از نتایج این پژوهش می توان در راستای کاهش سطح ناگویی هیجانی با استفاده از اصلاح طرحواره هاى ناسازگار اولیه، ابرازگرى هیجانى و انعطاف پذیری شناختی در بیماران مبتلا به درد مزمن استفاده کرد..
AbstractThe purpose of this study was to predict Alexithymia. based on early maladaptive schemas and emotional expressiveness with the role of mediating cognitive flexibility in patients with chronic pain. The research method was correlational and path analysis studies. For this study, 300 patients with chronic pain referred to Tehran hospitals were selected by multistage cluster sampling. Participants completed the questionnaires of early maladaptive schemas Yang (1988), King's and Ammons emotional expressiveness (1990), Toronto Emotional Intelligence (1994), Tagizadeh and Nikkhah's Cognitive Flexibility (2015). Amos and SPSS software were used for data analysis. The results of path analysis showed that only the domains of disturbed constraints of 0.18 and other areas of orientation of 0.14 have a positive effect in explaining the variance of alexithymia (p <0.05). Emotional expression in explaining the variance of alexithymia by -0.27; Affects the mediating variable (cognitive flexibility) -0.44 (p <0.01). Finally, emotional expression with an impact factor of -0.31 has an indirect effect on alexithymia through cognitive flexibility (p <0.01). The results of this study can be used to reduce the level of alexithymia by correcting early maladaptive schemas, emotional expression and cognitive flexibility in patients with chronic pain.
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