نقش فاجعه انگاری درد، تنیدگی ادراک شده و اجتناب تجربه ای در تنهایی بیماران اسکلروز چندگانه (مقاله علمی وزارت علوم)
درجه علمی: نشریه علمی (وزارت علوم)
آرشیو
چکیده
مقدمه: اسکلروز چندگانه یک بیماری مزمن پیش رونده در سیستم اعصاب مرکزی می باشد که بر جنبه های مختلف زندگی شخص اثرگذار است. بر این اساس، هدف پژوهش حاضر بررسی نقش فاجعه انگاری درد، تنیدگی ادراک شده و اجتناب تجربه ای در تنهایی بیماران مبتلا به مولتیپل اسکلروزیس می باشد. روش: روش پژوهش از نوع توصیفی-همبستگی بود. جامعه مورد مطالعه شامل تمامی بیماران مبتلا به مولتیپل اسکلروزیس ساکن شهر رشت در سال 1401 بود که 120 نفر به روش نمونه گیری دردسترس انتخاب شدند. به منظور گردآوری داده ها، از پرسشنامه فاجعه سازی درد (سالیوان و همکاران، 1995)، مقیاس تنیدگی ادراک شده (کوهن و همکاران، 1983)، پرسشنامه پذیرش و عمل (بوند و همکاران، 2011) و مقیاس احساس تنهایی (دی توماسو و همکاران، ۲۰۰۴) استفاده شد. داده ها با روش همبستگی پیرسون و رگرسیون گام به گام مورد تجزیه و تحلیل قرار گرفت. یافته ها: نتایج نشان داد که بین فاجعه انگاری درد، تنیدگی اداراک شده و اجتناب تجربه ای با تنهایی همبستگی مثبت معنادار وجود دارد. همچنین، یافته ها نشانگر این بودند که تنها اجتناب تجربه ای قدرت پیش بینی تنهایی را دارد ) 05/0 p< ). نتیجه گیری: فاجعه انگاری درد، تنیدگی ادراک شده و اجتناب تجربه ای از طریق عدم پذیرش احساسات و افکار موجب افزایش تنهایی بیماران مبتلا به مولتیپل اسکلروزیس شده است.The Role of Pain Catastrophizing, Perceived Tension, and Experiential Avoidance in Loneliness of Patients with Multiple Sclerosis.
Objective: Multiple sclerosis (MS) is a chronic progressive disease of the central nervous system that affects various aspects of a person's life. Evidence suggests that patients with more disabilities have lower levels of participation in social, home, work, and educational domains. Therefore, people with MS may be at risk of loneliness due to the changes in the social network that occur during the course of the chronic disease. Loneliness is the most painful experience of all human experiences that leads to severe psychological and physical problems. Considering the extensive physical, psychological and social consequences of this disease and the high cost of MS treatment and control, which can be aggravated by the psychological disturbance of patients, it will be important to examine psychological variables in people suffering from this disease. Based on this, the aim of this study was to investigate the role of pain catastrophizing, perceived tension and experiential avoidance in the loneliness of patients with multiple sclerosis. Method: The method of the present research was a descriptive-correlation study. The studied population included all patients with multiple sclerosis living in Rasht in 2022 who 120 people were selected as a sample group by available sampling method. In order to collect data, pain catastrophizing questionnaire (Sullivan et al., 1995), perceived stress scale (Cohen et al., 1983), acceptance and action questionnaire (Bond et al., 2011) and loneliness scale (DiTomaso et al., 2004) was used, all of which were valid and reliable. Participating in this research was optional and all participants were free to quit any time. The identities of the participants in this research were ethically confidential. The research data collected using descriptive statistics, Pearson's correlation coefficient, and step-by-step regression using SPSS-27 software. Results: The results showed that there is a significant positive correlation between loneliness and pain catastrophizing (r= 0.22, p< 0.05), perceived tension (r= 0.42, p<0.01) and experiential avoidance (r=0.51, p<0.01). In other words, the greater the pain catastrophizing, the perceived tension and the experienced avoidance it is more in patients with multiple sclerosis, loneliness is more. Also, the findings showed that among the predictor variables of this study, only experiential avoidance with a beta coefficient of 0.405 at the error level of 0.05 can predict social loneliness of patients with multiple sclerosis. Conclusion: Based on the results of this study, it can be acknowledged that pain catastrophizing, perceived tension and experiential avoidance through non-acceptance of feelings and thoughts have increased the loneliness of patients with multiple sclerosis. Therefore, considering the high levels of injuries and mental disorders in patients with multiple sclerosis, it seems necessary to identify the causal and underlying factors in maintaining and improving the mental health and well-being of this group of chronic patients. The findings of this study can strengthen theoretical models related to health and especially health psychology.
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