اثر ساختاری استرس مزمن، تاب‌آوری و جسمانی‌سازی بر ناتوانی کارکردی در نشانگان بدنی کارکردی: نقش واسطه‌ای ذهنی‌سازی

نوع مقاله : علمی- پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد روانشناسی عمومی، گروه روانشناسی بالینی، دانشکده روانشناسی و علوم تربیتی، دانشگاه سمنان، سمنان، ایران.

2 دانشیار روانشناسی سلامت، گروه روانشناسی بالینی، دانشکده روانشناسی و علوم تربیتی، دانشگاه سمنان، سمنان، ایران.

3 دانشیار روانشناسی، گروه روانشناسی بالینی، دانشکده روانشناسی و علوم تربیتی، دانشگاه سمنان، سمنان، ایران.

10.30473/hpj.2020.49910.4635

چکیده

مقدمه: هدف از این پژوهش اثر ساختاری استرس مزمن، تاب‌آوری و جسمانی سازی بر ناتوانی کارکردی در نشانگان بدنی کارکردی با نقش واسطه‌ای ذهنی‌سازی بود. روش: پژوهش حاضربا استفاده از مدل‌سازی معادلات ساختاری انجام شد. نمونه شامل 400 نفر از مردان و زنان در سنین 18 تا 45 سال بودند که با استفاده از فراخوانی اینترنتی، پرسش‌نامه‌های استرس مزمن، تاب‌آوری، جسمانی سازی، ناتوانی کارکردی، ذهنی‌سازی و نشانگان بدنی کارکردی را تکمیل کردند. یافته‌ها: یافته‌ها با استفاده از آزمون تحلیل عاملی تأییدی، آزمون همبستگی و آزمون مدل یابی معادلات ساختاری تحلیل شدند. یافته‌ها در سطح معناداری (05/0>p) حاکی از برازش مناسب مدل داشت. (5/3=χ2/df، 91/0=GFI، 93/0=CFI، 84/0=RMSEA، 93/0=NFI،  89/0=IFI، 58/0=AGFI، 65/0=PGFI). نتیجه‌گیری: پیشنهاد می‌شود که برای بهبود و پیشگیری از ناتوانی کارکردی، علاوه بر نقش استرس، مداخلات و درمان‌های مبتنی بر ذهنی‌سازی و تاب‌آوری نیز در نظر گرفته شود.

کلیدواژه‌ها


عنوان مقاله [English]

The Structural Effect of Chronic Stress, Resilience and Somatization on Functional Disability in Functional Somatic Syndrome: the Mediating Role of Mentalization

نویسندگان [English]

  • Amir Hossein Afshari 1
  • Isaac Rahimian Boogar 2
  • Mahmoud Najafi 3
1 M.A. Student of General Psychology, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran.
2 Associate Professor of Health Psychology, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran
3 Associate Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran.
چکیده [English]

Objective: The purpose of this study was to the structural effect of chronic stress, resilience and somatization on functional disability in functional somatic syndromewith the mediating role of mentalization. Method: the present study was carried out using structural equation modeling (SEM). The sample were included of men and women between the ages of 18 to 45 who completed the use of internet calling, chronic stress, resilience, somatization, functional disability, mentalization and functional somatic syndrome questionnaires. Findings: The findings were analyzed by using Confirmatory Factor Analysis, Correlation and Structural Equation Modeling test. Findings indicated a good fitness for the model at a significant level (p <0.05). (χ2/df=3.5, GFI=0.91, CFI=0.93, RMSEA=0.84, NFI=0.93, IFI=0.89, AGFI=0.58, PGFI=0.65). Conclusion: It is suggested to improve and prevent functional disability, In addition to the role of stress, considered mentalization-based interventions and treatments and resilience.

کلیدواژه‌ها [English]

  • Functional Disability
  • Functional Somatic Syndrome
  • Somatization
  • Chronic Stress
  • Resilience
  • Mentalization
  • Structural Equation Modeling
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