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MohammadReza Tamannaeifar; Azam Mansourinik; Freshteh Malekzadeh Kashani
Abstract
Objective: Chronic pain as a common problem may effect on the physical health, well-being and quality of life in patients. The aim of this study was to examine the mediating role of alexithymia and moderating resilience in the relationship between insecure attachment styles and the quality of life in ...
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Objective: Chronic pain as a common problem may effect on the physical health, well-being and quality of life in patients. The aim of this study was to examine the mediating role of alexithymia and moderating resilience in the relationship between insecure attachment styles and the quality of life in chronic pain patients. Method: This study is a structural equation modeling. Among the chronic patients referred to Kashan therapeutic clinics in 2022, 188 patients were recruited through convenience sampling. In order to collect information, Revised Adult Attachment Scale (Collins & Reid, 1989), Toronto Alexithymia Scale (1992), Connor-Davidson Resilience Scale (2003) and Quality of Life Scale (WHOQOL- BREF) were used. Data were analyzed using SPSS and AMOS 24 software. Results: The results of correlation coefficients showed that there are significant negative correlation between the quality of life with anxious insecure attachment, dependency insecure attachment and alexithymia, while there are significant positive correlation between resilience and quality of life (P<0.01). The results showed that the proposed model of the present study has a good fit (x2/df=2.748, p<0.001, CFI= 0.91, RMSEA=0.06). In addition, the results showed that the direct effect of anxious attachment on alexithymia (β= 0.549, P<0.05) and the direct effect of alexithymia on quality of life is significant (β= -0.632, P<0.01). When alexithymia are included as mediator in the relationship between anxious attachment and quality of life, the indirect effect of anxious attachment on quality of life is -0.347, and this indirect effect is significant (P<0.01). Also, the direct effect of dependency attachment on alexithymia is significant (β= 0.297, P<0.05). When alexithymia are included as mediator in the relationship between dependency attachment and quality of life, the indirect effect of dependency attachment on quality of life is -0.188, and this indirect effect is significant (P<0.05). Therefore, The results showed that alexithymia mediates the relationship between anxious insecure attachment and quality of life (β=-0.347, p<0.01) and dependency insecure attachment and quality of life (β=-0.188, p<0.05) in chronic pain patients. Resilience also moderates the relationship between alexithymia and quality of life (β=-0.121, p<0.05). Conclusion: The insecure attachment may effect on quality of life through alexithymia and resilience can be a protective factor against the negative impact of this effect in chronic pain patients. These results have important implications for clinicians and researcher in the field of health psychology. Psycho-educational interventions to identify emotions and describe them and reduce alexithymia can help patients manage their emotions better and improve different aspects of their quality of life. Also, interventions based on resilience can lead to improving the quality of life in chronic pain patients.
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Hamidreza Heidari; hajar torkan
Abstract
Objective: This research aimed to predict the quality of life of hemodialysis patients based on alexithymia, anxiety sensitivity, and psychological hardiness. Methods: The current research was of a descriptive-correlational type. The statistical population of this study included all patients undergoing ...
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Objective: This research aimed to predict the quality of life of hemodialysis patients based on alexithymia, anxiety sensitivity, and psychological hardiness. Methods: The current research was of a descriptive-correlational type. The statistical population of this study included all patients undergoing hemodialysis in Isfahan City in 2022. Accordingly, 294 participants (180 men, 114 women) selected using the available sampling method. Data collection tools include the alexithymia scale (Bagby and Parker, 1994), anxiety sensitivity scale (Reiss et al., 1986), psychological hardiness scale (Kiamarthi et al., 1998), and quality of life scale (World Health Organization, 1996). 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 alexithymia, anxiety sensitivity, and psychological hardiness could predict 49.5% of the variance in quality of life. Alexithymia predicted 42% of the variance of quality of life (P<0.01, β=-0.420), anxiety sensitivity predicted 25/7% of the variance of quality of life (P<0.01, β=-0/257), and psychological hardiness predicted 25/5% of the variance of quality of life (P<0.01, β=0.255). Conclusion: Based on this, it can to conclude that alexithymia and anxiety sensitivity are among the factors that play an effective role in reducing the quality of life of hemodialysis patients. Alexithymia is a dysfunction in emotional processing that leads to a decrease in the ability to identify and diagnose emotions. When a person suffers from advanced kidney disease, i.e., undergoes hemodialysis, he faces problems and defects in the fields of self-esteem and independence in performing health and personal behaviors, so the high level of anxiety sensitivity and these physical worries in these people can be considered a common reaction in chronic patients. Since the quality of life defined and interpreted depending on the definition of the individual and his beliefs regarding the situation in which the individual is, these patients find their quality of life low. On the other hand, hemodialysis patients faced with an uncertain future and the inability to maintain the previous values of life, or at least the inability to follow these values as before the disease, since they find themselves unable to make changes in the said disease. Therefore, they become aroused faster and try less than healthy people to control their emotional situations, such as anxiety and physical changes. Accordingly, replanting and planning for the development and training of psychological hardiness in hemodialysis patients leads to an increase in the quality of life
Kamran Pourmohammad ghouchani; sara mandanizade safi; jafar noori
Abstract
Objective: Consider the role of psychological problems in the incidence and recurrence of cardiovascular disease in individuals it is necessary to treat these factors while identifying them. The aim of this study was to investigate the effectiveness of positive psychotherapy on alexithymia and repetitive ...
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Objective: Consider the role of psychological problems in the incidence and recurrence of cardiovascular disease in individuals it is necessary to treat these factors while identifying them. The aim of this study was to investigate the effectiveness of positive psychotherapy on alexithymia and repetitive negative thinking in cardiovascular patients. Method: The semi-experimental research method was pre-test-post-test design with control group and 3-month follow-up stage. The statistical population of the study included all cardiovascular patients referred to Imam Reza Heart Hospital in Mashhad in 2021. Among them, 30 subjects (14 males and 16 females) were selected by purposeful sampling method and randomly assigned to two experimental groups (15) and control group (15). The experimental group received psychotherapy based on positive psychology perspective in 6 sessions, 60 minutes individually. To collect data, Alexei Teymia Toronto-20 questionnaire (Begby et al., 1994) and recurring negative thoughts (McEavi et al., 2010) were used. The data were analyzed using repeated variance analysis test. Findings: According to the results of this study, there was a significant difference in the scores of emotional failure variable and its components including difficulty in identifying emotions, difficulty in describing emotions and objective thinking, and repeated negative thoughts variable, considering the main effect of time stages, the main effect of psychotherapy intervention and also the interactive effect of time stages with psychotherapy intervention (P<0.01). Conclusion: Positive psychotherapy had effectiveness and efficiency in reducing alexithya and repetitive negative thoughts in cardiovascular patients.
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samira Rahmani javanmard; M.H Khani
Volume 6, Issue 23 , December 2017, , Pages 136-150
Abstract
Introduction: the present study aimed to compare Alexithymia, Distress tolerance, and Anger rumination among patients with Hypertension and normal people. Method: The research design is causal-comparative or ex post facto which is a descriptive – analytic method. The population is all ...
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Introduction: the present study aimed to compare Alexithymia, Distress tolerance, and Anger rumination among patients with Hypertension and normal people. Method: The research design is causal-comparative or ex post facto which is a descriptive – analytic method. The population is all patients with hypertension from the health care centers and hospitals of Aleshtar, Lorestan. The total numbers of the participants is 40 clients which we select them by at hand sampling method. We compare these clients with 40 normal people. Data were analyzed using multivariate analysis of variance. Results: Results indicated that there is a significant difference between patients with Hypertension and normal people in terms of their total scores in alexithymia, distress tolerance, and anger rumination Conclusion: we need to consider these psychological factors in treatment programs.
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Nooshin Pishva; Azam Bayanlou; hamid poursharifi; Tahereh Yavari
Volume 5, Issue 19 , October 2016, , Pages 57-68
Abstract
Objective: The present study was conducted to investigate the relationship between alexithymia and quality of life in patients with clinical pain complain and healthy people. Method: The study sample consists of 200 participants (100 patients with pain complain and 100 healthy people between 18-60 years ...
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Objective: The present study was conducted to investigate the relationship between alexithymia and quality of life in patients with clinical pain complain and healthy people. Method: The study sample consists of 200 participants (100 patients with pain complain and 100 healthy people between 18-60 years old) which were selected at convenience. Data were collected by the Toronto Alexithymia Scale (TAS-20) and the 36-Item Short-Form Health Survey (SF36) and analyzed by independent samples t test, Pearson moment correlation method and Enter regression. Findings: Based on the findings, the two groups of patients and healthy participants were significantly different both in alexithymia scale and quality of life. Also correlation between alexithymia and quality of life in patients was stronger, particularly in difficulties describing emotions and external-oriented thinking subscales. Conclusion Results showed that pain causes strong relationship between alexithymia and quality of life; and the mental aspect of quality of life is more affected by alexithymia than others
