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رابطه طرحواره‌های ناسازگار اولیه با علائم روان‌تنی در زنان نابارور: نقش میانجی گر راهبردهای تنظیم شناختی هیجان

نوع مقاله : علمی- پژوهشی

نویسندگان

1 کارشناسی ارشد روان‌شناسی عمومی، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه فردوسی مشهد، مشهد، ایران.

2 استاد، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه فردوسی مشهد، مشهد، ایران.

3 استادیار، گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه فردوسی مشهد، مشهد، ایران.

چکیده

مقدمه: علائم روان‌تنی یکی از مشکلات شایع در زنان نابارور می‌باشد که منجر به اختلال در کیفیت زندگی و عملکرد روزانه این افراد می‌شود. با توجه به اهمیت بهبود و درمان این علائم، پژوهش در خصوص عوامل روانشناختی موثر بر علائم روان‌تنی ضروری می‌باشد. هدف این پژوهش بررسی ارتباط بین طرحواره‌های ناسازگار اولیه با علائم روان‌تنی با نقش میانجی راهبردهای تنظیم شناختی هیجان در زنان نابارور می‌باشد.
روش: مطالعه حاضر توصیفی و از نوع همبستگی و مدل معادلات ساختاری می‌باشد. جامعه آماری این پژوهش زنان نابارور مراجعه کننده به کلینیک ناباروری در مشهد بودند که 360 نفر به صورت داوطلبانه در این پژوهش شرکت کردند. داده ها با استفاده از پرسشنامه های فرم کوتاه طرحواره‌های ناسازگار اولیه، علائم روان‌تنی و فرم کوتاه راهبردهای تنظیم شناختی هیجان جمع آوری شد. تجزیه و تحلیل داده ها با استفاده از آزمون ضریب همبستگی پیرسون، معادلات ساختاری و آزمون تحلیل مسیر به کمک نرم افزار SPSS نسخه 22 و AMOS نسخه 24 صورت گرفت.
یافته‌ها: بر اساس یافته‌های پژوهش طرحواره‌های ناسازگار اولیه و راهبردهای ناسازگارانه تنظیم شناختی هیجان با علائم روان‌تنی رابطه مثبت و راهبردهای سازگارانه تنظیم شناختی هیجان با علائم روان تنی رابطه منفی معنی‌داری دارند (001/0>P.).  نتایج مدل‌یابی معادلات ساختاری نشان داد که راهبردهای تنظیم شناختی هیجان نقش میانجی در رابطه طرحواره‌های ناسازگار اولیه و علائم روان‌تنی ایفا می کند و شاخص های برازش نیز همگی حاکی از برازش مطلوب مدل بودند.
نتیجه‌گیری: آنچه از یافته‌های حاضر می‌توان نتیجه گرفت، اهمیت آموزش مهارت‌های تنظیم شناختی هیجان در زنان نابارور است. با توجه به بروز علائم روان‌تنی در این افراد، استفاده از راهبردهای سازگار تنظیم شناختی هیجان منجر به کاهش شدت و بروز این علائم می‌شود

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Relationship between Early Maladaptive Schemas and Psychosomatic Symptoms in Infertile Women: the Mediating Role of Cognitive Emotion Regulation Strategies

نویسندگان [English]

  • Mozhgan Shakhseniaei 1
  • Imanollah Bigdeli 2
  • Abbas Firoozabadi 3

1 M.A. in General Psychology, Department of Psychology, Faculty of Educational Sciences and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran.

2 Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran.

3 Assisstant Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran.

چکیده [English]

Objective: Infertility is a medical condition that can cause psychological, physical, psychological, spiritual and medical harm to the patient. Psychosomatic symptoms are prevalent among infertile women and can significantly impair their quality of life and daily activities. Psychosomatic symptoms are created as physiological symptoms associated with emotional situations .Infertile women experience psychosomatic symptoms such as headache, lack of concentration, nausea and mental distress. Considering the critical need for improving and addressing these symptoms, it is essential to examine the psychological factors that affect psychosomatic symptoms. The purpose of this study is to explore the association between early maladaptive schemas and psychosomatic symptoms, with a focus on the mediating role of cognitive emotion regulation strategies in infertile women to help identify the variables affecting psychosomatic symptoms and also to reduce these symptoms and psychological injuries of these people. Method: This research uses a descriptive, correlational approach and has a structural equation modeling. The statistical population consisted of infertile women who visited an infertility clinic in Mashhad. To this end, 360 individuals volunteered to participate. Data were collected using the Young Early Maladaptive Schema Questioner Short Form (1994), Takata and Sakata Psychosomatic Symptoms Questioner (2004), and the Cognitive Emotion Regulation Questionnaire Short Form (2007). The analysis of the data was carried out using the Pearson correlation test, structural equation modeling, and path analysis by SPSS 22 and AMOS 24 software. Results:  According to the results, early maladaptive schemas and maladaptive cognitive emotion regulation strategies have a positive relationship with psychosomatic symptoms and adaptive cognitive emotion regulation strategies have a significant negative relationship with psychosomatic symptoms (P<0.001). The relationship between early maladaptive schemas and adaptive cognitive emotion regulation strategies in infertile women (P < 0.001 and β = -0.41) was statistically significant. The relationship between early maladaptive schemas and maladaptive cognitive emotion regulation strategies in infertile women (P < 0.001 and β = 0.43) was statistically significant. The relationship between adaptive cognitive emotion regulation strategies and psychosomatic symptoms in infertile women (P < 0.001 and β = -0.18) was statistically significant. The relationship between maladaptive cognitive emotion regulation strategies and psychosomatic symptoms in infertile women (P < 0.001 and β = 0.21) was statistically significant. The indirect relationship of early maladaptive schemas through adaptive cognitive emotion regulation strategies with psychosomatic symptoms (P = 0.001 and β = 0.130) and the indirect relationship of early maladaptive schemas through maladaptive cognitive emotion regulation strategies with psychosomatic symptoms (P = 0.001 and β = 0.140) were statistically significant. Furthermore, the structural equation modeling results showed that cognitive emotion regulation strategies play a mediating role in the relationship between early maladaptive schemas and psychosomatic symptoms, and all fit indices indicated a good model fit. Conclusion: This research can be used as a basis for conducting interventional research, including cognitive emotion regulation strategies and schema therapy. The results demonstrate the importance of teaching cognitive emotion regulation skills to infertile women. Given the emergence of psychosomatic symptoms in these individuals, adaptive cognitive emotion regulation strategies may help alleviate the frequency and intensity of psychosomatic symptoms in this group.

کلیدواژه‌ها [English]

  • Early maladaptive schemas"
  • " Cognitive Emotion Regulation Strategies"
  • " infertile women"
  • " Psychosomatic symptoms
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روانشناسی سلامت
دوره 14، شماره 54
شهریور 1404
صفحه 27-44
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هم رسانی
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