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رابطه راهبرد‌های مقابله با درد با ابعاد تصویر بدنی با نقش تعدیل‌‌کننده شاخص توده بدنی در بیماران مبتلا به درد مزمن

نوع مقاله : علمی- پژوهشی

نویسندگان

1 دانشیار، گروه روانشناسی بالینی، دانشگاه علامه طباطبائی، تهران، ایران.

2 کارشناسی ارشد روانشناسی عمومی، دانشگاه علامه طباطبائی، تهران، ایران.

10.30473/hpj.2025.73086.6154

چکیده

مقدمه: ابتلا به بیماری‌های مزمن از مشکلات عمده مراقبت‌های بهداشتی در سراسر جهان است. مطالعه حاضر با هدف بررسی رابطه راهبردهای مقابله با درد با ابعاد تصویر بدنی و با نقش تعدیل‌کننده شاخص توده بدنی انجام شد.
روش: روش پژوهش حاضر توصیفی از نوع همبستگی و جامعه آماری کلیه بیماران مبتلا به بیماری‌های مزمن مراجعه کننده به مراکز درمانی شهر اصفهان (بیمارستان خورشید، سیدالشهدا، الزهرا و کلینیک تخصصی آریانا) در بازه سنی 45-20 سال بودند که با استفاده از روش نمونه‌گیری در دسترس، 125 نفر از آن‌ها به عنوان نمونه پژوهشی انتخاب شدند. ابزار مورد استفاده در پژوهش شامل پرسشنامه مدیریت درد وندربیلت، پرسشنامه پذیرش درد مزمن، پرسشنامه روابط چند بعدی بدن-خود، پرسشنامه شکل بدنی، مقیاس قدردانی عملکرد و مقیاس قدردانی بدنی بود. به منظور تحلیل داده‌ها از روش معادلات ساختاری مبتنی بر واریانس حداقل مجذورات جزیی و آزمون همبستگی پیرسون استفاده شد.
یافته‌ها: نتایج نشان داد که شاخص توده بدنی در رابطه راهبردهای مقابله با درد و تصویر بدنی نقش تعدیل‌کننده دارد. ابعاد تصویر بدنی (رضایت بدنی، ارزیابی ظاهر، قدردانی بدنی و ادراک عملکرد بدنی) با راهبرد مقابله‌ای فعالانه و پذیرش درد (مشارکت در فعالیت)، رابطه مثبت و معنی‌دار (P <0.01**) و با راهبرد منفعلانه و پذیرش درد (تمایل به درد) رابطه منفی و معنی‌دار (P <0.01** و P<0.05*) دارند.
نتیجه‌گیری: از پژوهش حاضر می‌توان نتیجه گرفت در رابطه با تصویر بدنی، با افزایش شاخص توده بدنی، آسیب پذیری افراد نسبت به راهبردهای مقابله‌ای منفعلانه افزایش می‌یابد و کارآیی راهبردهای فعالانه و پذیرش درد کمتر می‌شود.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Relationship between Pain Coping Strategies and Body Image Dimensions with the Moderating Role of Body Mass Index in Patients with Chronic Pain

نویسندگان [English]

  • Zohreh Rafezi 1
  • fatemeh Nourbehesht 2

1 Associate Professor, Department of Clinical Psychology, Allameh Tabataba’i University, Tehran, Iran

2 M.Sc. in General Psychology, Allameh Tabataba'i University of Tehran, Iran

چکیده [English]

Objective: Chronic diseases pose a significant challenge to global healthcare, affecting not only physical health but also the psychological well-being of patients. This study aimed to investigate the relationship between coping strategies (active, passive, and pain acceptance, with the sub-scales of activity engagement and pain willingness) and dimensions of body image (body satisfaction, appearance evaluation, body appreciation, and perceptions of body functionality), with body mass index (BMI) as a moderating variable. Method: A correlational research design was employed, with a sample of 125 chronic disease patients (including cancer, diabetes, and rheumatoid arthritis) recruited from hospitals and clinics in Isfahan, Iran (Khoreshid Hospital, Seyed al-Shohada Hospital, Al-Zahra Hospital, and Ariana Specialized Clinic). After coordinating with the mentioned medical centers, sample individuals were selected based on inclusion criteria (at least 6 months since disease diagnosis, age between 20-45 years, at least a high school education level to understand the questionnaire questions, and experiencing pain on most days of the week) and exclusion criteria (presence of psychotic disorders, psychiatric disorders affecting BMI such as eating disorders and substance abuse except for opioid medications commonly used in the treatment of chronic pain in patients' medical records). Data were collected using the Vanderbilt Pain Management Questionnaire, the revised Chronic Pain Acceptance Questionnaire, the subscale of satisfaction with different parts of the body from the Multidimensional Body-Self Relationships Questionnaire, the shortened body shape questionnaire, the functionality appreciation scale, and the body appreciation scale. statistical equation test based on partial least squares variance and Pearson correlation test were used for data analysis. Results: Results indicated that BMI played a moderating role in the relationship between coping strategies and body image. Therefore, the positive or negative impact of coping strategies on body image varied among individuals with different body mass indexes. As body mass index decreased, the relationship between active coping strategies and body image satisfaction generally increased (β=-0/249, P<0.01), while the relationship between passive coping strategies and body image satisfaction decreased (β=-0/147, P<0.05). Dimensions of body image (body satisfaction, appearance evaluation, body appreciation, and perception of body functionality) were positively correlated with active coping and pain acceptance (activity engagement) (P<0.01 **) and a negative and significant relationship with passive coping and pain acceptance (pain willingness) (P<0.01 ** and P<0.05*). Overall, individuals who employed more active coping strategies and engagement in activities (a subscale of pain acceptance) scored higher on most body image dimensions. Conversely, those who used more passive coping strategies and a pain willingness (a subscale of pain acceptance, which was reverse-coded in the overall score) scored lower on body image dimensions. Conclusion: The findings suggest that as BMI increases, individuals become more vulnerable to ineffective coping strategies (passive coping and pain willingness) and less likely to employ effective coping strategies (active coping and activity engagement). The results of the study also confirm the effectiveness of active coping strategies and pain acceptance and the ineffectiveness of passive coping strategies in relation to body image. ultimately, it seems that patients with chronic pain can have a better experience of body image with the help of more beneficial coping strategies.

کلیدواژه‌ها [English]

  • Body Image
  • Body Mass Index
  • Chronic Pain
  • Coping Strategies
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روانشناسی سلامت
دوره 14، شماره 54
شهریور 1404
صفحه 81-96
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