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اعتباریابی نسخه فارسی پرسشنامة جهت‌گیری منفی نسبت به مسائل در بیماران مبتلا به مالتیپل اسکلروزیس

نوع مقاله : علمی- پژوهشی

نویسندگان

1 . . دانشجوی دکتری روانشناسی، گروه روانشناسی، دانشکده علوم انسانی، واحد قم، دانشگاه آزاد اسلامی، قم، ایران.

2 دانشیار، گروه روانشناسی، دانشکده علوم انسانی، واحد قم، دانشگاه آزاد اسلامی، قم، ایران.

10.30473/hpj.2025.73892.6207

چکیده

مقدمه: مفهومِ جهت‌گیری منفی نسبت به مسئله با مولفه‌هایی مانندِ ارزیابی مسائل به مثابة تهدید، ادراک از عدم خودکارآمدی و ترس از اعتماد به توانش‌های فردی برای حل مسئله، بدبینی نسبت به پیامدهای فرایندِ حل مسئله و عدم تحمل ناکامی، بر نگرش منفی افراد نسبت به مسائل، دلالت دارد. این پژوهش با هدف تحلیل روان‌سنجی نسخة فارسی پرسشنامة جهت‌گیری منفی نسبت به مسئله در بیماران اسکلروز چندگانه، انجام شد.
روش: در این پژوهش هبستگی، 350 بیمار (194 مرد و 156 زن) از بین مراجعه کنندگان به مرکز تصویربرداری کوثر و انجمن ام‌اس ایران، واقع در شهر تهران، به کمک روش نمونه‌گیری دردسترس انتخاب و به مقیاس عدم تحمل ابهام (فرستون و همکاران، 1994)، پرسشنامه جهت‌گیری منفی نسبت به مشکل (رابی‌چاوود و دوگاس، 2005) و پرسشنامه اجتناب شناختی (سکستون و دوگاس، 2004)، پاسخ دادند.
یافته‌ها: نتایج تحلیل عامل تاییدی از ساختار تک‌عاملی نسخة فارسی پرسشنامة جهت‌گیری منفی نسبت به مسئله در بیماران اسکلروز چندگانه، به طور تجربی حمایت کرد. همچنین، همبستگی مثبت و معنادار بین جهت‌گیری منفی نسبت به مسئله با اجتناب شناختی و عدم تحمل ابهام، از روایی ملاکی پرسشنامه، حمایت کرد. ضریب همسانی درونی پرسشنامه با استفاده از آلفای کرونباخ 945/0 به دست آمد.
نتیجه‌گیری: در مجموع، نتایج این پژوهش ضمن دفاع از بسندگی نقشة مفهومی معطوف بر ساختاری تک‌وجهی برای جهت‌گیری منفی نسبت به مسئله، از مشخصه‌های فنی روایی و پایایی نسخة فارسی پرسشنامة جهت‌گیری منفی نسبت به مسئله در بیماران اسکلروز چندگانه، به طور تجربی، دفاع کرد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Validation of the Persian Version of the Negative Problem Orientation Questionnaire in Patients with Multiple Sclerosis

نویسندگان [English]

  • Maryam Shahmoradi Pilehrood 1
  • Majid Zarghamhajebi 2
  • Malek Mirhashemi 2

1 1. Ph.D. Student in Psychology, Department of Psychology, Islamic Azad University of Qom, Qom, Iran.

2 Associated Professor, Department of Psychology, Islamic Azad University of Qom, Qom, Iran.

چکیده [English]

Objective: Multiple Sclerosis (MS) is a common and chronic disease of the central nervous system that leads to the destruction of neuron myelin, causing disturbances in movement, speech, memory, and other bodily functions. The exact cause of this disease is still unknown, but genetic and environmental factors play a role in its development. MS is three times more common in women than men and typically occurs between the ages of 20 and 50. The progression of the disease is unpredictable, and it can either progress rapidly or in periodic episodes. Patients with MS face anxiety and uncertainty about their future. A negative orientation towards problems, especially in the face of stress caused by the disease, leads to a reduced ability to solve problems and increased worry among patients. This study examines psychological tools, particularly the Negative Problem Orientation questionnaire, in MS patients, with the aim of validating the Persian version of this questionnaire. Method: This study was a descriptive correlational research conducted on 350 patients with multiple sclerosis (MS) who visited various centers in Tehran in 2022. The patients were categorized based on the duration of their illness (ranging from less than 5 years to over 20 years). The tools used included the Ambiguity Tolerance Scale and the Cognitive Avoidance Questionnaire, which were translated into Persian using the back-translation method. Data analysis was performed through confirmatory factor analysis using various model fit indices. The aim of this study was to evaluate the validity of the Persian version of the Negative Problem Orientation Questionnaire in MS patients. Results: The results of the confirmatory factor analysis empirically supported the unidimensional structure of the Persian version of the Negative Problem Orientation Questionnaire in multiple sclerosis patients. Additionally, a significant positive correlation between negative problem orientation, cognitive avoidance, and ambiguity tolerance supported the construct validity of the questionnaire. The internal consistency of the questionnaire, measured by Cronbach's alpha, was found to be 0.945. This study analyzed the factor structure and psychometric properties of the Persian version of the Negative Problem Orientation Questionnaire in multiple sclerosis (MS) patients. The results confirmed the unidimensional structure of the questionnaire, supporting its construct validity. Significant positive correlations between negative problem orientation, ambiguity intolerance, and cognitive avoidance further supported the tool's validity. Additionally, the internal consistency coefficient (Cronbach’s alpha) confirmed the tool’s reliability. Conclusion: The findings highlighted that MS patients' negative problem orientation is linked to higher levels of ambiguity intolerance and cognitive avoidance, which aligns with previous studies. Limitations included the lack of additional psychometric tests like convergent and divergent validity and the absence of gender-based analysis in the factor structure. Despite these, the study provided strong evidence for the validity and reliability of the Persian version of the questionnaire for assessing negative problem orientation in MS patients.

کلیدواژه‌ها [English]

  • Validation
  • Negative Problem Orientation
  • Multiple Sclerosis
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روانشناسی سلامت
دوره 14، شماره 55
آذر 1404
صفحه 73-84
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