دستاوردهای روانشناسی بالینی

شماره جاری

بر اساس شماره‌های نشریه

بر اساس نویسندگان

بر اساس موضوعات

نمایه نویسندگان

نمایه کلیدواژه ها

درباره نشریه

اهداف و چشم انداز

اصول اخلاقی انتشار مقاله

بانک ها و نمایه نامه ها

پیوندهای مفید

پرسش‌های متداول

فرایند پذیرش مقالات

اطلاعات آماری نشریه

اخبار و اعلانات

بررسی الگوی ساختاری علائم روان تنی بر اساس ناگویی هیجانی در بیماران مبتلا به سوریازیس: نقش میانجی وضعیت عاطفی منفی و حمایت اجتماعی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد، گروه روانشناسی بالینی، واحد بین الملل کیش، دانشگاه آزاد اسلامی، جزیره کیش، ایران

2 استادیار، گروه روانشناسی بالینی، واحد بین الملل کیش، دانشگاه آزاد اسلامی، جزیره کیش، ایران

چکیده

پژوهش حاضر با هدف بررسی الگوی ساختاری علائم روان‌تنی بر اساس ناگویی هیجانی در بیماران مبتلا به سوریازیس با نقش میانجی وضعیت عاطفی منفی و حمایت اجتماعی، انجام شد. در این پژوهش توصیفی- همبستگی 150 بیمار مبتلا به سوریازیس مراجعه‌کننده به مراکز بهداشتی و درمانی تحت پوشش دانشگاه علوم پزشکی هرمزگان در سال 1402-1401، به روش نمونه‌گیری در دسترس انتخاب شدند و با رضایت آگاهانه به پرسشنامه علائم روان‌تنی (PSQ-39)، پرسشنامه افسردگی، اضطراب و استرس (DASS-21)، مقیاس ناگویی هیجان تورنتو (TAS-20) و مقیاس حمایت اجتماعی (MOS-SSS)، پاسخ دادند. تحلیل داده‌ها به کمک مدل‌سازی معادلات ساختاری و تحلیل مسیر با استفاده از نرم افزار Smart-PLS ورژن 3 انجام شد. نتایج این پژوهش نشان داد ناگویی هیجانی بر وضعیت عاطفی منفی و علائم روان‌تنی اثر مستقیم معنی‌دار و مثبت داشت. همچنین، نتایج محاسبه اثرات غیرمستقیم خاص نشان داد، بین متغیرهای ناگویی هیجانی و وضعیت عاطفی منفی با نقش میانجی گر حمایت اجتماعی ادراک شده اثر غیرمستقیم معنی‌دار و معکوس وجود داشت. این نتایج برای درک آسیب‌شناسی روانی بیماران مبتلا به سوریازیس جهت تدوین برنامه‌های تشخیصی، پیشگیری و درمانی مناسب در محیط‌های بالینی و غیر بالینی به‌ویژه برای پزشکان روان‌تنی و روانشناسان بالینی، مفید است.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Examining The Structural Pattern of Psychosomatic Symptoms Based on Alexithymia in Patients with Psoriasis: The Mediating Role of Negative Emotional State and Social Support

نویسندگان [English]

  • Zeinab Mokhtari 1
  • Mansour Ali Mehdi 2

1 M.A Student, Department of Clinical Psychology, Kish International Branch, Islamic AzadUniversity, Kish Island, Iran.

2 Assistant Professor, Department of Clinical Psychology, Kish International Branch, Islamic AzadUniversity, Kish Island, Iran

چکیده [English]

The present study was conducted with the aim of investigating the structural pattern of psychosomatic symptoms based on alexithymia in patients with psoriasis with the mediating role of negative emotional state and social support. In this descriptive-correlational study 150 patients with psoriasis referred to health And treatment centers covered by Hormozgan University of Medical Sciences in 2022-2023, were selected by available sampling method, and with informed consent they answered the Psychosomatic Symptoms Questionnaire (PSQ-39), Depression Anxiety and Stress Scales (DASS-21), Toronto Alexithymia Scale (FTAS), and Social Support Survey (MOS-SSS). Data analysis was done With the help of structural equation modeling (SEM) and path analysis using Smart-PLS software version 3. The results of this study showed that alexithymia had a significant and positive direct effect on negative emotional state and psychosomatic symptoms. Also, the results of calculating specific indirect effects showed that there was a significant and inverse indirect effect between the variables of alexithymia and negative emotional state with the mediating role of perceived social support. These results are useful for understanding the psychopathology of patients with psoriasis in order to develop appropriate diagnostic, prevention and treatment programs in clinical and non-clinical environments, especially for Psychosomatic doctors and clinical psychologists

کلیدواژه‌ها [English]

  • Psychosomatic symptoms
  • negative affective state
  • alexithymia
  • social support
مراجع
Alinaghi, F., Tekin, H. G., Burisch, J., Wu, J. J., Thyssen, J. P., & Egeberg, A. (2019). Global prevalence and bidirectional association between psoriasis and inflammatory bowel Disease—A systematic review and Meta-analysis. Journal of Crohn's and Colitis, 14(3), 351-360. https://doi.org/10.1093/ecco-jcc/jjz152
Alnazly, E., Khraisat, O. M., Al-Bashaireh, A. M., & Bryant, C. L. (2021). Anxiety, depression, stress, fear and social support during COVID-19 pandemic among Jordanian healthcare workers. PLoS One, 16(3), e0247679. https://doi.org/10.1371/journal.pone.0247679
Atadokht, A., Hashemi, J., Habibi, Y., Fallahi, V., & Rahimi, F. (2018). The role of illness perception and perceived social support in predicting psychological distress in patients with multiple sclerosis. Nursing and Midwifery Journal, 15(11), 863-873. http://unmf.umsu.ac.ir/article-1-3361-en.html.
Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994). The twenty-item Toronto Alexithymia scale—I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38(1), 23-32. https://doi.org/10.1016/0022-3999(94)90005-1
Bakar, R. S., Jaapar, S. Z. S., Azmi, A. F., & Aun, Y. C. (2021). Depression and anxiety among patients with psoriasis: A correlation with quality of life and associated factors. Journal of Taibah University Medical Sciences, 16(4), 491-496. https://doi.org/10.1016/j.jtumed.2021.02.008
Basharat, M. A., Masoudi, M., & Gholamali Lavasani, M. (2013). Emotional dyslexia and psychological-physical vulnerability. Scientific-Research Quarterly of Thought and Behavior in Clinical Psychology, 9(34), 47-56.
Besharat, M. A. (2013). Toronto Alexithymia Scale: Questionnaire, instruction and scoring. (Persian Version). Journal of Developmental Psychology Iranian Psychologists, 10(37), 90-92.
Boehncke, W. H. (2015). Etiology and pathogenesis of psoriasis. Rheumatic Disease Clinics, 41(4), 665-675. https://doi.org/10.1016/j.rdc.2015.07.013
Bolhari, J., Naziri, G., & Zamanian, S. (2012). Effectiveness of spiritual group therapy in reducing depression, anxiety, and stress of women with breast cancer. Quarterly Journal of Woman and Society, 3(9), 87-117. https://jzvj.marvdasht.iau.ir/article_1177.html?lang=en
Cherry, K. (2020). How social support contributes to psychological health. Verywellmind. com.
Chronister, J., Fitzgerald, S., & Chou, C. C. (2021). The meaning of social support for persons with serious mental illness: A family member perspective. Rehabilitation Psychology, 66(1), 87. https://doi.org/10.1037/rep0000369
Cohen, B. E., Martires, K. J., & Ho, R. S. (2016). Psoriasis and the risk of depression in the us population: National health and nutrition examination survey 2009-2012. JAMA Dermatology, 152(1), 73-79. https://doi.org/10.1001/jamadermatol.2015.3605
Costeris, C., Petridou, M., & Ioannou, Y. (2021). Social support and appearance satisfaction can predict changes in the psychopathology levels of patients with Acne, Psoriasis and Eczema, before dermatological treatment and in a Six-Month follow-up phase. Psych, 3(3), 259-268. https://doi.org/10.3390/psych3030020
Cunningham, M. R., & Barbee, A. P. (2000). Social support. In C. Hendrick & S. S. Hendrick (Eds.), Close relationships: A sourcebook. India: Sage Publications. https://doi.org/10.4135/9781452220437.n20
Demirci, O. O., Ates, B., Sagaltici, E., Ocak, Z. G., & Altunay, I. K. (2020). Association of the attachment styles with depression, anxiety, and quality of life in patients with psoriasis. Dermatologica Sinica, 38(2), 81-87. https://doi.org/10.4103/ds.ds_35_19
Devi, R., & Shekhar, C. (2014). Psychosocial determinants of quality of life in psoriasis: Role of fear of negative evaluation and social support. Asian Journal of Research in Social Sciences and Humanities, 4(1), 112-126.
Dincer, B., Yıldırım Ayaz, E., & Oğuz, A. (2021). Changes in sexual functions and alexithymia levels of patients with type 2 diabetes during the COVID-19 pandemic. Sexuality and Disability, 39(3), 461-478. https://doi.org/10.1007/s11195-021-09693-0
Dunne, P. J., & Schubert, C. (2021). Editorial: New Mind-Body interventions that balance human psychoneuroimmunology. Frontiers in Psychology, 12, 1-10. https://doi.org/10.3389/fpsyg.2021.706584
Elsayed, M., & Connor, C. J. (2018). Beneath the skin: The relationship between psychological distress and the immune system in patients with psoriasis. Dermatology, 6, 108-117. https://doi.org/10.33590/emjdermatol/10312460
Farmani, A., Bougar, M. R., Khodarahimi, S., & Farahmand, H. (2023). The incidence of psychosocial disturbances during the coronavirus disease-19 pandemic in an Iranian sample. Current Psychology, 42(10), 8562-8571. https://doi.org/10.1007/s12144-021-02341-y
Ferreira, B. I., Abreu, J. L., Reis, J. P., & Figueiredo, A. M. (2016). Psoriasis and Associated Psychiatric Disorders: A Systematic Review on Etiopathogenesis and Clinical Correlation. J Clin Aesthet Dermatol, 9(6), 36-43.
Gatchel, R. J., Baum, A., & Lang, P. J. (2021). Psychosomatic disorders: Basic issues and future research directions. In Handbook of Psychology and Health. United Kingdom: Routledge. https://doi.org/10.4324/9781003161530-10
Gieler, U., Gieler, T., Peters, E. M. J., & Linder, D. (2020). Skin and psychosomatics–psychodermatology today. JDDG: Journal der Deutschen Dermatologischen Gesellschaft, 18(11), 1280-1298. https://doi.org/10.1111/ddg.14328
Heydari, Z., Faizi, A., Rezaei, S., Roohfaza, H., & Adibi, P. (2019). Psychosomatic symptoms questionnaire (PSQ-39): A psychometric study among the general population of Iranian adults. Journal of Psychiatry, 21(1), 269. https://elib.mui.ac.ir/site/catalogue/114467
Janowski, K., Steuden, S., Pietrzak, A., Krasowska, D., Kaczmarek, Ł., Gradus, I., & Chodorowska, G. (2012). Social support and adaptation to the disease in men and women with psoriasis. Archives of Dermatological Research, 304(6), 421-432. https://doi.org/10.1007/s00403-012-1235-3
Kano, M., & Fukudo, S. (2013). The alexithymic brain: the neural pathways linking alexithymia to physical disorders. BioPsychoSocial Medicine, 7(1), 1-12.
Khodarahimi, S., Veiskarami, H. A., Mazraeh, N., Sheikhi, S., & Bougar, M. R. (2021). Mental health, social support, and death anxiety in patients with chronic kidney failure. J Nerv Ment Dis, 209(11), 809-813.
Lacourt, T., Houtveen, J., & van Doornen, L. (2013). Functional somatic syndromes, one or many?: An answer by cluster analysis. Journal of Psychosomatic Research, 74(1), 6-11.
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335-343.
Mohammadbaqeri, F., Mahmoodi, H., & Sofy, S. (2020). Comparison of social anxiety, suicidal ideation and social support in people with transsexual has done gender reassignment and has not do gender reassignment. Journal of Sabzevar University of Medical Sciences, 26(6), 771-778. https://jsums.medsab.ac.ir/article_1253.html?lang=en
Mohammadi, M., & Jaffari, R. (2021). Mediating role of Alexithymia between perceived social support and somatic complaints among depressed women. Quarterly Journal of Woman and Society, 11(44), 199-216. https://jzvj.marvdasht.iau.ir/article_4488.html?lang=en
Padma, K., Nanaware, S. S., Yadiyal, A., & Mathai, P. J. (2020). Psychopathology in patients with psoriasis: A cross-sectional clinical study. International Journal of Research in Medical Sciences, 8(1), 307-311. https://doi.org/10.18203/2320-6012.ijrms20195927
Panasiti, M. S., Ponsi, G., & Violani, C. (2020). Emotions, Alexithymia, and Emotion Regulation in Patients With Psoriasis. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.00836
Parker, J. D. A., Taylor, G. J., & Bagby, R. M. (2001). The relationship between emotional intelligence and alexithymia. Personality and Individual Differences, 30(1), 107-115. https://doi.org/10.1016/S0191-8869(00)00014-3
Petito, A., Piazzoli, A., Altamura, M., Bellomo, A., Bernardini, F., Scarponi, L., & Porcelli, P. (2020). Psychosomatic syndromes and symptom severity in chronic psoriasis. Clin Neuropsychiatry, 17(4), 209-216.
Preece, D., Becerra, R., Allan, A., Robinson, K., & Dandy, J. (2017). Establishing the theoretical components of alexithymia via factor analysis: Introduction and validation of the attention-appraisal model of alexithymia. Personality and Individual Differences, 119, 341-352. https://doi.org/10.1016/j.paid.2017.08.003
Quinto, R. M., De Vincenzo, F., Graceffa, D., Bonifati, C., Innamorati, M., & Iani, L. (2022). The relationship between Alexithymia and mental health is fully mediated by Anxiety and Depression in Patients with Psoriasis. International Journal of Environmental Research and Public Health, 19(6), 3649. https://doi.org/10.3390/ijerph19063649
Rahimian Bougar, M., Veiskarami, H. A., Khodarahimi, S., Izadpanah, A., Sadeghi, M., & Nazari, N. (2022). Effectiveness of three physical treatments on pain perception and emotional state in males with Chronic Joint Pain. Journal of Clinical Psychology in Medical Settings, 29(4), 785-797. https://doi.org/10.1007/s10880-021-09835-8
Ramezani, E., Bougar, M. R., Alavi, P. S., Khodarahimi, S., Mazraeh, N., & Alimehdi, M. (2023). The effect of defense mechanisms and alexithymia on marital conflict and female sexual dysfunction. Current Psychology, 42(32), 28431-28440. https://doi.org/10.1007/s12144-022-03937-8
Reszke, R., Białynicki-Birula, R., & Szepietowski, J. C. (2019). Itch in Psoriasis: A new look at well-known subject. Acta Dermato-Venereologica, 99(4), 429-434. https://doi.org/10.2340/00015555-3147
Rezaei, F., Karimi, F., Afshari, A., & Hosseini-Ramaghani, N. (2017). The correlation between alexithymia and anxiety, depression in asthma. Feyz Med Sci J, 21(2), 178-187. http://feyz.kaums.ac.ir/article-1-3357-fa.ht
Sahi, F. M., Masood, A., Danawar, N. A., Mekaiel, A., & Malik, B. H. (2020). Association between Psoriasis and Depression: A traditional review. Cureus, 12(8), e9708. https://doi.org/10.7759/cureus.9708
Schmitt, J., & Ford, D. (2010). Psoriasis is independently associated with psychiatric morbidity and adverse cardiovascular risk factors, but not with cardiovascular events in a population‐based sample. Journal of the European Academy of Dermatology and Venereology, 24(8), 885-892. https://doi.org/10.1111/j.1468-3083.2009.03537.x
Sherbourne, C. D., & Stewart, A. L. (1991). The MOS social support survey. Social Science & Medicine, 32(6), 705-714. https://doi.org/10.1016/0277-9536(91)90150-B
Tang, F. Y., Xiong, Q., Gan, T., Yuan, L., Liao, Q., & Yu, Y.-F. (2022). The prevalence of alexithymia in psoriasis: A systematic review and meta-analysis. Journal of Psychosomatic Research, 161, 111017. https://doi.org/10.1016/j.jpsychores.2022.111017
Taylor, G. J., & Bagby, R. M. (2021). Examining proposed changes to the conceptualization of the alexithymia construct: The way forward tilts to the past. Psychotherapy and Psychosomatics, 90(3), 145-155. https://doi.org/10.1159/000511988
Taylor, G. J., Parker, J. D., & Bagby, R. M. (1999). Emotional intelligence and the emotional brain: Points of convergence and implications for psychoanalysis. Journal of the American Academy of Psychoanalysis, 27(3), 339-354. https://doi.org/10.1521/jaap.1.1999.27.3.339
Taylor, S. E. (2011). Social support: A review. In M.S. Friedman (ed.). The Handbook of Health Psychology. New York: Oxford University Press. https://doi.org/10.1093/oxfordhb/9780195342819.013.0009
Taylor, S. E. (2011). Social support: A review. The Oxford Handbook of Health Psychology, 1(1), 189-214. https://doi.org/10.1093/oxfordhb/9780195342819.013.0009
Tsiori, S., Rompoti, N., Kontoangelos, K., Papageorgiou, C., Papageorgiou, C., Stratigos, A., & Rigopoulos, D. (2022). Psychopathology and Alexithymia in Patients with Moderate-to-Severe Psoriasis: Development of a Novel Index with Prognostic Value. International Journal of Environmental Research and Public Health, 19(7), 4029. https://doi.org/10.3390/ijerph19074029
Uchino, B. N. (2009). Understanding the links between social support and physical health: A life-span perspective with emphasis on the separability of perceived and received support. Perspectives on Psychological Science, 4(3), 236-255. https://doi.org/10.1111/j.1745-6924.2009.01122.x
Vaengebjerg, S., Skov, L., Egeberg, A., & Loft, N. D. (2020). Prevalence, Incidence, and risk of Cancer in patients with Psoriasis and Psoriatic Arthritis: A systematic review and meta-analysis. JAMA Dermatology, 156(4), 421-429. https://doi.org/10.1001/jamadermatol.2020.0024
Xiao, H., Zhang, Y., Kong, D., Li, S., & Yang, N. (2020). The effects of social support on sleep quality of medical staff treating patients with Coronavirus disease 2019 (COVID-19) in January and February 2020 in China. Med Sci Monit, 26, e923549. https://doi.org/10.12659/MSM.923549
Zięciak, T., Rzepa, T., Król, J., & Żaba, R. (2017). Stigmatization feelings and depression symptoms in psoriasis patients. Psychiatr Pol, 51(6), 1153-1163. https://doi.org/10.12740/PP/68848
دستاوردهای روانشناسی بالینی
دوره 10، شماره 1
خرداد 1403
صفحه 49-65
فایل ها
هم رسانی
ارجاع به این مقاله
آمار