پیش‌بینی کیفیت زندگی مرتبط با سلامتی بر اساس ناگویی خلقی و تحمل پریشانی در افراد مبتلا به چاقی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روانشناسی بالینی، واحد رودهن، دانشگاه آزاد اسلامی، تهران. ایران.

2 گروه روان شناسی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران.

3 گروه روان شناسی، واحد اسلامشهر، دانشگاه آزاد اسلامی، اسلامشهر، ایران.

4 گروه روان شناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.

چکیده

مقدمه
چاقی یکی از مشکلات شایع سلامت عمومی است که روند رو به افزایش آن به یکی از نگرانی‌های عمده سلامت جهانی تبدیل شده است، ﭘﮋوﻫﺶ حاضر با هدف پیش‌بینی کیفیت زندگی مرتبط با سلامتی بر اساس ناگویی خلقی و تحمل پریشانی در افراد مبتلا به چاقی انجام شد.
روش کار
روش پژوهش همبستگی بود. جامعه آماری شامل کلیه بیماران مبتلا به چاقی شهر تهران در سال 1399 بود. از این میان، به روش نمونه‌گیری دردسترس تعداد 250 نفر انتخاب شدند. شرکت‌کنندگان با پرسشنامه‌های کیفیت زندگی مرتبط با سلامت وبر (1992)، ناگویی خلقی تورنتو (1992) و تحمل پریشانی سیمونز و گاهر (2005) مورد ارزیابی قرار گرفتند. داده‌ها با استفاده از نرم‌افزار SPSS نسخه 23 مورد تجزیه‌ و تحلیل قرار گرفت.
نتایج
یافته‌ها نشان داد که متغیرهای ناگویی خلقی و تحمل پریشانی می‌توانند 4/16 درصد از واریانس کیفیت زندگی مرتبط با سلامت را تبیین کنند و تمامی متغیرهای مذکور تأثیر معناداری بر کیفیت زندگی مرتبط با سلامت دارند (01/0P<).
نتیجه‌گیری
بر اساس نتایج بدست آمده می‌توان گفت بر اساس ناگویی خلقی و تحمل پریشانی می‌توان کیفیت زندگی مرتبط با سلامتی را در افراد مبتلا به چاقی پیش‌بینی کرد.

کلیدواژه‌ها


عنوان مقاله [English]

Predicting health-related quality of life based on dyslexia and distress tolerance in obese people

نویسندگان [English]

  • Maryam Dehghani Benadaki 1
  • Maryam Velayati 2
  • Farzad Rait Doust 3
  • Masoume Kalantari 4
  • Ghazaleh Tarnas 4
1 Department of Clinical Psychology, Roudehen Branch, Islamic Azad University, Tehran. Iran.
2 Department of Psychology, Science and Research Branch, Islamic Azad University, Tehran, Iran.
3 Department of Psychology, Islamshahr Branch, Islamic Azad University, Islamshahr, Iran.
4 Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.
چکیده [English]

Introduction: Obesity is one of the common public health problems, the increasing trend of which has become one of the major global health concerns, the present study was conducted with the aim of predicting health-related quality of life based on Alexitimia and distress tolerance in obese people.
Method: The research method was correlation. The statistical population included all obese patients in Tehran in 2019. Among these, 250 people were selected by available sampling method. Participants were evaluated with Weber's (1992) health-related quality of life questionnaires, Toronto's aphasia (1992) and Simmons and Gaher's (2005) distress tolerance. The data was analyzed using SPSS version 23 software.
Results: The findings showed that the variables of Alexitimia and distress tolerance can explain 16.4% of the variance of health-related quality of life and all the mentioned variables have a significant effect on health-related quality of life (P<0.01).
Conclusion: Based on the obtained results, it can be said that the quality of life related to health in obese people can be predicted based on Alexitimia and distress tolerance.

کلیدواژه‌ها [English]

  • Alexitimia
  • distress tolerance
  • quality of life related to health
  • people with obesity
Kalarchian MA, Levine MD, Marcus MD. Structured dietary interventions in the treatment of severe pediatric
obesity: a pilot study. Bariatric Surgical Practice and Patient Care. 2013 Jun 1;8(2):58-60.
2. Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999-2008.
Jama. 2010 Jan 20;303(3):235-41.
3. Musaiger AO. Overweight and obesity in eastern Mediterranean region: prevalence and possible causes. Journal
of obesity. 2011 Oct;2011.
4. Sadeghi K, Gharraee B, Fata L, Mazhari SZ. Effectiveness of cognitive-behavioral therapy in treating patients with
obesity. Iranian Journal of Psychiatry and Clinical Psychology. 2010 Aug 10;16(2):107-17.
5. Masa JF, Mokhlesi B, Benítez I, de Terreros FJ, Sánchez-Quiroga MÁ, Romero A, Caballero-Eraso C, TeránSantos J, Alonso-Álvarez ML, Troncoso MF, González M. Long-term clinical effectiveness of continuous
positive airway pressure therapy versus non-invasive ventilation therapy in patients with obesity
hypoventilation syndrome: a multicentre, open-label, randomised controlled trial. The Lancet. 2019 Apr
27;393(10182):1721-32.
6. Gottlieb BH, Bergen AE. Social support concepts and measures. Journal of psychosomatic research. 2010 Nov
1;69(5):511-20.
7. Jafari-Adli S, Jouyandeh Z, Qorbani M, Soroush A, Larijani B, Hasani-Ranjbar S. Prevalence of obesity and
overweight in adults and children in Iran; a systematic review. Journal of Diabetes & Metabolic Disorders.
2014 Dec;13:1-0.
8. Nooraliey P DmA, Hosseini S M, Karimi J, Nooraliey R. Quality of life and its association with overweight and
obesity in high school girls. Scientific Journal of School of Public Health and Institute of Public Health
Research 2015; 13: 33-42.
9. Kinge JM, Morris S. Socioeconomic variation in the impact of obesity on health-related quality of life. Social
science & medicine. 2010 Nov 1;71(10):1864-71.
10.Vahedi-Notash G, Farahmand E, Cheraghi L, Amiri P, Azizi F. Health-Related Quality of Life in
Overweight/Obese Adults with Different Levels of Perceived Social Support: Tehran Lipid and Glucose
Study. Iranian Journal of Endocrinology and Metabolism. 2020 Mar 10;21(6):372-84.
11.Ponde Nejadan, A. A., Attari, Y., Hossein, D. Evaluating the predicting model of life quality based on mindful
eating with mediation of body-image and eating behaviors among married women with overweight and11
obesity. Counseling Culture and Psycotherapy, 2018; 9(34): 141-170. doi: 10.22054/qccpc.2018.28840.1728
12.Soltoft F, Hammer M, Kragh N. The association of body mass index and health-related quality of life in the general
population: data from the 2003 Health Survey of England. Qual life Res 2009; 18: 1293-9.
13.Abedi, P., Jorfi, M., Afshari, P. Evaluation of the Health Promotion Lifestyle and its Related Factors in
Reproductive Aged Women in Ahvaz, Iran. Community Health Journal, 2017; 9(1): 68-74.
14.Ford ES, Moriarty DG, Zack MM, Mokdad AH, Chapman DP. Self‐ reported body mass index and health‐ related
quality of life: findings from the Behavioral Risk Factor Surveillance System. Obesity research. 2001
Jan;9(1):21-31.
15.Kushner RF, Foster GD. Obesity and quality of life. Nutrition. 2000 Oct 1;16(10):947-52.
16.Ghorbani A, Ziaee A, Sadeghi T, Asefzadeh S. Comparison the living quality of obese women with normal weight
women. medical journal of mashhad university of medical sciences. 2012 Sep 22;55(3):144-50.
17.Ul‐ Haq Z, Mackay DF, Fenwick E, Pell JP. Meta‐ analysis of the association between body mass index and
health‐ related quality of life among adults, assessed by the SF‐ 36. Obesity. 2013 Mar;21(3):E322-7.
18.Vaezfar, S., Rezai, A. Comparison of mood dyslexia and conscious affect (shame and guilt) in women with major
depression and normal women. Master's thesis in clinical psychology, Islamic Azad University, Maroodasht
branch. 2017.
19.Krystal H. Integration and self healing: Affect, trauma, alexithymia. Routledge; 2015 Dec 22.
20.Fink EL, Anestis MD, Selby EA, Joiner TE. Negative urgency fully mediates the relationship between alexithymia
and dysregulated behaviours. Personality and Mental Health. 2010 Nov;4(4):284-93.
21.Van der Valede J. Gromann PM, Wiersma D, de Haan L, Bruggeman R. Alexithymia influences brain activation
during emotion perception but not regulation. Soc Cogn Affect Neurosci, 2014; 10: 285-93.
22.Bauer S, Mohiyeddini C. EMOTION AND PSYCHOPATHOLOGY. Handbook of psychology of emotions.
2013:161.
23.Porcelli P, Bagby RM, Taylor GJ, De CM, Leandro G, Todarello O. Alexithymia as predictor of treatment outcome
in patients with functional gastrointestinal disorders. Psychosom Med 2003; 65(5): 911-8.
24.Porcelli P, Affatati V, Bellomo A, De Carne M, Todarello O, Taylor GJ. Alexithymia and psychopathology in
patients with psychiatric and functional gastrointestinal disorders. Psychotherapy and psychosomatics.
2004;73(2):84-91.
25. Palmer EJ, Connelly R. Depression, hopelessness and suicide ideation among vulnerable prisoners. Crim Behav
Ment Health.2005; 15(3):164-70
26.Dubey A, Pandey R, Mishra K. Role of Emotion R Emotion R Emotion Regulation Difficulties and P iculties and
P iculties and Positive/Negative Affectivity in Explaining Alexithymia-Health Relationship: An overview. J
Soc Sci Res. 2010;7(1):20-31.
27.Zanjani FA, ToozadehJani H, Amani P. The effectiveness training skills based on quality of life on hostility
attribution and distress tolerance in students with Obsessive-compulsive disorder. Journal of Fundamentals
of Mental Health. 2022 Mar 1;24(2).
28.Zvolensky MJ, Vujanovic AA, Bernstein A, Leyro T. Distress tolerance: Theory, measurement, and relations to
psychopathology. Current directions in psychological science. 2010 Dec;19(6):406-10.
29.Basharpoor, S., Abbasi, A. Relations of distress tolerance, negative and positive urgency with severity of
dependence and craving in people with substance dependency. RBS 2014; 12 (1) :92-102
30.Greenman Y, Kuperman Y, Drori Y, Asa SL, Navon I, Forkosh O, Gil S, Stern N, Chen A. Postnatal ablation of
POMC neurons induces an obese phenotype characterized by decreased food intake and enhanced anxietylike behavior. Molecular endocrinology. 2013 Jul 1;27(7):1091-102.
31.Simons JS, Gaher RM. The Distress Tolerance Scale: Development and validation of a self-report measure.
Motivation and emotion. 2005 Jun;29(2):83-102.
32.Egan M, Daly M, Delaney L. Adolescent psychological distress, unemployment, and the Great Recession:
Evidence from the National Longitudinal Study of Youth 1997. Social Science & Medicine. 2016 May
1;156:98-105.
33.Stockbridge EL, Wilson FA, Pagán J A. Psychological Distress and Emergency Department Utilization in the
United States: Evidence from the Medical Expenditure Panel Survey. Acad Emerg Med 2014; 21(5): 510-9.
34.Kolotkin RL, Head S, Hamilton M, Tse CK. Assessing Impact of Weight on Quality of Life. Obes Res 2015; 3:
49-56.
35.Wang H, Zhai F. Programme and Policy Options for Preventing Obesity in China. Obes Rev 2013; 14: 134-40.
36.Adam TC, Epel ES. Stress, Eating and the Reward System. Physiol Behav 2007; 91(4): 449-58.
37.Liston C, Mcewen BS, Casey BJ. Psychosocial Stress Reversibly Disrupts Prefrontal Processing Andattentional
Control. Proc Natl Acad Sci USA 2009; 106(3): 912-17.
38.O’Neil, C.E.; Nicklas, T.A.; Fulgoni, V.L. Nutrient intake, diet quality, and weight/adiposity parameters in
breakfast patterns compared with no breakfast in adults: National Health and Nutrition Examination Survey
2001–2008. J. Acad. Nutr. Diet. 2014, 114, S27–S43.
39.Lu JF. Assessment of health-related quality of life in Taiwan (I): development and psychometric testing of SF-36
Taiwan version. Taiwan J Public Health. 2003;22(6):501-11.
40.Montazeri A, Goshtasebi A, Vahdaninia M.S. The Short Form Health Survey (SF-36): translation and validation
study of the Iranian version. Payesh 2006; 5 (1)
41.Bagby RM, Parker JDA, Taylor GJ. The twenty-item Toronto alexithymia scale: I item selection and crossvalidation of the factor structure. J Psychosom Res 1994; 38: 23-32
42.Rieffe C, Oosterveld P, Terwogt MM. An alexithymia questionnaire for children: Factorial and concurrent
validation results. Personality and individual differences. 2006 Jan 1;40(1):123-33.
43.Besharat, M.A., Ganji, P. The moderating role of attachment styles in the relationship between alexithymia and
marital satisfaction. Journal of Principles of Mental Health, 2011,14(4).
44.Alavi, K. Effectiveness of group dialectic organizational behavior in reducing depression symptoms of Mashhad
students. Master's thesis in psychology. Mashhad Ferdowsi University. 2008.
45.Juni MH, Babazekri L, MZ NA, Azman AZ. Association between overweight obesity with Stress Amongst Iranian
Adolescents living in Malaysia. International Journal of Public Health and Clinical Sciences 2014; 1(2): 80-
90.
46.Barrington W, Caballos M, Bishap S, Mcgregor B, Beresford SH. Perceived Stress Behavior, and Body Mass
Index among Adults Participating in a Worksite Obesity Prevention Program, Seattle 2005-2007. Prev
Chronic Dis 2012; 9: 152.
47.Sobhi GM, Parsamanesh F. The Role of Stress in Obesity. J Psychological Res 2012; 4(16): 20-6.
48.Ghasedi Qazvini S, Kiani Q. The Relationship between Body Mass Index, Perceived Stress and Health-Related
Quality of Life among Male and Female Adolescents. Iranian J Nutrition Sci & Food Technology 2018;
13(1): 31-9.
49.Narimani M, Nemati S M. The Relationship between Psychological Distress and Self-Esteem with Anthropometric
Characteristics in Obese Children. JSSU 2020; 28 (9) :3030-3043