تحلیل مسیر نقش میانجی امید به زندگی در رابطه سرسختی روانشناختی و قدرت تحمل ابهام با اضطراب مرگ بیماران مبتلا به ام اس

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روانشناسی، دانشکده علوم انسانی، دانشگاه زنجان، زنجان، ایران

2 دانشجوی کارشناسی ارشد روانشناسی بالینی، دانشگاه شهید بهشتی، تهران، ایران

چکیده

زمینه و هدف: ام.اس از شایع ترین بیماری های مزمن سیستم عصبی مرکزی است که عوارض آن تمام جنبه های زندگی فرد مبتلا را در بر می گیرد و در نتیجه اضطراب مرگ را افزایش می دهد. از این رو پژوهش حاضر با هدف بررسی نقش میانجی امید به زندگی در رابطه بین سرسختی روانشناختی و قدرت تحمل ابهام با اضطراب مرگ بیماران مبتلا به ام اس صورت گرفت.
روش بررسی: این پژوهش، توصیفی از نوع همبستگی بود. جامعه­ی آماری، تمامی بیماران مبتلا به ام اس استان زنجان بودند که از بین آنها 135 نفر به روش نمونه گیری در دسترس انتخاب شدند. چهار ابزار اضطراب مرگ تمپلر، پرسشنامه سرسختی اهواز (AHI)، امید اشنایدر و مقیاس تحمل ابهام مک لین و همکاران، اجرا شد و داده ها با استفاده از روش تحلیل مسیر به کمک نرم افزار smart-pls تحلیل شدند.
یافته ها: نتایج نشان داد ضریب مسیر اضطراب مرگ با هر سه متغیر سرسختی روانشناختی(38/0-)، قدرت تحمل ابهام(36/0-) و امید به زندگی(45/0-) منفی و معنی دار است. ضریب مسیر قدرت سرسختی روانشناختی(26/0) و تحمل ابهام(40/0) با امید به زندگی مثبت و معنی­دار بود. به این ترتیب فرضیه های پژوهش تایید شدند.
نتیجه گیری: نتایج این پژوهش می تواند در بهبود و مشاوره درمانی این بیماران ام اس مورد استفاده قرار گیرد و با مداخله در سرسختی روانشناختی و قدرت تحمل ابهام این بیماران می توان امید به زندگی آنها را افزایش و اضطراب مرگ را کاهش داد.

کلیدواژه‌ها

عنوان مقاله [English]

The path analysis of mediating role of hope of life in relationship between psychological hardiness and the power to tolerate ambiguity and death anxiety for MS patients

نویسندگان [English]

  • Majid Yousefi Afrashteh 1
  • Farnaz Golmohammadi 2
  • Narges Tmjidi 1
1 Department of Psychology, Faculty of Humanities, Zanjan University, Zanjan, Iran
2 Master student of clinical psychology, Shahid Beheshti University, Tehran, Iran
چکیده [English]

Background and aim: MS is one of the most common chronic diseases of the central nervous that affects all aspects of a person's life and consequently increases the anxiety of death. Therefore, the present study aimed to investigate the mediating role of life expectancy in the relationship between psychological hardiness and the power to tolerate ambiguity with anxiety of death in patients with MS.
Methods: This research was a descriptive correlational study. The statistical population consisted of all patients with MS in Zanjan province, out of which 135 persion were selected by convenience sampling. Four tools including death anxiety instruments, Ahwaz hardiness questionnaire(AHI), Schneider's hope questionnaire and Mclean et al tolerance of ambiguity scale were implemented and data were analyzed using the path analysis method with the help of smart-pls software.
Results: The results showed that the death anxiety coefficient was negative and significant with all three variables of psychological hardiness (-0.38), power to tolerate ambiguity (-0.36) and life expectancy (-0.45). Path coefficients of psychological hardiness (0.26) and tolerance of ambiguity (0.40) were positive and significant with life expectancy. Then the research hypotheses were confirmed.
Conclusion: The results of this study can be used in the improvement and therapeutic counseling of MS patients. Intervention with psychological hardiness and the power to tolerate ambiguity of this patients can increase their life expectancy and reduce anxiety of death.

کلیدواژه‌ها [English]

  • MS
  • death anxiety
  • life expectancy
  • psychological hardiness
  • the power to tolerate ambiguity

مراجع

  1. Döring A, Pfueller CF, Paul F, Dörr J. Exercise in multiple sclerosis--an integral component of disease management. Epma journal. 2012 Dec 1;3(1):2.
  2. Olival GS, Lima BM, Sumita LM, Serafim V, Fink MC, Nali LH, Romano CM, Thomaz RB, Cavenaghi VB, Tilbery CP, Penalva-de-Oliveira AC. Multiple sclerosis and herpesvirus interaction. Arquivos de neuro-psiquiatria. 2013 Sep;71(9B):727-30.
  3. Sangelaji B, Nabavi SM, Estebsari F, Banshi MR, Rashidian H, Jamshidi E, Dastoorpour M. Effect of combination exercise therapy on walking distance, postural balance, fatigue and quality of life in multiple sclerosis patients: a clinical trial study. Iranian Red Crescent Medical Journal. 2014 Jun;16(6).
  4. Dividson S. The efficacy of cognitive behavioral group therapy on quality of insomnia and resilience of multiple sclerosis. Behavior Res Therapy. 2014;46:487-95.

5.Nabavi M, Poorfarzam S, Ghasemi H. Epidemiology, clinical course and prognosis of multiple sclerosis in 203 referring patients to Tehran MS clinic of Shahid Mostafa Khomeini hospital in 2002. Journal of Tehran Medical Sciences University. 2002;64(7):90-7.

6.Pietrangelo A. Medically Reviewed by George Krucik. MD, MBA, The effects of Diabetes on the body, published on September. 2014.

  1. Mitsonis CI, Potagas C, Zervas I, Sfagos K. The effects of stressful life events on the course of multiple sclerosis: a review. International Journal of Neuroscience. 2009 Jan 1;119(3):315-35.

8.Omrani S, Mirzaeian B, Aghabagheri H, Hassanzadeh R, Abedini M. Investigate the effectiveness of cognitive-behavioral group therapy on patients with multiple sclerosis life expectancy, Mazandaran University of Medical Sciences. The Twenty-Second Period. 2014;93:58-65.

9.Tabrizi N, Etemadifar M, Sharif A, Mirmahdi R, editors. Multiple sclerosis (MS). Tehran: Ghaed; 2012. [In Persian]

  1. Rezaei Dehnavi S, Heidarian F, Ashtari F, Shaygannejad V, Rezaei Kookhdan F. Relationship between Hardiness and Psychological Well-Being in People with Multiple Sclerosis and normal group. Middle Eastern Journal of Disability Studies. 2017 Apr 10;7:55-.
  2. Barnett MD, Anderson EA, Marsden III AD. Is death anxiety more closely linked with optimism or pessimism among older adults?. Archives of gerontology and geriatrics. 2018 Jul 1;77:169-73.
  3. Bodner E, Shrira A, Bergman YS, Cohen-Fridel S, Grossman ES. The interaction between aging and death anxieties predicts ageism. Personality and Individual Differences. 2015 Nov 1;86:15-9.
  4. Yang H, Zhang J, Lu Y, Li M. A Chinese version of a Likert-type death anxiety scale for colorectal cancer patients. International Journal of Nursing Sciences. 2016 Dec 1;3(4):337-41.
  5. Watter DN. Existential issues in sexual medicine: the relation between death anxiety and hypersexuality. Sexual medicine reviews. 2018 Jan 1;6(1):3-10.
  6. Folkman S. Stress, coping, and hope. InPsychological aspects of cancer 2013 (pp. 119-127). Springer, Boston, MA.
  7. Mackenbach JP, Hu Y, Looman CW. Democratization and life expectancy in Europe, 1960–2008. Social Science & Medicine. 2013 Sep 1;93:166-75.
  8. A Arab A. The Relationship of Life Expectancy, Attitude towards Delinquent Behavior, and Experience of Drug Abuse among Male Senior High School Students of Shirabad and Downtown of Zahedan. Journal of Educational Psychology Studies. 2017 Dec 22;14(28):149-68.
  9. 18. Saks AM, Gruman JA. Organizational socialization and positive organizational behaviour: Implications for theory, research, and practice. Canadian Journal of Administrative Sciences/Revue Canadienne des Sciences de l'Administration. 2011 Mar;28(1):14-26.
  10. Yavari A, Sorouri F, Rezaei M, Weisi F, Tahmasebi B. The relation between life expectancy and early maladaptive schemas in the mothers of children with intellectual disability in Kermanshah City in 2014. Pajouhan Scientific Journal. 2015 Mar 10;13(2):32-9.
  11. Abdollahi A, Panahipour H, Hosseinian S, Allen KA. The effects of perceived stress on hope in women with breast cancer and the role of psychological hardiness. Psycho‐oncology. 2019 Jul;28(7):1477-82.
  12. 21. Sandvik AM, Gjevestad E, Aabrekk E, Øhman P, Kjendlie PL, Hystad SW, Bartone PT, Hansen AL, Johnsen BH. Physical fitness and psychological hardiness as predictors of parasympathetic control in response to stress: A Norwegian police simulator training study. Journal of Police and Criminal Psychology. 2019 Mar 25:1-4.
  13. Kowalski CM, Schermer JA. Hardiness, perseverative cognition, anxiety, and health-related outcomes: A case for and against psychological hardiness. Psychological reports. 2019 Dec;122(6):2096-118.
  14. Horsburgh VA, Schermer JA, Veselka L, Vernon PA. A behavioural genetic study of mental toughness and personality. Personality and individual differences. 2009 Jan 1;46(2):100-5.
  15. Hajebi A, Emami H, Hosseinzadeh M, Khajeian A. A Study of the Mental Health and Psychological Hardiness of the Staff at the Pars Special Economic Energy Zone in Iran: A Cross-Sectional Study. Health Scope. 2016 May 1;5(2).
  16. Strout TD, Hillen M, Gutheil C, Anderson E, Hutchinson R, Ward H, Kay H, Mills GJ, Han PK. Tolerance of uncertainty: A systematic review of health and healthcare-related outcomes. Patient education and counseling. 2018 Sep 1;101(9):1518-37.
  17. Simpkin AL, Schwartzstein RM. Tolerating uncertainty—the next medical revolution?. New England Journal of Medicine. 2016 Nov 3;375(18).
  18. Jach HK, Smillie LD. To fear or fly to the unknown: Tolerance for ambiguity and Big Five personality traits. Journal of Research in Personality. 2019 Apr 1;79:67-78.
  19. Naderi F, Hosseini SM. The relationship between life expectancy and psychological hardiness in male and female students of Islamic Azad University of Gachsaran Branch. Journal of Women and Society, Islamic Azad University of Shiraz, the first year. 2010(2).
  20. Van der Werf SP, Evers A, Jongen PJ, Bleijenberg G. The role of helplessness as mediator between neurological disability, emotional instability, experienced fatigue and depression in patients with multiple sclerosis. Multiple Sclerosis Journal. 2003 Feb;9(1):89-94.
  21. McNulty K, Livneh H, Wilson LM. Perceived uncertainty, spiritual well-being, and psychosocial adaptation in individuals with multiple sclerosis. Rehabilitation Psychology. 2004 May;49(2):91.
  22. Brooks MV. Health‐related hardiness and chronic illness: A synthesis of current research. InNursing forum 2003 Jul (Vol. 38, No. 3, pp. 11-20). Oxford, UK: Blackwell Publishing Ltd.
  23. Pollock SE, Christian BJ, Sands D. Responses to chronic illness: analysis of psychological and physiological adaptation. Nursing research. 1990 Sep.
  24. Ahmadi P. Relationship between Psychological Hardiness and Social Support with Adaptation: A Study on Individuals with Multiple Sclerosis. SSU_Journals. 2013 Oct 10;21(4):465-74.
  25. Wiebe DJ. Hardiness and stress moderation: A test of proposed mechanisms. Journal of personality and social psychology. 1991 Jan;60(1):89.
  26. Delahaij R, Gaillard AW, van Dam K. Hardiness and the response to stressful situations: Investigating mediating processes. Personality and Individual differences. 2010 Oct 1;49(5):386-90.
  27. Kobasa SC, Puccetti MC. Personality and social resources in stress resistance. Journal of personality and social psychology. 1983 Oct;45(4):839.
  28. Rahimian Boogar E, Asgharnejad Farid AA. The relationship between psychological hardiness also ego-resiliency and mental health in adolescent and adult survivors of bam earthquake. Iranian Journal of Psychiatry and Clinical Psychology. 2008 May 10;14(1):62-70.
  29. Templer DI. The construction and validation of a death anxiety scale. The Journal of general psychology. 1970 Apr 1;82(2):165-77.

39.Hasanali Veiskarami, Mahdi Barzeghar Bafrooeii, Leila Yousefvand, The Relationship between Religious Orientation and Death Anxiety in the Elderly with the Mediating Role of Ageing Self, and Spiritual Health, Journal of Aging Psychology, 2018; 3(4): 281-291.

40.Kiamarsi A, Najarian B. Mehrabizade honarmand M. Validity of scale for assessment psychological hardiness (Persian). 1999:271-84.

41.Narimani M, Abolghasemi A. Psychological tests. Ardabil: Bagherezvan publication. 2005.

  1. Kashani FL, Vaziri S, Akbari ME, Zeinolabedini N, Sanaei H, Jamshidifar Z. The effectiveness of creating hope on distress of women with breast cancer. Procedia-Social and Behavioral Sciences. 2014 Dec 23;159:201-5.

43.Aghabozorg, M. [Investigating the effects of therapeutic welfare on reducing anxiety, depression, and improving inefficient views.] MA Thesis, Alzahra University. 2012. [Persian].

  1. Pourakbari F, Khajevand Khoshli A, Asadi J. Relationship of psychological hardiness and quality of life with death anxiety in nurses. Journal of Research Development in Nursing & Midwifery. 2014 Nov 10;11(2):53-9.
  2. Maddi SR, Khoshaba DM, Harvey RH, Fazel M, Resurreccion N. The personality construct of hardiness, V: Relationships with the construction of existential meaning in life. Journal of Humanistic Psychology. 2011 Jul;51(3):369-88.
  3. Fallahi V, Moradi A. ROLE OF DEATH ANXIETY AND ANXIETY SENSITIVITY IN PREDICTION OF TOLERANCE OF AMBIGUITY IN PATIENTS WITH LUNG CANCER. Nursing And Midwifery Journal. 2018 Nov 10;16(8):612-21.
  4. Ghasempour A, Sooreh J, Seid Tazeh Kand MT. Predicting death anxiety on the basis of emotion cognitive regulation strategies. Know Res Applied Psychol. 2012 Nov 15;13(2):63-70.
  5. Karampour S, Fereidooni-Moghadam M, Zarea K, Cheraghian B. The prevalence of death anxiety among patients with breast cancer. BMJ supportive & palliative care. 2018 Mar 1;8(1):61-3.
  6. Hewitt M, Herdman R, Holland J. The effectiveness of psychosocial interventions for women with breast cancer. InMeeting psychosocial needs of women with breast cancer 2004. National Academies Press (US).
مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 63، شماره 5
آذر و دی 1399
صفحه 2768-2778

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