مدل علی شدت درد بر اساس سبک‌های دلبستگی با میانجی‌گری طرحواره‌های ناسازگار اولیه در بیماران مبتلا به درد مزمن

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری تخصصی روانشناسی عمومی، گروه روان شناسی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران.

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

3 استادیار دانشکده حکمرانی، دانشگاه تهران.

4 دانشیار مشاوره دانشگاه علامه طباطبایی.

چکیده

مقدمه: مطالعه حاضر با هدف بررسی مدل علی شدت درد بر اساس سبک‌های دلبستگی با میانجی‌گری طرحواره‌های ناسازگار اولیه در بیماران مبتلا به درد مزمن، انجام گرفت. روش پژوهش: روش پژوهش توصیفی از نوع همبستگی بود. جامعه این پژوهش بیماران مبتلا به درد مزمن مراجعه‌کننده به کلینیک درد بیمارستان عرفان شهر تهران در نیمه دوم سال 1399 بود که 300 فرد مبتلا به درد مزمن به روش نمونه‌گیری دردسترس به صورت داوطلبانه به عنوان نمونه انتخاب شدند. برای جمع‌آوری داده‌ها از پرسشنامه چند بعدی درد ) وست هاون - ییل ((WHI-MPI؛ کرنز و همکاران، 1985 (، سیاهه سبک‌های دلبستگی بزرگسال (AAI، بشارت، 1384) و پرسشنامه طرحواره‌های ناسازگار اولیه یانگ (YSQ-SF؛ یانگ، 1999) استفاده و تجزیه و تحلیل داده‌ها به روش مدل‎یابی معادلات ساختاری انجام شد. یافته‌ها: نتایج نشان داد سبک دلبستگی ایمن و اضطرابی از طریق متغیر میانجی گوش‌به‌زنگی و بازداری و دیگرجهت‌مندی اثر غیرمستقیم معنی‌داری در سطح 05/0≥p بر شدت درد در افراد مبتلا به درد مزمن دارد. این بدان معنی است که طرحواره‌های ناسازگار اولیه در حوزه گوش‌بزنگی و بازداری و دیگرجهت مندی نقش میانجی‌گری در رابطه بین سبک‌های دلبستگی و شدت درد دارد. نتیجه‌گیری: بنابراین اثر سبک‌های دلبستگی ناایمن بر شکل‌دهی طرحواره‌های ناسازگار، منجر به افزایش شدت در افراد مبتلا به درد مزمن می‌شود.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Causal model of pain intensity based on attachment styles mediated by early maladaptive schemas in patients with chronic pain

نویسندگان [English]

  • Golbarg Zandi Goharrizi 1
  • Reza Ghorban Jahromi 2
  • Somayeh Robat Mili 3
  • Mahdi Zare Bahramabadi 4
1 PhD. student of General Psychology, Science and Research Branch, Islamic Azad University, Tehran, Iran.
2 Assistant Professor, Department of Psychology, Science and Research Branch, Islamic Azad University, Tehran, Iran.
3 Assistance Professor, Faculty of Governance, University of Tehran, Tehran, Iran.
4 Associate Professor of Counseling at Allameh Tabataba'i University.
چکیده [English]

Introduction: The aim of this study was to investigate the causal pattern of the relationship between attachment styles and pain intensity mediated by early maladaptive schemas in patients with chronic pain. Method: The research method was descriptive-correlational. The population of this study was patients with chronic pain referred to the pain clinic of Erfan Hospital in Tehran in the second half of 2020 that 300 people with chronic pain were voluntarily selected as a sample by available sampling method. Data were collected from the West Haven-Yale Multidimensional Pain Inventory (WHI-MPI; Kerns et al., 1985), the Adult Attachment Styles Inventory (AAI, Besharat, 2005) and the Young Early maladaptive Schemas Questionnaire (YSQ-SF; Young, 1999). Results: Data usage and analysis were performed by structural equation modeling. The results showed that safe attachment style and anxiety through the mediating variable of ear-ringing and inhibition and other orientation have a significant indirect effect on pain intensity in patients with chronic pain. This means that early maladaptive schemas in the areas of angst and inhibition and other orientation play a mediating role in the relationship between attachment styles and pain intensity. Discussion: Therefore, with the effect of insecure attachment styles on the formation of maladaptive schemas, it leads to an increase in severity in people with chronic pain.

کلیدواژه‌ها [English]

  • Chronic pain
  • Attachment styles
  • early maladaptive schemas
  • Pain intensity

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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 67، شماره 1
شماره فروردین-اردیبهشت1403
فروردین و اردیبهشت 1403
صفحه 296-311

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