نقش میانجی ناگویی هیجانی در رابطه بین انعطاف‌ پذیری شناختی با کیفیت زندگی و اختلال وسواس فکری-عملی در بیماران مبتلا به پسوریازیس

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد روانشناسی بالینی، گروه روانشناسی، دانشکده علوم و فناوری‌های پزشکی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی،

2 نویسنده مسئول، استاد، گروه روانشناسی بالینی، دانشکده روانشناسی و علوم تربیتی، دانشگاه علامه طباطبایی، تهران، ایران

10.22075/jcp.2025.36277.3080

چکیده

مقدمه: هدف از پژوهش حاضر بررسی نقش میانجی ناگویی هیجانی در رابطه بین انعطاف‌پذیری شناختی با کیفیت زندگی و اختلال وسواس فکری-عملی در بیماران مبتلا به پسوریازیس بود.
روش: روش این مطالعه توصیفی- همبستگی بود. جامعه آماری پژوهش بیماران مبتلا به پسوریازیس شهر تهران در نیمه اول سال 1403 بودند. حجم نمونه بر اساس مدل کلاین(2023) و با روش نمونه‏گیری هدفمند 200 نفر انتخاب شد. ابزار گردآوری داده‌‌های پژوهش شامل پرسشنامه کیفیت زندگی در بیماری‌های پوستی(DLQI) فینلای و خان(1994)، سیاهه وسواس فکری-عملی مادزلی(MOCI) هاجسون و راچمن(1977)، سیاهه انعطاف‌پذیری شناختی(CFI) دنیس و وندروال(2010) و مقیاس ناگویی هیجانی تورنتو(TAS) و بگبی و همکاران(1994) بود. داده‌ها با استفاده از همبستگی پیرسون و معادلات ساختاری تحلیل شد.
نتایج: یافته‌های پژوهش نشان داد که اثرات مستقیم انعطاف‌پذیری شناختی بر کیفیت زندگی(0/84- =β و 0/001=sig) و وسواس فکری-عملی(0/73- =β و 0/001=sig) معنادار است. همچنین نتایج نشان داد که ناگویی هیجانی در رابطه بین انعطاف‌پذیری شناختی با کیفیت زندگی و وسواس فکری-عملی نقش میانجی و معنادار دارد. همچنین مدل پژوهش از برازش مطلوبی برخوردار بود (0/03=RMSEA و 0/05>p) و 98 درصد از واریانس وسواس فکری-عملی و 99 درصد از واریانس کیفیت زندگی بر اساس انعطاف‌پذیری روانشناختی با نقش میانجی ناگویی هیجانی تبیین می‌شود.
نتیجه‌گیری: با توجه به یافته‏های این پژوهش و نقش انعطاف‌پذیری شناختی و ناگویی هیجانی استفاده از آموزش تنظیم هیجان و مداخلات مبتنی بر پذیرش/تعهد برای بهبود کیفیت زندگی و وسواس فکری-عملی این بیماران پیشنهاد می‌شود.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The Mediating Role of Alexithymia in the Relationship between Cognitive Flexibility with Quality of Life and Obsessive–Compulsive Disorder of Patients with Psoriasis

نویسندگان [English]

  • Faezeh Mahmodian Fard 1
  • Hosein Eskandari 2
1 M.Sc student in Clinical Psychology, Department of Psychology, Medical Sciences and Technologies Faculty, Science and Research Branch, Islamic Azad University, Tehran, Iran.
2 Corresponding Author, Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Allameh Tabataba'i University, Tehran, Iran.
چکیده [English]

Introduction: The purpose of the present study was to investigate mediating role of alexithymia in the relationship between cognitive flexibility with quality of life and obsessive–compulsive disorder of patients with psoriasis. This was descriptive-correlation research.
Method: The statistical population of the study was patients with psoriasis of Tehran city in year 2024. The sample size was selected based on Klein's model (2023) and with subjectivw sampling of 200 patients with psoriasis. Data collection tools include the dermatology life quality index (DLQI) of Finlay & Khan (1994), the Maudsley obsessive–compulsive inventory (MOCI) of Hodgson and Rachman (1977), cognitive flexibility inventory (CFI) of Dennis and Vander Wal (2010) and Toronto alexithymia scale (TAS) of Bagby and et al (1994). Data were analyzed using Pearson correlation and structural equations modeling.
Results: The results showed direct effect of cognitive flexibility on quality of life (β= - 0.84 and sig=0.001) and obsessive–compulsive disorder (β= - 0.73). Also, the final research model had a good fit (RMSEA=0.03, p<0.05) and 98% of the variance of obsessive–compulsive disorder and 99% of the variance of quality of life is explained by cognitive flexibility with mediating role of alexithymia.
Discussion and conclusion: According to the findings of this research and the role of cognitive flexibility and alexithymia, the use of emotion regulation training and acceptance and commitment therapy, to improve the quality of life and obsessive–compulsive disorder of patients with psoriasis.

کلیدواژه‌ها [English]

  • alexithymia
  • cognitive flexibility
  • obsessive–compulsive disorder
  • psoriasis
  • quality of life
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