Clinical Psychology: Research and Practice Innovations

Clinical Psychology: Research and Practice Innovations"

Structural Equation Modeling of the Mediating Role of Self-Efficacy in the Relationship between Cognitive Flexibility and Psychological Well-Being of Patients with Irritable Bowel Syndrome

Document Type : Original Article

Authors
Zahra Shirani 1
mohamad reza Tamannaeifar 2
Babak Tamizifar 3
1 M.A in Psychology, Department of Psychology, Faculty of Humanities, University of Kashan, Kashan, Iran.
2 Associate Professor, Department of Psychology, Faculty of Humanities, Kashan University, Kashan, Iran
3 Assistant Professor of Internal Medicine, Department of Internal Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
10.22075/jcp.2024.33619.2869
Abstract
 
Background: Irritable bowel syndrome is one of the most well-known gut-brain interaction disorders and is characterized by symptoms of chronic abdominal pain along with changes in bowel habits. This disease has a significant impact on the quality of life of patients. The aim of the present study was to investigate the mediating role of self-efficacy in the relationship between cognitive flexibility and psychological well-being in patients with irritable bowel syndrome.
Method: The present study was descriptive-correlational using structural equation modeling. The statistical population was patients with irritable bowel syndrome who referred to Gastrointestinal Health Center, Alzahra Hospital in Isfahan city in year 2023. The sample size was selected based on Kline model and with convenience sampling of 300 patients. Using psychological well-being scale, cognitive flexibility inventory (CFI) and self-efficacy questionnaire data was collected. Using SPSS version 28 and AMOS software data were analyzed.
Results: The results indicated that Problem solving process (sig= 0.001,
β=.62) and perception of controllability (sig= 0.001, β=.49) predict psychological well-being and self-efficacy has a mediating role in the relationship between cognitive flexibility and psychological well-being.
Conclusion: The findings of this research have practical implications for therapeutic interventions focusing on cognitive flexibility and self-efficacy to improve the psychological well-being of patients with irritable bowel syndrome.
Keywords
cognitive flexibility
irritable bowel syndrome
psychological well-being
self-efficacy
Subjects

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  • Receive Date 26 March 2024
  • Revise Date 13 January 2025
  • Accept Date 05 February 2025
  • First Publish Date 05 February 2025
  • Publish Date 22 September 2024