پديد آورندگان :
صفري موسوي، سينا دانشگاه لرستان , ندري، مجتبي دانشگاه لرستان , اميري، ميثم دانشگاه آزاد اسلامي شيراز , رادفر، فرهاد دانشگاه شهيد بهشتي تهران , فرخچه، مهدي دانشگاه لرستان
كليدواژه :
استرس , اضطراب , افسردگي , انعطاف پذيري روانشناختي راهبردهاي شناختي تنظيم هيجان
چكيده فارسي :
زمينه و هدف
با توجه به شيوع زياد اختلالات روان پزشكي در بيماران مبتلا به ديابت نوع دو و ارتباط بين مولفه هاي انعطاف پذيري روان شناختي و راهبرد تنظيم هيجان با افسردگي و اضطراب و استرس، هدف از انجام دادن پژوهش حاضر بررسي نقش پيش بيني كنندگي انعطاف پذيري روان شناختي و راهبرد تنظيم هيجان بر افسردگي و اضطراب و استرس بيماران مبتلا به ديابت نوع دو شهر خرم آباد بود.
روش بررسي
پژوهش حاضر مقطعي و از نوع هم بستگي بود. شركت كنندگان پژوهش حاضر شامل 102 نفر زن و مرد مبتلا به ديابت نوع دو بودند كه با استفاده از نمونه گيري در دسترس از مراكز درماني سطح شهر خرم آباد انتخاب شدند. براي گردآوري داده ها، از پرسش نامه راهبرد تنظيم هيجان، پرسش نامه پذيرش و عمل و پرسش نامه افسردگي و اضطراب و استرس استفاده شد. براي تجزيه وتحليل داده ها، از ضريب هم بستگي پيرسون و رگرسيون چندمتغيره، با استفاده از نرم افزار SPSS نسخه 24 استفاده گرديد.
يافته ها
تحليل يافته ها نشان داد كه بين انعطاف پذيري روان شناختي با افسردگي (0٫001>p)، اضطراب (0٫028=p) و استرس (0٫001>p)، رابطه منفي معنا داري وجود دارد. بين راهبردهاي سازگار شناختي تنظيم هيجان با افسردگي (0٫015=p) و استرس (0٫017=p) ارتباط منفي معنا داري مشاهده شد. همچنين ارتباط مثبت معنا داري بين راهبرد ناسازگار شناختي تنظيم هيجان با افسردگي وجود داشت (0٫005=p). علاوه بر اين، انعطاف پذيري روان شناختي متغير پيش بيني كننده براي افسردگي و اضطراب بود (0٫05>p) و انعطاف پذيري روان شناختي و راهبردهاي سازگار شناختي تنظيم هيجان پيش بيني كننده استرس بودند (0٫001>p).
نتيجه گيري
به طور كلي افرادي با راهبرد سازگار تنظيم هيجان و انعطاف پذيري روان شناختي بيشتر، افسردگي، اضطراب و استرس كمتري دارند؛ لذا انجام دادن اقدامات مناسب براي افزايش راهبرد سازگار تنظيم هيجان و انعطاف پذيري روان شناختي در بيماران مبتلا به ديابت پيشنهاد مي شود.
چكيده لاتين :
Background & Objective: Diabetes mellitus is one of the most common chronic diseases in the world, the disease is a metabolic one
characterized by deficiencies in insulin secretion, which is classified to two different diabetes type. Considering the high prevalence of psychiatric
disorders in type 2 diabetic patients and role of psychological flexibility and cognitive emotion regulation strategies on psychological problems,
the aim of this study was to investigate the predicting role of psychological flexibility and cognitive emotion regulation strategies on depression,
anxiety and stress in type 2 diabetic patients.
Methods: The study was a cross–sectional and correlation one. Participants consisted of 102 men and women with type 2 diabetes that they
referred to treatment centers in Khorramabad city (Lorestan province, West of Iran) including public and private hospitals, clinics and health
centers who were selected by convenient sampling. Using cognitive emotion regulation questionnaire (CERQ), acceptance and action
questionnaire (acceptance and action questionnaire–II) and anxiety, stress and depression questionnaire (24–DASS) to collect data. To analyze
the data at the level of descriptive statistics, mean and standard deviation were used and at the level of inferential statistics Pearson correlation
coefficient and regression were used and to analyze data SPSS software (SPSS version 24 IBM crop., Armonk. NY) were used.
Results: There is a significant negative correlation between psychological flexibility with depression in patients (p<0.001). There was a
significant negative correlation between mental flexibility and anxiety variable in patients (p=0.028). On the other hand, a significant negative
relationship between psychological flexibility and stress in patients (p<0.001) observed. There was a significant negative correlation between
the depression variable and the adaptive cognitive emotion regulation strategies (p=0.015). There was a significant negative correlation between
the stress variable and the adaptive cognitive emotion regulation strategies (p=0.017). However, there was not a significant relationship between
adaptive cognitive emotion regulation strategies and anxiety. There was a significant adaptive correlation between the depression variable and
the inadaptive cognitive emotion regulation strategies (p=0.05). However, there was not a significant relationship between adaptive cognitive
emotion regulation strategies with stress, and there was not a significant relationship between adaptive cognitive emotion regulation strategies
with anxiety. Also, psychological flexibility was an acceptable tool to determined depression, anxiety; also, it was the most important factor in
predicting stress (p<0.001). Adaptive and inadaptive variables of cognitive emotion regulation strategies were not able to predict components of
depression and anxiety significantly. However, the cognitive emotion regulation adaptive strategy could predict the stress component (p<0.01)
significantly, and psychological flexibility and adaptive cognitive strategies were predictors of stress (p<0.001).
Conclusion: In general, individuals with high adaptive cognitive emotion regulation strategies and psychological flexibility accept their defects
and problems, judge themselves less, and they are aware of their problems. This condition has led to less stress, anxiety, and depression.
Therefore, it is recommended to exercise suitable practices to increase positive cognitive emotion regulation strategies and psychological
flexibility in type 2 diabetic patients.
