Health Psychology
Tahereh Hosseini; Mahdi Zare Bahramabadi; Reza Ghorban Jahromi
Abstract
Until a few years ago, infectious diseases were considered as the biggest health problem in third world countries. So that all the power of the countries was used to control and prevent the epidemics of these diseases; But currently, the increase in the burden of non-communicable diseases, especially ...
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Until a few years ago, infectious diseases were considered as the biggest health problem in third world countries. So that all the power of the countries was used to control and prevent the epidemics of these diseases; But currently, the increase in the burden of non-communicable diseases, especially in developing countries, is considered a serious threat. Diabetes Mellitus or sugar disease is one of the chronic diseases that have plagued mankind for many years, and it can be seen in all ages. The present study was conducted with the aim of investigating the mediating role of emotional schemas in the relationship between belief in a just world and social support. MethodThe research method is descriptive-correlation and structural equation modeling in a special way. The statistical population included all patients with type 2 diabetes referred to specialized diabetes clinics in Tehran, and 350 people were randomly selected from among those who referred to the Taban Diabetes Clinic (Tehran District 2) in the autumn of 2020-2021. All research processes were done virtually due to the Covid-19 virus pandemic. Research tools include the scale of belief in a just world (Dalbert, 1999) and (Sutton, Douglas, 2005), the scale of perceived social support (Zimet, Dahlem, Zimet, et al., 1988), the scale of emotional schemas (Leahy, 2002), which is the software was provided to the participants.ResultsThe results showed that the fit indices of the research model were favorable (GFI<0.9) and emotional schemas played a mediating role in the relationship between belief in a just world and social support. This model explains 63% of the changes in belief in a just world in diabetic patients. The obtained results showed that the direct relationship between social support and belief in a just world is significant. Also, emotional schemas can play a mediating role in the relationship between social support and belief in a just world.DiscussionThis means that emotional schemas play a mediating role in the relationship between social support and belief in a just world. In fact, the understanding of social support can prevent the occurrence of adverse physiological effects of the disease in a person, increase the level of self-care and self-confidence of a person, and leave a positive impact on a person's physical, mental and social condition, and clearly increase performance and improve quality of life.
Golbarg Zandi Goharrizi; Reza Ghorban Jahromi; somaye robatmili; Mahdi Zare Bahramabadi
Abstract
IntroductionThe aim of this study was to investigate the causal pattern of the relationship between attachment styles and pain intensity mediated by early maladaptive schemas and difficulty in regulating emotion in patients with chronic pain. Pain is classified not only as a perception but also as a ...
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IntroductionThe aim of this study was to investigate the causal pattern of the relationship between attachment styles and pain intensity mediated by early maladaptive schemas and difficulty in regulating emotion in patients with chronic pain. Pain is classified not only as a perception but also as a mood and therefore separate from the five senses. Pain is a difficult subject conceptually, and its description and classification have always been difficult so it can be said that the only clear aspect of pain is that it shows the patient's state of mental suffering. The results of some studies have also shown the relationship between early maladaptive schemas and the difficulty of emotion regulation with pain intensity. In addition, disturbance in emotion regulation, which can be caused by the experiences of the first years of childhood, is also effective in predicting psychosomatic and psychological disorders and pain intensity. In general, according to what was mentioned, it seems that without considering psychological factors, it is not possible to improve or reduce the severity of pain, maintain quality of life, and adapt to chronic pain. Mediated by early maladaptive schemas and difficulty in emotion regulation. MethodThe research method is descriptive correlation and structural equation modeling. 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 where 300 people with chronic pain were selected by convenience sampling. To collect data from the Westhawn-Yale Multidimensional Pain Questionnaire (WHI-MPI; Kerns et al., 1985), Adult Attachment Styles Inventory (AAI, Besharat, 2005), Young's Early Maladaptive Schemas Questionnaire (YSQ-SF; Young, 1999). And the Emotion Regulation Difficulty Scale (DERS; Gertz and Roemer, 2004). Data usage and analysis have been performed using structural equation methods. ResultsThe sample of the present study included 300 patients with chronic pain. The average age of study participants (300 people) was reported to be approximately 40 years. The youngest was 20 years old and the oldest was 66 years old. Also, out of 300 people in the sample group, 83.7% (251 people) in the sample group are women and 16.3% (49 people) are men. The results showed that secure attachment style and anxiety through the mediating variables of hoarseness and inhibition, other orientation, and difficulty in emotion regulation, have a significant indirect effect on pain intensity in people with chronic pain. DiscussionThis means that early maladaptive schemas in the field of listening and restraint, other orientations and difficulty in regulating emotion play a mediating role in the relationship between attachment styles and pain intensity. Therefore, by considering the schemas of the field of distraction and inhibition, other orientations and difficulty in regulating emotion can play an effective role in the severity of pain in people with chronic pain. Based on the results, it was found that attachment styles have an indirect effect on pain intensity in patients with chronic pain, with difficult mediation in emotional regulation. Therefore, the results of the study showed that safe attachment style and anxiety through a difficult mediating variable in emotion regulation, has a significant indirect effect on pain intensity.
