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پیشبینی تبعیت از درمان براساس سبکهای دلبستگی با درنظرگرفتن نقش میانجی تنظیم هیجانی در بیماران مبتلا به زخم معدۀ مزمن | ||
فصلنامه پژوهشهای کاربردی روانشناختی | ||
مقاله 7، دوره 16، شماره 2، تیر 1404، صفحه 97-111 اصل مقاله (747.73 K) | ||
نوع مقاله: مقاله پژوهشی | ||
شناسه دیجیتال (DOI): 10.22059/japr.2025.355259.644539 | ||
نویسندگان | ||
عباس کیوانلو1؛ علی اکبر صارمی* 2؛ رضا نوری3 | ||
1گروه روانشناسی، واحد تربت جام، دانشگاه آزاد اسلامی، تربت جام، ایران. | ||
2استادیار، گروه روانشناسی، واحد تربت جام، دانشگاه آزاد اسلامی، تربت جام، ایران. | ||
3گروه روانپزشکی، دانشکدۀ پزشکی، دانشگاه علوم پزشکی زابل، زابل، ایران. | ||
چکیده | ||
هدف پژوهش حاضر، بررسی پیشبینی تبعیت از درمان دارویی براساس سبکهای دلبستگی با درنظرگرفتن نقش میانجی تنظیم هیجانی در بیماران مبتلا به زخم معدۀ مزمن بود. روش پژوهش حاضر همبستگی و از نوع مدلسازی معادلات ساختاری بود. جامعۀ آماری پژوهش کلیۀ افراد مبتلا به زخم معدۀ مراجعهکننده به پلی کلینیکهای تخصصی و مطب شخصی متخصصان داخلی شهر مشهد در ششماهۀ دوم سال 1400 بودند. افراد نمونه ۱۵۰ نفر مرد و زن بودند که به روش داوطلبانه و هدفمند انتخاب شدند. ابزارهای پژوهش شامل نسخۀ تجدیدنظرشدۀ مقیاس دلبستگی بزرگسال (RAAS)، مقیاس تبعیت از درمان موریسکی (MMAS) و مقیاس دشواری در تنظیم هیجانی (DERS) بودند. برای تحلیل دادهها از روش مدلیابی معادلات ساختاری استفاده شد. تحلیل دادهها با استفاده از نرمافزارهای آماری SPSS-20 و SmartPLS-3 انجام گرفت. یافتهها نشان داد سبکهای دلبستگی اثر غیرمستقیم معناداری بر تبعیت درمانی دارند. تنظیم هیجانی در این رابطه نقش واسطهای معناداری داشت (0/05>p). با افزایش سبکهای دلبستگی ایمن، تبعیت درمانی افزایش مییافت و افرادی که تنظیم هیجانی بیشتری داشتند، تبعیت درمانی بیشتری گزارش کردند. سبکهای دلبستگی ناایمن بر تبعیت درمانی تأثیر منفی و معنادار داشتند؛ درحالیکه اثر سبکهای دلبستگی ایمن بر تبعیت درمانی مستقیم و معنادار بود. | ||
کلیدواژهها | ||
تبعیت درمانی؛ تنظیم هیجانی؛ زخم معده؛ سبک دلبستگی | ||
عنوان مقاله [English] | ||
Predicting Medical Adherence based on Attachment Styles by Considering the Mediating Role of Emotional Regulation in Patients with Chronic Peptic Ulcer Disease | ||
نویسندگان [English] | ||
Abbas Keyvanloo1؛ Aliakbar Saremi2؛ Reza Nouri3 | ||
1Department of Psychology, Torbat-e Jam Branch, Islamic Azad University, Torbat-e Jam, Iran. | ||
2Assistant Professor, Department of psychology, Torbat-e Jam Branch, Islamic Azad University, Torbat-e Jam, Iran. | ||
3Department of Psychiatry, School of Medicine, Zabol University of Medical Sciences, Zabol, Iran. | ||
چکیده [English] | ||
The purpose of this study was to investigate the prediction of medical adherence in patients with chronic peptic ulcers by examining the mediating function of emotional regulation in relation to attachment styles. The current research was fundamental in terms of its purpose and employed a correlational approach through structural equation modeling. The statistical population of the current research comprised all patients with peptic ulcers who were referred to the specialized polyclinics and personal offices of internal medicine specialists in Mashhad during the final six months of 2021. The sample consisted of 150 cases that were selected through a voluntary and intentional process. The revised version of the adult attachment scale (RAAS), Morisky medical adherence scale (MMAS), and difficulties in emotional regulation scale (DERS) were completed by the subjects. The data was analyzed using structural equation modeling. SPSS-20 and SmartPLS-3 statistical software were employed to conduct the data analysis. These findings indicated that attachment patterns have a significant indirect effect on medical adherence. Emotional regulation played a significant mediating role in this context (p<0.05). The prevalence of secure attachment styles was positively correlated with an increase in medical adherence, and individuals with higher emotional regulation reported a higher level of medical adherence. Insecure attachment styles had a significant negative effect on medical adherence; while the effect of secure attachment styles on medical adherence was direct and significant. | ||
کلیدواژهها [English] | ||
Attachment Style, Emotional Regulation, Medical Adherence, Peptic Ulcer | ||
مراجع | ||
اورکی، م.، زارع، ح.، و حسینزاده قاسمآباد، ع. (1400). اثربخشی درمان مبتنی بر پذیرش و تعهد بر تبعیت از درمان در افراد مبتلا به کبد چرب غیرالکلی. مجلۀ علمی پژوهشی دانشگاه علوم پزشکی شهید صدوقی یزد، ۲۹(۲)، ۳۴90-۳۴79. http://dx.doi.org/10.18502/ssu.v29i2.6086
دیانتی، م.، مهدوی نژاد، ب.، و تقدسی، م. (1398). بررسی تبعیت دارویی و عوامل مرتبط با آن در بیماران مبتلا به سندروم عروق کرونر در دورۀ پس از ترخیص از بیمارستان بهشتی کاشان در سال ۱۳۹۶. مجلۀ علوم پزشکی فیض، ۲۳(۲)، ۲۰8-۲۰1. http://feyz.kaums.ac.ir/article-1-3737-en.html
عسگریزاده، ا.، پاکدامن، ش.، هونجانی، م.، و قنبری، س. (1402). نسخۀ ایرانی مقیاس تجدیدنظر شدۀ دلبستگی بزرگسال: روایی و پایایی در جمعیت عمومی. فصلنامۀ روانشناسی کاربردی، 17(2)، 191-167. https://doi.org/10.48308/apsy.2023.230293.1443
نساییان، ع.، اسدی گندمانی، ر. (1397). پیش بینی تنظیم هیجان براساس سبکهای دلبستکی و سبکهای فرزندپروری ادراک شده در نوجوانان. مجله پرستاری کودکان، 5(1)، 1-10. http://jpen.ir/article-1-274-fa.html
نویدیان، ع.، مرادقلی، م.، کیخایی، ا. و سعیدینژاد، ف. (1394). بررسی رابطۀ سبکهای دلبستگی و رفتار خودمراقبتی در بیماران مبتلا به نارسایی قلب. حیات، ۲۱(۲)، 17-6. http://hayat.tums.ac.ir/article-1-1099-fa.html
هوایی، آ.، کاظمی، ح.، حبیباللهی، ا.، و ایزدی خواه، ز. (1395). اثربخشی مداخلۀ تنظیم هیجان بر میزان تحمل پریشانی و مشکلات تنظیم هیجان در زنان مبتلا به سردرد تنشی. مجلۀ علمی پژوهشی دانشگاه علوم پزشکی شهید صدوقی یزد، ۲۴(۱۰)، ۸51-۸40. http://jssu.ssu.ac.ir/article-1-3694-fa.html
References Abdoli, F., Madahi, M. E., & Seyrafi, M. (2021). Structural equation modeling of adherence to treatment on emotional regulation mediated by coping strategies by in women with breast cancer undergoing chemotherapy. Hormozgan Medical Journal. 25(3), 120-125. https://doi.org/10.34172/hmj.2021.15 Adams, G. C., Wrath, A. J., & Meng, X. (2018). The relationship between adult attachment and mental health care utilization: A systematic review. The Canadian Journal of Psychiatry. 63(10), 651-660. https://doi.org/10.1177/0706743718779933 Ahmed, O. A., Fahmy, U. A., Bakhaidar, R., El-Moselhy, M. A., Alfaleh, M. A., Ahmed, A. S. F., ... & Alhakamy, N. A. (2020). Pumpkin oil–based nanostructured lipid carrier system for antiulcer effect in NSAID-induced gastric ulcer model in rats. International Journal of Nanomedicine, 15, 2529-2539. https://doi.org/10.2147/IJN.S247252 Asgarizadeh, A., Pakdaman, S., Hunjani, M. & Ghanbari, S. (2000). Iranian adaptation of the revised adult attachment scale: Validity and reliability in the general population. Applied Psychology, 17(2), 167-191. https://doi.org/10.48308/apsy.2023.230293.1443 (In Persian) Barberis, N., Cernaro, V., Costa, S., Montalto, G., Lucisano, S., Larcan, R., & Buemi, M. (2017). The relationship between coping, emotion regulation, and quality of life of patients on dialysis. The International Journal of Psychiatry in Medicine, 52(2), 111-123. https://doi.org/10.1177/0091217417720893 Belot, R. A., Bouteloup, M., Bonnet, M., Parmentier, A. L., Magnin, E., Mauny, F., & Vuillier, F. (2021). Evaluation of attachment style and social support in patients with severe migraine: Applications in doctor-patient relationships and treatment adherence. Frontiers in Neurology. 12, 706639. https://doi.org/10.3389/fneur.2021.706639 Bowlby, J. (1982). Attachment and loss: Retrospect and prospect. American Journal of Orthopsychiatry. 52(4), 664–678. https://doi.org/10.1111/j.1939-0025.1982.tb01456.x Burgess, E., Hassmén, P., & Pumpa, K. L. (2017). Determinants of adherence to lifestyle intervention in adults with obesity: A systematic review. Clinical Obesity, 7(3), 123-135. https://doi.org/10.1111/cob.12183 Campbell, L., & Marshall, T. (2011). Anxious attachment and relationship processes: An interactionist perspective. Journal of Personality, 79(6), 1219-1250. https://doi.org/10.1111/j.1467-6494.2011.00723.x Caruso, A., Grolnick, W., Rabner, J., & Lebel, A. (2021). Parenting, self-regulation, and treatment adherence in pediatric chronic headache: A self-determination theory perspective. Journal of Health Psychology. 26(10), 1637-1650. https://doi.org/10.1177/1359105319884596 Ciechanowski, P. S., Katon, W. J., & Russo, J. E. (2005). The association of depression and perceptions of interpersonal relationships in patients with diabetes. Journal of Psychosomatic Research, 58(2), 139-144. https://doi.org/10.1016/j.jpsychores.2004.07.009. Collins, N. L., & Read, S. J. (1990). Adult attachment, working models, and relationship quality in dating couples. Journal of Personality and Social Psychology, 58(4), 644. https://doi.org/10.1037/0022-3514.58.4.644 Compare, A., Zarbo, C., Shonin, E., Van Gordon, W., & Marconi, C. (2014). Emotional regulation and depression: A potential mediator between heart and mind. Cardiovascular Psychiatry and Neurology, 2014(1), 324374. https://doi.org/10.1155/2014/324374 Dianati, M., Mahdavinejad, B., & Taghadosi, M. (2019). Medication adherence rate and related factors in patients with acute coronary syndrome after discharge from Shahid Beheshti Hospital in Kashan during 2017-2018. Feyz Medical Sciences Journal; 23(2), 201-208. http://feyz.kaums.ac.ir/article-1-3737-en.html (In Persian) Dynyak, A. (2020). Peptic ulcer disease: Can a behavioral factor be implicated?. Jurnal Profesi Medika: Jurnal Kedokteran Dan Kesehatan, 14(2), 118-121. https://doi.org/10.33533/jpm.v14i2.1948. Escobar, D. F. S. S., Noll, P. R. E. S., Jesus, T. F. d., & Noll, M. (2020). Assessing the mental health of brazilian students involved in risky behaviors. International Journal of Environmental Research and Public Health, 17(10), 3647. https://doi.org/10.3390/ijerph17103647. Eshraghian, A. (2014). Epidemiology of helicobacter pylori infection among the healthy population in Iran and countries of the Eastern Mediterranean Region: A systematic review of prevalence and risk factors. World Journal of Gastroenterology: WJG, 20(46), 17618. http://dx.doi.org/10.3748/wjg.v20.i46.17618 Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment. 26, 41–54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94 Havaiy, A., Kazemi, H., Habibollahi, A., & Izadikhah, Z.(2016). The effect of emotion regulation on the amount of tension tolerance and emotion regulation difficulties in women with tension -type headaches . Journal of Shahid Sadoughi University of Medical Science, 24(10), 840-851. https://www.sid.ir/paper/36691/en (In persian) Hazan, C., & Shaver, P. (2017). Romantic love conceptualized as an attachment process. In R. Zukauskiene, (Ed.), Interpersonal development (pp. 283-296). London: Routledge. https://doi.org/10.4324/9781351153683 Hendrickson, S. B., Simske, N. M., DaSilva, K. A., & Vallier, H. A. (2020). Improvement in outpatient follow-up with a postdischarge phone call intervention. The Journal of the American Academy of Orthopaedic Surgeons, 28(18), e815-e822. https://doi.org/10.5435/JAAOS-D-19-00132 Inwood, E., & Ferrari, M. (2018). Mechanisms of change in the relationship between self‐compassion, emotion regulation, and mental health: A systematic review. Applied Psychology: Health and Well‐Being, 10(2), 215-235. https://doi.org/10.1111/aphw.12127. Jimenez, X. F. (2017). Attachment in medical care: A review of the interpersonal model in chronic disease management. Chronic Illness, 13(1), 14-27. https://doi.org/10.1177/1742395316653454 Johnson, H. D. (1965). Gastric ulcer: Classification, blood group characteristics, secretion patterns and pathogenesis. Annals of Surgery, 162(6), 996-1004. https://doi.org/10.1097/00000658-196512000-00005 Khan, F. (2024). Effect of attachment style on emotional regulation and psychological wellbeing among adults. Advanced International Journal of Multidisciplinary Research, 2(3). https://doi.org/10.62127/aijmr.2024.v02i03.1046. Kobylińska, D. & Kusev, P. (2019). Flexible emotion regulation: how situational demands and individual differences influence the effectiveness of regulatory strategies. Frontiers in Psychology, 1o, 00072. https://doi.org/10.3389/fpsyg.2019.00072 Kubica, A., Gruchała, M., Jaguszewski, M., Jankowski, P., Świeczkowski, D., Merks, P., & Uchmanowicz, I. (2017). Adherence to treatment—a pivotal issue in long-term treatment of patients with cardiovascular diseases. An expert standpoint. Medical Research Journal, 2(4), 123-127. https://doi.org/10.5603/MRJ.2017.0016 Lee, S. P., Sung, I. K., Kim, J. H., Lee, S. Y., Park, H. S., & Shim, C. S. (2017). Risk factors for the presence of symptoms in peptic ulcer disease. Clinical Endoscopy, 50(6), 578-584. https://doi.org/10.5946/ce.2016.129 Leung, S. E., Wnuk, S., Jackson, T., Cassin, S. E., Hawa, R., & Sockalingam, S. (2019). Prospective study of attachment as a predictor of binge eating, emotional eating and weight loss two years after bariatric surgery. Nutrients, 11(7), 16-25. https://doi.org/10.3390/nu11071625 Liu, J., Zhu, X., Yan, J., Gong, L., Wu, X., Liu, M., & Mao, P. (2021). Association between regulatory emotional self-efficacy and immunosuppressive medication adherence in renal transplant recipients: Does medication belief act as a mediator? Frontiers in Pharmacology, 12, 559368. https://doi.org/10.3389/fphar.2021.559368 Maheswari, B., Devi, P. R., Ajith, K., VedPrakash, P., & SeshaSai Gayatri, K. (2020). Evaluation of antiulcer activity of ethanol extract of leaves of lactuca sativa. Journal of Drug Delivery and Therapeutics, 10(4), 196-199. https://doi.org/10.22270/jddt.v10i4.4190 Malaeb, D., Sacre, H., Mansour, S., Haddad, C., Sarray El Dine, A., Fleihan, T., ... & Hosseini, H. (2023). Assessment of medication adherence among Lebanese adult patients with non-communicable diseases during COVID-19 lockdown: A cross-sectional study. Frontiers in Public Health, 11, 1145016. https://doi.org/10.3389/fpubh.2023.1145016 McWilliams, L. A. (2018). Relationships between adult attachment dimensions and patient-physician relationship quality. Journal of Relationships Research, 9, e15. https://doi.org/10.1017/jrr.2018.13 Middleton, K. R., Anton S. D., & Perri M. G. (2013). Long-term adherence to health behavior change. American Journal of Lifestyle Medicine,7(6), 395-404. https://doi.org/10.1177/1559827613488867 Mikulincer, M., & Shaver, P. R. (2020). Broaden-and-build effects of contextually boosting the sense of attachment security in adulthood. Current Directions in Psychological Science, 29(1), 22-26. https://doi.org/10.1177/0963721419885997. Moosazadeh, M., Lankarani, K. B., & Afshari, M. (2016). Meta-analysis of the prevalence of helicobacter pylori infection among children and adults of Iran. International Journal of Preventive Medicine, 7(1), 48. https://doi.org/10.4103/2008-7802.177893 Morisky, D. E., Ang, A., Krousel‐Wood, M., & Ward, H. J. (2008). Predictive validity of a medication adherence measure in an outpatient setting. The Journal of Clinical Hypertension, 10(5), 348-354. https://doi.org/10.1111/j.1751-7176.2008.07572.x Navidian, A., Moradgholi, M., Kykhaee, A., & Saeedinegad, F. (2015). Relationship between attachment styles and self-care behaviors in patients with heart failure. Journal of Hayat, 21(2) :6-17. http://hayat.tums.ac.ir/article-1-1099-en.html (In Persian) Nesayan, A., & Asadi gandomani, R. (2018). Prediction of emotion regulation based on attachment styles and perceived parenting styles in adolescents. Journal of Pediatric Nursing, 5(1), 1-10 Nielsen, S. K. K., Lønfeldt, N., Wolitzky-Taylor, K. B., Hageman, I., Vangkilde, S., & Daniel, S. I. F. (2017). Adult attachment style and anxiety: The mediating role of emotion regulation. Journal of Affective Disorders. 218, 253-259. https://doi.org/10.1016/j.jad.2017.04.047 Ogedegbe, G., Schoenthaler, A., Richardson, T., Lewis, L., Belue, R., Espinosa, E., & Charlson, M. E. (2007). An RCT of the effect of motivational interviewing on medication adherence in hypertensive African Americans: Rationale and design. Contemporary Clinical Trials. 28(2), 169-181. https://doi.org/10.1016/j.cct.2006.04.002 Oraki, M., Zare, H., & Hosseinzadeh Ghasemabad, A. (2021). Effectiveness of acceptance and commitment therapy on treatment adherence in people with non-alcoholic fatty liver disease. Journal of Shahid Sadoughi University of Medical Science, 29(2), 3479-3490. http://dx.doi.org/10.18502/ssu.v29i2.6086 (In Persian) Paik, K. Y., Seok, H. E., & Chung, J. H. (2020). The analysis of risk for peptic ulcer disease using Korean national health and nutrition examination survey: A cross-sectional analysis of a national survey sample. Annals of Translational Medicine, 8(7), 460. https://doi.org/10.21037/atm.2020.03.126 Robson, B. L., Preece, D. A., & Dickson, J. M. (2023). Goal motives in depression and anxiety: The mediating role of emotion regulation difficulties. Australian Psychologist, 58(4), 284-293. https://doi.org/10.1080/00050067.2022.2162809 Scheel, J. F., Schieber, K., Reber, S., Stoessel, L., Waldmann, E., Jank, S., Eckardt, K.-U., …, & Erim, Y. (2018). Psychosocial variables associated with immunosuppressive medication non-adherence after renal transplantation. Frontiers in Psychiatry, 9, 00023. https://doi.org/10.3389/fpsyt.2018.00023. Sivakumar, A., & Stubbs, B. (2021). Peptic ulcer disease. InnovAiT, 14(6), 372-378. https://doi.org/10.1177/17557380211005791 Srivastav, Y., Kumar, V., Srivastava, Y., & Kumar, M. (2023). Peptic Ulcer Disease (PUD), diagnosis, and current medication-based management options: Schematic overview. Journal of Advances in Medical and Pharmaceutical Sciences, 25(11), 14–27. https://doi.org/10.9734/jamps/2023/v25i11651 Talia, A., Miller-Bottome, M., Wyner, R., Lilliengren, P., & Bate, J. (2019). Patients’ adult attachment interview classification and their experience of the therapeutic relationship: Are they associated? Research in Psychotherapy: Psychopathology, Process, and Outcome, 22(2). https://doi.org/10.4081/ripppo.2019.361 Wang, Y., Zhang, P., Han, Y., Nelson, R. S., McLeod, H. L., Tao, K., ... & Zhou, H. (2020). Adherence to adjuvant imatinib therapy in patients with gastrointestinal stromal tumor in clinical practice: A cross-sectional study. Chemotherapy, 64(4), 197-204. https://doi.org/10.1159/000505177 Waters, S. F., Karnilowicz, H. R., West, T. V., & Mendes, W. B. (2020). Keep it to yourself? Parent emotion suppression influences physiological linkage and interaction behavior. Journal of Family Psychology, 34(7), 784–793. https://doi.org/10.1037/fam0000664 Xie, X., Ren, K., Zhou, Z., Dang, C., & Zhang, H. (2022). The global, regional and national burden of peptic ulcer disease from 1990 to 2019: A population-based study. BMC Gastroenterology. 22(1), 58. https://doi.org/10.1186/s12876-022-02130-2 Zahid, R., Akram, M., Riaz, M., Munir, N., & Shehzad, M. (2020). Phytotherapeutic modalities for the management of Helicobacter pylori associated peptic ulcer. European Journal of Inflammation, 18. https://doi.org/10.1177/2058739220968308 | ||
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