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Model of Predicting Psychosocial Adaptation to Disease According to Perceived Stress and Sense of Coherence with the Mediation Role of Health Promoting Behaviors in Patients with Irritable Bowel Syndrome

Document Type : Original Article

Authors

1 PhD student in Psychology, Department of Health Psychology, Faculty of Medicine, Najafabad Branch, Islamic Azad University, Najafabad, Iran

2 Assistant Professor, Department of Health Psychology, Faculty of Medicine, Najafabad Branch, Islamic Azad University, Najafabad, Iran

3 Assistant Professor, Department of Psychology, Payam Noor University, Tehran, Iran

4 Professor, Porsina Hakim Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Introduction: Psychosomatic diseases disrupt patients’ mental order, leading to chronic psychological injuries. Consequently, this study aimed to investigate the mediating role of health-promoting behaviors in the relationship between perceived stress and sense of coherence with psychosocial adaptation to the disease in patients with irritable bowel syndrome (IBS).
Methods: The research method was descriptive-correlational and utilized Structural Equation Modeling. The study’s statistical population included patients with IBS referred to therapy centers and gastroenterologists in Isfahan in the autumn and winter of 2020-21. The statistical population comprised 340 patients with IBS, selected using a convenient sampling method. The applied instruments included the Psycho-Social Adaptation to Disease Scale (PSADS), Perceived Stress Scale (PSS) Sense of Coherence Questionnaire (SCQ) and Health Promoting Behaviors Questionnaire (HPBQ). Data analysis was conducted via Structural Equation Modeling and Bootstrap test using SPSS23 and AMOS23 statistical software.
Results: The results showed that perceived stress, sense of coherence, and health-promoting behaviors directly affect psychosocial adaptation to disease (P<0.01). Furthermore, the results of the Bootstrap test showed that health-promoting behaviors have a significant mediation role in the relationship of perceived stress and sense of coherence with psychosocial adaptation to disease (P<0.01).
Conclusion: Clinical therapists must improve psychosocial adaptation to disease in patients with IBS by applying efficient psychological therapy methods such as Health Promoting Behaviors-based therapy.

Keywords

References
  1. Ng QX, Soh AYS, Loke W, Lim DY, Yeo WS. The role of inflammation in irritable bowel syndrome (IBS). J Inflamm Res. 2018;11:345-9.
  2. Tap J, Derrien M, Tornblom H, Brazeilles R, Cools-Portier S, Dore J, et al. Identification of an Intestinal Microbiota Signature Associated With Severity of Irritable Bowel Syndrome. Gastroenterology. 2017;152(1):111-23 e8.
  3. Rao SS, Yu S, Fedewa A. Systematic review: dietary fibre and FODMAP-restricted diet in the management of constipation and irritable bowel syndrome. Aliment Pharmacol Ther. 2015;41(12):1256-70.
  4. Iranzo B, Buelga S, Cava M, Ortega-Barón J. Cyberbullying, psychosocial adjustment, and suicidal ideation in adolescence. Psychosocial Intervention, 28 (2), 75-81. 2019.
  5. Lee KS, Kim HY. Factors influencing psychosocial adjustment in hemodialysis patients. Korean Journal of Adult Nursing. 2019;31(1):38-49.
  6. Piqueras JA, Mateu-Martinez O, Cejudo J, Perez-Gonzalez JC. Pathways Into Psychosocial Adjustment in Children: Modeling the Effects of Trait Emotional Intelligence, Social-Emotional Problems, and Gender. Front Psychol. 2019;10:507.
  7. Alonso-Stuyck P, Zacarés JJ, Ferreres A. Emotional separation, autonomy in decision-making, and psychosocial adjustment in adolescence: A proposed typology. Journal of Child and Family Studies. 2018;27:1373-83.
  8. Cohen S, Murphy MLM, Prather AA. Ten Surprising Facts About Stressful Life Events and Disease Risk. Annu Rev Psychol. 2019;70:577-97.
  9. Ludwig L, Pasman JA, Nicholson T, Aybek S, David AS, Tuck S, et al. Stressful life events and maltreatment in conversion (functional neurological) disorder: systematic review and meta-analysis of case-control studies. Lancet Psychiatry. 2018;5(4):307-20.
  10. Lee MY, Wang HS, Lee TY. Psychosocial stress, self-esteem, and social adjustment: A moderated mediation analysis in Taiwanese adolescents with Tourette syndrome. J Pediatr Nurs. 2022;62:e84-e90.
  11. Garcia-Leon MA, Perez-Marmol JM, Gonzalez-Perez R, Garcia-Rios MDC, Peralta-Ramirez MI. Relationship between resilience and stress: Perceived stress, stressful life events, HPA axis response during a stressful task and hair cortisol. Physiol Behav. 2019;202:87-93.
  12. Ghorbani TB, Tasbihsazan MR. The relationship between cognitive emotion regulation mechanisms and lifestyle with perceived stress in patients with irritable bowel syndrome. Journal of Thought and Behavior in Clinical Psychology. 2016;11:17-26. [In Persian].
  13. Qorbani Z, Sajjadian I, Far BT. The Relationship between Stressful Life Events, Type D Personality, Catastrophizing and Psychological Distress on Severity of Symptom in Patients with Irritable Bowel Syndrome. Iran J Psychiat Nurs. 2019;7(3):56-62. [In Persian].
  14. Parker CH, Naliboff BD, Shih W, Presson AP, Videlock EJ, Mayer EA, et al. Negative Events During Adulthood Are Associated With Symptom Severity and Altered Stress Response in Patients With Irritable Bowel Syndrome. Clin Gastroenterol Hepatol. 2019;17(11):2245-52.
  15. Rengarajan S, Knoop KA, Rengarajan A, Chai JN, Grajales-Reyes JG, Samineni VK, et al. A Potential Role for Stress-Induced Microbial Alterations in IgA-Associated Irritable Bowel Syndrome with Diarrhea. Cell Rep Med. 2020;1(7):1001-8.
  16. Talebzadehshoshtari M. The relationship between perceived stress, hardiness and happiness with social adjustment on female students of Payamnoor University. Scientific Journal of Social Psychology. 2019;6(50):83-94. [In Persian].
  17. Kiaei T, Makvandi B, Moradi Manesh F, Hafezi F. The causal relationship between perceived stress, perceived social support, and resilience with emotional adaptation mediated by body image of breast cancer patients. Razavi International Journal of Medicine. 2021;9(2):81-6. [In Persian].
  18. Ahrari S, Bahrami M, EshghiZadeh M, Khaligh A, Rashidi F. Study of the level of stress and coping methods in nursing students of Gonabad in 2012: a short report. Journal of Rafsanjan University of Medical Sciences. 2016;15(4):379-86. [In Persian].
  19. Ramos AK, McGinley M, Carlo G. The relations of workplace safety, perceived occupational stress, and adjustment among Latino/a immigrant cattle feedyard workers in the United States. Safety science. 2021;139:105262.
  20. Mills BS, Bermas BL. Improving Knowledge of Lactation Compatibility of Antirheumatic Medications Among Providers Who Care for Patients With Rheumatic Disease. ACR Open Rheumatol. 2021;3(1):50-4.
  21. Hesser H, Hedman-Lagerlof E, Lindfors P, Andersson E, Ljotsson B. Behavioral avoidance moderates the effect of exposure therapy for irritable bowel syndrome: A secondary analysis of results from a randomized component trial. Behav Res Ther. 2021;141:103862.
  22. Antonovsky A. The structure and properties of the sense of coherence scale. Soc Sci Med. 1993;36(6):725-33.
  23. Mozdeh R, Namani E. Relationship between vitality and sense of psychosocial coherence with nurses’ quality of work life: The role mediating of self-differentiation. Journal of Sabzevar University of Medical Sciences. 2021;27(6):744-51. [In Persian].
  24. Azimzadeh N, Bayazi MH, Shakerinasab M. The relationship between islamic coping methods and psychological well-being with adaptation and pain tolerance in patients with breast cancer. Health Psychology. 2020;9(33):145-60. [In Persian].
  25. Qorbanpoorlafmejani A, Yaghouti M, Rezaei S. The mediating role of social support in the relationship between mental hardiness and the sense of coherence with quality of life among staff at hospitals in Quchan. Social psychology research. 2019;9(34):119-40. [In Persian].
  26. Nolvi M, Brogardh C, Jacobsson L, Lexell J. Sense of coherence and coping behaviours in persons with late effects of polio. Ann Phys Rehabil Med. 2022;65(3):101577.
  27. Kim HS, Nho JH, Nam JH. A serial multiple mediator model of sense of coherence, coping strategies, depression, and quality of life among gynecologic cancer patients undergoing chemotherapy. Eur J Oncol Nurs. 2021;54:102014.
  28. Ma Y, Chen X, Nunez A, Yan M, Zhang B, Zhao F. c. Children and Youth Services Review. 2020;116:105246.
  29. Pisula E, Kossakowska Z. Sense of coherence and coping with stress among mothers and fathers of children with autism. J Autism Dev Disord. 2010;40(12):1485-94.
  30. Del-Pino-Casado R, Espinosa-Medina A, Lopez-Martinez C, Orgeta V. Sense of coherence, burden and mental health in caregiving: A systematic review and meta-analysis. J Affect Disord. 2019;242:14-21.
  31. Ferguson S, Davis D. ‘I’m having a baby not a labour’: Sense of coherence and women’s attitudes towards labour and birth. Midwifery. 2019;79:102529.
  32. Fouladi N, Mohammadkhani S, Shahidi E, Ebrahimi Daryani N. The effectiveness of cognitive behavioral therapy in improving and promoting of physical and mental health of patients with irritable bowel syndrome. Iranian Journal of Health Education and Health Promotion. 2018;6(3):312-23. [In Persian].
  33. Rezaee Z, Esmaeili M, Tabaeian SR. The influence of group training of health promoting life style on vitality, pleasure and social adjustment among women with type II diabetic in Isfahan city. Jundishapur Scientific Medical Journal. 2016;15(5):581-90. [In Persian].
  34. Salimi M. The role of lifestyle raises health in the quality of school life and also academic adaptation of secondary students. Education Strategies in Medical Sciences. 2019;12(1):135-43. [In Persian].
  35. Moradi A, Hassani J, Barajali M, Abdollah Zadeh B. Modeling structural relations of executive functions and psychological flexibility and beliefs of disease in adaptation to disease and psychological health in cardiovascular patients. medical journal of mashhad university of medical sciences. 2019;62(December):147-59. [In Persian].
  36. Yaychi NM, Hasanzade R, Farmarzi M, Homayoni A. Mediating role of health promoting behaviors on the relationship between self-efficacy and mental health in adolescent. Journal of Education and Community Health. 2019;6(2):63-9. [In Persian].
  37. Chiang YC, Lee HC, Chu TL, Wu CL, Hsiao YC. The relationship between spiritual health, health-promoting behaviors, depression and resilience: A longitudinal study of new nurses. Nurse Educ Pract. 2021;56:103219.
  38. Kennedy AB, Cambron JA, Dexheimer JM, Trilk JL, Saunders RP. Advancing health promotion through massage therapy practice: A cross-sectional survey study. Prev Med Rep. 2018;11:49-55.
  39. Kalroozi F, Pishgooie A, Taheriyan A. Health-promoting behaviours in employed nurses in selected military hospitals. 2015;4(2):7-15. [In Persian].
  40. Feghhi H, Saadatjo S, Dastjardi Z. Investigating the psychosocial adjustment of type 2 diabetic patients referred to the Birjand Diabetes Center in 2012. Modern Care Journal. 2013;10(4):249-56. [In Persian].
  41. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385-96.
  42. Saadat S, Asghari F, Jazayeri R. The relationship between academic self-efficacy with perceived stress, coping strategies and perceived social support among students of University of Guilan. Iranian Journal of Medical Education. 2015;15:67-78. [In Persian].
  43. Ghorbani N, Bing MN, Watson P, Davison HK, Mack DA. Self-reported emotional intelligence: Construct similarity and functional dissimilarity of higher-order processing in Iran and the United States. International Journal of psychology. 2002;37(5):297-308.
  44. Flensborg-Madsen T, Ventegodt S, Merrick J. Sense of Coherence and Health. The Construction of an Amendment to Antonovsky′ s Sense of Coherence Scale (SOC II). The scientific world journal. 2006;6(1):2133-9.
  45. Babaei A. The role of family functioning and sense of cohesion in motivating the academic progress of female students. Master’s thesis in educational psychology. 2013. [In Persian].
  46. Walker SN, Sechrist KR, Pender NJ. The Health-Promoting Lifestyle Profile: development and psychometric characteristics. Nurs Res. 1987;36(2):76-81.
  47. Walker SN, Hill-Polerecky D. Psychometric evaluation of the health-promoting lifestyle profile II. Unpublished manuscript, University of Nebraska Medical Center. 1996;13:120-6.
  48. Cho JH, Jae SY, Choo IL, Choo J. Health-promoting behaviour among women with abdominal obesity: a conceptual link to social support and perceived stress. J Adv Nurs. 2014;70(6):1381-90.
  49. Mohammadi Zeidi I, Pakpour Hajiagha A, Mohammadi Zeidi B. Reliability and validity of Persian version of the health-promoting lifestyle profile. Journal of Mazandaran University of Medical Sciences. 2011;20(1):102-13. [In Persian].
Sadra Medical Journal
Volume 12, Issue 3
July 2024
Pages 356-369
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