نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناسی ارشد روانشناسی بالینی، گروه روانشناسی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز، ایران

2 استادیار، گروه روانشناسی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز، ایران

چکیده

مقدمه: آرتریت روماتوئید، بیماری مزمن ، خود ایمن ، سیستمیک و التهابی ، با خطر بیماریهای قلبی ـ عروقی است. سندرم متابولیک، از  فاکتورهای  کلاسیک  بیماریهای  قلبی ـ عروقی است که  سلامت  روان، در  بروز و تشدید  آنها  نقش  دارد. هدف پژوهش حاضر، تبیین تفاوت باورهای فراشناختی، خوشبینی ـ بدبینی، عواطف مثبت و منفی در بیماران آرتریت روماتوئید مبتلا و  غیرمبتلا  به  سندرم  متابولیک  و  افراد عادی  شهر شیراز در سال 1398 بود.
روشها: پژوهش حاضر بصورت علّی ـ مقایسه ای، میان 70 بیمار آرتریت روماتوئید با سندرم متابولیک و 70 بیمار آرتریت روماتوئید بدون سندرم متابولیک و 70 نفر افراد عادی با روش نمونه گیری هدفمند  انتخاب  و از لحاظ سن، جنس، وضعیت تأهل  با  یکدیگر  همتا سازی شدند. داده ها، بوسیله  پرسشنامه های  باورهای فراشناختی ولز، جهت گیری زندگی شی یرر و کارور  عواطف مثبت و  منفی واتسون، کلارک گردآوری شدند. پایایی ابزار با  استفاده از روش آﻟفای کرونباخ  مورد  بررسی و  با  استفاده  از نرم افزار SPSS.V25  و از روش تحلیل  واریانس  چند متغیری و آزمون  تعقیبی توکی، آنالیز آماری  انجام  گرفت.
یافته ها: یافته های پژوهش حاضر نشان داد که از نظر باورهای فراشناختی، در گروههای  مورد بررسی  تفاوت  معناداری  وجود داشت (001/0=p) اما در زیرمؤلفه باورهای فراشناختی منفی تفاوت معنی داری مشاهده نشد (52/0=p). میانگین باورهای فراشناختی در بیماران آرتریت روماتوئید با  سندرم  متابولیک  بالاتر از سایر گروهها بود. از  نظر خوشبینی ـ بدبینی و عواطف مثبت نیز تفاوت معنی داری میان گروه‌ها مشاهده شد (01/0>p) و میانگین بدبینی در بیماران آرتریت روماتوئید با سندرم متابولیک و بدون سندرم متابولیک تقریباً برابر هم، اما از افراد عادی بیشتر بود و میانگین خوشبینی و عواطف مثبت نیز در افراد عادی بیشتر از دو گروه دیگر دیده شد. در نهایت، متغیر عواطف منفی در بین گروههای مورد بررسی تفاوت معنی داری مشاهده نشد (07/0=p).
نتیجه گیری: با توجه به مزمن بودن آرتریت روماتوئید و همراه شدن با سندرم متابولیک، که هر دو در سلامت قلبی ـ عروقی تأثیر دارند، لذا سلامت روان در کاهش اضطراب و استرس بیماری نقش بسزائی دارد. بنابراین، پیشنهاد می شود در کنار درمان های داروئی، مداخلاتی در خصوص سلامت روان بیماران ارائه گردد.

کلیدواژه‌ها

عنوان مقاله [English]

Determination of Differences in Meta-Cognitive Beliefs, Life-Orientation, Positive and Negative Affection between Rheumatoid Arthritis Patients with and without Metabolic Syndrome and Normal individuals

نویسندگان [English]

  • Maryam Fatemi 1
  • Azam Davoodi 2

1 M.A. Clinical Psychology, Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran

2 Ph.D. Assistant Professor, Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran

چکیده [English]

Introduction: Rheumatoid Arthritis is an auto-immune, systemic, chronic, and inflammatory disease, which may lead to the Cardio-Vascular Diseases (CVD). Metabolic Syndrome (Met S) is considered as a risk factor for developing CVD while the level of mental health has an essential role in their occurrence and intensification. Therefore, the purpose of this study was to determine the differences in Meta-cognitive beliefs, Life-Orientation, positive and negative Affection between Rheumatoid Arthritis Patients with and without Met S and normal individuals in Shiraz city in 2019.
Methods: It is a comparative study. The participants of this study were 70 patients with Met S and 70 patients without Met S and 70 normal individuals who were selected by purposive sampling method and were matched in terms of features as age, gender, and marital status. The data were collected by using Wells-Meta-cognitive beliefs questionnaire, Life-Orientation-Reviewed Sheerer and Kurver, Positive and Negative Affection questionnaire by Watson, Clark, and Tellegen. Reliability was evaluated using Cronbach's alpha method. Data were analyzed using variance multi-variable Statistical analysis and Tukey’s post-hoc test in SPSS software, version 25.
Results: The results showed a significant difference among the three groups in terms of meta-cognitive beliefs (p=0.001) and optimism-pessimism, and Positive Affection (p < 0.01); However, a significant difference was not found in the Negative Meta-cognitive beliefs component (p=0.52) and Negative Affection (p=0.07).
Conclusion: The Rheumatoid Arthritis as a chronic disease and its co-occurrence with Met S both have a considerable impact on the CVD. Also, Patients’ mental health can contribute to reducing anxiety and stress happening due to an illness. Besides, patients’ mental health interventions is recommended along with medications.

کلیدواژه‌ها [English]

  • Rheumatoid Arthritis
  • Metabolic Syndrome
  • Cognition
  • Affect
  • Emotions
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