مقایسۀ بهزیستی اجتماعی، بهزیستی معنوی و راهبردهای تنظیم هیجان در بیماران مبتلا به مولتیپل اسکلروزیس و افراد غیربیمار

نویسندگان
سعید آریاپوران
سمیرا رضایی عزیزآبادی
یداله قاسمی پور
دانشکده ادبیات و علوم انسانی، گروه روان شناسی،دانشگاه ملایر
10.52547/rph.14.3.38
چکیده
مولتیپل اسکلروسیس(MS)، بیماری عصب‌شناختی پیشرونده است که بسیاری از افراد به‌ویژه زنان جوان به آن مبتلا هستند. بیماران مبتلا به(MS)،مشکلات روان‌شناختی را تجربه می‌کنند. پژوهش حاضر با هدف مقایسۀ بهزیستی اجتماعی، بهزیستی معنوی و راهبردهای تنظیم هیجان در بیماران مولتیپل اسکلروزیس و افراد غیربیمار انجام شد. در این پژوهش علّی-مقایسه‌ای، جامعۀ آماری این پژوهش را 700 بیمار شهر کرمانشاه تشکیل دادند. از میان آنها 149 نفر به روش نمونه‌گیری دردسترس انتخاب شدند. همچنین از میان افراد غیربیمار 149 نفر از نظر سن و جنسیت با گروه بیمار همگن شدند. داده‌ها با استفاده از مقیاس‌های بهزیستی اجتماعی، بهزیستی معنوی و تنظیم هیجان جمع‌آوری شد. نتایج تحلیل واریانس چندمتغیری دوراهه نشان داد که بهزیستی معنوی و مولفه‌های آن (بهزیستی مذهبی و بهزیستی وجودی)، بهزیستی اجتماعی و سه بعد آن (شکوفایی اجتماعی، پذیرش اجتماعی و انطباق اجتماعی) و بازارزیابی هیجان در بیماران MSMS پایین‌تر از غیربیماران بود. اما بین بازداری هیجان در دو گروه تفاوت وجود نداشت. براساس نتایج، بهبود بهزیستی اجتماعی و معنوی و افزایش تنظیم هیجان بیماران MSMS از طریق آموزش‌های مبتنی بر معنویت و بهزیستی اجتماعی و همچنین آموزش تنظیم هیجان پیشنهاد می‌شود.
کلیدواژه‌ها
بهزیستی اجتماعی
بهزیستی معنوی
تنظیم هیجان
مولتیپل اسکلروزیس

عنوان مقاله English

Comparison the Social Well-being, Spiritual Well-being and Emotion Regulation Strategies in multiple Sclerosis (MS) patients and Non-Patients

نویسندگان English

Saeed Ariapooran
Samira Rezaiy Aziazabadi
Yadollah Ghaseipour
Malayer University
چکیده English

Multiple Sclerosis (MS) is a progressive neurological disease that affects many people, especially young women. Patients with MS experience psychological problems. The aim of this study was to compare the social well-being, spiritual well-being and emotion regulation strategies in multiple Sclerosis (MS) patients and non-patients. In this causal-comparison research, the statistical population consisted of 700 patients with MS in Kermanshah. Among the population, 149 patients were selected by convenience sampling method. Among non- patients, 149 people were matched in age and gender with the patients group. Data were collected using the Social well-being, Spiritual well-Being and Emotion Regulation Scales. The results of two-way Multivariate Analysis of Variance showed that the spiritual health and its components (religious and existential well-being), social well-being and its three dimensions (social flourishing, social acceptance, and social adaptation) and emotional reappraisal in patients with MS were lower than non-patients. But there was no significant difference between the emotional suppression in two groups. The results have important implications in attending to the terms of social well-being, spiritual well-being and emotion regulation strategies in patients with MS. Based on the results, improving social and spiritual well-being and increasing the patient's emotion regulation strategies are recommended through spiritual and social health education and training the emotion regulation strategies.

کلیدواژه‌ها English

emotion regulation
MS
social well-being
spiritual well-being
Miller CE, Karpinski M, & Jezewski MJ. Relapsing-Remitting Multiple Sclerosis Patients' Experience with Natalizumab. Int J MS Care. 2012; 14(1): 39-44.
Paltamaa J, Sarasoja T, Leskinen E, Wikstrom J, Malkia E. Measures of physical functioning predict self-reported performance in self-care, mobility, and domestic life in ambulatory persons with multiple sclerosis. Arch Phys Med Rehabil. 2007; 88(12): 1649-57.
Rao SM, Huber SJ, & Bornstein RA. Emotional changes with multiple sclerosis and Parkinson’s disease. J Consult Clin Psycho. 1992; 60(3): 369-78.
Multiple Sclerosis Society. Introduction to MS. 2 edition, landan. GI01/FA/1008. 2008.
Leray E, Moreau T, Fromont A, Edan G. Epidemiology of multiple sclerosis. Rev Neurol (Paris). 2016; 172(1):3-13.
Nasr Z, Majed M, Rostami A, Sahraian MA, Minagar A, Amini A, McGee JC, Etemadifar M. Prevalence of multiple sclerosis in Iranian emigrants: review of the evidence. Neurol Sciences. 2016; 37(11):1759-63.
Eskandarieh S., Heydarpoour P., Elhami S-R, Sahraian MA. Prevalence and Incidence of Multiple Sclerosis in Tehran, Iran. Iran J Public Health. 2017; 46(5): 699-704.
Izadi S, Nikseresht AR, Poursadeghfard M, Borhanihaghighi A, Heydari ST. Prevalence and Incidence of Multiple Sclerosis in Fars Province, Southern Iran. Iran J Med Sci. 2015; 40(5): 390–5.
Khader HA, Emran B, Sulaimi MA, Abdulhadi DA, Obaidli KA, Deai AA, Albatineh AN. Estimating the prevalence of cognition and mental health among multiple sclerosis patients: A
population-based cross-sectional study. Mult Scler Relat Disord. 2019; 36: 101391.
Orr J, Bernstein CN, Graff LA, Patten SB, Bolton JM, Sareen J, , Marriott JJ, Fisk JD, Marrie RA, CIHR Team in Defining the Burden and Managing the Effects of Immune-mediated Inflammatory Disease. Factors associated with perceived need for mental health care in multiple sclerosis. Mult Scler Relat Disord. 2018; 25: 179-185.
Prakash RS, Schirda B, Valentine TR, Crotty M, Nicholas JA. Emotion dysregulation in multiple sclerosis: Impact on symptoms of depression and anxiety. Mult Scler Relat Disord. 2019; 36: 101391.
Soundy A, Elder T. Developing and applying the theory of psychological adaptation needs in patients with multiple sclerosis. In Nutrition and Lifestyle in Neurological Autoimmune Diseases. 2017 Jan 1 (pp. 117-125). Academic Press.
Keyes CM. Social well-being. Soc Psychol Q. 1998; 2: 121-140.
Mahmoodi Alami G, Nasiri E, NiazAzari K. Evaluating Mental (psychological) Health in MS patients from Mozandran Province in 1386 (2007). J Mazandaran Univ Med Sci. 2009; 18 (68):70-73
Briones-Buixassa L, Milà R, Arrufat FX, Aragonès JM, Bufill E, Luminet O, Moss-Morris R. A case-control study of psychosocial factors and their relationship to impairment and functionality in multiple sclerosis. J Health Psychol. 2019; 24(8):1023-32.
Sparling A, Stutts LA, Sanner H, Eijkholt MM. In-person and online social participation and emotional health in individuals with multiple sclerosis. Qual Life Res. 2017; 26(11):3089-97.
Ostojic S, Stevanovic D, Jancic J. Quality of life and its correlates in adolescent multiple sclerosis patients. Mult Scler Relat Disord. 2016; 10: 57-62.
Vitorino LM, Lucchetti G, Leão FC, Vallada H, Peres MFP. The association between spirituality and religiousness and mental health. Sci Rep. 2018; 8:17233.
Sherman AC, Merluzzi TV, Pustejovsky JE, Park CL, George L, Fitchett G, Jim HS, Munoz AR, Danhauer SC, Snyder MA, Salsman JM. A metaanalytic review of religious or spiritual involvement and social health among cancer patients. Cancer. 2015; 121(21): 3779-88.
Gomez R, Fisher JW. Domains of spiritual well-being and development and validation of the spiritual well-being questionnaire. Pers Individ Dif. 2003; 35(8): 1975-91.
Hawks SR, Hull ML, Thalman RL, Richins PM. Review of spiritual health: definition, role, and intervention strategies in health promotion. Am J Health Promot. 1995; 9(5): 371-8.
Mauk K, Scnemidt N. Spirituality care in nursing practice. Philadelphia: Lippincott Company; 2004.
Niyazmand ZA, Abbasszadeh A, Borhani F, Sefidkar R. The relationship between spiritual health and hope in multiple sclerosis patients: A descriptive-correlational study. Electronic Journal of General Medicine. 2018; 15(5), em79.
Makros J, McCabe M. The Relationship between Religion, Spirituality, Psychological Adjustment, and Quality of Life among People with Multiple Sclerosis. J Relig Health. 2003; 42 (2):143–59.
Büssing A, Wirth AG, Humbroich K, Gerbershagen K, Schimrigk S, Haupts M, Baumann K, Heusser P. Faith as a Resource in Patients with Multiple Sclerosis Is Associated with a Positive Interpretation of Illness and Experience of Gratitude/Awe. Evid Based Complement Alternat Med. 2013:128575.
Allahbakhshian M, Jafarpour M, Parvizi S. Spiritual well-being of patients with multiple sclerosis. Iran J Nurs Midwifery Res. 2011;16(3): 202–6.
Nasiry Zarrin Ghabaee D, Bagheri-Nesami M, Malekzadeh Shafaroudi M. Relationship between spiritual well-being and quality of life in multiple sclerosis patients. Journal of Nursing and Midwifery, Sciences. 2016; 3 (2):25-31.
Chervonsky E, Hunt C. Emotion regulation, mental health, and social wellbeing in a young adolescent sample: A concurrent and longitudinal investigation. Emotion. 2019; 19(2):270-82.
Jamali N, Shakerinia I, Jalili Nikoo S, Ghasemi Jobaneh R. Role of spiritual health and emotional regulation in mental health of nulliparous women. Health Spir Med Ethics. 2017; 4(3):32-7.
Gross JJ. Emotion regulation in adulthood: Timing is everything. Curr Dir Psychol Sci. 2001; 10(6): 214–19.
Gross JJ. Handbook of emotion regulation. The Guilford Press, 2007.
Phillips LH, Henry JD, Nouzova E, Cooper C, Radlak B, S Summers F. Difficulties with emotion regulation in multiple sclerosis: Links to executive function, mood, and quality of life. J Clin Exp Neuropsychol. 2014; 36(8):831-42.
Phillips LH, Saldias A, McCarrey A, Henry JD, Scott C, Summers F, Whyte M. Attentional lapses, emotional regulation and quality of life in multiple sclerosis. Br J Clin Psychol. 2009; 48 (Pt 1):101-106.
Krejcie RV, Morgan DW. Determining Sample Size for Research Activities. Educ Psychol Meas. 1970; 30, 607-610.
Paloutzian R, Ellison C. Loneliness, spiritual well-being and the quality of life. In: Peplau D, Perlman D. Loneliness: a sourcebook of current theory, research and therapy. New York: John Wiley and Sons. p 224-235, 1982.
Volcan SM, Sousa PL, Mari Jde J, Horta BL. Spiritual well-being and minor psychiatric disorders in psychology students: a cross-sectional study Rev Saude Publica. 2003; 37(4):440-5.
Allahbakhshian M, Jaffarpour M, Parvizy S, Haghani H. Survey on relationship between spiritual wellbeing and quality of life in multiple sclerosis patients. J Res Med Sci. 2010; 12 (3): 29-33.
Gross JJ, John OP. Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. J Pers Soc Psychol. 2003; 85, 348-62.
Balzarotti S, Gross JJ, John OP. An Italian Adaptation of the Emotion Regulation Questionnaire.  Eur J Psychol Assess. 2010; 26(1): 61–67.
Janssens AC, van Doorn PA, de Boer JB, van der Meché FG, Passchier J, Hintzen RQ. Impact of recently diagnosed multiple sclerosis on quality of life, anxiety, depression and distress of patients and partners. Acta Neurol Scand. 2003; 108(6):389-95.
Hakim EA, Bakheit AM, Bryant TN, Roberts MW, McIntosh-Michaelis SA, Spackman AJ, Martin JP, McLellan DL. The social impact of multiple sclerosis-A study of 305 patients and their relatives. Disabil Rehabil. 2000; 22(6): 288-93.
Dennison L, Moss-Morris R, Chalder T. A review of psychological correlates of adjustment in patients with multiple sclerosis. Clin Psychol Rev. 2009; 29(2):141-53.
Giovannoni G, Thompson AJ, Miller DH, Thompson EJ. Fatigue is not associated with raised inflammatory markers in multiple sclerosis. Neurology. 2001, 57(4): 676–81.
Flensner G, Ek AC, Landtblom AM, Söderhamn O. Fatigue in relation to perceived health: people with MS compared to people in the general population. Scand J Caring Sci. 2008; 22(3):391-400.
Flensner G, Landtblom AM, Söderhamn O, Ek AC. Work capacity and health-related quality of life among individuals with multiple sclerosis reduced by fatigue: a cross-sectional study. BMC Public Health. 2013; 13:224.
Gómez-Baya D, Lucia-Casademunt AM, Salinas-Pérez JA. Gender Differences in Psychological Well-Being and Health Problems among European Health Professionals: Analysis of Psychological Basic Needs and Job Satisfaction. Int J Environ Res Public Health. 2018; 15(7): E1474.
Reid-Arndt SA, Smith ML, Yoon DP, Johnstone B. Gender Differences in Spiritual Experiences, Religious Practices, and Congregational Support for Individuals with Significant Health Conditions. J Rel, Disab Health. 2011; 15(2): 175-96.
Goubet KE, Chrysikou EG. Emotion Regulation Flexibility: Gender Differences in Context Sensitivity and Repertoire. Front Psychol. 2019; 10:935.