تحلیل روابط ساختاری تبعیت درمانی مبتنی بر خودآگاهی هیجانی در بیماران مبتلا به پسوریازیس: نقش واسطه‌ای حمایت اجتماعی درک شده

نویسندگان
امیر یوسفی 1
محسن جلالی 2
محمد تقی بادله شمشوکی 2
لیلاسادات عزیزی ضیابری 3
1 گروه روانشناسی سلامت، واحد گرگان، دانشگاه آزاد اسلامی ، گرگان، ایران.
2 استادیار روان شناسی بالینی،دانشکده علوم انسانی و اجتماعی، دانشگاه گلستان،گرگان، ایران
3 گروه پرستاری، واحد گرگان، دانشگاه آزاد اسلامی، گرگان،ایران
چکیده
هدف از پژوهش حاضر تحلیل روابط ساختاری تبعیت درمانی مبتنی بر خودآگاهی هیجانی در بیماران مبتلا به پسوریازیس و بررسی نقش واسطه‌ای حمایت اجتماعی درک شده بود. این پژوهش از نوع توصیفی همبستگی با استفاده از مدل معادلات ساختاری است. جامعه آماری پژوهش شامل بیماران مبتلا به پسوریازیس مراجعه‌کننده به سه بیمارستان تخصصی پوست در شهر تهران بود. نمونه‌گیری به روش در دسترس انجام شد و در نهایت 250 بیمار مبتلا به پسوریازیس بر اساس معیارهای ورود و خروج به مطالعه وارد شدند. برای جمع‌آوری داده‌ها از ابزارهای مختلف شامل پرسشنامه تبعیت درمانی (ضیایی، 1390)، پرسشنامه حمایت اجتماعی درک شده (زمیت و همکاران، 1988) و پرسشنامه خودآگاهی هیجانی (ریفی و همکاران، 2007) استفاده شد. نتایج تحلیل مدل معادلات ساختاری نشان داد که خودآگاهی هیجانی اثر مستقیم و معناداری بر تبعیت درمانی در بیماران مبتلا به پسوریازیس دارد. همچنین حمایت اجتماعی درک شده و نگرانی از تصویر بدن نیز تأثیر مستقیم بر تبعیت درمانی داشتند. علاوه بر این، یافته‌ها نشان دادند که خودآگاهی هیجانی از طریق میانجی‌گری نگرانی تصویر بدن و حمایت اجتماعی درک شده بر تبعیت درمانی اثر غیرمستقیم و معناداری دارد. این نتایج تأکید می‌کند که در نظر گرفتن ابعاد روان‌شناختی و اجتماعی مانند خودآگاهی هیجانی و حمایت اجتماعی در فرآیند درمان بیماران مبتلا به پسوریازیس می‌تواند به بهبود تبعیت درمانی و نتایج درمانی کمک کند.
کلیدواژه‌ها
تبعیت درمانی
خودآگاهی هیجانی
پسوریازیس
حمایت اجتماعی درک شده
نگرانی از تصویر بدن

عنوان مقاله English

Structural Relationship Analysis of Treatment Adherence Based on Emotional Awareness in Patients with Psoriasis: The Mediating Role of Perceived Social Support

نویسندگان English

amir yousefi 1
mohsen Jalali 2
mohmmad taghi Badelleh Shamushki 2
Leila Sadat Azizi Ziabari 3
چکیده English

The aim of the present study was to analyze the structural relationships of treatment adherence based on emotional self-awareness in patients with psoriasis and to examine the mediating role of perceived social support. This research employed a descriptive-correlational design using structural equation modeling. The statistical population included psoriasis patients referred to three specialized dermatology hospitals in Tehran. Convenience sampling was used, and ultimately, 250 psoriasis patients meeting the inclusion and exclusion criteria were enrolled in the study. Various tools were utilized for data collection, including the Treatment Adherence Questionnaire (Ziaei, 2011), the Perceived Social Support Questionnaire (Zimet et al., 1988), and the Emotional Self-Awareness Questionnaire (Reef et al., 2007).The results of the structural equation modeling analysis indicated that emotional self-awareness has a direct and significant effect on treatment adherence in patients with psoriasis. Additionally, perceived social support and concerns about body image also had a direct impact on treatment adherence. Furthermore, the findings revealed that emotional self-awareness indirectly and significantly affects treatment adherence through the mediation of body image concerns and perceived social support.These results highlight the importance of considering psychological and social dimensions, such as emotional self-awareness and social support, in the treatment process of patients with psoriasis, as they can improve treatment adherence and therapeutic outcomes.

کلیدواژه‌ها English

treatment adherence
emotional awareness
psoriasis
perceived social support
body image concern
1. Aardoom, J. J., Loheide-Niesmann, L., Ossebaard, H. C., & Riper, H. (2020). Effectiveness of eHealth interventions in improving treatment adherence for adults with obstructive sleep apnea: meta-analytic review. Journal of medical Internet research, 22(2), e16972.
2. Alcaraz-Ibáñez, M., Sicilia, Á., & Burgueño, R. (2017). Social Physique Anxiety, Mental Health, and Exercise: Analyzing the Role of Basic Psychological Needs and Psychological Inflexibility. The Spanish journal of psychology, 20.
3. Yona, S., Edison, C., Nursasi, A. Y., & Ismail, R. (2023). Self-awareness as the key to successful adherence to antiretroviral therapy among people living with HIV in Indonesia: A grounded theory study. Belitung Nursing Journal, 9(2), 176.
4. Chang, W. W. , Zhang, L. , Wen, L. Y. , Su, H. , & Jin, Y. L. (2021). Association Between Online Self-Directed Learning Ability and Negative Emotions Among College Students During the COVID-19 Pandemic: A Cross-Sectional Study in Anhui Province, East China. Frontiers in Psychology, 12.
5. Chen, X., Du, L., Wu, R., Xu, J., Ji, H., Zhang, Y., ... & Zhou, L. (2020). The effects of family, society and national policy support on treatment adherence among newly diagnosed tuberculosis patients: a cross-sectional study. BMC infectious diseases, 20(1), 1-11.
6. Costeris, C., Petridou, M., & Ioannou, Y. (2021). Social Support and Appearance Satisfaction Can Predict Changes in the Psychopathology Levels of Patients with Acne, Psoriasis and Eczema, before Dermatological Treatment and in a Six-Month Follow-up Phase. Psych, 3(3), 259-268.
7. Dilas, D., Flores, R., Morales-García, W. C., Calizaya-Milla, Y. E., Morales-García, M., Sairitupa-Sanchez, L., & Saintila, J. (2023). Social support, quality of care, and patient adherence to tuberculosis treatment in Peru: The mediating role of nurse health education. Patient preference and adherence, 175-186.
8. DURAL, G., & AKTÜRK, Ü. (2023). The Effect of Social Support on Treatment Adherence and Self-Efficacy in Adult Patients with Type 2 Diabetes. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 8(3), 949-954.
9. Mohkamkar, A., Shaterian, F., & Nikookar, A. (2024). The Effectiveness of Education based on Successful Intelligence on Emotional Self-Awareness and Academic Engagement of Secondary School Students. Sociology of Education, 10(1), 305-313.
10. El Abdellati, K., De Picker, L., & Morrens, M. (2020). Antipsychotic treatment failure: a systematic review on risk factors and interventions for treatment adherence in psychosis. Frontiers in neuroscience, 14, 531763
11. Fino, E., Russo, P. M., Tengattini, V., Bardazzi, F., Patrizi, A., & Martoni, M. (2021). Individual differences in emotion dysregulation and social anxiety discriminate between high vs. low quality of life in patients with mild psoriasis. Journal of Personalized Medicine, 11(11), 1236.
12. Gillanders, D. T., Sinclair, A. K., MacLean, M., & Jardine, K. (2015). Illness cognitions, cognitive fusion, avoidance and self-compassion as predictors of distress and quality of life in a heterogeneous sample of adults, after cancer. Journal of Contextual Behavioral Science, 4(4), 300-311.
13. Hedemann, T. L., Liu, X., Kang, C. N., & Husain, M. I. (2022). Associations between psoriasis and mental illness: An update for clinicians. General Hospital Psychiatry, 75, 30-37.
14. Ifeagwazi, C. M., Adimaso, D. C., Onu, D. U., Chinweze, U. C., Agbo, A. A., & Chukwuorji, J. C. (2023). Health locus of control, personality and social support in treatment adherence among diabetic patients. Journal of Psychology in Africa, 33(6), 618-624.
15. Kleyn, C. E., Talbot, P. S., Mehta, N. N., Sampogna, F., Bundy, C., Ashcroft, D. M., ... & Lluís, P. U. I. G. (2020). Psoriasis and mental health workshop report: exploring the links between psychosocial factors, psoriasis, neuroinflammation and cardiovascular disease risk. Acta dermato-venereologica, 100(1).
16. Lambert, J. L. W., Segaert, S., Ghislain, P. D., Hillary, T., Nikkels, A., Willaert, F., ... & Speeckaert, R. (2020). Practical recommendations for systemic treatment in psoriasis according to age, pregnancy, metabolic syndrome, mental health, psoriasis subtype and treatment history (BETA‐PSO: Belgian Evidence‐based Treatment Advice in Psoriasis; part 1). Journal of the European Academy of Dermatology and Venereology, 34(8), 1654-1665.
17. Lippincott, C. K., Perry, A., Munk, E., Maltas, G., & Shah, M. (2022). Tuberculosis treatment adherence in the era of COVID-19. BMC infectious diseases, 22(1), 800.
18. Pan, J., Hu, B., Wu, L., & Li, Y. (2021). The effect of social support on treatment adherence in hypertension in China. Patient preference and adherence, 1953-1961.
19. Rodríguez, M. M., García-Morales, N., Pillado, T. S., Ramírez, J. G., Salvador, A. T., Jiménez, Y. H., ... & Cubiella, J. (2024). Influence of social support and stressful life events on adherence to colorectal cancer screening using faecal occult blood test in Spanish medium risk population. Gastroenterología y Hepatología, 47(1), 14-23.
20. Rodríguez, M. M., García-Morales, N., Pillado, T. S., Ramírez, J. G., Salvador, A. T., Jiménez, Y. H., ... & Cubiella, J. (2024). Influence of social support and stressful life events on adherence to colorectal cancer screening using faecal occult blood test in Spanish medium risk population. Gastroenterología y Hepatología, 47(1), 14-23.
21. Schweder, S. (2020). Mastery goals, positive emotions and learning behavior in self-directed vs. teacher-directed learning. European Journal of Psychology of Education, 35(1), 205-223.
22. Segrin, C., McNelis, M., & Swiatkowski, P. (2016). Social skills, social support, and psychological distress: A test of the social skills deficit vulnerability model. Human Communication Research, 42(1), 122-137.
23. Segun-Martins, I. O. (2022). The Predictive Roles of Perceived Emotional Self-Awareness and Self-Monitoring Competence on Preventive Health Behaviour among Psychology Interns in Psychiatric Hospital in Ondo State, South-West, Nigeria. Clinical Psychology and Mental Health Care, 4(2).
24. Sofia, S. A., Lysaker, P. H., Smith, E., Celesia, B. M., & Dimaggio, G. (2018). Therapy adherence and emotional awareness and regulation in persons with human immunodeficiency virus. The Journal of nervous and mental disease, 206(12), 925-930.
25. Turan, G. B., Aksoy, M., & Çiftçi, B. (2019). Effect of social support on the treatment adherence of hypertension patients. Journal of Vascular Nursing, 37(1), 46-51.
26. van Hoorn, R., Jaramillo, E., Collins, D., Gebhard, A., & van den Hof, S. (2016). The effects of psycho-emotional and socio-economic support for tuberculosis patients on treatment adherence and treatment outcomes–a systematic review and meta-analysis. PloS one, 11(4), e0154095.
27. Wagnew, F., Gray, D., Tsheten, T., Kelly, M., Clements, A. C., & Alene, K. A. (2023). Effectiveness of nutritional support to improve treatment adherence in patients with tuberculosis: a systematic review. Nutrition Reviews, nuad120.
28. Werner, M. C. F., Wirgenes, K. V., Shadrin, A., Lunding, S. H., Rødevand, L., Hjell, G., ... & Steen, N. E. (2022). Immune marker levels in severe mental disorders: associations with polygenic risk scores of related mental phenotypes and psoriasis. Translational Psychiatry, 12(1), 38.
29. Aminifar, S., Hidaji, M. B., Mujembari, A. K., Mansoobifar, M., & Peyvandi, P. (2023). The effectiveness of short-term intensive psychodynamic therapy on emotional self-awareness, empathy and self-compassion in psychotherapy trainees. Journal of Adolescent and Youth Psychological Studies (JAYPS), 4(5), 103-115.
30. Witts, W. K., Amu, H., Kwafo, F. O., Angaag, N. A., & Bain, L. E. (2024). Influence of perceived social support and other factors on treatment adherence among adults living with chronic non-communicable diseases in the Ho Municipality of Ghana: A health facility-based cross-sectional study. PloS one, 19(9), e0308402.
31. Alatawi, A. A., Alaamri, M., & Almutary, H. (2024, October). Social Support and Adherence to Treatment Regimens among Patients Undergoing Hemodialysis. In Healthcare (Vol. 12, No. 19, p. 1958). MDPI.
32. Mokhtari, Z., & Ali Mehdi, M. (2024). Examining The Structural Pattern of Psychosomatic Symptoms Based on Alexithymia in Patients with Psoriasis: The Mediating Role of Negative Emotional State and Social Support. Clinical Psychology Achievements, 10(1).
33. Diao, K., Wang, J., Zhang, Y., Huang, Y., & Shan, Y. (2024). The mediating effect of personal mastery and perceived social support between emotional intelligence and social alienation among patients receiving peritoneal dialysis. Frontiers in Public Health, 12, 1392224.
34. Yona, S., Edison, C., Nursasi, A. Y., & Ismail, R. (2023). Self-awareness as the key to successful adherence to antiretroviral therapy among people living with HIV in Indonesia: A grounded theory study. Belitung Nursing Journal, 9(2), 176.
35. Safi, F., Areshtanab, H. N., Ghafourifard, M., & Ebrahimi, H. (2024). The association between self-efficacy, perceived social support, and family resilience in patients undergoing hemodialysis: a cross-sectional study. BMC nephrology, 25(1), 207.
پژوهش در سلامت روانشناختی
دوره 18، شماره 2 - شماره پیاپی 58
تابستان 1403
صفحه 106-121