رابطة درد مزمن و فاجعه‌انگاری درد با شاخص تودة بدنی: نقش میانجی رفتارهای خوردن | ||
| فصلنامه روانشناسی کاربردی | ||
| دوره 14، شماره 3 - شماره پیاپی 55، 1399، صفحه 312-291 اصل مقاله (1.02 M) | ||
| نوع مقاله: مقاله پژوهشی | ||
| شناسه دیجیتال (DOI): 10.52547/apsy.2021.216317.0 | ||
| نویسندگان | ||
| مژگان خداپناه1؛ صادق تقی لو* 2؛ فاطمه گلشنی3؛ آنیتا باغداساریانس3 | ||
| 1گروه روانشناسی سلامت، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران | ||
| 2گروه روانشناسی، دانشگاه آزاد اسلامی، واحد آستارا، گیلان، ایران | ||
| 3گروه روانشناسی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران | ||
| چکیده | ||
| هدف: هدف از این مطالعه بررسی نقش میانجی رفتارهای خوردن در رابطة بین درد مزمن و فاجعه‌انگاری درد با شاخص تودة بدنی در افراد دارای درد مزمن بود. روش: روش پژوهش همبستگی و جامعة آماری زنان و مردان مبتلا به درد مزمن مراجعه‌کننده به بخش‌های ارتوپدی، فیزیوتراپی، مغز و اعصاب بیمارستان الغدیر و متخصصان ارتوپدی درمانگاه فرح‌بخش شهر تهران در بهار، تابستان، و پاییز 1398 بود که 400 نفر از آنها به روش نمونه‌گیری هدفمند انتخاب شده و در پژوهش شرکت کردند. داده‌ها با استفاده از محاسبة شاخص تودة بدنی شرکت‌کنندگان و پرسشنامه‌های رفتار خوردن داچ (فن‌اشتراین، فریجرز، برگرز و دیفارس، 1986)، درد مزمن (ون‌کورف و همکاران، 1990) و مقیاس فاجعه‌انگاری درد (سالیوان، بیشاپ و پیویک، 1995)، جمع‌آوری و با استفاد از مدل‌یابی معادلات ساختاری در نرم‌افزار Amos21 تحلیل شدند. یافته‌ها: نتایج نشان داد که مدل با داده‌های مشاهدهشده برازش مطلوب دارد (df2c 90/0و RMSEA< 08/0). بررسی ضرایب مسیر نشان داد درد (303/0=β، 001/0P=) و فاجعه‌انگاری درد (149/0-=β، 001/0P=) اثر مستقیم معناداری بر شاخص تودة بدنی دارند. اثر غیرمستقیم درد (148/0=β، 001/0P=) و فاجعه‌انگاری درد (153/0=β، 001/0P=) بر شاخص تودة بدنی معنادار است. درد مزمن، فاجعه‌انگاری درد و رفتارهای خوردن 5/30% از واریانس شاخص تودة بدنی را تبیین کردند. نتیجه‌گیری: تعامل بین تجربة درد و فاجعه انگاری درد با رفتارهای خوردن بر شاخص تودة بدنی تأثیر می گذارد. | ||
| کلیدواژه‌ها | ||
| رفتارهای خوردن؛ درد مزمن؛ فاجعه‌انگاری درد؛ شاخص تودة بدنی | ||
| عنوان مقاله [English] | ||
| The relationship between chronic pain and pain catastrophizing with body mass index: The mediating role of eating behaviors | ||
| نویسندگان [English] | ||
| mojgan khodapanah1؛ sadegh taghiloo2؛ fatemeh golshani3؛ Anita baghdasarians3 | ||
| 1Department of Health Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran | ||
| 2Department of Psychology, College of psychology, Astara Branch, Islamic Azad University, Guilan, Iran. | ||
| 3Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran | ||
| چکیده [English] | ||
| Aim: To investigate the mediating role of eating behaviors in the relationship between chronic pain and pain catastrophizing with body mass index in people with chronic pain. Method: The research method was correlation. The sample (n = 400) were recruited through purposive sampling method from patients (males and females) with chronic pain who were visiting orthopedic, physiotherapy, neurology wards of Al-Ghadir Hospital and Farahbakhsh Clinic in Tehran in spring, summer and autumn of 2016. Participants' body mass index were collected, as well as, participants' responses on the Dutch Eating Behavior Questionnaire (VanStrien, Frijters, Bergers & Defares, 1986), Chronic Pain Questionnaire (VonKorff, Dworkin & Le Resche, 1990), and the Pain Catastrophizing Scale (Sullivan, Bishop & Pivik, 1995), then analyzed using structural equation modeling employing Amos software. Results: The results showed that the model has a good fit (df2c <3, GFI, AGFI and CFI> 0.90 and RMSEA <0.08). Examination of the path coefficients showed that pain (β = 0.303, P = 0.001; β = 0.148, P = 0.001) and pain catastrophizing (β = -0.149, P = 0.001; β = 0.153, P = 0.001) have a significant direct and indirect effect on body mass index, respectively. Furthermore, chronic pain, pain catastrophizing, and eating behaviors explained for 30.5% of the variance in body mass index. Conclusion: The interaction between pain experience and pain catastrophizing with eating behaviors affects body mass index. | ||
| کلیدواژه‌ها [English] | ||
| eating behaviors, chronic pain, pain catastrophizing, body mass index | ||
| مراجع | ||
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