ﻧﻘﺶ راﻫﺒﺮدﻫﺎي ﺗﻨﻈﯿﻢ ﺷﻨﺎﺧﺘﯽ ﻫﯿﺠﺎن و ﺣﻤﺎﯾﺖ اﺟﺘﻤﺎﻋﯽ ادراك ﺷﺪه در ﭘﯿﺶﺑﯿﻨﯽ ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ و ﺷﺪت ﻋﻼﺋﻢ ﺑﯿﻤﺎران ﺑﺎ ﺳﻨﺪرم روده ﺗﺤﺮﯾﮏ ﭘﺬﯾﺮ

The Role of Cognitive Emotion Regulation Strategies and Perceived Social Support in Predicting Quality of Life and Severity of Symptoms of Patients with Irritable Bowel Syndrome (IBS)

ﭼﮑﯿﺪه ﻣﻘﺪﻣﻪ: ﺳﻨﺪرم روده ﺗﺤﺮﯾﮏ ﭘﺬﯾﺮ )IBS(، ﯾﮏ اﺧﺘﻼل ﻋﻤﻠﮑﺮدي دﺳﺘﮕﺎه ﮔﻮارش اﺳﺖ ﮐﻪ ﻋﻮاﻣﻞ روانﺷﻨﺎﺧﺘﯽ در آن ﻧﻘﺶ ﺑﺴﺰاﯾﯽ دارﻧﺪ. ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﺗﻌﯿﯿﻦ ﻧﻘﺶ راﻫﺒﺮدﻫﺎي ﺗﻨﻈﯿﻢ ﺷﻨﺎﺧﺘﯽ ﻫﯿﺠﺎن و ﺣﻤﺎﯾﺖ اﺟﺘﻤﺎﻋﯽ ادراك ﺷﺪه در ﭘﯿﺶﺑﯿﻨﯽ ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ و ﺷﺪت ﻋﻼﺋﻢ ﺑﯿﻤﺎران IBS اﻧﺠﺎم ﺷﺪ. روش ﮐﺎر: اﯾﻦ ﭘﮋوﻫﺶ ﺑﻪ روش ﺗﻮﺻﯿﻔﯽ و در ﭼﺎرﭼﻮب ﻣﻄﺎﻟﻌﺎت ﻫﻤﺒﺴﺘﮕﯽ ﻣﯽﺑﺎﺷﺪ. از ﺟﺎﻣﻌﻪ ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ IBS ﮐﻪ در ﻧﯿﻤﻪ دوم ﺳﺎل 1396 ﺑﻪ ﯾﮏ ﮐﻠﯿﻨﯿﮏ ﻓﻮق ﺗﺨﺼﺼﯽ ﮔﻮارش در ﺗﻬﺮان ﻣﺮاﺟﻌﻪ ﮐﺮدﻧﺪ، ﺗﻌﺪاد 110 ﺑﯿﻤﺎر IBS )74 زن و 36 ﻣﺮد(، ﺑﻪ روش ﻧﻤﻮﻧﻪ ﮔﯿﺮي در دﺳﺘﺮس اﻧﺘﺨﺎب ﺷﺪﻧﺪ. اﺑﺰارﻫﺎي ﭘﮋوﻫﺶ، ﭘﺮﺳﺸﻨﺎﻣﻪ راﻫﺒﺮدﻫﺎي ﺗﻨﻈﯿﻢ ﺷﻨﺎﺧﺘﯽ ﻫﯿﺠﺎن، ﭘﺮﺳﺸﻨﺎﻣﻪ ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ وﯾﮋه ﺑﯿﻤﺎران IBS، ﻣﻘﯿﺎس ﭼﻨﺪ ﺑُﻌﺪي ﺣﻤﺎﯾﺖ اﺟﺘﻤﺎﻋﯽ ادراك ﺷﺪه و ﺷﺎﺧﺺ ﺷﺪت ﻋﻼﺋﻢ IBS ﺑﻮدﻧﺪ. ﺗﺤﻠﯿﻞ دادهﻫﺎ ﺑﺎ روش ﻫﻤﺒﺴﺘﮕﯽ ﭘﯿﺮﺳﻮن و آزﻣﻮن ﺗﺤﻠﯿﻞ رﮔﺮﺳﯿﻮن ﮔﺎم ﺑﻪ ﮔﺎم در ﻧﺮم اﻓﺰار SPSS ﺻﻮرت ﮔﺮﻓﺖ. ﯾﺎﻓﺘﻪﻫﺎ: ﯾﺎﻓﺘﻪﻫﺎ ﻧﺸﺎن داد ﮐﻪ ﺑﯿﻦ راﻫﺒﺮدﻫﺎي ﺗﻨﻈﯿﻢ ﺷﻨﺎﺧﺘﯽ ﻫﯿﺠﺎن و ﺣﻤﺎﯾﺖ اﺟﺘﻤﺎﻋﯽ ادراك ﺷﺪه ﺑﺎ ﮐﯿﻔﯿﺖ زﻧﺪﮔﯽ و ﺷﺪت ﻋﻼﺋﻢ ﺑﯿﻤﺎران IBS، راﺑﻄﻪ ﻣﻌﻨﺎداري )0/01

Abstract Introduction: Irritable Bowel Syndrome (IBS) is a functional gastrointestinal disorder that is highly influenced by psychological factors. The present research was carried out to determine the role of cognitive emotion regulation strategies and perceived social support in predicting quality of life and severity of symptoms of patients with IBS. Methods: This research is a descriptive one in correlation studies frame. Out of the patients with IBS who referred to a gastroenterology clinic in Tehran in the second half of 1396, 110 ones (74 women and 36 men) were selected through convenience sampling method. Research tools included the Cognitive Emotion Regulation Questionnaire (CERQ), IBS specific QOL questionnaire (IBS-QOL-34), Multidimensional Scale of Perceived Social Support (MSPSS), and IBS Severity Index (IBSSI). The analysis of data was carried out through the Pearson correlation method and stepwise regression analysis test using SPSS. Results: Findings revealed that there is a significant relationship between cognitive emotion regulation strategies and perceived social support with quality of life and severity of symptoms of patients with IBS (P<0.01). With the increase in positive strategies of cognitive emotion regulation and perceived social support in patients, the severity of symptoms of IBS decreased, and their quality of life increased. Also, among the variables studied in the regression, the best predictor for the severity of symptoms of IBS had been cognitive emotion regulation strategies and for quality of life had been perceived social support (P<0.01). Conclusions: Cognitive emotion regulation and perceived social support have a significant role in symptom severity and quality of life of patients with Irritable Bowel Syndrome (IBS). Thus, consideration of psychological factors in the treatment and improvement of the quality of life of these patients can be beneficial.