پديد آورندگان :
نجفي، محمدتقي دانشگاه پيام نور، تهران، ايران - گروه روان شناسي , صفاري نيا، مجيد دانشگاه پيام نور، تهران، ايران - گروه روان شناسي , عليپور، احمد دانشگاه پيام نور، تهران، ايران - گروه روان شناسي , زارع، حسين دانشگاه پيام نور، تهران، ايران - گروه روان شناسي , خوشنويسان، زهرا مؤسسهٔ آموزش عالي خراسان، مشهد، ايران - گروه روان شناسي
چكيده فارسي :
زمينه و هدف: سندرم رودهٔ تحريك‌پذير از بيماري‌هاي شايع دستگاه گوارش است كه معمولاً با ضعيف بودن كيفيت زندگي مبتلايان همراه است. اين پژوهش با هدف بررسي رابطهٔ بهزيستي اجتماعي و مقايسهٔ اجتماعي با شدت علائم در مبتلايان به سندرم رودهٔ تحريك‌پذير انجام شد.
روش بررسي: روش پژوهش، توصيفي‌همبستگي بود. جامعهٔ آماري تمامي مبتلايان به سندرم رودهٔ تحريك‌پذير بودند كه در نيم‌سال دوم 1398 به يك بيمارستان خصوصي در مركز شهر تهران مراجعه كردند. حجم نمونه 180 نفر بود كه با روش نمونه‌گيري دردسترس بعد از تأييد پزشك، به‌صورت داوطلبانه به پرسشنامه‌هاي بهزيستي اجتماعي (كيز، 1998) و مقايسهٔ اجتماعي (گيبنز و بونك، 1999) و مقياس شدت علائم سندرم رودهٔ تحريك‌پذير (فرنسيس و همكاران، 1997) پاسخ دادند. داده‌ها با روش همبستگي پيرسون و رگرسيون خطي چندگانه، در سطح معناداري 0٫05 تحليل شد.
يافته‌ها: بين شدت علائم مبتلايان به سندرم رودهٔ تحريك‌پذير با بهزيستي اجتماعي رابطهٔ معكوس معنادار (0٫323-=r و 0٫001>p) و با مقايسهٔ اجتماعي (0٫170=r و 0٫022=p) رابطهٔ مستقيم معناداري وجود داشت. بهزيستي اجتماعي 10٫5درصد از تغييرات شدت علائم را در مبتلايان تبيين كرد (0٫001>p).
نتيجه‌گيري: بهزيستي اجتماعي در حد متوسط و مقايسهٔ اجتماعي در حد كمي با شدت علائم در مبتلايان رابطه دارد. اگر ادراكات فرد از اجتماع تغيير كند و در جامعه فعال‌تر باشد، شدت علائم آن‌ها مي‌تواند كاهش يابد؛ لذا پزشكان و روان‌شناسان به نقش مؤلفه‌هاي اجتماعي در درمان و آموزش توجه بيشتري داشته باشند.
چكيده لاتين :
Background & Objectives: Irritable Bowel Syndrome (IBS) is among the most critical psychosomatic disorders. Based on the biopsychosocial pattern, all biopsychosocial and behavioral factors that interact with each other should be examined to describe how this syndrome is developed.
This is because none of these characteristics are individually sufficient to explain IBS in the affected patients. Social wellbeing was defined in 1948 by the World Health Organization as one of the several general variables of individual health. Social comparison processes also significantly
impact psychological theories on how individuals interpret and perceive health risks, how and when to make decisions in search of physical
symptom care, and how to cope with illnesses and serious disabilities. The current study aimed to examine the relationship between social
wellbeing and social comparison, and the severity of symptoms in patients with IBS.
Methods: This was descriptive and correlational–predictive research in terms of design, and cross–sectional respecting time. The study statistical
population included all patients with IBS who referred to a private hospital in the center of Tehran City, Iran, in the second half of 2019. The
sample size was measured using G–power software, with the error rate of 0.01, the effect size of 0.15, and a power of 0.95 in regression equations
equal to 180. Sampling was based on a non–probabilistic and convenience sampling method. Accordingly, after the expert’s approval through
the Rome III evaluation, the sample group voluntarily completed the considered questionnaires. The study inclusion criteria included literacy,
fluency in Persian, the age range of 18 to 55 years, no other serious biopsychological illnesses, not experiencing the early stages of diagnosis
and treatment, being diagnosed with IBS by a colorectal specialist based on ROME III, the rule out of physical causes, and not receiving
psychotherapy for IBS. The research exclusion criteria included unexplained weight loss, unexamined abnormal bleeding, and a family history
of bowel cancer. Research instruments included the following: the Social Well–being Questionnaire (Keyes, 1998), the Social Comparison
Questionnaire (Gibbons & Buunk, 1999), and the IBS–Symptom Severity Self–Report Scale (IBS–SSS) (Francis et al., 1997). Data analysis was
performed in SPSS by Pearson Correlation and multiple linear regression analysis, as well as testing the prerequisite assumptions at the
significance level of α=0.050.
Results: The current research findings suggested a significant indirect correlation between the severity of symptoms of patients with IBS and
social wellbeing variables (r=–0.323, p<0.001), and a significant direct association with social comparison (r=0.170, p=0.022). Social wellbeing
and social comparison were entered in the multiple regression equation models. The related results indicated that only the social wellbeing
variable was significant at the 5% error level in the model (p<0.001). The independent variable of social comparison did not significantly affect
the dependent variable, and was removed from the model; thus, social wellbeing could explain 10.5% of the variance in symptoms in the explored
patients. Besides, a change in a unit in social wellbeing could reduce the severity of symptoms in the investigated patients with IBS by 0.3.
Conclusion: The obtained data signified that moderate social wellbeing levels, and to a smaller extent, social comparison were associated with
alternations in the severity of symptoms in patients with IBS. When individuals’ perceptions of the environment and their beliefs about their living conditions are modified, the severity of their IBS symptoms could be reduced.
