Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1402
9
1
gregorian
2023
12
1
22
9
online
1
fulltext
fa
مدلیابی علی ادراک درد در مبتلایان به بیماری میگرن بر اساس عدم تحمل پریشانی با نقش میانجی ترس از پیشرفت بیماری: یک مطالعه توصیفی
Causal Modeling of Pain Perception in Migraine Sufferers Based on Distress Intolerance with the Mediating Role of Fear of Disease Progression:
A Descriptive Study
روانپزشكي
روانپزشكي
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:117%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin"">زمینه و هدف: </span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin"">میگرن دومین اختلال عصبی همراه با درد عمیق بوده و طیف وسیعی از مشکلات را برای افراد مبتلا و اطرافیان آن­ها به وجود میآورد. لذا هدف از این پژوهش مدل­ یابی علی ادراک درد در مبتلایان به میگرن بر اساس عدم تحمل پریشانی با نقش میانجی ترس از پیشرفت بیماری بود.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:117%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin"">مواد و روش ­ها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin""> پژوهش حاضر از نوع توصیفی است و </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin"">جامعه آماری شامل کلیه افراد دارای میگرن مراجعه­ کننده به کلینیکها و مطب متخصصان اعصاب شهر مشهد در سال 1401 بودند که </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin"">تعداد</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin""> 200 نفر از مراجعه کنندگان به روش نمونهگیری در دسترس انتخاب شدند و به پرسشنامه­های تحمل پریشانی هیجانی </span></span></span>Simons<span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin""> و </span></span></span>Gaher<span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin"">، ادراک درد</span></span></span> Melzack<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin""> و ترس از پیشرفت </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin"">بیماری </span></span></span>Herschbach<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin""> و همکاران </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin"">پاسخ دادند. به منظور تجزیه­ وتحلیل داده­ ها از مدل­یابی معادلات ساختاری استفاده شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:117%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin"">یافته­ ها:</span></span></span></b> <span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin"">نتایج نشان داد که نمره ادراک درد با نمره ترس از پیشرفت بیماری (470/0=</span></span></span>r<span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin"">، 01/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin"">) ارتباط مثبت و معنیدار و با نمره تحمل پریشانی (425/0-=</span></span></span>r<span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin"">، 01/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin"">) ارتباط منفی و معنیدار دارد</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin"">. هم­چنین، عدم پریشانی عاطفی با تأثیر بر ترس از پیشرفت بیماری به طور غیرمستقیم نیز با ادراک درد ارتباط داشت.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:117%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin"">نتیجه­ گیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin""> یافته­ها نشان داد ترس از پیشرفت بیماری نقش میانجی بین عدم تحمل پریشانی و ادارک درد در مبتلایان به بیماری میگرن دارد. روان­شناسان و متخصصان با در نظر داشتن ارتباط ادارک درد و عدم تحمل پریشانی و ترس از پیشرفت بیماری در میگرن می­توانند از بهبود این عوامل استفاده کنند تا تأثیر سایر روش­ها برای درمان میگرن را افزایش دهند. </span></span></span></span></span></span></span></span><br>
<b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">واژه ­های کلیدی:</span></span></span></b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""> ادراک درد، پریشانی هیجانی، پیشرفت بیماری، ترس، میگرن</span></span></span>
<span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span dir="RTL" lang="AR-SA" style="font-size:4.0pt"><span style="line-height:135%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:150%">Background and Objectives:</span></span></b></a><span style="font-size:9.0pt"><span style="line-height:150%"> Migraine is the second neurological disorder with deep pain that causes a wide range of problems for the affected people and those around them. Therefore, the purpose of this study was to model the causality of pain perception in migraine sufferers based on distress intolerance with the mediating role of fear of disease progression. </span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Materials and Methods:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The current research is descriptive and the statistical population included all people with migraine who referred to clinics and neurologists' offices in Mashhad in 2022; out of which, 200 applicants were selected as a sample using the convevience sampling method. And they responded to Simons and Gaher's Emotional Distress Tolerance, Melzack's Pain Perception, and Herschbach et al.’s Fear of Disease Progression Questionnaires. To analyze the data, structural equation modeling was used.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Results: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">A positive and significant relationship was observed between pain perception score and fear of disease progression score (r=0.470, p<0.01), and a negative and significant relationship was observed between pain perception score and distress tolerance score (r=-0.425, p<0.01). Furthermore, emotional distress tolerance had indirect association with pain perception through affecting the fear of disease progression.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Conclusion: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">The findings showed that the fear of disease progression plays a mediating role between the intolerance of distress and the perception of pain in migraine sufferers. Considering the association of pain perception and intolerance of distress and fear of disease progression in migraine, psychologists and specialists can use the improvement of these factors to increase the effectiveness of other methods for migraine treatment.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Key words: </span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">Pain perception, Distress, Disease progression, Fear, Migraine</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Funding:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> This study was funded by University of Mohaghegh Ardabili.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Conflict of interest:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Ethical approval:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The Ethics Committee of University of Mohaghegh Ardabili approved the study (IR.UMA.REC.1401.069).</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><i><span lang="EN" style="font-size:2.0pt"><span style="line-height:150%"></span></span></i></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">How to cite this article:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Basharpoor Sajjad, Mohammadnezhad Devin Arefeh. Causal Modeling of Pain Perception in Migraine Sufferers Based on Distress Intolerance with the Mediating Role of Fear of Disease Progression: A Descriptive Study</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">. </span></span><i><span style="font-size:9.0pt"><span style="line-height:150%">J Rafsanjan</span></span></i><span style="font-size:9.0pt"><span style="line-height:150%"> <i>Univ Med Sci</i> 2023; 22 (9): 929-46. [Farsi]</span></span> <span style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
ادراک درد, پریشانی هیجانی, پیشرفت بیماری, ترس, میگرن
Pain perception, Distress, Disease progression, Fear, Migraine
929
946
http://journal.rums.ac.ir/browse.php?a_code=A-10-6297-1&slc_lang=fa&sid=1
Sajjad
Basharpoor
سجاد
بشرپور
basharpoor_sajjad@uma.ac.ir
6900319475328460055824
6900319475328460055824
Yes
University of Mohaghegh Ardabili
دانشگاه محقق اردبیلی
Arefe
Mohamadnezhad devin
عارفه
محمدنژاد دوین
arefe.mohamadnezhad@yahoo.com
6900319475328460055825
6900319475328460055825
No
University of Mohaghegh Ardabili
دانشگاه محقق اردبیلی