fa رابطه پریشانی روانی و نشانگان شناختی-توجهی مادران با سازگاری روانی نوجوانان مبتلا به سرطان در دوره کووید- 19(نقش میانجی تنظیم هیجان): یک مطالعه توصیفی روانپزشكي روانپزشكي پژوهشي Research <span style="font-size:10pt"><span style="line-height:117%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><a name="_Hlk113374001"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">زمینه و هدف: </span></span></span></b></a><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">ویژگی‌های روان‌شناختی، هیجانی و شناختی مادر بر روی سازگاری روانی نوجوانان با سرطان تأثیر می‌گذارند. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">پژوهش حاضر با هدف تعیین</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> رابطه پریشانی روانی و نشانگان شناختی-توجهی مادران با سازگاری روانی نوجوانان مبتلا به سرطان با نقش میانجی تنظیم هیجان </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">انجام شد.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin""></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 new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">مواد و روش‌ها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> روش پژوهش حاضر </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">توصیفی و </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">از نوع همبستگی </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">بود. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">جامعه آماری نوجوانان تحت درمان سرطان</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> و مادران آنان</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> در</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> 5 ماه اول</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> سال 1401 در شهر تهران بودند. تعداد 122 </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">شرکت‌ کننده به روش نمونه‌گیری داوطلبانه انتخاب شدند. داده‌ها با استفاده از پرسش‌نامه‌‌های</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">سازگاری روانی-اجتماعی با بیماری </span></span></span>Derogatis<span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> (1986)، پریشانی روانی </span></span></span>Kessler<span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> و همکاران (2003)، نشانگان شناختی-توجهی </span></span></span>Veles<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> و همکاران (2009) و </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">تنظیم هیجان </span></span></span>Garnefski<span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> و </span></span></span>Kraaij<span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> (2006) </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">جمع‌آوری و با آزمون‌های ضریب همبستگی </span></span></span>Pearson<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">، تحلیل رگرسیون به شیوه سلسله مراتبی</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> و آزمون </span></span></span>Sobel<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> تحلیل</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">شدند. </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 new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">یافته‌ها:</span></span></span></b> <span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">پریشانی روانی با ضریب 486/0-، نشانگان شناختی-توجهی با ضریب 511/0-، تنظیم هیجان مثبت و منفی با ضریب 475/0 و 431/0- با سازگاری روانی رابطه </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">معنادار داشتند (001/0</span></span></span>P<<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">). </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">تنظیم هیجان مثبت و منفی مادران</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> در رابطه </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">پریشانی روانی با سازگاری روانی با ضریب 445/0و 461/0- و در رابطه نشانگان شناختی-توجهی با سازگاری روانی 533/0 و 473/0- </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">نقش میانجی معنادار داشت (001/0</span></span></span>P<<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">).</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin""></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 new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">نتیجه‌گیری:</span></span></span></b> <span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">تنظیم هیجان مثبت و منفی مادران در رابطه پریشانی روانی و نشانگان شناختی-توجهی آنان با سازگاری روانی<b> </b>نوجوانان با سرطان نقش میانجی دارند.</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> به منظور افزایش سازگاری روانی نوجوانان با بیماری سرطان پیشنهاد می‌شود پزشکان</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> و</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:"> پرستاران به نقش پریشانی روانی و نشانگان شناختی-توجهی مادران توجه کنند و مادران را در به&shy;کارگیری تنظیم هیجان مثبت تشویق نمایند.</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 new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">واژه‌ها</span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">ی کلیدی</span></span></span></b><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">:</span></span></span></b> <span lang="FA" style="font-size:12.0pt"><span style="line-height:117%"><span b="" nazanin="" style="font-family:">پریشانی، نشانگان شناختی، سازگاری، سرطان، کووید-19، هیجان</span></span></span><span lang="AR-SA" style="font-size:1.0pt"><span style="line-height:117%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><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%"> Psychological adjustment of adolescents with cancer is affected by psychological, emotional, and cognitive traits of mothers. This study aimed to determine the relationship between psychological distress and cognitive-attentional syndrome of mothers and psychological adjustment of adolescents with cancer with the mediating role of emotion regulation. </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 new="" roman="" style="font-family:" times=""><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%"> In the present descriptive-correlational study, the statistical population was adolescents with cancer under treatment and</span></span><span lang="EN-GB" style="font-size:9.0pt"><span style="line-height:150%"> their </span></span><span style="font-size:9.0pt"><span style="line-height:150%">mothers in the first 5 months of 2022 in Tehran. </span></span><span lang="EN-GB" style="font-size:9.0pt"><span style="line-height:150%">One-hundred and twenty-two </span></span><span style="font-size:9.0pt"><span style="line-height:150%">participants were selected by<b> </b></span></span><span lang="EN-GB" style="font-size:9.0pt"><span style="line-height:150%">voluntary</span></span><span style="font-size:9.0pt"><span style="line-height:150%"> sampling. Data were collected by the Psychosocial Adjustment to Illness Scale (Derogatis, 1986), Psychological Distress Scale </span></span><span lang="EN-GB" style="font-size:9.0pt"><span style="line-height:150%">(Kessler et al., 2003), </span></span><span style="font-size:9.0pt"><span style="line-height:150%">Cognitive-Attentional Syndrome Scale (Wells</span></span><span lang="EN-GB" style="font-size:9.0pt"><span style="line-height:150%">, 2009), and </span></span><span style="font-size:9.0pt"><span style="line-height:150%">Cognitive Emotion Regulation Questionnaire (Garnefski</span></span><span lang="EN-GB" style="font-size:9.0pt"><span style="line-height:150%"> & Kraaij,</span></span><b> </b><span style="font-size:9.0pt"><span style="line-height:150%">2006) and analyzed by Pearson&rsquo;s correlation, </span></span><span lang="EN-GB" style="font-size:9.0pt"><span style="line-height:150%">hierarchy regression, and Sobel test</span></span><span 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 new="" roman="" style="font-family:" times=""><b><span lang="EN" 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%"> Psychological distress with a coefficient of -0.486, cognitive-attentional syndrome with a coefficient of -0.511, positive and negative emotion regulation with coefficients of 0.475 and -0.431, respectively, had a significant relationship with psychological adjustment (p<0.001).</span></span> <span style="font-size:9.0pt"><span style="line-height:150%">Positive and negative emotion regulation of mothers mediated the relationship between psychological distress and psychological adjustment with coefficients<b> </b>of 0.445 and -0.461 and mediated the relationship between cognitive-attentional syndrome and psychological adjustment with coefficients of 0.533 and -0.473, respectively (p<0.001).</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 new="" roman="" style="font-family:" times=""><b><span lang="EN" 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%"> Positive and negative emotion regulation of mothers mediates the relation between their psychological distress and cognitive-attentional syndrome and psychological adjustment of adolescents with cancer. In order to increase psychological adjustment of adolescents with cancer, it is recommended that physicians and nurses pay attention to the role of psychological distress and cognitive-attentional syndrome of mothers and encourage the mothers to use positive emotion regulation.</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 new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Key words:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Distress, Cognitive syndrome, Adjustment, Cancer, COVID-19, Emotion</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 new="" roman="" style="font-family:" times=""><span 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 new="" roman="" style="font-family:" times=""><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 did not have any funds.</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 new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Conflict of interes</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">t<b>:</b> 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 new="" roman="" style="font-family:" times=""><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 Islamic Azad University of Tehran, Science and Research Branch, approved the study (</span></span><span lang="X-NONE" style="font-size:9.0pt"><span style="line-height:150%">IR.IAU.</span></span><span style="font-size:9.0pt"><span style="line-height:150%">SRB</span></span><span lang="X-NONE" style="font-size:9.0pt"><span style="line-height:150%">.REC.</span></span><span style="font-size:9.0pt"><span style="line-height:150%">1401</span></span><span lang="X-NONE" style="font-size:9.0pt"><span style="line-height:150%">.</span></span><span style="font-size:9.0pt"><span style="line-height:150%">050).</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 new="" roman="" style="font-family:" times=""><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 new="" roman="" style="font-family:" times=""><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 new="" roman="" style="font-family:" times=""><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%"> Jafari Asghar, Ahmadzadeh Najmeh. The Relationship between Psychological Distress and Cognitive-Attentional Syndrome of Mothers and Psychological Adjustment of Adolescents with Cancer in COVID-19 Pandemic with the Mediating Role of Emotion Regulation: 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> 2024; 22 (10): 1071-88. [Farsi]</span></span> <b><span style="font-size:8.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br> &nbsp; پریشانی, نشانگان شناختی, سازگاری, سرطان, کووید-19, هیجان Distress, Cognitive syndrome, Adjustment, Cancer, COVID-19, Emotion 1071 1088 http://journal.rums.ac.ir/browse.php?a_code=A-10-6321-1&slc_lang=fa&sid=1 Asghar Jafari اصغر جعفری a.jafari@kashanu.ac.ir 6900319475328460056106 6900319475328460056106 Yes Department of Psychology, Faculty of Humanities, University of Kashan, Kashan, Iran دانشیار روان‌شناسی، دانشگاه کاشان، کاشان،ایران Najmeh Ahmadzadeh نجمه احمدزاده moojan.1369@gmail.com 6900319475328460056107 6900319475328460056107 No Department of Psychology, Sciences and research branch, Islamic Azad University, Tehran, Iran کارشناسی ارشد روان‌شناسی عمومی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران