نقش واسطه‌ای خودکارآمدی درد و ترس از حرکت در تبیین رابطه بین درد مزمن و ناتوانی

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشیار روان شناسی بالینی- دانشگاه شاهد.

2 دانشجوی کارشناسی ارشد روان شناسی بالینی دانشگاه شاهد.

3 استادیار روان شناسی- دانشگاه شاهد.

چکیده

زمینه: تفاوت‌های چشم‌گیری در شدت ناتوانی جسمی ‌بیماران دارای درد مزمن دیده می‌شود؛ دو سازۀ روان‌شناختی خودکارآمدی درد و ترس از حرکت به مثابه تبیین کننده‌ این تفاوت‌ها مطرح شده‌اند. پژوهش حاضر با هدف وارسی نقش واسطه‌ای خودکارآمدی درد و ترس از حرکت در ارتباط بین شدت درد و ناتوانی را در بیماران دارای دردمزمن صورت گرفته است. روش پژوهش: 195 بیمار درد مزمن با استفاده از شیوه نمونه‌گیری در دسترس انتخاب شدند و پرسشنامه‌های شدت درد، ناتوانی جسمی، خودکارآمدی درد و ترس از حرکت را تکمیل کردند. یافته‌ها: میانگین (انحراف معیار) سن افراد نمونه 6/45 سال (دوازده) بود و 73 درصد آنها از درد در ناحیه کمر و پا شکایت داشتند. از تحلیل‌های رگرسیون برای بررسی نقش واسطه‌ای متغیّرهای برای پژوهش استفاده شد. اولین تحلیل رگرسیون نشان داد که خودکارآمدی درد در ارتباط بین شدت درد و ناتوانی جسمی نقش واسطه‌ای را ایفا می‌کنند. نتایج آزمون سوبل این نقش واسطه‌ای را تأیید کرد (001/0≤ ,p 40/3 = z). دومین تحلیل رگرسیون نشان داد که ترس از حرکت در ارتباط بین شدت درد و ناتوانی جسمی ‌نقش واسطه‌ای را ایفا می‌کنند. نتایج آزمون سوبل این نقش واسطه‌ای را تأیید کرد (001/0≤ ,p 43/4 = z). نتیجه‌گیری: دو سازۀ خودکارآمدی درد و ترس از حرکت در تبیین ناتوانی ناشی از درد مزمن دارای اهمیت هستند. کاربردهای بالینی یافته‌های این پژوهش در این نوشته مورد بحث قرار خواهند گرفت.

کلیدواژه‌ها


عنوان مقاله [English]

The Mediational Role of Pain Self-Efficacy and Fear of Movement in Explaining the Relationship between Chronic Pain and Disability

نویسندگان [English]

  • Mohammad-Ali Asghari Moqaddam 1
  • Narjes Rahmati 2
  • Mohammad-Rezā Sho’eyri 3
1 . Associate Professor, Clinical Psychology, Shahed University
2 MA Student in Clinical Psychology Shahed University
3 Assistant Professor, Psychology, Shahed University
چکیده [English]

Background: There is considerable individual variation in the levels of pain-related disability among people with chronic pain. Pain self-efficacy and fear of movement have been proposed to explain individual differences in the level of pain-related disability.
Objective: This study aims to investigate whether pain self-efficacy and fear of movement mediate the relationship between pain intensity and disability in patients with chronic pain.
Method: In a cross-sectional design, 195 chronic pain patients completed measures for pain intensity, disability, pain self-efficacy and fear of movement.
Results: The mean age (SD) of the sample was 45.6 years (12) and 73% of the sample reported their main pain sites as low back and legs. Regression analyses were used to test the mediational hypothesis. The first regression analysis indicated that pain self-efficacy beliefs partially mediated the effects of pain intensity on disability. The results of the Sobel test confirmed this mediational effect (Z = 3.40, p < 0.001). The second regression analysis indicated that fear of movement partially mediated the effect of pain intensity on disability. The results of the Sobel test confirmed this mediational effect (Z = 4.43, p< 0.001).
Conclusion: Pain self-efficacy and fear of movement are important in terms of understanding the relationship between pain and disability. The clinical implications of these findings are discussed in the paper.

کلیدواژه‌ها [English]

  • Chronic Pain
  • Disability
  • pain self-efficacy
  • fear of movement
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