Volume 21, Issue 7 (October 2023)
Nursing and Midwifery Journal 2023, 21(7): 530-541 |
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Bahrami Koohshahi S, Golshani F, Baghdassarians A, Ghanbari Panah A. STRUCTURAL MODEL OF CHRONIC PAIN BASED ON MINDFULNESS, SOCIAL SUPPORT, AND LIFE EVENTS WITH THE MEDIATING ROLE OF PSYCHOLOGICAL DISTRESS. Nursing and Midwifery Journal 2023; 21 (7) :530-541
URL: http://unmf.umsu.ac.ir/article-1-4934-en.html
URL: http://unmf.umsu.ac.ir/article-1-4934-en.html
1- Ph.D Student of General Psychology, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran
2- Assistant Professor, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran (Corresponding Author) ,sosanbahrami738@gmail.com
3- Assistant Professor, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran
4- Assistant Professor, Department of Counselling, Central Tehran Branch, Islamic Azad University, Tehran, Iran
2- Assistant Professor, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran (Corresponding Author) ,
3- Assistant Professor, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran
4- Assistant Professor, Department of Counselling, Central Tehran Branch, Islamic Azad University, Tehran, Iran
Abstract: (1694 Views)
Background & Aim: Chronic pain can provide emotional and psychological incompatibility in the affected person, thus threatening mental health. The current research aimed to develop the structural model of chronic pain based on mindfulness, social support, and life events with the mediating role of psychological distress.
Materials & Methods: This descriptive research used the structural equation modeling method. The population included all women and men suffering from chronic pain in Tehran city who had been referred to medical clinics in 1401 with complaints of musculoskeletal pain and rheumatoid arthritis. Four hundred and ninety-six patients were selected using the convenience sampling method. Then, they completed the McGill Pain Questionnaire (MPQ), Five Facet Mindfulness Questionnaire (FFMQ), Multidimensional Scale of Perceived Social Support (MSPSS), Stressful Life Events Screening Questionnaire (SLESQ), and Depression Anxiety and Stress Scale (DASS). Data were analyzed using SPSS v.25 and AMOS softwares.
Results: The results showed a good fit of the model with experimental data. The effect of the coefficient of direct standard paths of mindfulness and the amount and number of stressors on the experience of chronic pain was significant, whereas the direct coefficient for social support and the number of stressors was insignificant (p<0.05). Also, the indirect path of mindfulness, social support, amount, and number of stressors on the experience of chronic pain through the mediating role of psychological distress was significant (p<0.05).
Conclusion: Mindfulness, social support as well as life events play important role in explaining chronic pain by mediating psychological distress. Thus, mental health professionals can use these factors to improve the mental health of the people with chronic pain.
Materials & Methods: This descriptive research used the structural equation modeling method. The population included all women and men suffering from chronic pain in Tehran city who had been referred to medical clinics in 1401 with complaints of musculoskeletal pain and rheumatoid arthritis. Four hundred and ninety-six patients were selected using the convenience sampling method. Then, they completed the McGill Pain Questionnaire (MPQ), Five Facet Mindfulness Questionnaire (FFMQ), Multidimensional Scale of Perceived Social Support (MSPSS), Stressful Life Events Screening Questionnaire (SLESQ), and Depression Anxiety and Stress Scale (DASS). Data were analyzed using SPSS v.25 and AMOS softwares.
Results: The results showed a good fit of the model with experimental data. The effect of the coefficient of direct standard paths of mindfulness and the amount and number of stressors on the experience of chronic pain was significant, whereas the direct coefficient for social support and the number of stressors was insignificant (p<0.05). Also, the indirect path of mindfulness, social support, amount, and number of stressors on the experience of chronic pain through the mediating role of psychological distress was significant (p<0.05).
Conclusion: Mindfulness, social support as well as life events play important role in explaining chronic pain by mediating psychological distress. Thus, mental health professionals can use these factors to improve the mental health of the people with chronic pain.
Type of Study: Research |
Subject:
روانپزشکی- روان شناسی
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