ارتباط عدم تحمل بلاتکلیفی با نشانگان سلامت روانشناختی در مراقبین زن بیماران مبتلا به آلزایمر: نقش میانجیگر آسیب‌پذیری جسمانی

نوع مقاله : مقاله پژوهشی

نویسنده

دکتری روانشناسی عمومی، گروه روان‌شناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.

چکیده

هدف: پژوهش حاضر با هدف بررسی ارتباط عدم تحمل بلاتکلیفی با سلامت روانشناختی و نقش میانجیگری آسیب‌پذیری جسمانی در مراقبین زن بیماران مبتلا به آلزایمر انجام شد.
روش‌ها: روش پژوهش توصیفی- همبستگی بود. جامعه آماری این پژوهش شامل تمام مراقبین زن بیماران مبتلا به آلزایمر مراجعه کننده به انجمن بیماران آلزایمر شهر تهران در سال 1399 بود. از میان آنها 320 نفر به صورت در دسترس انتخاب شدند. برای جمع آوری داده ­ها از سیاهه تجدیدنظر شده نشانگان دروگاتیس و همکاران (1976)، مقیاس تحمل بلاتکلیفی- نسخه دوم مک لاین (2009) و نیم‌رخ ﺳﺒﻚ زﻧﺪﮔﻲ ارﺗﻘﺎءدﻫﻨﺪه ﺳﻼﻣﺘﻲ والکر و همکاران (1987) استفاده شد. برای تحلیل داده­ها از مدلسازی معادلات ساختاری و نرم افزارهای اس پی اس اس 24 و آموس 24 استفاده شد.
نتایج: در پژوهش حاضر نتایج نشان داد که مدل مفروض با داده‌های گردآوری شده برازش داشت (87/70=2c، 08/2=df/2c، 987/0=CFI، 956/0=GFI، 878/0=AGFI و 076/0=RMSEA). ضریب مسیر مستقیم بین عدم تحمل بلاتکلیفی با سلامت روان (001/0=P، 250/0=β)، ضریب مسیر مستقیم بین فعالیت بدنی با سلامت روان (001/0=P، 136/0=β) و ضریب مسیر مستقیم بین عدم تحمل بلاتکلیفی با فعالیت بدنی (001/0=P، 241/0=β) مثبت و معنادار بود. ضریب مسیر غیرمستقیم بین عدم تحمل بلاتکلیفی با سلامت روان (001/0=P، 118/0=β) مثبت و معنادار بود.
نتیجه­گیری: یافته‌ها نشان می‌دهد که عدم تحمل بلاتکلیفی با شدت نشانگان سلامت روان در مراقبین زن بیماران مبتلا به آلزایمر ارتباط مستقیم و قابل توجهی دارد. همچنین، آسیب‌پذیری جسمانی نقش میانجی دارد و بخشی از تأثیر عدم تحمل بلاتکلیفی بر سلامت روان را منتقل می‌کند، که بیانگر ضرورت توجه همزمان به جنبه‌های روانی و جسمانی در برنامه‌های حمایتی این گروه است.

کلیدواژه‌ها

عنوان مقاله [English]

Relationship between Intolerance of Uncertainty and Psychological Health Symptoms in Female Caregivers of Patients with Alzheimer's: The Mediating Role of Physical Vulnerability

نویسنده [English]

  • Maryam Eskanderpour
PhD in general psychology, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.
چکیده [English]

Purpose: This study aimed to test a structural model examining the relationship between intolerance of uncertainty and mental health symptoms, with physical vulnerability as a mediator, among female caregivers of patients with Alzheimer’s disease.
Methods: Employing a descriptive-correlational design, the study recruited 320 female caregivers from the Alzheimer’s Association of Tehran in 2020 via convenience sampling. Data were collected using the revised Symptom Checklist (SCL-90-R), the Intolerance of Uncertainty Scale–12 (IUS-12), and the Health-Promoting Lifestyle Profile (HPLP). Data were analyzed using  the SPSS and AMOS software.
Results: The findings indicated that the proposed model had a good fit with the data (χ²=70.87, χ²/df=2.08, CFI=0.987, GFI=0.956, RMSEA=0.076). All direct paths were significant: intolerance of uncertainty to mental health symptoms (β=0.250, P=0.001), physical vulnerability to mental health symptoms (β=0.136, P=0.001), and intolerance of uncertainty to physical vulnerability (β=0.241, P=0.001). The indirect effect of intolerance of uncertainty on mental health symptoms through physical vulnerability was also significant (β=0.118, P=0.001).
Conclusions: The findings suggest that intolerance of uncertainty is directly associated with more severe psychological symptoms in female caregivers of Alzheimer’s patients. Moreover, physical vulnerability serves as a partial mediator in this relationship. This highlights the importance of comprehensive interventions that address both psychological and physical well-being in supportive programs for this population.
 

کلیدواژه‌ها [English]

  • Alzheimer’s Disease
  • Physical Vulnerability
  • Female Caregivers

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روانشناسی ورزش
دوره 16، شماره 2
1403
صفحه 292-306

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سابقه مقاله

  • تاریخ دریافت: 02 مرداد 1403
  • تاریخ بازنگری: 05 آبان 1403
  • تاریخ پذیرش: 07 آذر 1403

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