ارزيابي مدل رويدادهاي استرس¬زاي زندگي، تجربه¬ي ptsd، ميزان كورتيزول بدن و سبك زندگي با ميانجي¬گري حمايت اجتماعي و راهبردهاي مقابله¬اي در شدت علائم فيبروميالژيا

eva‎luate model of stressful life events, ptsd experience , cortisol levelse and lifestyle mediated by social support and coping strategies on the severity of Fibromyalgia syndroms

روان شناسي

The present study was conducted with the aim of eva‎luating the model of stressful life events, ptsd experience, body cortisol level and lifestyle with the mediation of social support and coping strategies in the severity of fibromyalgia symptoms. This research was applied in terms of purpose and descriptive research method of path analysis. The statistical population of the study included all people with fibromyalgia in Isfahan city between 2015 and 2017; Among the statistical population, 1930 people who visited health centers were selected purposefully. In order to collect data from the questionnaires of stressful life events (SLE) Rohafza (2011), sleep quality (PSQI) Boyce (1989), International Physical Activity Questionnaire (IPAQ) Geneva international specialized group (1998), checklist Tobacco, drugs and alcohol, post-traumatic stress disorder Fua et al. (1991), blood test to measure body cortisol levels, social support (MSPSS) Zimmet et al. (1988), coping preference (COPE) Carver et al. (1989) was used. Descriptive statistics of mean and standard deviation and inferential statistics of Pearsonʹs correlation coefficient and regression coefficients were used for data analysis. The findings showed that there is a positive and significant relationship between the severity of stressors, ptsd experience, subjective quality of sleep and socio-economic status with fibromyalgia severity score (p<0.001); Physical activity and cortisol levels did not show a significant relationship with the severity of fibromyalgia; Also, the average score of fibromyalgia in women and people without a history of smoking was higher than in men and people with a history of smoking; Among the mediating variables, social support had a weak relationship with the severity of fibromyalgia; Positive interpretation of the problem had a negative and significant relationship and avoidance of facing the problem had a positive and significant relationship with the severity of fibromyalgia; No relationship was found between involvement with the problem and acceptance of the problem with the severity of fibromyalgia; Also, the structural equation model of the relationship between independent variables in the presence of mediating variables with fibromyalgia severity variable showed that the highest coefficients are respectively related to gender, stressful life events, subjective quality of sleep and ptsd experience; Among the mediating variables, acceptance of the problem showed the most positive relationship and positive interpretation of the problem showed a negative relationship with fibromyalgia, but avoidance of facing the problem was the least severe and other mediating variables including social support and conflict and facing the problem showed similar levels of communication but with negative aspects and showed a positive result. Overall, the model has a good fit with the data of this research.

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