Dr Azra Zebardast, Dr Sajjad Rezaei, Mrs Fatemeh Rezvandel-Ramzi,
Volume 15, Issue 4 (2-2022)
Abstract
| One of the main challenges in treating chronic disease is patients' adherence to treatment instructions. The aim of this study was to determine the mediating role of resilience in the relationship between attachment styles and treatment adherence in patients with chronic disease. The research design was descriptive-correlational. The statistical population included all patients with diabetes and hypertension in Guilan province in 2020. A sample of 399 people were selected by purposive sampling method. Data were collected through the Collins and Reed's Adult Attachment Scale (RAAS), the Connor-Davidson Resilience Scale(CD-RISC), and the Modanloo Adherence to Treatment Questionnaire. Data processing was performed using path analysis technique in AMOS-24 software setting and bootstrap analysis in Macro program of Preacher and Hayes (2008). There was a significant direct relationship between adherence to treatment with resilience and secure and avoidant attachment style(p<0.01). However, there was no relationship between adherence to treatment and ambivalent attachment(p>0.05). The fit of the mediator model was improved after deleting the two non-significant paths and it was obtained a good fit by releasing the covariance error between the ambivalent attachment and the secure and avoidant attachment (CFI=1.00, RMSEA=0.086). Bootstrap analysis revealed that resilience mediates the associations between endogenous and exogenous variables. The coefficient of determination in the final model demonstrated that all exogenous and mediating variables predict 21% of the changes in the adherence to treatment. Resilience and attachment pattern are important in patients' adherence to the treatment procedure and it is suggested that skills and strategies for coping with the disease stress and increasing the capacity to adaptive coping to life-threatening conditions be included in the treatment program of patients with chronic diseases. |
Dr. Fatteme Raiisi,
Volume 20, Issue 2 (9-2023)
Abstract
Pain is one of the abstract concepts in the field of health psychology, which is expressed with conceptual metaphors. Persian-language speakers, like other languages, apply different source domains and mappings. The purpose of this study was to design, make and evaluate the psychometric characteristics of a pain metaphorical perception questionnaire in Persian-speaking patients with chronic diseases. The method of this study was descriptive and psychometric and it was a survey type of research. based on the cognitive analysis of Raiisi's pain metaphors(2021), nine metaphorical mappings were extracted, which were respectively object, causality, path and direction, human, place, taste, container, force, and circle. Based on source domains, a questionnaire with25 questions was created using a Likert response scale. The content validity of questions was evaluated by3 cognitive linguistics experts,2 health psychologists,3 physicians, and2 psychometric experts. the questionnaire was completed availability and voluntarily by 250 monolingual Persian-speaking patients with chronic diseases in2022-2023. The results indicated that there was a reliability coefficient by using Cronbach's alpha for the whole questionnaire and its components. the result of the factor analysis showed that this questionnaire consists of four factors including object, force, human, and causality, which explain24.66% of the total variance of the factors.
