سارا بهزاد

The purpose of the present study was to investigate the mediating role of pain acceptance and self-efficacy in the relationship between the tendency to addiction and difficulty in emotion regulation in patients with cancer. The current research was descriptive-correlation based on path analysis. The statistical population included all the cancer patients of Arak City in 2019-2020, out of which 215 people were selected by purposive sampling. The patients completed a battery of questionnaires including Difficulties in Emotion Regulation Scale (DERS, Gratzz & Roemer, 2004), Chronic  Pain Acceptance Questionaire (CPAQ, Aclestoon & Carken, 2004), Pain Self-Efficacy Questionaire (PSEQ, Nicholas, 2007) and Tendency to Addiction Questionaire (TAQ, Weed & Yacher, 1992). Data were analyzed by path analysis. Path analysis results showed that pain acceptance and pain self-efficacy had a direct and negative impact on addiction tendency (P< 0.01).  Difficulties in emotion regulation have a positive and indirect with addiction via pain acceptance and pain self-efficacy (P < 0.01). Fit indices also indicated approval of the suggested model. This suggests that pain acceptance and pain self-efficacy play a mediating role in the relationship between difficulties in emotion regulation and the tendency to addiction.

Cancer pain creates negative thoughts and beliefs in patients, which can affect the level of functioning and pain tolerance in these patients. In recent decades, the use of drugs for pain relief in cancer patients has increased dramatically. The present study investigated the mediating role of pain acceptance and pain self-efficacy in the relationship between the perception of social support and readiness for addiction.

The statistical population of this descriptive-correlation study was men and women with cancer in Arak city in 2020-2021. A total of 201 cancer patients referred to Arak hospitals were selected by available sampling method (97 women and 104 men). Perceived Social Support Questionnaire of Zimet et al. (1988), Pain Self-Efficacy Questionnaire of Nicholas (1980), Chronic Pain Questionnaire of Vowels et al. (2004) and Addiction Readiness Questionnaire by Wade and Butcher (1992) were completed by all the samples. For data analysis, path analysis method was used using SPSS 25 and Amos 24 software.

Two hundred and one patients with an average age of 53.46 ± 10.38 years participated in this research. The results indicated the optimal fit of research model. The results showed that there is a significant negative correlation between the perception of social support, pain acceptance and pain self-efficacy with readiness for addiction (p<0.001) and there is a significant positive correlation between the perception of social support with pain acceptance and pain self-efficacy (p<0.001). In the indirect path, the mediation model of social support perception between pain self-efficacy and pain acceptance with addiction readiness was significant witg the significant level of 0.001 and the standard coefficient (- 0/30).

Strengthening the social support network of individuals, along with developing a sense of self-efficacy and acceptance of uncontrollable aspects, can be considered as preventive treatment goals and plans for patients’ tendency to use drugs for pain relief.

The previous research has demonstrated that addiction treatment services for women need to be based on knowledge of female psychological needs. Therefore, the aim of current study is to compare body image, quality of sleep and marital satisfaction among substance abuser and non-substance abuser women.
This study is a descriptive comparative research. 200 women including 100 substance abuser women and 100 non-substance abuser women were chosen through convenience method in Arak in 2015. The measuring instruments were Fisher body image scale (1970), Pittsburgh Sleep Quality Index (1989) and Enrich Marital Satisfaction Scale (1989). Data was analyzed utilizing t independent.
The results showed that there is the significant difference between marital satisfaction (P=0.001) and quality of sleep (P=0.001) among substance abuser and non-substance abuser women. Additionally, the significant difference was not observed between body image (P= 0.31) among these two groups.
These findings emphasized that substance use decreases the quality of sleep and marital satisfaction in women. Hence, it should be considered these factors in process of therapeutic intervention in substance abuser women.