جستجوی مقالات مرتبط با کلیدواژه « Somatic symptom disorder » در نشریات گروه « روانشناسی »

The aim of this study was to determine the structural relationships between temperament dimensions of personality and psychological symptoms of somatic symptom disorder with the mediation of emotional dysregulation. 

Methods and Materials: 

For this purpose, 380 students from the University of Tabriz were selected using multi-stage cluster random sampling during the academic year 2021-2022. The variables were measured using the Difficulties in Emotion Regulation Scale, the Somatic Complaint Questionnaire, the short form of the Symptom Checklist, and Cloninger's Temperament and Character Inventory (TCI). 

Data analysis using structural equation modeling showed that novelty seeking, reward dependence, and persistence negatively and significantly explain the variations in psychological symptoms. Harm avoidance and emotional dysregulation positively and significantly explain the variations in psychological symptoms. Reward dependence and persistence negatively and significantly explain the variations in emotional dysregulation. Novelty seeking and reward dependence negatively, and harm avoidance positively, can explain the variations in psychological symptoms through emotional dysregulation. 

The three temperament variables—novelty seeking, harm avoidance, and reward dependence—could explain the changes in somatic symptoms through the mediation of emotional dysregulation. These findings indicate that somatic symptom disorder is influenced by personality factors and that inefficiency in emotion regulation exacerbates this disorder. Additionally, these findings suggest that emotional dysregulation is a significant variable in the relationship between temperament dimensions and somatic symptoms.

Somatic symptom disorder is a culturally dependent form of disorder, and culturally appropriate tools are necessary for its assessment, diagnosis, and treatment. Although various studies emphasize the influence of culture on the factors and fields effective in the formation of somatic symptoms disorder, However, few studies have developed a suitable test to evaluate the factors and fields of Somatic symptom disorder in iranian culture.

The present study was conducted with the aim of development and validating the questionnaire of the Antecedents of somatic symptom disorder (causal and contextual) in the Iranian society.

In terms of purpose, the present research is fundamental-applicative, in terms of gathering information, it is survey-questionnaire, and in terms of methodology, it is considered among test-making studies, which was carried out in the form of a correlational research project. The statistical population of the research included all people over 18 years of age in Tehran in 2023. The statistical sample size was 915 adults who were selected by available sampling method. To collect data, a researcher-made questionnaire on the antecedents of somatic symptom disorder, which was derived from a qualitative research, was used. Data analysis was done using exploratory and confirmatory factor analysis of the first and second type to check the construct validity and principal component analysis method using SPSS-24 and AMOS-24 software.

The findings of this research showed that the questionnaire of the antecedents of somatic symptom disorder in iranian society has favorable psychometric characteristics. The results of factor analysis showed that this questionnaire has 4 subscales of dictatorial parenting, dysfunctional couple relations, emotional and cognitive characteristics of childhood. Using Cronbach's alpha, the values of the internal consistency coefficient were found to be 0.922 for dictatorial parenting, 0.929 for dysfunctional couple relationships, 0.842 for the child's feelings, and 0.846 for the child's thoughts.

According to the obtained results, it is suggested that specialists in medical centers use the questionnaire of the antecedents of somatic symptom disorder to evaluate, diagnose and prepare a treatment plan for somatic symptom disorder in iranian society.

This study aimed to examining the effective factors in the formation of somatic symptoms disorder in people with complex post-traumatic stress disorder.

The approach studied in this research was qualitative and based on grounded theory. A number of 15 people with somatic symptom disorder and complex post trumatic Stress Disorder in the age of 18-60 years old in Tehran city, who were willing to interview and cooperate, were selected by the purposeful sampling method until reaching theoretical saturation. These people were investigated using a semi-structured and in-depth interview. Data analysis was done according to the method of Strauss and Corbin (2014) and using MAXQDA software.

Based on the findings of the research, open codes around 89 concepts, axial codes including 8 concepts and selective codes in 4 concepts including causal factors (destructive family interactions), contexual factors (child's emotional-cognitive characteristics), Intervening factors (passive parenting-idealistic parenting) and strategies (child's behavioral-cognitive strategies) were idendified.

Children's cognitive, emotional and behavioral strategies in response to childhood truma (destructive family interactions and destructive parenting) are effective in the formation and continuation of somatic symptoms disorder. Therefore, for the prevention of somatic symptom disorder in children, it is possible to improve the destructive family interactions, and in the treatment of adults with somatic symptom disorder, it can be used from effective strategies of regulating one's emotions, thoughts and change in one's interactions.

The purpose of this study was to compare the effectiveness of Acceptance and Commitment Therapy (ACT) and Compassion Focused Therapy (CFT) on tension headaches and blood pressure in patients with physical symptoms disorder.

This was a semi-experimental study with a pre-test, post-test and follow-up design with a witness group. The statistical population of the research included all women with physical symptoms disorder who referred to Sara counseling centers and Imam Zaman (AS) Helping Association in Isfahan city in the first half of 2021. And then, justifying the objectives of the research and having the consent to participate in the research, they were randomly placed in two experimental and control groups. The data were obtained using headache questionnaire and blood pressure measurement and were analyzed by repeated measurement analysis method and SPSS software.

The results showed that the treatment based on acceptance and commitment (ACT) was effective on tension headaches, systolic blood pressure and diastolic blood pressure (p < 0.05). But compassion-focused therapy (CFT) was effective only on tension headaches (p<0.05). There was no significant difference between the two groups in terms of tension headaches (p<0.05). But the effect of Acceptance and Commitment Therapy (ACT) was greater than Compassion Focused Therapy (CFT) in systolic and diastolic blood pressure.

It can be concluded that the treatment based on acceptance and commitment had a greater effect compared to the treatment focused on compassion in the blood pressure of women with physical symptoms disorder and it can be considered as a suitable approach to improve the problems of these patients. used.