بررسی مدل ساختاری پیش‌بینی اختلالات خواب از طریق نشخوار فکری با نقش واسطه‌ای حمایت اجتماعی در بیماران دیالیزی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکترای تخصصی، گروه آموزشی روان‌شناسی، دانشکده علوم پایه، دانشگاه آزاد اسلامی واحد نیشابور، نیشابور، ایران.

2 دانشیار گروه روان‌شناسی، دانشگاه پیام نور تهران، تهران، ایران.

3 استادیار گروه روان شناسی، دانشگاه آزاد اسلامی واحد کرج، کرج ، ایران.

4 استادیار گروه روان‌شناسی، دانشگاه آزاد اسلامی واحد تهران شمال، تهران، ایران.

چکیده

مقدمه: پژوهش حاضر با هدف بررسی مدل ساختاری پیش‌بینی اختلالات خواب از طریق نشخوار فکری با نقش واسطه‌ای حمایت اجتماعی در بیماران دیالیزی انجام شد.
روش: طرح پژوهش حاضر، همبستگی از نوع مدل­یابی معادلات ساختاری بود. نمونة پژوهش حاضر را 250 نفر از بیماران دیالیزی بیمارستان‌­های تهران در سال 1401-1402 تشکیل می‌داد که با ‌روش نمونه‌گیری در دسترس انتخاب شدند. ابزار پژوهش را پرسش‌نامه‌های کیفیت خواب پیتزبورگ، حمایت اجتماعی زمیت و همکاران و نشخوار فکری تشکیل می‌داد. در تجزیه‌وتحلیل داده‌ها از مدل­یابی معادلات ساختاری استفاده شد.
نتایج: یافته‌ها نشان داد، حمایت اجتماعی در ارتباط نشخوار فکری با اختلالات خواب نقش میانجی دارند. همچنین ارتباط مستقیم بین نشخوار فکری با حمایت اجتماعی و اختلالات خواب نیز به لحاظ آماری مورد تأیید قرار گرفت.
بحث و نتیجه­‌گیری: بنابراین، می‌توان نتیجه گرفت حمایت اجتماعی و نشخوار فکری متغیرهایی هستند که می­تواند بر اختلالات خواب بیماران دیالیزی تأثیرگذار باشند و در تدوین مداخلات درمانی برای اختلالات خواب این بیماران باید به حذف و تعدیل عوامل تأثیرگذار و سببی توجه ویژه مبذول شود

کلیدواژه‌ها

عنوان مقاله [English]

Investigating the Structural Model of Predicting Sleep Disorders Through Symptoms of Rumination with the Mediating Role of Social Support in Dialysis Patients

نویسندگان [English]

  • Farhad Ghorbani 1
  • Amin Rafiepoor 2
  • Niloofar Tahmouresi 3
  • Reza, Hosseinpour 4
1 Ph.D. Student in Phycology. Department of Psychology, Faculty of Basic Science, Islamic Azad University Neyshaboor Branch, Neyshaboor, Iran.
2 Associate Professor, Department of Psychology, Payame Noor University, Tehran, Iran.
3 Assistant Professor, Department of Psychology, Islamic Azad University Karaj Branch, Karaj, Iran.
4 Assistant Professor, Department of Psychology, Islamic Azad University Tehran Nourth Branch, Tehran, Iran. , Tehran, Iran
چکیده [English]

Introduction: This study aims to investigate the structural model that predicts sleep disorders based on symptoms of rumination, with social support serving as a mediating factor among dialysis patients.
Method: The design of the current research employed a correlational structural equation modeling approach. The study sample comprised 250 dialysis patients from hospitals in Tehran during the years 2022-2023, selected using a convenience sampling method. The research instruments included the Pittsburgh Sleep Quality Index, as well as the social support and rumination scales developed by Zammit et al. Structural equation modeling was employed for data analysis.
Results: The results indicated that social support serves as a mediating factor in the relationship between rumination and sleep disorders. Additionally, the direct relationship between anxiety, depression, and rumination, as well as social support and sleep disorders, was statistically significant.
Discussion and Conclusion: In conclusion, social support and rumination significantly impact the sleep disorders experienced by dialysis patients. Therefore, it is essential to focus on identifying and addressing the effective and causal factors when developing therapeutic interventions for these sleep disorders.

کلیدواژه‌ها [English]

  • Dialysis patients
  • Rumination
  • Sleep disorders
  • Social support

مراجع

  1. Barani F, Tamini B‌K, Fard HA. Comparing personality types, everyday memory, and rumination among stroke, heart attack, and dialysis patients. Jundishapur Journal of Chronic Disease Care. 2019; 7(1): 10-20. http://dx.doi.org/10.5812/jjcdc.61331
  2. Matharaarachchi, S, Domaratzki, M, Marasinghe, C, and Muthukumarana, S. Modeling and feature assessment of the sleep quality among chronic kidney disease patients. Sleep Epidemiol. 2021; 2:100041. https://doi.org/10.1016/j.sleepe.2022.100041
  3. Davydov G‌G, Nashat H, Ghali S, et al. Common Sleep Disorders in Patients with Chronic Kidney Disease: A Systematic Review on What They Are and How We Should Treat Them. Cureus. 2023; 15(8): e44009. https://doi.org/10.7759/cureus.44009
  4. Elias RM, Chan CT, Paul N, Motwani SS, Kasai T, Gabriel JM, Bradley TD. Relationship of pharyngeal water content and jugular volume with severity of obstructive sleep apnea in renal failure. Nephrology Dialysis Transplantation. 2013; 28(4): 937-944. https://doi.org/10.1093/ndt/gfs473
  5. Mirghaed, M. T, Sepehrian, R, Rakhshan, A, & Gorji, H. Sleep quality in Iranian hemodialysis patients: a systematic review and meta-analysis. Iranian Journal of Nursing and Midwifery Research. 2019; 24(6): 403. https://doi.org/10.4103/ijnmr.ijnmr_
  6. Xiao H, Zhang Y, Kong D ‌Li‌ S, Yang N. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease (COVID-19) in January and February 2020 in China. Medical science monitor. international medical journal of experimental and clinical research. 2020; 26: e923549-1. https://doi.org/10.12659/msm.923549
  7. Pant P, Baniya S, Jha A. Prevalence of respiratory manifestations in chronic kidney diseases; a descriptive cross-sectional study in a tertiary care hospital of Nepal. JNMA J Nepal Med Assoc.2019; 57:80–3. https://doi.org/10.31729/jnma.4284
  8. Pan KC, Hung SY, Chen CI Lu C‌Y, Shih M L, Huang C‌C‌Y. Social support as a mediator between sleep disturbances, depressive symptoms, and health-related quality of life in patients undergoing hemodialysis. PLoS One. 2019; 14(4): e0216045. https://doi.org/10.3389/fpsyt.2023.1108749
  9. Plantinga LC, Fink NE, Harrington-Levey R, Finkelstein F O, Hebah N, Powe NR, Jaar, B G. Association of social support with outcomes in incident dialysis patients. Clinical Journal of the American Society of Nephrology. 2010; 5(8): 1480-1488. https://doi.org/10.2215/cjn.01240210
  10. Davaridolatabadi E, Abdeyazdan G. The relation between perceived social support and anxiety in patients under hemodialysis. Electronic physician. 2016; 8(3): 2144. https://doi.org/10.19082/2144
  11. Zhang R, Jia J, Zhang D, Zhao X. Association between fatigue and depressive symptoms among kidney transplantation recipients: The mediating role of rumination. Journal of advanced nursing. https://doi.org/10.1111/jan.142002019; 75(12): 3602-3608

12. Yadollahifar S, Sadeghi A, Shamsaei F. The relationship between rumination and sleep quality in patients with major depressive disorder. Journal of Psychology and Psychiatry. 2020; 7 (2)‌: 26-36. 1593259520-10169-29-3.pdf [In Persain]

13. Vesal M, Nazariha MA. Prediction of depression and sleep quality based on thought rumination and its components (inhibition and reflection) in patients with Rheumatoid arthritis. Thought & Behavior in Clinical Psychology. 2017; 11(41): 47-56. https://psycnet.apa.org/doi/10.1207/s15327752jpa5201_ [In Persian]

  1. Zhao Y, Hu B Liu Q, Wang Y, Zhao Y, Zhu X. Social support and sleep quality in patients with stroke: The mediating roles of depression and anxiety symptoms. International Journal of Nursing Practice. 2022; 28(3): e12939. https://doi.org/10.1111/ijn.12939
  2. Harris TP, Zaeske LM, Ludwig R, Baker S, Lynch S, Thuringer A, Siengsukon, CF. Social support predicts sleep quality in people with multiple sclerosis during the COVID-19 pandemic. Multiple Sclerosis and Related Disorders, 2022; 64: 103970. https://doi.org/10.1016/j.msard.2022.103970
  3. Tabachnick B. Fidell LS. Using Multivarite Statistics (Vol. 3). Boston; Linda: 2007.
  4. Buysse D J, Reynolds III C F, Monk TH, Berman S R, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research. 1989; 28(2): 193-213. https://doi.org/10.1016/0165-1781(89)90047-4

18. Ariamanesh F, Malekshahi F, Safari M. The effect of foot massage on night sleep quality in hemodialysis patients. Yafte, 2015; 17 (1): 71-77. The effect of foot reflexology and back massage on hemodialysis patients' fatigue and sleep quality - ScienceDirect [In Persian]

  1. Zimet G D, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. Journal of Personality Assessment. 1988; 52(1): 30–41. https://psycnet.apa.org/doi/10.1207/s15327752jpa5201_2
  2. Salimi A, Jokar B, Nikpour R. Internet communication in life: Investigating the role of perceived social support and loneliness in using the Internet. Psychological Studies. 2008; 5(3): 81-102. https://www.semanticscholar.org/paper/ [In Persian]
  3. Treynor W, Gonzalez R, Nolen-Hoeksema S. Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research. 2003; 27(3): 247–259. Rumination Reconsidered: A Psychometric Analysis | Cognitive Therapy and Research

22. Taimory S, ramezani F, mahjob N. The Effectiveness of Mindfulness-Based Group Cognitive Therapy in Reducing Depression and Obsessive Rumination among Women under Methadone Treatment. Etiadpajohi. 2015; 9 (34) :145-159. Research on Addiction Quarterly Journal of Drug Abuse [In Persian]

  1. Lee JS. Perceived social support functions as a resilience in buffering the impact of trauma exposure on PTSD symptoms via intrusive rumination and entrapment in firefighters. PloS one. 2019; 14(8): e0220454. https://doi.org/10.1371/journal.pone.0220454
  2. Gu S, Gao M, Yan Y, Wang F, Tang YY, Huang JH. The neural mechanism underlying cognitive and emotional processes in creativity. Frontiers in Psychology. 2018; 9: 1924. https://doi.org/10.3389/fpsyg.2018.01924
  3. Harvey A‌G‌A. cognitive model of insomnia. Behaviour research and therapy. 2002; 40(8): 869-893. https://doi.org/10.1016/s0005-7967(01)00061-4
  4. Zoccola PM, Dickerson SS, Lam S. Rumination predicts longer sleep onset latency after an acute psychosocial stressor. Psychosomatic medicine: 2009; 71(7): 771-775. https://doi.org/10.1097/psy.0b013e3181ae58e8
  5. Peng ZY, Wan LH. Posttraumatic growth of stroke survivors and its correlation with rumination and social support. Journal of Neuroscience Nursing. 2018; 50(4): 252-257. https://doi.org/10.1097/jnn.0000000000000371
  6. Flynn M, Kecmanovic J, Alloy LB. An examination of integrated cognitive-interpersonal vulnerability to depression: The role of rumination, perceived social support, and interpersonal stress generation. Cognitive therapy and research. 2010; 34: 456-466. https://doi.org/10.1007/s10608-010-9300-8
  7. Pérez JE, Rex Smith A, Norris RL, Canenguez KM, Tracey EF, DeCristofaro SB. Types of prayer and depressive symptoms among cancer patients: The mediating role of rumination and social support. Journal of behavioral medicine, 2011; 34: 519-530. https://doi.org/10.1007/s10865-011-9333-9
  8. Nolen-Hoeksema S, Wisco BE, Lyubomirsky S. Rethinking rumination. Perspectives on psychological science, 2008; 3(5): 400-424. https://doi.org/10.1111/j.1745-6924.2008.00088.x

31. Shinae S, Meghan M. The relationship between social support and sleep quality in older adults: A review of the evidence. Archives of Gerontology and Geriatrics. 2024; 9-4. https://doi.org/10.1016/j.archger.2023.105179

فایل ها

هم رسانی

ارجاع به این مقاله

آمار