نوع مقاله : مقاله پژوهشی

نویسندگان

1 1-مربی، گروه روان‌شناسی، واحد قاینات، دانشگاه آزاد اسلامی، قائنات، ایران 2-باشگاه پژوهشگران جوان و نخبگان، واحد بیرجند، دانشگاه آزاد اسلامی، بیرجند، ایران

2 مربی، گروه روان‌شناسی، واحد کاشمر، دانشگاه آزاد اسلامی، کاشمر، ایران

چکیده

زمینه و هدف  یکی از جدی‌ترین اختلالات روانی فیزیولوژیایی و مهم‌ترین عوامل خطرزا برای بیماری قلبی- عروقی، پرفشاری خون مراجعه‌کننده به مراکز بهداشت شهر قاینات است. در ایجاد فشار خون بالا، عوامل مختلفی مانند راهبردهای کنترل فکر و استرس ادراک شده نقش دارند؛ از این رو پژوهش حاضر با هدف بررسی نقش راهبردهای کنترل فکر بر استرس ادراک شده بیماران پرفشاری خون انجام شد.
مواد و روش‌ها روش پژوهش، توصیفی از نوع همبستگی بود. برای انتخاب نمونه پژوهش، از بین کلیه بیماران (زن و مرد) مبتلا به پرفشاری خون مراجعه‌کننده به مراکز بهداشت شهر قاینات (جمعاً 200 نفر) در سال 1397، تعداد 180 نفر به طور در دسترس انتخاب شدند. سپس شرکت‌کنندگان، به پرسشنامه کنترل افکار ولز و دیویس (1994)، پرسشنامه استرس ادراک‌ شده کوهن (1983) پاسخ دادند. داده‌های به‌دست آمده، با نرم‌افزار SPSS نسخه 22 تجزیه و تحلیل شدند.
یافته‌ها نتایج، نشان داد بین مؤلفه‌های کنترل فکر، مؤلفه پرت کردن حواس، ارزیابی دوباره، نگرانی و تنبیه با استرس ادراک شده، رابطه معنی‌دار وجود دارد (0/05>p). به طوری که مؤلفه پرت کردن حواس و ارزیابی دوباره، رابطه منفی و مؤلفه‌های نگرانی و تنبیه، رابطه مثبت با استرس ادراک شده دارند (0/05>p).
نتیجه‌گیری راهبردهای کنترل فکر، بر استرس ادراک شده بیماران فشار خون نقش دارد که استرس، موجب بسیاری از اختلالات و بیماری‌های روان‌تنی؛ از جمله فشار خون می‌گردد. حال آن که اگر انسان با کنترل افکار، از نظر روانی، سالم و سلامت باشد، دچار استرس نمی‌شود و از بیماری فشار خون در امان خواهد بود.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The Role of Thought Control Strategies on Perceived Stress in Hypertension Patients Referred to Health Centers in Qaenat

نویسندگان [English]

  • Mohammad Tahan 1
  • Elahe Ahangari 2

1 Lecturer, Department of Psychology, Qaenat Branch, Islamic Azad University, Qaenat, Iran

2 Lecture, Department of Psychology, Kashmar Branch, Islamic Azad University, Kashmar, Iran

چکیده [English]

Introduction: One of the most severe physiological, psychological disorders and the most critical risk factors for cardiovascular disease is hypertension. High blood pressure is associated with several factors, such as thought control strategies and perceived stress. This study aimed to investigate the role of thought control strategies on perceived stress in hypertensive patients.
Materials and Methods: The research method was a descriptive correlational. To select the research sample, 180 patients with hypertension who referred to the health centers of Qaenat (200 persons in total) were selected in 2018. Participants then responded to Wells and Davis (1994), Perceived Stress Questionnaire Cohen (1983). Data were analyzed by SPSS software version 22.
Results: The results showed that there is a significant relationship between the components of mind control, the component of distraction, reassessment, fear and punishment with perceived stress (p <0.05). So that the component of distraction and reassessment of negative relationship and the components of worry and punishment are a positive relationship with perceived stress (p <0.05).
Conclusion: Thought control strategies play a role in the perceived stress of hypertensive patients. Stress causes many disorders and mental illness, including hypertension. However, if a person is mentally sound and healthy, he will not be stressed and will be safe from blood pressure. 

کلیدواژه‌ها [English]

  • Thought Control Strategies
  • Perceived Stress
  • Blood Pressure
[1]. Cuffee Y, Ogedegbe C, Williams N.J, Ogedegbe G, Schoenthaler A. Psychosocial Risk Factors for Hypertension: An Update of the Literature. US National Library of Medicine National Institutes of Health. 2014; 16(10): 483.
[2]. American Heart Association. Heart Disease and Stroke Statistics; 2018.
[3]. Roger V.L, Go A.S, Lloyd-Jones D.M, Benjamin E.J, Berry J.D, Borden W.B, et al. Heart Disease and Stroke Statistics:A Report from the American Heart Association . Circulation. 2012; 125(1): 2-220.
[4]. Kakavand A, Damercheli N. The Role of Mediator of Perceived Stress in the Relationship between Personality Traits and Hypertension among the Elderly. Journal of Aging Psychology. 2017; 2(4): 271-279.
[5]. Tarkhan M, Saffarinia M, KhoshkholqSima P. Effectiveness of Group Stress Inoculation Training in Systolic and Diastolic Blood Pressure and Life Quality of Women with Hypertension. Clinical Psychology Studies. 2012; 3(9): 2545.
[6]. Klarenya Gulkar M, Bani-jmalali Sh.S, Bahrami H, Hatami H.R, Ahadi H. The Effectiveness of Combining Stress Management Training and Spirituality Therapy on Blood Pressure, Anxiety, and Quality of Life in Patients with High Blood Pressure. Journal of Clinical Psychology. 2015; 3(6).
[7]. Heidaran F, sajjadian I, Fathi M. Effectiveness of Hypnotherapy on the Perceived Stress and Blood Pressure in Patients with Primary Hypertension. medical journal of mashhad university of medical sciences. 2017; 60(5): 669680. doi: 10.22038/mjms.2017.10451.
[8]. Morrow A. Stress and the Dying Process. [Internet]. New York: Verywell Health; 2018 [March 09, 2018]. Available from: https://www.verywellhealth.com/defining-stress1132264.
[9]. Liu M.Y, Li N, Li W.A, Khan H. Association between psychosocial stress and hypertension: a systematic review and meta-analysis. Neurol Res. 2017; 39(6): 573-580.
[10].  Khorashadizadeh S, Shahabizadeh F, Dastjerdi R. Investigating the role of childhood attachment, attachment to God and documentary styles on social anxiety among students in Birjand. Psychology of Religion. 2012; 4(4): 4359.
[11]. Vîslă A, Flückiger C, Holtforth M. G, David D. Irrational Beliefs and Psychological Distress: A Meta-Analysis. Psychother Psychosom. 2016; 85: 8-15.
[12]. Onuigbo L. N, Eseadi C, Ugwoke S. C, Uju Nwobi A, Anyanwu J. I, Etal. Effect of rational emotive behavior therapy on stress management and irrational beliefs of special education teachers in Nigerian elementary schools. Medicine (Baltimore). 2018; 97(37).
[13]. Mazloom M, Yaghubi H. Role of Emotion Regulation and Thought Control in Prediction of Post-Traumatic Stress Disorder. Journal of Clinical Psychology. 2016; 8(4): 1-10. doi: 10.22075/jcp.2017.2249.
[14]. Wells A. Emotional disorders and meta-cognition: innovative cognitive therapy. New York, NY, US: John Wiley & Sons Ltd. 2008; 13-85. Doi:10.1002/9780470713662.
[15]. Morrison A. P, Wells A. Thought control strategies in schizophrenia: A comparison with non-patients. Behavior Research and Therapy. 2000; 38: 1205-1209. 
[16]. Wells A, Davies MI. The thought control questionnaire: a measure of individual differences in the control of unwanted thoughts. Behav Res Ther. 1994; 32: 871-7.
[17]. Davis S.L. Race-related stress, quality of life and coronary heart disease (CHD) risk in middle-class African American. J Coronary Heart Dis. 2010; 4: 55-67.
[18]. Mehrbi-Zadeh M, Ahmadian A, Zargar Y, Shahbazian H.A. Khadivi M. The Effect of Cognitive Therapy on Awareness of Systolic and Diastolic Hypertension in Patients with Hypertension. Ilam Medical Science Journal. 2014; 21: 244-254.
[19]. Matthews K.A, Katholi C.R, McCreath H, Whooley M.A. Blood pressure reactivity to psychological stress predict hypertension in the Cardia study. Am Heart Assoc. 2004; 110: 74-8.
[20]. Fata L, Motaei A, Moloodi R, Ziaee K. Psychometric adequacy of thinking control questionnaire and anxiety anxiety questionnaire in Iranian students. Journal of Methods and Psychological Models. 2011; 1 (1): 81-103.
[21]. Duran A.N. Extremera P. F, Berrocal M, Montalban B. Predicting Academic Burnout and Engagement in Educational Setting: Assessing the Incremental Validity of Perceived Emotional Intelligence Beyond Perceived Stress and General Self-efficacy. Psicothema. 2006; 18: 158-164.
[22]. Cohen S. T, Kamarck R. Mermelstein. A Global Measure of Perceived Stress. Journal of Health and Social Behavior. 1983; 24: 385-396.
[23]. Behrouzi N, Shanniyyalagh M, Poursid M. Relationship of perfectionism, perceived stress And social support with academic burnout. Culture Strategy. 2013; 20: 84-102.
[24]. Khanipour H, Sohrabi F, Tabatabai S. Comparing Metacognitive Beliefs and Thought Control Strategies in Students with Normal and Poor Levels of Concern. Clinical psychology and counseling researches. 2012; 1(1): 71-82.
[25]. Abul-Qasemi A, Bakhshyan Narimani A. Strategies for controlling thought and inhibition of response in people with acute stress disorder and normal people. Journal of Knowledge and Health. 2013; (4)7.
[26]. Azizi A, Mohammad Khani P, Abbasi P. Relationship between thought control strategies and beliefs related to stress symptoms of injured war veterans. Journal of Veterinary Medicine. 2013; 6(22): 35-46.
[27]. WHO. Cause of death. Center for Global. Into Regional Studies (CGIRS) at the University of California Santa C. 2018; 120-140.
[28]. Rooznahan D, Seligman M. Psychological Pathology, Translation: Yahya Seyyed Mohammadi, Tehran, Savalan, First Edition. 2001; 1: 452-455.
[29]. Hamdi R, Man M, Azimi B, Taqavi N. stress management. Counseling Center Students' Guide to Tehran University of Medical Sciences. 2014; 1-38.