Mohammadi Habibeh, Afshar-Zanjani Hamid, Goli Farzad, Hasanzadeh Kashtli Ammar, Abolmaali Khadijeh
Psychosomatic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran AND Tunekabon Branch, Islamic Azad University, Iran.
Department of Psychiatry, School of Medicine AND Psychosomatic Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Middle East J Dig Dis. 2022 Oct;14(4):452-461. doi: 10.34172/mejdd.2022.307. Epub 2022 Oct 30.
: The main purpose of this study was to delineate the role of motivational structure and traumatic events in the prediction of ambiguity tolerance in patients with irritable bowel syndrome (IBS). : A total of 200 patients with the diagnosis of IBS, referred to the Shariati hospital in 2018, were enrolled using a correlational design and convenience sampling. All participants were asked to complete the ambiguity tolerance questionnaire, the life event checklist, and the personal concerns inventory. Data analysis was performed by Pearson correlation method and regression analysis test in SPSS software. : Findings showed that there was a significant relationship between traumatic events (r=- 0.66, =0.01) and adaptive (r=0.24, =0.01) and non-adaptive motivational structure (non-AMS) (r=- 0.10, =0.01) with tolerance of ambiguity (<0.05). With increasing non-AMS and with decreasing non-AMS and traumatic events, the tolerance of ambiguity is increased. Moreover, the motivational structure (adaptive and non-adaptive) and traumatic events could define and predict 43% of the variance in ambiguity tolerance. : Thus, regarding the important role of motivational structure and traumatic events in predicting ambiguity tolerance in IBS patients, it is prudent to put emphasis on these measures to improve patients' overall health and probably alleviate symptoms and provide psychologic rehabilitation.
本研究的主要目的是阐明动机结构和创伤性事件在肠易激综合征(IBS)患者的模糊耐受性预测中的作用。2018年,共有200名诊断为IBS的患者被转诊至沙里亚蒂医院,采用相关性设计和便利抽样法进行招募。所有参与者均被要求完成模糊耐受性问卷、生活事件清单和个人关注量表。数据分析采用SPSS软件中的Pearson相关法和回归分析测试。结果显示,创伤性事件(r = -0.66,p = 0.01)、适应性(r = 0.24,p = 0.01)和非适应性动机结构(非AMS)(r = -0.10,p = 0.01)与模糊耐受性之间存在显著关系(p < 0.05)。随着非AMS的增加以及非AMS和创伤性事件的减少,模糊耐受性增加。此外,动机结构(适应性和非适应性)和创伤性事件可以解释和预测模糊耐受性中43%的方差。因此,鉴于动机结构和创伤性事件在预测IBS患者的模糊耐受性方面的重要作用,强调这些措施以改善患者的整体健康状况、可能缓解症状并提供心理康复是明智的。