Soleimani Esmaeil, Chitsaz Mahdi
Department of Psychology, Faculty of Literature and Humanities, Urmia University, Urmia, Iran.
Ann Med Surg (Lond). 2025 Mar 28;87(5):2633-2637. doi: 10.1097/MS9.0000000000003157. eCollection 2025 May.
Irritable bowel syndrome (IBS) is one of the most prevalent gastrointestinal disorders, significantly affecting the quality of life of patients. Recent research indicates that psychological factors, such as stress and hostile attribution, can exacerbate the severity of IBS symptoms. This study aims to explore the structural relationships among IBS symptom severity, hostile attribution, perceived stress, and cognitive bias, with a mediating role of negative meta-emotions.
This descriptive-correlational, cross-sectional study was conducted on 300 adults diagnosed with IBS in Tabriz. Data were collected using validated questionnaires, including the Hostile Attribution Scale, the Perceived Stress Scale, the Negative Meta-Emotion Questionnaire, and the Cognitive Bias Scale. Data was analyzed using SPSS software and Structural Equation Modeling (SEM) in AMOS software.
The findings revealed that perceived stress and hostile attribution significantly influenced cognitive biases ( < 0.01). Furthermore, negative meta-emotions acted as a mediating variable in these relationships and had a positive and significant impact on IBS symptom severity. SEM analysis indicated that the overall effect of perceived stress on cognitive bias was 0.55, while the impact of hostile attribution was 0.49. These results underscore the crucial role of negative meta-emotions in enhancing the relationships among the studied variables.
This study highlights the importance of negative meta-emotions as key mediators in explaining IBS symptoms. The obtained results can assist in designing effective psychological interventions for managing IBS symptoms. Addressing psychological factors and negative meta-emotions in the treatment of this disorder may lead to improvements in patient's quality of life and reductions in the severity of their symptoms. Future research should focus on investigating targeted interventions in this area and conducting longitudinal analyses.
肠易激综合征（IBS）是最常见的胃肠道疾病之一，严重影响患者的生活质量。最近的研究表明，心理因素，如压力和敌意归因，会加剧IBS症状的严重程度。本研究旨在探讨IBS症状严重程度、敌意归因、感知压力和认知偏差之间的结构关系，以及负性元情绪的中介作用。
本描述性相关性横断面研究对大不里士300名被诊断为IBS的成年人进行。使用经过验证的问卷收集数据，包括敌意归因量表、感知压力量表、负性元情绪问卷和认知偏差量表。使用SPSS软件和AMOS软件中的结构方程模型（SEM）对数据进行分析。
研究结果显示，感知压力和敌意归因对认知偏差有显著影响（<0.01）。此外，负性元情绪在这些关系中起中介变量的作用，对IBS症状严重程度有正向且显著的影响。SEM分析表明，感知压力对认知偏差的总体效应为0.55，而敌意归因的影响为0.49。这些结果强调了负性元情绪在加强所研究变量之间关系中的关键作用。
本研究强调了负性元情绪作为解释IBS症状的关键中介因素的重要性。所得结果有助于设计有效的心理干预措施来管理IBS症状。在该疾病的治疗中解决心理因素和负性元情绪可能会改善患者的生活质量并减轻其症状的严重程度。未来的研究应侧重于调查该领域的针对性干预措施并进行纵向分析。
