The Mediating Role of Cognitive Emotion Regulation Strategies in the Relationship Between Early Maladaptive Schemas, Alexithymia, and Emotional Intelligence With Somatic Symptoms in People With Somatic Symptoms Disorder

IF 1.2 Q3 PSYCHOLOGY, CLINICAL Clinical Practice in Pediatric Psychology Pub Date : 2023-07-01 DOI:10.32598/jpcp.11.3.887.1

S. Farahi, G. Naziri, Azam Davodi, N. Fath

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Abstract

Objective: The present study was done to investigate the mediating role of cognitive emotion regulation strategies in the relationship between early maladaptive schemas, alexithymia, and emotional intelligence with the somatic symptoms in people with somatic symptom disorder (SSD). Methods: The research population consisted of 360 people with SSD referred to the psychosomatic department of Taleghani Hospital in Tehran in 2021 and were referred by psychiatrists and psychologists of medical centers selected by an accessible sampling method. The participants were asked to complete the Toronto alexithymia scale, early maladaptive schemas questionnaire, Bar-on emotional intelligence scale, cognitive emotion regulation strategies scale, and Takata and Sakata psychosomatic symptom scale. Data were analyzed by correlation analysis and structural equation modeling test Results: The findings indicated that the hypothesized model had a good fit with the data. The results of the path analysis showed that cognitive emotion regulation strategies play a mediating role in the relationship between alexithymia and maladaptive schemas with SSD. Also, the mediating role of cognitive emotion regulation strategies between emotional intelligence and somatic symptoms was not significant. Conclusion: Based on the findings of the research, it can be concluded that maladaptive schemas and alexithymia with somatic symptoms have no linear and simple relationship, but other variables, such as cognitive emotion regulation strategies play a mediating role in this relationship. Also, the findings of the current research can be used in order to prevent and understand the underlying etiologies and treatment of SSD.

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认知情绪调节策略在躯体症状障碍患者早期适应不良图式、述情障碍和情绪智力与躯体症状关系中的中介作用

目的:探讨认知情绪调节策略在躯体症状障碍(SSD)患者早期适应不良图式、述情障碍和情绪智力与躯体症状之间的中介作用。方法:研究人群包括2021年在德黑兰Taleghani医院心身科转诊的360名SSD患者，这些患者是通过可获得抽样方法选择的医疗中心的精神病学家和心理学家转诊的。受试者完成多伦多述情障碍量表、早期适应不良图式问卷、Bar-on情绪智力量表、认知情绪调节策略量表、Takata和Sakata心身症状量表。通过相关分析和结构方程建模检验对数据进行分析。结果表明，假设模型与数据拟合良好。通径分析结果表明，认知情绪调节策略在述情障碍与SSD的适应不良图式的关系中起中介作用。认知情绪调节策略在情绪智力与躯体症状之间的中介作用不显著。结论:基于本研究发现，适应不良图式与躯体症状述情障碍之间不存在简单的线性关系，认知情绪调节策略等其他变量在这一关系中起中介作用。此外，目前的研究结果可用于预防和了解SSD的潜在病因和治疗。

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来源期刊

Clinical Practice in Pediatric Psychology Psychology-Clinical Psychology

CiteScore

2.30

自引率

18.20%

发文量

期刊介绍： Clinical Practice in Pediatric Psychology® publishes articles representing the professional and applied activities of pediatric psychology. The journal comprehensively describes the breadth and richness of the field in its diverse activities;complements the scientific development of the field with information on the applied/clinical side;provides modeling that addresses the ways practicing pediatric psychologists incorporate empirical literature into day-to-day activities;emphasizes work that incorporates and cites evidence from the science base; andprovides a forum for those engaged in primarily clinical activities to report on their activities and inform future research activities. Articles include a range of formats such as commentaries, reviews, and clinical case reports in addition to more traditional empirical clinical studies. Articles address issues such as: professional and training activities in pediatric psychology and interprofessional functioning;funding/reimbursement patterns and the evaluation of the cost-effectiveness of clinical services;program development;organization of clinical services and workforce analyses;applications of evidence based interventions in "real world" settings with particular attention to potential barriers and solutions and considerations of diverse populations;critical analyses of professional practice issues;clinical innovations, e.g., emerging use of technology in clinical practice;case studies, particularly case studies that have enough detail to be replicated and that provide a basis for larger scale intervention studies; andorganizational, state and federal policies as they impact the practice of pediatric psychology, with a particular emphasis on changes due to health care reform.