مدل‌یابی ساختاری رابطه‌ استیگمای بیماری با اضطراب اجتماعی با توجه به نقش واسطه‌ای عملکرد خانوادگی در بیماران مبتلا به صرع

زمینه و هدف: صرع به‌شدت بر زندگی افراد مبتلا به آن تاثیر می‌گذارد و با کاهش سلامت جسمی و روانی آنان موجب بروز اختلالات روان‌پزشکی می‌شود. صرع یکی از بیماری‌های شایع و مزمن نورولوژیکی است که در عین حال می‌تواند مشکلات روان شناختی زیادی برای افراد مبتلا به این بیماری ایجاد کند. هدف پژوهش حاضر بررسی رابطه استیگمای بیماری با اضطراب اجتماعی در بیماران مبتلا به صرع با توجه به نقش واسطه ای مولفه های عملکرد خانوادگی بوده است.روش کار: طرح پژوهش حاضر از نوع پژوهش های توصیفی به شیوه معادلات ساختاری بوده است. 117 بیمار مبتلا به صرع-بر اساس تشخیص پزشک متخصص- به شیوه نمونه‌گیری در دسترس انتخاب شده و به وسیله پرسشنامه ‌های مقیاس استیگمای صرع، پرسشنامه هراس اجتماعی و پرسشنامه ابزار سنجش خانواده مورد ارزیابی قرار گرفتند. نمونه‌گیری ذکر شده از اوایل اردیبهشت ماه 1397 آغاز و تا آخر تیرماه به مدت 3 ماه ادامه داشت. داده ها با استفاده از روش مدل یابی ساختاری تجزیه و تحلیل شدند.یافته‌ها: شاخص‌های برازندگی اکثر مدل‌های مفروض بالاتر از مقدار مطلوب و در سطح خوبی قرار دارند که این مقدار حاکی از برازش خوب مدل است. نتایج حاکی از تایید نقش واسطه ای تعدادی از مولفه‌های عملکرد خانوادگی شامل حل مسئله، نقش‌ها، پاسخگویی عاطفی و کنترل رفتاری در رابطه استیگمای بیماری با اضطراب اجتماعی در بین بیماران مصروع بود (0.05>p). اما نقش میانجی مولفه‌های ارتباط، آمیزش عاطفی و عملکرد کلی خانواده در رابطه استیگمای بیماری با اضطراب اجتماعی در بین بیماران مصروع معنادار به دست نیامد.نتیجه‌گیری: بر اساس نتایج به دست آمده، استیگمای بیماری می تواند اضطراب اجتماعی بیماران مبتلا به صرع را افزایش دهد ولی برخی از مولفه های عملکرد خانوادگی می توانند این تاثیر را تعدیل کنند.

structural modeling of relationship between disease stigma and social anxiety by considering the mediating role of family function in patients with epilepsy

background & aims: epilepsy is one of the most common and chronic neurological diseases that can cause many psychological problems for people with this disease. epilepsy is transient changes in brain function due to excessive and hyper-synchronous nervous activity that may lead to uncontrolled body movements or changes in the level of consciousness. social anxiety disorder is defined as an extreme or unreasonable fear of being in social situations. the presence of comorbid mental disorders, especially social anxiety disorder in people with epilepsy, along with the patient's dysfunctional beliefs and attitudes about epilepsy, affect adaptation skills and the ability to cope with the problems of this chronic disease. general characteristics of epilepsy cause maladaptive coping strategies, high levels of anxiety, fear of being in public, and increased vulnerability of the epileptic person to social anxiety disorder.  family function denotes family ability to adapt to the changes made during life, solving contradictions and conflicts, solidarity between members and success in disciplinary patterns, observing the limits of individuals and the enforcement of the laws and regulations governing this institution with the aim of protecting the whole system. family functioning refers to the family's ability to adapt to changes in life, resolving contradictions and conflicts, solidarity between members, and respect for boundaries. people with epilepsy receive the most treatment in the community from the family as the primary caregiver, which is the most important component of social support that is an important protective effect in the relationship between illness and health. although there have been researches aimed at investigating the anxiety of patients with epilepsy or research aimed at investigating the stigma of epilepsy, the relationship between epilepsy and the stigma of the disease and social anxiety has not been investigated, considering the important role of the family, especially in the form of structural equations. the purpose of this study was to investigate the relationship between disease stigma and social anxiety considering the mediating role of family function in patients with epilepsy.methods: the study design was descriptive-correlation and the study population include all epileptic patients were referred to clinics and hospitals of isfahan in 2018. after obtaining a code of ethics and coordinating with the education and protection departments of hospitals, 117 patients with epilepsy- based on specialist physician's diagnosis- selected by convenient sampling which evaluated by the questionnaires of stigma scale for, social phobia inventory and family function assessment. in selecting the research sample, the inclusion criteria were conscious satisfaction and the right to cancel the continuation of the research and the ability to read and write, and also the exclusion criteria was failure to complete the questionnaire questions. the mentioned sampling started from the beginning of april 2018 and continued for 3 months. in selecting the research sample, the inclusion criteria were 1- informed consent and the right to withdraw from the research, 2- the ability to read and write, and the exit criteria of not completing the questionnaire questions were considered. the mentioned sampling started from the beginning of may 2017 and continued for 3 months until the end of july. the data were analyzed by using structural modeling in smart pls. 3.2.8.