fa نقش میانجی ناامیدی، و حمایت اجتماعی ادراک شده دررابطه فاجعه سازی درد و افکارخودکشی بیماران مبتلا به سرطان عمومى General پژوهشي Original <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span class="fontstyle21" new="" roman="" style="font-family:" times=""><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><b><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">چکیده </span></span></b></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">زمینه و هدف</span></span></b><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">&nbsp; : </span></span><span lang="FA" style="font-size:14.0pt"><span style="font-family:Nazanin">زندگی با دردمزمن با پیامدهای زیان‌بار بسیاری، از جمله افزایش قابل توجه خطر خودکشی، مرتبط است</span></span> <span lang="FA" style="font-size:14.0pt"><span style="font-family:Nazanin">، </span></span><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">فاجعه‌سازی&nbsp; درد </span></span><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">&nbsp;به عنوان یک راهبرد مقابله‌ای ناسازگار با تجربه‌ی درد، </span></span><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">در پیامدهای مختلف درد سرطان&nbsp;&nbsp; از جمله افزایش افکار خودکشی نقش دارد </span></span><span class="fontstyle21" new="" roman="" style="font-family:" times=""><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">که پیش بینی کننده&nbsp; قوی برای اقدام به&nbsp; خودکشی و مرگهای ناشی &nbsp;از آن محسوب می شود </span></span></span></span></span></span>&nbsp;<span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">از این رو <span class="fontstyle21" new="" roman="" style="font-family:" times=""><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><span style="font-family:Mitra">پژوهش &nbsp;حاضر با هدف تبین نقش میانجی&nbsp; ناامیدی و حمایت اجتماعی ادراک شده&nbsp; در رابطه&nbsp; بین فاجعه سازی درد و افکار&nbsp; خودکشی بیماران مبتلا به سرطان &nbsp;&nbsp;انجام گرفت</span></span></span></span></span> . </span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span b="" class="fontstyle01" nazanin="" style="font-family:"><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><b><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">مواد و روش ها</span></span></b></span></span></span></span><span b="" class="fontstyle01" nazanin="" style="font-family:"><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra"> : این پژوهش توصیفی از نوع همبستگی&nbsp; و مدلسازی&nbsp; معادلات ساختاری </span></span></span></span></span></span>&nbsp;<span b="" class="fontstyle01" nazanin="" style="font-family:"><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">است که</span></span></span></span></span></span><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra"> بامشارکت 400 نفر&nbsp; از بیماران مراجعه کننده به بخش پاتولوژی بیمارستان های شهر تهران &nbsp;در سال 1404&nbsp; انجام شد</span></span> <span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">بیماران &nbsp;با روش نمونه گیری در دسترس</span></span><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra"> انتخاب &nbsp;و&nbsp; پرسشنامه های&nbsp; پژوهش</span></span><span b="" class="fontstyle01" nazanin="" style="font-family:"><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra"> شامل مقیاس فاجعه سازی درد ، پرسشنامه افکار خودکشی بک ، پرسشنامه ناامیدی بک&nbsp; و پرسشنامه حمایت اجتماعی ادراک شده</span></span></span></span></span></span><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">&nbsp; راتکمیل کردند</span></span><span b="" class="fontstyle01" nazanin="" style="font-family:"><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">.</span></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:14.0pt"><span style="font-family:Mitra">نتایج</span></span></b><span lang="AR-SA" style="font-size:14.0pt"><span style="font-family:Mitra"> :</span></span> &nbsp;<span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">مدل پیشنهادیِ &nbsp;ازبرازش مطلوبی برخورداربوده &nbsp;</span></span><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">و تمامی ضرایب مسیر بین متغیرها (به جز ضریب مسیر مربوط به اثر مستقیم متغیر نشخوارگری درد بر افکار خودکشی و اثر مستقیمِ حمایت‌گری دوستان بر افکار خودکشی) از لحاظ آماری معنادار (05/0></span></span><span dir="LTR" style="font-size:14.0pt"><span new="" roman="" style="font-family:" times="">P</span></span><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">). بودند</span></span><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">نتیجه گیری</span></span></b><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra"> : </span></span><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">یافته های پژوهش نشان داد &nbsp;</span></span><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">ناامیدی </span></span><span b="" class="fontstyle01" nazanin="" style="font-family:"><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">و </span></span></span></span></span></span><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">حمایت اجتماعی ادراک شده&nbsp; در رابطه بین فاجعه‌پنداری درد (مبالغه‌گری و نشخوارگری درد) و&nbsp; افکار خودکشی بیماران سرطانی </span></span><span b="" class="fontstyle01" nazanin="" style="font-family:"><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">نقش میانجی را&nbsp; دارند</span></span></span></span></span></span><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra">.</span></span><span bfarnaz="" class="fontstyle51" style="font-family:"><span style="color:#24408e"><span style="font-weight:normal"><span style="font-style:normal"><span lang="FA" style="font-size:14.0pt"><span style="font-family:Mitra"></span></span></span></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:normal"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#242021">ABSTRACT<span b="" class="fontstyle01" nazanin="" style="font-family:"><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><b><span new="" roman="" style="font-family:" times=""><span style="color:#242021"></span></span></b></span></span></span></span></span></span></span></b></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span b="" class="fontstyle01" nazanin="" style="font-family:"><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""><span style="color:#242021">Aim and background</span></span></span></span></b><span lang="EN" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> :</span></span></span> <span lang="EN" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Living with chronic pain is associated with many deleterious outcomes, including a substantially increased risk of suicide Pain catastrophizing, as a maladaptive coping strategy, plays a role in various outcomes of cancer pain, including increased suicidal ideation. Suicidal ideation is a strong predictor of suicide attempts and deaths resulting from it,. Therefore, this study aimed to clarify the mediating role of hopelessness and perceived social support in the relationship between pain catastrophizing and suicidal ideation in cancer patients.</span></span></span><span style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#242021">.<b>Material and Methods:</b></span></span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">This descriptive, correlational, structural equation modeling study was conducted with the participation of 400 cancer patients referred to the pathology department of Tehran hospitals in 2025. Patients were selected using convenience sampling and completed research questionnaires including the Pain Catastrophizing Scale, Beck Suicidality Questionnaire, Beck Hopelessness Questionnaire, and Perceived Social Support Questionnaire.</span></span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#242021">.<b>Results:</b></span></span></span> <span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The proposed model has a good fit.</span></span> <span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">In the proposed model, all path coefficients between variables (except the path coefficient related to the direct effect of the variable of pain rumination on suicidal </span></span><span lang="EN" style="font-size:12.0pt">ideation</span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> and the direct effect of friends&#39; support on suicidal </span></span><span lang="EN" style="font-size:12.0pt">ideation</span><span lang="EN" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">) were statistically significant (P<0.05).</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#242021"></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#242021">.<b>Conclusion:</b>Findings</span></span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> showed that hopelessness and&nbsp; perceived social support have a mediating role &nbsp;in &nbsp;the relationship between pain catastrophizing(exaggeration and rumination of pain ) and suicidal ideation of cancer patients.</span></span><span b="" class="fontstyle01" nazanin="" style="font-family:"><span style="color:black"><span style="font-weight:normal"><span style="font-style:normal"><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span></span></span></span><br> &nbsp; واژه های کلیدی : فاجعه سازی درد , افکار خودکشی ,ناامیدی , حمایت اجتماعی ادراک شده ,سرطان. Keywords :Pain catastrophizing, Suicidal ideation, hopelessness, perceived social support, cancer. 13 25 http://jap.iums.ac.ir/browse.php?a_code=A-10-935-1&slc_lang=fa&sid=1 Fereshteh Nazari Montazar فرشته نظری منتظر fereshteh.nazari@ut.ac.ir 100319475328460020339 0009-0009-7825-9358 No University of Tehran دانشگاه تهران Manijeh Firouzi منیژه فیروزی mfiroozy@ut.ac.ir 100319475328460020340 100319475328460020340 Yes University of Tehran دانشگاه تهران Hamidreza Ahadi حمیدرضا احدی ahadi_hr@sbmu.ac.ir 100319475328460020341 100319475328460020341 No Shahid Beheshti University of Medical Sciences دانشگاه شهید بهشتی Bagher Ghobari Bonab باقر غباری بناب bghobari@ut.ac.ir 100319475328460020342 100319475328460020342 No University of Tehran دانشگاه تهران