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Showing 2 results for Fathi Ashtiani

Fatemeh Izadi, Emad Ashrafi, Ali Fathi Ashtiani,
Volume 16, Issue 3 (1-2019)
Abstract

Aim and Background: Somatic symptoms and physical complaints (palpitations, dizziness, etc.) make a significant part of admittances to health centers. Therefore, identifying the mechanisms and their etiology is of very high importance. Clinical observations over the past two centuries have linked these symptoms with emotions. The purpose of this study was to investigate the etiology of somatic symptoms based on negative emotional schemas by mediating alexithymia and emotional expressiveness Methods and Materials: The method used in this research was correlation. The research sample consisted of 440 female undergraduate and postgraduate students at Khomeini Shahr Azad University who were selected using the convenience sampling method. The members completed the Toronto Alexithymia Scale (TAS-20), Emotional Expressiveness Questionnaire (EEQ), Somatic Symptom Disorder-B Criteria Scale (SSD-12) and Leahy Emotional Schemas Scale (LESS). The data was analyzed using structural equation modeling with SPSS and LISREL softwers. Findings: Based on the results, the hypothesized model has an appropriate fit with the data. The path of negative emotional schemas,emotional expressiveness (total effect: -0.269.P<0.001) and the path of emotional expressiveness, somatic symptoms (total effect: -0.346.P<0.001) is negative and significant. Also, the path of negative emotional schemas ,alexithymia (total effect: 0.358.P<0.001) and the path of alexithymia , somatic symptoms (total effect: 0.356.P<0.001) is positive and significant. the path of negative emotional schemas ,somatic symptoms (direct effect: 0.266. P<0.001) is positive and significant. According to the results of structural equations, negative emotional schemas had a significant effect on somatic symptoms through alexithymia and emotional expressiveness. (Indirect effect: 0.221. P<0.001) Conclusions: Research shows that emotional schemas, in addition to the direct effect on somatic symptoms, can also be influenced by alexithymia and emotional expressiveness. Therefore, the results of this study can be used in preventing, understanding the underlying causes and mechanisms for pathology, and treatment of somatic symptoms.
Fatemeh Izadi , Emad Ashrafi, Ali Fathi Ashtiani ,
Volume 17, Issue 2 (8-2019)
Abstract

Aim and Background: Somatic symptoms make a significant part of admittances to health centers. Since clinical observations have linked these symptoms with emotions, the present study was conducted to investigate the effectiveness of emotional schema therapy on decreasing negative emotional schemas, Alexithymia And Signs of Patients with somatic Symptoms. Methods and Materials: The present study was a type of semi-experimental research with pre-test post-test design with control group. The population of this study was all female patients with somatic symptoms of Isfahan province and sample included 30 referents from counseling centers of Isfahan and Khomeini shahr with somatic symptoms that were selected based on Judgment sampling and with psychiatrist's and psychologist's discriminant and divided into two experimental (15) and control (15) groups. The experimental group received 12 sessions of emotional schema therapy approach. The Leahy Emotional Schematic Scale (LESS), Toronto Alexithymia Scale (TAS_20), and the B-Score Somatic Symptom Inventory (SSD-12) were used for participants. Data were analyzed using descriptive statistics and multivariate analysis of covariance in SPSS 24. Findings: After the implementation of emotional schema therapy, there was a significant difference in the negative emotional schemas (F: 8. 24, P<0. 008), alexithymia (F: 250. 89, P<0. 001) and somatic symptoms (F: 374. 59, P<0. 001) in the experimental group compared to the control group and the mean scores of the experimental group were significantly lower than the control group. Conclusions: The results of this study showed The Emotional Schema Therapy Model, based on the existence of a relationship between negative emotional schemas and alexithymia with somatic symptoms, by modifying the underlying emotional processes and improving the maladaptive strategies of individuals toward emotions, reduced the negative emotional schema and alexithymia and somatic Symptoms.

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