Volume 17, Issue 3 (Autumn 2025)
2025, 17(3): 95-103 |
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Ethics code: IR.IAU.SHIRAZ.REC.1402.012
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Kamali R, Davoodi A, Naziri G, Fath N. The Relationship between Metacognition and Intolerance of Uncertainty, Mediated by Aggression, and Perceived Pain Intensity in Patients with Chronic Pain. North Khorasan University of Medical Sciences 2025; 17 (3) :95-103
URL: http://journal.nkums.ac.ir/article-1-3269-en.html
URL: http://journal.nkums.ac.ir/article-1-3269-en.html
1- Ph.D. Student in Clinical Psychology, Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran
2- Assistant Professor, Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran ,Azam.davoodi@iau.ac.ir
3- Asociate Professor, Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran
4- Assistant Professor, Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran
2- Assistant Professor, Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran ,
3- Asociate Professor, Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran
4- Assistant Professor, Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran
Abstract: (71 Views)
Introduction: Considering the severity of pain experienced by patients, various factors such as metacognition and intolerance of uncertainty may significantly influence their condition. The present study aimed to examine the relationship between metacognition and intolerance of uncertainty, with aggression as a mediating variable, in relation to perceived pain intensity among patients with chronic pain.
Method: The study employed a descriptive-correlational research design using structural equation modeling. The target population consisted of individuals diagnosed with chronic pain by physicians or pain specialist fellowship at Hazrat Abulfazl (AS) Hospital in 2022. From this group, a purposive sample of 400 patients was selected according to Bosma's criteria. The research tools included perceived pain intensity by Van Korff, metacognitive beliefs by Wells and Cartwright-Houghton, intolerance of uncertainty by Friston and colleagues, and aggressiveness by Bass and Perry. The collected data were analyzed using structural equation analysis in SPSS software (version 21).
Results: The mean and standard deviation of the participants' ages were 49.36 and 48.23 years, respectively. The findings indicated a favorable fit of the data with the proposed research model. Metacognitive beliefs, intolerance of uncertainty, and aggression had a direct and significant effect on perceived pain intensity (P<0.01). Additionally, metacognitive beliefs and intolerance of uncertainty had an indirect yet significant impact on patients' perceived pain intensity, mediated by aggression (P < 0.01).
Conclusion: Metacognitive beliefs and intolerance of uncertainty contribute to the severity of perceived pain in patients, with aggression serving as a mediating factor
Method: The study employed a descriptive-correlational research design using structural equation modeling. The target population consisted of individuals diagnosed with chronic pain by physicians or pain specialist fellowship at Hazrat Abulfazl (AS) Hospital in 2022. From this group, a purposive sample of 400 patients was selected according to Bosma's criteria. The research tools included perceived pain intensity by Van Korff, metacognitive beliefs by Wells and Cartwright-Houghton, intolerance of uncertainty by Friston and colleagues, and aggressiveness by Bass and Perry. The collected data were analyzed using structural equation analysis in SPSS software (version 21).
Results: The mean and standard deviation of the participants' ages were 49.36 and 48.23 years, respectively. The findings indicated a favorable fit of the data with the proposed research model. Metacognitive beliefs, intolerance of uncertainty, and aggression had a direct and significant effect on perceived pain intensity (P<0.01). Additionally, metacognitive beliefs and intolerance of uncertainty had an indirect yet significant impact on patients' perceived pain intensity, mediated by aggression (P < 0.01).
Conclusion: Metacognitive beliefs and intolerance of uncertainty contribute to the severity of perceived pain in patients, with aggression serving as a mediating factor
Type of Study: Orginal Research |
Subject:
Basic Sciences
Received: 2023/11/27 | Accepted: 2024/02/18 | Published: 2025/09/29
Received: 2023/11/27 | Accepted: 2024/02/18 | Published: 2025/09/29
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