ارائه مدل ساختاری پیش‌بینی میزان کنترل علائم آسم بر اساس شفقت به خود با میانجیگری تنظیم هیجان در بیماران مبتلا به آسم

پریسا  سلیمی دلیکی داش; آرزو شمالی اسکویی

Authors

Parisa Salimi Deliki Dash M.Sc., Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran Author https://orcid.org/0000-0002-1996-3996
Arezoo Shomali Oskoee Department of Psychology, Ro.C., Islamic Azad University, Roudehen, Iran Author https://orcid.org/0000-0002-1013-4526

Keywords:

Asthma symptom control, self‑compassion, emotion regulation

Abstract

Objective: The present study aimed to develop a structural model for predicting asthma symptom control based on self-compassion with the mediating role of emotion regulation in patients with asthma.

Methods and Materials: This descriptive–correlational study using path analysis was conducted on 153 patients with asthma who attended clinics and hospitals in Tehran in 2023. Participants were selected through purposive sampling. Data collection instruments included the Asthma Control Test (ACT), the Self-Compassion Scale, and the Cognitive Emotion Regulation Questionnaire. Data were analyzed using Pearson correlation and path analysis through SPSS-24 and AMOS-24 software. Model fit was assessed using χ²/df, CFI, GFI, AGFI, and RMSEA indices.

Findings: The results demonstrated that self-compassion had a positive and significant relationship with asthma symptom control (β=0.486, p<0.001). Adaptive emotion regulation strategies positively predicted asthma symptom control (β=0.354, p<0.001), whereas maladaptive emotion regulation strategies negatively predicted symptom control (β=-0.188, p=0.002). The indirect effect of self-compassion on asthma symptom control through emotion regulation was also significant (β=0.065, p=0.041). Model fit indices indicated an acceptable fit between the proposed model and the collected data (χ²/df=1.69, CFI=0.987, GFI=0.993, AGFI=0.895, RMSEA=0.066). Moreover, the study variables explained 44% of the variance in asthma symptom control.

Conclusion: The findings indicated that self-compassion and emotion regulation play substantial roles in asthma symptom control, and emotion regulation—particularly maladaptive strategies—mediates the relationship between self-compassion and asthma symptom control. Therefore, incorporating psychological interventions aimed at enhancing self-compassion and improving adaptive emotion regulation strategies may contribute to better asthma management and treatment outcomes among patients with asthma.

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