International Journal of Behavioral Sciences

International Journal of Behavioral Sciences

Investigating the Relationship between Perfectionism and Fatigue with the Mediating Role of the State of Flow in Patients with Inflammatory Bowel Disease

Document Type : Original Article

Authors
Hajar Seifi 1
Ali Roghanian-Shabahang 2
Elmira Shayegh 3
Shahrzad Rahimi-Saleh 4
Ghazal Jamshidi 5
1 Department of Psychology, Allameh Tabatabai University, Tehran, Iran
2 Department of Medical Sciences, Garmsar Branch, Islamic Azad University, Garmsar, Iran
3 Department of Psychology, Faculty of Education and Psychology, Shahid Beheshti University, Tehran, Iran
4 Department of Psychology, University in pardis Sirjan, Sirjan, Iran
5 Department of Psychology, Shahre-Qods Branch, Islamic Azad University, Tehran, Iran
10.30491/ijbs.2024.420002.2034
Abstract
Introduction: The negative impact of perfectionism on Inflammatory Bowel Disease (IBD) may be explained by its relationship with negative cognitive biases, increased reactivity to stressors, and feelings of pressure. The present study was conducted to investigate the relationship between perfectionism and fatigue, as well as the mediating role of drowning in patients with IBD.
Method: The current research represents a descriptive correlational study. The study's statistical population included all IBD patients in Tehran. A total of 361 IBD patients from July to October 2023 in Tehran were selected as the sample using the multi-stage cluster method. The sampling method used in this study was a multi-stage cluster method. The data collection instruments were the Short Terry Negative and Positive and Negative Perfectionism Scale (PNP), Multidimensional Fatigue Inventory (MFI), and the Flow State Scale (FSS). The structural equation modeling method using SPSS27 software and Smart PLS 4 software was used to verify the research hypotheses. The Sobel test was used to test the significance of the mediating variables. A significant value in this research was considered 0.05.
Results: Findings revealed that positive perfectionism had a negative and significant relationship with fatigue in IBD patients (β=-0.261, P=0.002). On the other hand, it was discovered that negative perfectionism had a strong and positive association with mental fatigue in individuals with IBD. This suggests that those with IBD who exhibit negative perfectionism are more prone to experiencing mental fatigue.  (β = 0.30, P< 0.001). This finding suggests that IBD patients with negative perfectionism are more likely to experience fatigue. Additionally, positive perfectionism had a positive effect on the flow state (β = 0.596, P<0.001) and had a negative and significant impact on fatigue (β=-0.414, P<0.001). In addition, according to the Sobel test, the study mediator variable was significant.
Conclusion: Fatigue can have a significant impact on patients' lives, as it is associated with lower quality of life, functional impairment, absenteeism, and mood disorders. According to research results, negative perfectionism has a negative and significant impact on drowning.
 
Keywords
Perfectionism
Fatigue
State of Flow
Inflammatory Bowel Disease Patients
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International Journal of Behavioral Sciences
Volume 18, Issue 1
Spring 2024
Pages 44-51