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

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 ۳۶۱ IBD patients from July to October ۲۰۲۳ 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 SPSS۲۷ software and Smart PLS ۴ 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 ۰.۰۵.Results: Findings revealed that positive perfectionism had a negative and significant relationship with fatigue in IBD patients (β=-۰.۲۶۱, P=۰.۰۰۲). 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 = ۰.۳۰, P< ۰.۰۰۱). 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 = ۰.۵۹۶, P<۰.۰۰۱) and had a negative and significant impact on fatigue (β=-۰.۴۱۴, P<۰.۰۰۱). 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.

کلیدواژه ها:

perfectionism ، fatigue ، State of Flow ، Inflammatory Bowel Disease Patients