Mediating role of cognitive-emotional ordering strategies in relation to attachment styles and quality of life in patients with multiple sclerosis

Introdution: The aim of this study was to investigate the mediating role of cognitive emotion regulation strategies on the relationship between attachment styles and quality of life in the patients with multiple sclerosis in Tehran. The research method was descriptive-correlational. The statistical population of the study was all the patients with multiple sclerosis referred to Sina Hospital in Tehran in 1396. By using the sample size calculations in structural equations and available sampling method, 354 participants were selected as a sample size. In order to measure the variables, the cognitive emotion regulation strategies Questionnaire (Garnefski et al., 2001) (), Hazan and Shaver Attachment Styles (1990) and World Health Organization Quality of Life (1997) were used. The proposed model was evaluated by structural equation modeling using SPSS21 and Smart-Pls 2 and Amos-22 softwares. The technical characteristics of the questionnaire, including reliability, convergent validity and divergent validity were investigated. Moreover, path coefficients and software significance coefficients were used to examine the research hypotheses. The results of the present studyshowed that cognitive emotion regulation strategies have a mediating role in attachment styles and quality of life. Therefore, the results of the study can lead to a better understanding to promote mental health after the onset of multiple sclerosis