Volume 28, Issue 3 (5-2021)                   RJMS 2021, 28(3): 210-219 | Back to browse issues page

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Jaafari S, Kord Tamini B, Kahrazei F. The Effectiveness of Schema Therapy Approach on Reducing Depression and Rumination in Women with Cancer. RJMS. 2021; 28 (3) :210-219
URL: http://rjms.iums.ac.ir/article-1-6816-en.html
University of Sistan and Baluchestan, Zahedan, Iran , bahmanpsy@gmail.com
Abstract:   (472 Views)
Background & Aims: Cancer is the second leading cause of death in the valley of developed countries and is responsible for one-fifth of deaths. Today, diseases known as special diseases affect a part of the society in which we live. These diseases, in addition to the physical problems and physical injuries they inflict on the patient, affect a large part of the psychological and emotional aspects of the patients, which directly affect the course of the disease. It is very important to know and study the psychological components that change in these diseases and affect the psychological dimension of the patient's life; Because for every patient, life is still going on in any situation, and every patient should try to fight the disease as much as possible and slow its progression, which in itself involves a strong spirit, as a result of examining the psychological and emotional issues in this. Patients are very important and thought-provoking. One of the diseases that causes deep emotional and emotional problems in the patient and his family is cancer. Cancer is known as one of the most common non-communicable diseases, which is a disorder in the rate of cell proliferation and differentiation, and can occur in any part of the body and at any age, and can attack the healthy tissues of the body and cause cancer. Studies show that after the onset of the disease, patients' mood is greatly affected and their hope of survival is significantly reduced. This is the reason why they do not pay enough attention to their treatment and do not take doctors' instructions very seriously; these patients do not make much effort to recover and in fact, by doing so, they do worsen their health. One of the topics in psychology is how people react to physical illnesses that can have far-reaching harms to the individual. This study aimed to evaluate the effectiveness of the schema therapy approach on reducing depression and mental rumination in women with cancer in Shiraz.
Methods: The present study was a quasi-experimental design based on pre-test and post-test with a control group. In this study, therapeutic intervention in schema-based therapy was considered as an independent variable and the dependent variables included depression and mental rumination. The statistical population of the study included all 300 women who were referred to the Omid Cancer Foundation of Shiraz Namazi Hospital and Saadi Hospital in Shiraz for treatment and support of cancer problems, which numbered 300 people. Simple random sampling was used to select the sample. Thus, from among the three central centers and after announcing the call to participate in the treatment plan, 50 people who want to participate in the plan during the interview and psychological assessment and implementation of the mentioned tests to diagnose depression and rumination randomly in two Schema therapy group (n = 25) and control group (n = 25). Criteria for entering the psychological diagnosis of depression and rumination were also in the age range of 20 to 60 years and at least having up to the third grade of education and definitive diagnosis of cancer by relevant specialists. At first, Beck Depression Inventory and Nolan Hoxma and Marlowe Ruminant Questionnaire were administered in both groups. The experimental group then received schema therapy for 12 hours with 2 sessions and the control group did not receive treatment. Multivariate analysis of covariance was used to investigate the effect of the independent variable on the dependent.
Results: The results showed that the linear composition of the dependent variables was significantly different in the experimental and control groups (p = 0.001; F = 6.105). The results of one-way analysis of covariance in comparison with depression and rumination showed that for the variables of depression and rumination, the value of F calculated for the pre-test effect (7.820 and 9.587) were statistically significant, respectively. In other words, post-test scores were affected by pre-test scores and the effect of schema treatment (P <0.001 and P <0.001), respectively, after adjusting the means of the two groups based on the pre-test score, It is statistically significant. Considering the means of the two groups, it shows that the score of the subjects in the experimental group in the post-test has decreased compared to the control group. Therefore, it can be concluded that the schema therapy approach is effective in reducing depression and mental rumination. The value of Eta squared also shows that about 77% of the variance of depression and about 65% of the variance of mental rumination can be explained through the schema therapy approach.
Conclusion: In general, the results show that the schema therapy approach is effective in reducing the symptoms of depression and rumination in people with cancer, so the use of schema therapy can be useful in improving depressive and psychological symptoms in cancer patients.
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Type of Study: Research | Subject: Clinical Psychiatry

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