Volume 29, Issue 11 (1-2023)                   RJMS 2023, 29(11): 12-23 | Back to browse issues page

Research code: 8956423
Ethics code: IR.IAU.SARI.REC.1401.124
Clinical trials code: 48081

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Moteragheb Jafarpoure L, Tajeri B, Khalatbari J. Women. RJMS 2023; 29 (11) :12-23
URL: http://rjms.iums.ac.ir/article-1-6653-en.html
Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran , btajeri@yahoo.com
Abstract:   (1016 Views)

Background & Aims: Cancer is considered the major health problem in the 21st century. The increasing growth of cancer in about last two decades and the detrimental effects it has had on the physical, mental, social and economic aspects of human life have, more than ever, caused concern among experts. Cancer is a "life-threatening disease" that kills more than 6.7 million people each year. Breast cancer is the second most common cancer in women. It is a highly heterogeneous disease in which hereditary and environmental risk factors play a role, leading to the accumulation of masses and progressive genetic and epigenetic changes in breast cancer cells. In recent years, the Psychodrama approach has been used in the psychological improvement of cancer patients. In this type of treatment, screening is used to promote the mental health of patients. Researchers have examined the usefulness of Psychodrama in the emotional regulation of patients. People who have a high level of interaction with others, their emotions are dominant and use less logical thinking in the face of different situations. These people are in dire need of approval from important people in their lives and therefore are more disposed to psychological problems such as depression in the event of stress and interpersonal problems. Psychodrama can be effective in reducing their integration by developing the role of individuals and increasing their spontaneity and creativity. In fact, Psychodrama is a method of therapy that helps participants in a process to recreate their social and psychological issues in a real context, because this treatment provides an opportunity for them to be able to vent their emotions in the right direction. Psychodrama is one of the types of group therapies that help a person to review and discover the psychological dimensions of his problem by showing them and not just through dialogue. This approach, which uses mental imagery, imagination, physical actions, and group dynamics, is a combination of art, play, emotional sensitivity, and outspoken thinking that facilitates the release of trapped emotions to help individuals acquire new and more effective behaviors and to open up undiscovered ways of resolving conflict as well as recognizing one's own form. Psychodrama connects cognitive analysis with experimental and action dimensions. In practice, implementing interpersonal interaction in a problem, involving the body and mind that an event is taking place in the present, conveys ideas and feelings to a person's level of awareness that are not possible only in the case of talking about that issue. Non-verbal aspects not only affect the quantity and quality of the relationship, but are also clues to latent internal motivations and attitudes, such as behaviors with more anger or more obvious states of fear that raise awareness of emotions Which may be hidden in the person. Cognitive-behavioral therapy is a combination of theories and techniques of behavior therapy and cognitive therapy. Behavioral and cognitive approaches both derive to some extent from the empirical tradition and its emphasis is on increasing cognitive skills and decreasing maladaptive cognitive activities, and it also uses behavioral tasks to change behavior and these methods are used for patients according to their progress in each session. In a research entitled “The effect of group training on cognitive-behavioral therapy based on improving quality of life on hope and happiness in people with breast cancer” Naqibi, Saeedi and Khazaei found that there is a significant difference between the experimental and control groups in the variables of hope and happiness after adjusting the pre-test scores. A cancer diagnosis can affect the emotional health of patients, families, and caregivers. Common feelings during this life-changing experience include anxiety, distress, and depression. Roles at home, school, and work can be affected. It's important to recognize these changes and get help when needed.  
Methods: The current study was a quasi-experimental design of pre-test-post-test with a control group with follow-up. The statistical population of this study included all women aged 30-50 years with breast cancer who referred to a specialist doctor's clinic for treatment and received a diagnosis of breast cancer. The sample of the current study consisted of 45 people (15 people for each group; ie 15 people in experimental group 1, ie 15 people in experimental group 2 and 15 people in control group). In this study, the available sampling method was used; Among the people who were introduced through surgical clinics or through other specialists. About 45 patients were selected and randomly assigned again in three groups and 15 experimental (two groups) and control in each group. Inclusion criteria were; 1- Not using psychotropic drugs, narcotics and psychological therapies during the study, 2- Being over 30 years old, 3- Not having acute or chronic mental disorders, and 4- Expressing satisfaction for the participation of the subjects and criteria for leaving The study included; 1- Not attending the experimental sessions and intervention for more than two sessions, 2- Not wanting to continue attending the experimental sessions and intervention and 3- Having a severe psychiatric disorder that needs immediate treatment. The Reef Psychological Well-being Questionnaire (1989) was administered pre-test, post-test and follow-up. The therapeutic packages of psychodrama therapy and cognitive behavior therapy applied on experimental groups (ninety minutes each session) weekly and the control group did not receive any therapy.
Results: Results showed that both of cognitive behavior therapy & psychodrama are affected the same on increasing to Mental well-being level of patients with breast cancer. Three- month follow-up confirmed these results.
Conclusion: By use to cognitive behavior therapy & psychodrama (especially CBT) can to increase Mental well-being level in women with breast cancer. Then this component affective to raise the health of these patients. This research has been done sectional and it is necessary to control comorbidities. The available research sample may not be representative of all patients. The results of the present study can be generalized to breast cancer patients with demographic characteristics related to this study and if it needs to be generalized to other women, this should be done with caution and sufficient knowledge. The treatment protocols implemented in this study were not implemented as a specific program for breast cancer patients, but a group training program was used. Due to the time constraints, if the time and conditions for follow-up and follow-up are possible in a longer period of time, we can talk about the treatment results with more certainty and confidence. However, due to executive and financial problems and time limitations of the dissertation, this opportunity was not provided in this study.
 
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Type of Study: Research | Subject: Clinical Psychiatry

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