Razi Journal of Medical Sciences
مجله علوم پزشکی رازی
RJMS
Medical Sciences
http://rjms.iums.ac.ir
39
journal39
2228-7043
2228-7051
en
jalali
1400
2
1
gregorian
2021
5
1
28
3
online
1
fulltext
fa
اثر بخشی درمان مبتنی بر پذیرش و تعهد بر کاهش افسردگی و نشخوار ذهنی زنان مبتلا به سرطان
The Effectiveness of Schema Therapy Approach on Reducing Depression and Rumination in Women with Cancer
روانشناسی بالینی
Clinical Psychiatry
پژوهشي
Research
<strong><span style="color:#0070c0;"><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">زمینه و هدف: </span></span></span></strong><span style="color:black;"><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">یک از مباحث مطرح در روانشناسی نحوه واکنش افراد به بیماری­های جسمانی است که می­تواند آسیب­های همه جانبه­ای برای فرد داشته باشد. مطالعه حاضر با هدف اثر بخشی درمان مبتنی بر پذیرش و تعهد بر کاهش افسردگی و نشخوار ذهنی زنان مبتلا به سرطان در شهر شیراز صورت گرفت.</span></span></span><br>
<strong><span style="color:#0070c0;"><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">روش کار:</span></span></span></strong><span style="color:black;"><span style="font-family:B Mitra;"><span style="font-size:10.0pt;"> پژوهش حاضر از نوع نیمه آزمایشی با طرح پیش آزمون- پس آزمون 2 گروهی بود. جامعه آماری پژوهش کلیه زنان مراجعهکننده به بنیاد سرطانیهای امید بیمارستان نمازی و شهید فقیهی شهرستان شیراز بود که به صورت نمونهگیری در دسترس 50 نفر در محدوده سنی ۱۸ تا ۶۰ سال در 2 گروه ۲۵ نفره گروه آزمایش و کنترل جایگزین شدند. در ابتدا در هر 2 گروه پرسشنامه افسردگی بک و نشخوار ذهنی نولن هوکسما و مارلو اجرا شد. سپس گروه آزمایش طی ۱۲جلسه 90 دقیقه­ای درمان مبتنی بر پذیرش و تعهد را دریافت کردند و گروه کنترل درمانی دریافت نکردند. به منظور بررسی اثر متغیر مستقل بر وابسته از تحلیل کواریانش استفاده شد.</span></span></span><br>
<strong><span style="color:#0070c0;"><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">یافته­ها:</span></span></span></strong> <span style="color:black;"><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">نتایج نشان داد که ترکیب خطی متغیرهای وابسته به صورت معناداری در گروه­­های آزمایش و کنترل متفاوت است (001/0= </span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">p</span></span></span></span><span style="color:black;"><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">؛ 105/6 = </span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">F</span></span></span></span><span style="color:black;"><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">). بر اساس نتایج اجرای متغیر مستقل باعث شد تا هر دو متغیر افسردگی (001/0</span></span></span><span style="color:black;"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">≥</span></span></span> <span dir="LTR"><span style="color:black;"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">p</span></span></span></span><span style="color:black;"><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">) و نشخوار ذهنی (001/0</span></span></span><span style="color:black;"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">≥</span></span></span> <span dir="LTR"><span style="color:black;"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">p</span></span></span></span><span style="color:black;"><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">؛) کاهش یابند. </span></span></span><br>
<strong><span style="color:#0070c0;"><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">نتیجهگیری: </span></span></span></strong><span style="color:black;"><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">به طور کلی نتایج نشان میدهد رویکرد درمان مبتنی بر پذیرش و تعهد بر کاهش علائم افسردگی و نشخوار ذهنی افراد مبتلا به سرطان مؤثر است، لذا بکارگیری درمان مبتنی بر پذیرش و تعهد می­تواند در بهبود علائم افسردگی و روانی در بیماران مبتلا به سرطان مفید واقع شود.</span></span></span><br>
<strong><span style="color:black;"><span style="font-family:B Mitra;"><span style="font-size:10.0pt;"></span></span></span></strong><br>
<strong>Background & Aims:</strong> 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.<br>
<strong>Methods:</strong> 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.<br>
<strong>Results:</strong> 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.<br>
<strong>Conclusion:</strong> 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.<br>
درمان مبتنی بر پذیرش و تعهد, نشخوار ذهنی, افسردگی, سرطان
Acceptance and commitment therapy, Ruminant, Depression, Cancer
210
219
http://rjms.iums.ac.ir/browse.php?a_code=A-10-5903-1&slc_lang=fa&sid=1
Salem
Jaafari
سالم
جعفری
bineshmavara@yahoo.com
3900319475328460058050
3900319475328460058050
No
Islamic Azad University, Zahedan, Iran
دانشگاه آزاد اسلامی، زاهدان، ایران
Bahman
Kord Tamini
بهمن
کرد تمینی
bahmanpsy@gmail.com
3900319475328460058051
3900319475328460058051
Yes
University of Sistan and Baluchestan, Zahedan, Iran
دانشگاه سیستان و بلوچستان، زاهدان، ایران
Farhad
Kahrazei
فرهاد
کهرازئی
farhad_kahraz@ped.usb.ac.ir
3900319475328460058052
3900319475328460058052
No
Assosiate professor, departman of psychology, Faculty of Educational Sciences And psychology, university of Sistan and Baluchestan, zahedan, Iran
دانشگاه سیستان و بلوچستان، زاهدان، ایران