Razi Journal of Medical Sciences

fa مقایسه تنظیم هیجان، کنترل عاطفی و نشخوار فکری در زنان با و بدون سرطان پستان Comparison of Emotion Regulation, Emotional Control and Rumination in Women with and without Breast Cancer روانشناسی بالینی Clinical Psychiatry پژوهشي Research <div style="text-align: justify;">زمینه و هدف: سرطان پستان یکی از اصلی ترین دلایل مرگ وابسته به سرطان در زنان کل دنیا به حساب میآید. سرطان با فشار روانی و هیجانات منفی اضطراب همراه است. بنابر این پژوهش حاضر، با هدف مقایسه تنظیم هیجان، کنترل عاطفی و نشخوار فکری در زنان با و بدون سرطان انجام گرفت. روش کار: طرح پژوهش حاضر توصیفی بود. برای تجزیه و تحلیل دادهها از روش آماری تحلیل واریانس چند متغیری استفاده گردید. جامعه آماری کلیه زنان با سرطان پستان مراجعه کننده به بیمارستان رسول اکرم‌(ص) در شهر تهران به تعداد ۱۳۴ بیمار در سال ۱۴۰۰ بودند. از این جامعه، تعداد ۱۰۰ نفر با روش نمونه گیری هدفمند انتخاب شدند که در نهایت40 نفر مشارکت نمودند. ابزار پژوهش، پرسشنامه تنظیم هیجان گارنفسکی، ۲۰۰۶، پرسشنامه نشخوار فکری هالن هوکسما ۱۹۹۱ و پرسشنامه کنترل عاطفی ویلیامز ۱۹۹۷ بود. یافته‌ها: متغیر نشخوار فکری (معاینه، مشغله و افسردگی)  در بین گروه عادی و بیمار تفاوت معناداری داشت (001/0p< و 19/5=F). بین گروه نرمال و بیمار از نظر بیان (01/0p< و 71/7=f)، در فکر افسردگی (01/0p< و 57/10=f) تفاوت معناداری وجود دارد. بین گروه عادی و بیمار از نظر خشم (05/0p< و 65/5=f)، خلق افسرده (01/0p< و 07/4=f) و اضطراب (01/0p< و 84/12 f) تفاوت معنی‌داری وجود دارد. نتیجه‌گیری: نتایج نشان داد که بین تنظیم هیجان، کنترل عاطفی و نشخوار فکری در زنان با و بدون سرطان پستان تفاوت معنادار وجود دارد. تنظیم هیجان مثبت در زنان با سرطان پستان کمتر است. نشخوار فکری در زنان با سرطان پستان بیشتر است. خشم، اضطراب، خلق افسرده به طور معناداری در زنان با سرطان پستان بیشتر است. اما از لحاظ عاطفه مثبت تفاوت معنی‌دار وجود نداشت.</div> <div style="text-align: justify;"> Background & Aims: Breast cancer is a critical and potentially traumatic experience and one of the most common and serious problems in women's health. Cancer is a physical disease in which cancer cells stop multiplying and do not grow in a controlled manner. Cancer is one of the fundamental problems in the field of health and treatment all over the world, It is considered the third cause of death and the second most chronic non-communicable disease in the world, as a regular and continuous process, creates challenges in the lives of affected people. It creates many problems for a person. According to the increasing trend of cancer, it is predicted that the incidence of cancer will reach more than 28 million people in the next two decades with a 47% increase compared to 2020. Breast cancer is one of the main causes of cancer-related death in women all over the world. Cancer is associated with mental stress and negative emotions of anxiety. According to this, the current research was conducted with the aim of comparing emotion regulation, emotional control and rumination in women with and without cancer. Methods: This causal-comparative research was conducted with the aim of comparing emotion regulation, emotional control, and rumination in women with and without breast cancer. The statistical population of the present study included all patients diagnosed with breast cancer from Rasoul Akram Hospital in Tehran. The sample of this research consisted of 40 women with breast cancer who were selected purposefully. First, a list of 134 breast cancer patients was prepared. Then 100 people were selected from among them in a targeted manner, and out of these 100 people, 40 people cooperated and participated in the research, with 40 people from the general population who had Demographic characteristics (age, sex, education and marital status) were comparable with the affected subjects, provided they were not diagnosed with breast cancer or any other type of disease. The criteria for leaving the research were age below 30 years and above 65 years, a history of damage to the central nervous system during the past year, and mental disorders requiring immediate treatment (such as psychotic symptoms and drug addiction). The research tools were Garnevsky's Emotion Regulation Questionnaire, 2006, Hallen Hoeksma's Rumination Questionnaire, 1991, and Williams' Emotional Control Questionnaire, 1997. The statistical method of multivariate analysis of variance (MANOVA) was used to analyze the data. Results: The variable of rumination (examination, preoccupation, and depression) had a significant difference between the normal and patient groups (p<0.001 and F=5.19). There is a significant difference between the normal group and the patient group in terms of expression (p<0.01 and f=7.71), in the thought of depression (p<0.01 and f=10.57). There is a significant difference between the normal and sick groups in terms of anger (p<0.05 and f=5.65), depressed mood (p<0.01 and f=4.07), and anxiety (p<0.01 and f=12.84). There is. between normal and sick groups at least in terms of one of the dependent variables of emotion regulation (self-blame, acceptance, focus on rumination, positive refocus, refocus on planning, positive reevaluation, perspective taking, catastrophizing and other blame) there is a significant difference (p<0.001 and F=5.06) so the first hypothesis is confirmed. The amount of difference or influence is equal to 0.375%; That is, 37.5 percent of the individual difference in scores between the two groups is related to group membership. On the other hand, statistical power was obtained for group 1, which indicates that there is no possibility of type 1 error and the sample size is sufficient. Conclusion: Different types of psychopathology, mental health issues and problems, disruption in interpersonal relationships and mental health performance, and physical problems and other diseases can be considered as the result of not regulating emotions. According to the data of pain theory, the descending and central pain of neurons can be changed by positive and negative emotional data. Negative emotions increase pain and positive emotions reduce pain intensity. Therefore, according to this theory, positive and negative emotions may indirectly play a role in pain management, because negative emotions increase pain, and vice versa, positive emotions reduce the intensity and severity of pain. Therefore, according to This theory suggests that positive and negative emotions may indirectly play a role in pain management. Depressed mood in women with breast cancer is significantly higher than normal people. In the explanation of this result, it can be stated that the depressed mood is based on separating from inaccessible motivations and incentives and being open to new stimuli, it is predicted that the depressed mood is an adaptive part of the process of separating the person from the driver. Depressed mood is common among cancer patients, and according to the American Cancer Society, one out of every four cancer patients has depression. As a result, it can be said that physical, mental, and emotional problems in patients can be an important factor in increasing rumination in these patients. Usually, the mechanisms created by rumination are risk factors for mental problems, such as the reduction of social support and optimism in people and the increase of neuroticism. Therefore, knowing and being aware of this topic can help people's mental health. The results showed that there is a significant difference between emotion regulation, emotional control, and rumination in women with and without breast cancer. Positive emotion regulation is lower in women with breast cancer. Rumination is more common in women with breast cancer. Anger, anxiety, and depressed mood are significantly more in women with breast cancer. But there was no significant difference in terms of positive emotion. </div> تنظیم هیجان, کنترل عاطفی, نشخوار فکری, سرطان پستان Emotion Regulation, Emotional Control, Rumination, Breast Cancer 184 193 http://rjms.iums.ac.ir/browse.php?a_code=A-10-7620-1&slc_lang=fa&sid=1 Zahra Sayad زهرا صیاد Zahrasayad2022@gmail.com 3900319475328460081329 3900319475328460081329 Yes Department of Clinical Psychology, Garmsar Branch, University of Neurology, Garmsar, Iran گروه روانشناسی بالینی، دانشگاه آزاد اسلامی واحد گرمسار، دانشگاه عصب شناسی، گرمسار، ایران Simin Jalali Riki سیمین جلالی ریکی 3900319475328460081330 0009-0001-2354-8787 No Senior Department of General Psychology, Sirjan Branch, Islamic Azad University, Sirjan, Iran. گروه ارشد روانشناسی عمومی، واحد سیرجان، دانشگاه آزاد اسلامی، سیرجان، ایران. Elham Atighi الهام عتیقی 3900319475328460081331 0009-0008-0612-6989 No Senior Department of Clinical Psychology, Sirjan Branch, Islamic Azad University, Sirjan, Iran. گروه ارشد روانشناسی بالینی، واحد سیرجان، دانشگاه آزاد اسلامی، سیرجان، ایران. Elham Khorshidi Talab الهام خورشیدی طلب 3900319475328460081332 0009-0006-2396-3530 No Assistant Professor, Senior Department of Family Counseling, Tehran Khatam Branch, Islamic Azad University, Tehran, Iran استادیار، گروه ارشد مشاوره خانواده، واحد خاتم تهران، دانشگاه آزاد اسلامی، تهران، ایران. Seddighe Iranmanesh صدیقه ایرانمنش 3900319475328460081333 0009-0007-4895-1787 No Senior Department of General Psychology, Sirjan Branch, Islamic Azad University, Sirjan, Iran. گروه ارشد روانشناسی عمومی، واحد سیرجان، دانشگاه آزاد اسلامی، سیرجان، ایران. Mohammad Saleh shokouhi Qare Saadlou محمد صالح شکوهی قره سعدلو 3900319475328460081334 3900319475328460081334 No Assistant Professor, Department of health, Najafabad Branch, Islamic Azad University, Najafabad, Iran. استادیار، گروه سلامت، واحد نجف آباد، دانشگاه ازاداسلامی، نجف آباد، ایران.