اثر بخشی روان درمانی مثبت گرایی گروهی بر افسردگی، اضطراب و استرس زنان مبتلا به سرطان پستان
محورهای موضوعی :
زن و خانواده
عشرت کریمی افشار
1
,
محمد کارآموز
2
1 - استادیار، گروه روانشناسی عمومی، واحد سیرجان ، دانشگاه آزاد اسلامی، سیرجان، ایران. ( نویسنده مسئول ) : eshrat_karimi@siau.ac.ir
2 - کارشناسی ارشد روانشناسی عمومی، واحد سیرجان ، دانشگاه آزاد اسلامی، سیرجان، ایران
تاریخ دریافت : 1400/03/31
تاریخ پذیرش : 1400/08/03
تاریخ انتشار : 1401/09/01
کلید واژه:
اضطراب,
افسردگی,
استرس,
زنان,
سرطان پستان,
روان درمانی مثبت‌گرایی,
چکیده مقاله :
اختلالات افسردگی، اضطراب و استرس از شایع ترین اختلالات روانپزشکی می باشند که به گونه ای بحرانی در میان زنان مبتلا به سرطان پستان افزایش یافتند. این پژوهش به منظور بررسی اثر بخشی روان درمانی مثبت گرایی گروهی بر کاهش افسردگی، اضطراب و استرس زنان مبتلا به سرطان پستان در شهر کرمان انجام شد. روش این تحقیق نیمه تجربی و به روش پیش‌آزمون – پس‌آزمون با گروه کنترل بود. جامعه ی آماری پژوهش حاضر را کلیه ی زنان مبتلا به سرطان پستان در شهر کرمان تشکیل دادند. نمونه ی پژوهش شامل 30 نفر که به روش نمونه گیری هدفمند انتخاب شده بودند و به طور تصادفی در دو گروه آزمایشی (15 نفر) و کنترل (15 نفر) قرار گرفتند و به پرسشنامه ی افسردگی، اضطراب و استرس لاویبوند و لاویبوند (1995) قبل و بعد از مداخله پاسخ دادند. گروه آزمایش به مدت 8 جلسه 80دقیقه ای (هفته ای یک بار) تحت روان درمانی مثبت گرایی گروهی بر اساس الگوی رشید (2008) قرار گرفتند و گروه کنترل هیچ مداخله ای دریافت نکرد. نمرات آزمودنی‌ها با استفاده از تحلیل کوواریانس تحلیل شد. نتایج نشان داد در مرحله ی پس آزمون، میانگین نمرات افسردگی، اضطراب و استرس در گروه آزمایش در مقایسه با گروه کنترل به صورت معنی داری کاهش یافت (001/0P< ). با توجه به یافته های پژوهش می توان نتیجه گرفت که روان درمانی مثبت گرایی می تواند به عنوان مداخله در جهت تعدیل افسردگی، اضطراب و استرس مورد استفاده قرار گیرد.
چکیده انگلیسی:
Depression, anxiety and stress disorders are among the most common psychiatric disorders that have increased critically among women with breast cancer. This study was conducted to evaluate the effectiveness of positive group psychotherapy on reducing depression, anxiety and stress in women with breast cancer in Kerman. The method of this research was quasi-experimental and pre-test-post-test with control group. The statistical population of the present study consisted of all women with breast cancer in Kerman. The sample consisted of 30 people who were selected by purposive sampling method and randomly divided into experimental (n = 15) and control (n = 15) groups and Responded to the … to the Depression, Anxiety and Stress Questionnaire. (1995) before and after the intervention.The experimental group underwent positive group psychotherapy for 8 sessions of 80 minutes (once a week) and the control group did not receive any intervention. Subjects' scores were analyzed using analysis of covariance. The results showed that in the post-test stage, the mean scores of depressions, anxiety and stress in the experimental group decreased significantly compared to the control group (P <0.001). According to the research findings, it can be concluded that positive psychotherapy can be used as an intervention to modulate depression,anxiety and stress
منابع و مأخذ:
Amonoo, L., Barclay, M.E, El-Jawahri, A., Traeger, L.N, Lee, S.J, Huffman, J.C. (2019).Positive psychological constructs and health outcomes in hematopoietic stem cell transplantation patients: a systematic review. Biology of Blood and Marrow Transplantation,1,25(1),5-16.
Barimani, A., Donyavi, R., Taghizade, S(2020). The Effectiveness of Positive Psychotherapy on Optimism and Alexithymia in Retired Female Teachers with Anxiety. Positive Psychology Research, 6(2),49-64. [In Persian].
Barkowski, S., Schwartze, D., Strauss, B., Burlingame, G.M., Rosendahl, J.(2020). Efficacy of group psychotherapy for anxiety disorders: A systematic review and meta-analysis. Psychotherapy Research,30(8),965-82.
Bolhari, J., Naziri, G.H., Zamanian, S.(2012). Effectiveness of spiritual group therapy in reducing depression, anxiety, and stress of women with breast cancer. Quarterly Journal of Women and Society, 3(9),87-117. [In Persian].
Furchtlehner, L.M., Schuster, R., Laireiter, A.R. (2020). A comparative study of the efficacy of group positive psychotherapy and group cognitive behavioral therapy in the treatment of depressive disorders: A randomized controlled trial. The Journal of Positive Psychology,15(6),832-45.
Guarino, A., Polini, C., Forte, G., Favieri, F. Boncompagni, , Casagrande, M. (2020). The effectiveness of psychological treatments in women with breast cancer: A systematic review and meta-analysis. Journal of clinical medicine,9(1),209.
Guo, F, Zhang, X., Plummer, V., Lam, L., Cross, W., Zhang, J.P.(2017). Positive psychotherapy for depression and self‐efficacy in undergraduate nursing students: A randomized, controlled trial. International journal of mental health nursing,26(4),375-83.
Javidan, L., Aslani, J. (2018). Effect of Positive Psychotherapy on the Symptoms of Mental Disorders and Well-being in Multiple Sclerosis Patients. Middle Eastern J Disability Studies,10, 8-38. [In Persian].
Khatibian, M., Shakerian, A.(2014). The effectiveness of cognitive behavioral group therapy on decreasing depression, anxiety and stress in breast cancer women admitted to Ahwaz Medical Sciences Hospitals . Scientific Journal of Kurdistan University of Medical Sciences, 19 (4), 91-99. [In Persian].
Leras de Frutos, , Medina, J.C, Vives, J., Casellas‐Grau, A., Marzo, J.L, Borràs, J.M, Ochoa‐Arnedo, C.(2020). Video conference vs face‐to‐face group psychotherapy for distressed cancer survivors: A randomized controlled trial. Psycho‐Oncology, 29(12),1995-2003.
Lovibond, P.F, Lovibond, H.(1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy,33(3),335-43.
Ochoa, C., Casellas-Grau, A., Vives, J., Font, A., Borràs, M. (2017).Positive psychotherapy for distressed cancer survivors: Posttraumatic growth facilitation reduces posttraumatic stress. International Journal of Clinical and Health Psychology,17(1), 28-37.
Rashid, (2008). Positive psychotherapy. In: Lopez SJ, editor. Positive psychology: Exploring the best in people. Westport CT: Greenwood Publishing Company, 187-217.
Rezaei Dehnavi, S., Tavakkoli, G., Montajabian, Z.(2020). The Effectiveness of positive psychotherapy on pain perception and death anxiety in the elderly. Aging Psychology, 5(4),321-32. [In Persian].
Saeedi, Z., Bahrainian, S., Ahmadi, S. (2016). Effectiveness of positive psychology group therapy in reducing depression, stress and death anxiety in patients with cancer undergoing chemotherapy. Journal of Fundamentals of Mental Health, 18, 547-552. [In Persian].
Sadoughi, M., Mehrzad, V., Mohammad Salehi, Z. (2017). The Relationship between Anxiety, Depression, and Quality of Life among Breast Cancer Patients in Seyedoshohada Hospital in Isfahan in 2016: The Mediating Role of Resilience. JRUMS,16 (5), 395-408. [In Persian].
Sajadian, A., Dokanei Fard, F., Behboodi, (2016). HER3 Gene Expression Study by RT-PCR in Patient with Breast Cancer. Iranian Journal of Diseas Breast, 9 (2), 43-51. [In Persian].
Shim, E.J, Lee, J.W., Cho, J., Jung, H.K., Kim, N.H., Lee, J.E., Min, J., Noh, W.C., Park, S.H., Kim, Y.S.(2020). Association of depression and anxiety disorder with the risk of mortality in breast cancer: a National Health Insurance Service study in Korea. Breast cancer research and treatment,179(2),491-8.
Taghvaienia, A., Alamdari, N.(2020). Effect of positive psychotherapy on psychological well-being, happiness, life expectancy and depression among retired teachers with depression: a randomized controlled trial. Community mental health journal, 56(2), 229-37.[In Persian].
Toledo, G., Ochoa, C.Y., Farias, A.J.(2021). Religion and spirituality: their role in the psychosocial adjustment to breast cancer and subsequent symptom management of adjuvant endocrine therapy. Supportive Care in Cancer, 29(6), 3017-24
Wang, X., Wang, N., Zhong, L., Wang, S., Zheng, Y., Yang, B., Zhang, J., Lin, Y., Wang, Z. (2020). Prognostic value of depression and anxiety on breast cancer recurrence and mortality: a systematic review and meta-analysis of 282,203 patients. Molecular psychiatry,1-2.
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Amonoo, L., Barclay, M.E, El-Jawahri, A., Traeger, L.N, Lee, S.J, Huffman, J.C. (2019).Positive psychological constructs and health outcomes in hematopoietic stem cell transplantation patients: a systematic review. Biology of Blood and Marrow Transplantation,1,25(1),5-16.
Barimani, A., Donyavi, R., Taghizade, S(2020). The Effectiveness of Positive Psychotherapy on Optimism and Alexithymia in Retired Female Teachers with Anxiety. Positive Psychology Research, 6(2),49-64. [In Persian].
Barkowski, S., Schwartze, D., Strauss, B., Burlingame, G.M., Rosendahl, J.(2020). Efficacy of group psychotherapy for anxiety disorders: A systematic review and meta-analysis. Psychotherapy Research,30(8),965-82.
Bolhari, J., Naziri, G.H., Zamanian, S.(2012). Effectiveness of spiritual group therapy in reducing depression, anxiety, and stress of women with breast cancer. Quarterly Journal of Women and Society, 3(9),87-117. [In Persian].
Furchtlehner, L.M., Schuster, R., Laireiter, A.R. (2020). A comparative study of the efficacy of group positive psychotherapy and group cognitive behavioral therapy in the treatment of depressive disorders: A randomized controlled trial. The Journal of Positive Psychology,15(6),832-45.
Guarino, A., Polini, C., Forte, G., Favieri, F. Boncompagni, , Casagrande, M. (2020). The effectiveness of psychological treatments in women with breast cancer: A systematic review and meta-analysis. Journal of clinical medicine,9(1),209.
Guo, F, Zhang, X., Plummer, V., Lam, L., Cross, W., Zhang, J.P.(2017). Positive psychotherapy for depression and self‐efficacy in undergraduate nursing students: A randomized, controlled trial. International journal of mental health nursing,26(4),375-83.
Javidan, L., Aslani, J. (2018). Effect of Positive Psychotherapy on the Symptoms of Mental Disorders and Well-being in Multiple Sclerosis Patients. Middle Eastern J Disability Studies,10, 8-38. [In Persian].
Khatibian, M., Shakerian, A.(2014). The effectiveness of cognitive behavioral group therapy on decreasing depression, anxiety and stress in breast cancer women admitted to Ahwaz Medical Sciences Hospitals . Scientific Journal of Kurdistan University of Medical Sciences, 19 (4), 91-99. [In Persian].
Leras de Frutos, , Medina, J.C, Vives, J., Casellas‐Grau, A., Marzo, J.L, Borràs, J.M, Ochoa‐Arnedo, C.(2020). Video conference vs face‐to‐face group psychotherapy for distressed cancer survivors: A randomized controlled trial. Psycho‐Oncology, 29(12),1995-2003.
Lovibond, P.F, Lovibond, H.(1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy,33(3),335-43.
Ochoa, C., Casellas-Grau, A., Vives, J., Font, A., Borràs, M. (2017).Positive psychotherapy for distressed cancer survivors: Posttraumatic growth facilitation reduces posttraumatic stress. International Journal of Clinical and Health Psychology,17(1), 28-37.
Rashid, (2008). Positive psychotherapy. In: Lopez SJ, editor. Positive psychology: Exploring the best in people. Westport CT: Greenwood Publishing Company, 187-217.
Rezaei Dehnavi, S., Tavakkoli, G., Montajabian, Z.(2020). The Effectiveness of positive psychotherapy on pain perception and death anxiety in the elderly. Aging Psychology, 5(4),321-32. [In Persian].
Saeedi, Z., Bahrainian, S., Ahmadi, S. (2016). Effectiveness of positive psychology group therapy in reducing depression, stress and death anxiety in patients with cancer undergoing chemotherapy. Journal of Fundamentals of Mental Health, 18, 547-552. [In Persian].
Sadoughi, M., Mehrzad, V., Mohammad Salehi, Z. (2017). The Relationship between Anxiety, Depression, and Quality of Life among Breast Cancer Patients in Seyedoshohada Hospital in Isfahan in 2016: The Mediating Role of Resilience. JRUMS,16 (5), 395-408. [In Persian].
Sajadian, A., Dokanei Fard, F., Behboodi, (2016). HER3 Gene Expression Study by RT-PCR in Patient with Breast Cancer. Iranian Journal of Diseas Breast, 9 (2), 43-51. [In Persian].
Shim, E.J, Lee, J.W., Cho, J., Jung, H.K., Kim, N.H., Lee, J.E., Min, J., Noh, W.C., Park, S.H., Kim, Y.S.(2020). Association of depression and anxiety disorder with the risk of mortality in breast cancer: a National Health Insurance Service study in Korea. Breast cancer research and treatment,179(2),491-8.
Taghvaienia, A., Alamdari, N.(2020). Effect of positive psychotherapy on psychological well-being, happiness, life expectancy and depression among retired teachers with depression: a randomized controlled trial. Community mental health journal, 56(2), 229-37.[In Persian].
Toledo, G., Ochoa, C.Y., Farias, A.J.(2021). Religion and spirituality: their role in the psychosocial adjustment to breast cancer and subsequent symptom management of adjuvant endocrine therapy. Supportive Care in Cancer, 29(6), 3017-24
Wang, X., Wang, N., Zhong, L., Wang, S., Zheng, Y., Yang, B., Zhang, J., Lin, Y., Wang, Z. (2020). Prognostic value of depression and anxiety on breast cancer recurrence and mortality: a systematic review and meta-analysis of 282,203 patients. Molecular psychiatry,1-2.
