Assessment of the Effectiveness of Cognitive- Existence Realistic Group Therapy on Anxiety and Depression in Patients with Breast Cancer

الموضوعات : Report of Health Care

Hamidreza Arman ¹ , Noshirvan Khezri Moghadam ²

1 - PhD Student in Educational Psychology at Islamic Azad University and Lecturer at Farhangian University of Kerman, Kerman, Iran
2 - Assistant Professor, Shahid Bahonar University of Kerman, Kerman, Iran

تاريخ الإرسال : 08 الإثنين , ذو الحجة, 1436 تاريخ التأكيد : 09 السبت , صفر, 1437 تاريخ الإصدار : 22 الإثنين , ربيع الثاني, 1437

الکلمات المفتاحية: Depression, Breast Cancer, anxiety, Cognitive- Existence Realistic Therapy,

ملخص المقالة :

Introduction: Cancer is one of the most important health problems around the world today, and its prevalence is higher in industrialized countries. The purpose of this study was to evaluate the efficacy of cognitive-existence realistic group therapy on anxiety and depression in breast cancer patients. Methods: The research design was of experimental type, having pre-test and post-test with two groups of experiments and control. The statistical population of this study consisted of women suffering from breast cancer, aging 18 to 60 years old in spring 2016 who referred to Afzali Hospital in Kerman to use therapeutic facilities (chemotherapy and radiotherapy). The sample group included 30 patients referring to the medical centers of Kerman who announced their readiness to attend the group therapy session after the introduction of the program. Sample groups consisted of 2 groups of 15 cancer patients (15 patients in the control group and 15 in the experimental group). Both groups responded to Beck Depression Inventory (1961) and Beck Anxiety Inventory (1988) before and after the experiment. Data were analyzed using statistical methods such as distribution table, frequency charts, mean and standard deviation, and covariance analysis (p≤0.05). Results: The results showed that cognitive-ontological group therapy had an effect on the anxiety of patients with cancer at a significance level of (p <0.01). Also, cognitive-ontological group therapy had a significant effect on depression in patients with cancer at a significant level of (p <0.01). Conclusion: Cognitive-existence realistic group therapy can reduce depression and anxiety in patients with breast cancer.

المصادر:

1. Taylor E J. Transforming trajedy among women surviving breast cancer. Oncology Nursing Forum. 2013; 27: 721- 788.


2. Attarian, A. The Effectiveness of an existential- humanist group therapy on reducing death anxiety in mashhad patients. MSc. dissertation, Ferdowsi University. 2014.


3. Luckman Cramer C. Effectiveness of group cognitive- behavioral treatment and group therapy in depressed women in community clinics. Behaviour R Ther. 2013; 48 (11): 45- 63.


4. Heather M, Addie C, Anthony J. Effectiveness of cognitive behavioral intervention (CBT) on psycho-sexual adjustment for men with localized prostate cancer. J Psycho Oncology. 2013; 3 (4): 48-61.


5. Witt Sh, Robert MC, Sherry C. A comparison of death and quality of life patients with Advanced cancer or AIDS and their family caregiver. J Associ Nur IDS care. 2010; 21 (2): 99- 112.


6. World cancer Research Fund / American Institute for Cancer Research. Food Nartrition, Psysical Activity, and the prevention of cancer: a global perspective. Washington D.C. AICR. 2012.


7. Fann JR, Thomas-Rich AM, Katon WJ, Cowley D, Penning M, McGregor BA. Major depression after breast cancer: a review of epidemiology and treatment. General Hospital Psych. 2008; 30: 112- 126.


8. Moyer A, Sohl SJ, Knapp-Oliver SK, Schneider S. Characteristics and methodological quality of 25 years of research investigating psychosocial interventions for cancer patients. Cancer Treat Rev. 2009; 35: 475- 484.


9. Tel H, Dogan S. Fatigue, anxiety and depression in cancer patients. Neur Psych Brain Res. 2011; 17: 42- 45.


10. Casellas A, Font A, Vives J. Positive psychology interventions in breast cancer. A systematic review. J Psycho Oncology. 2014; 23 (1): 9- 19.


11. Rahimian Boogar I. Clinical psychology of health prevention, formulation and treatment guide. Tehran: Dangeh Publishing. 2013.


12. Kissane D, Bloch S, Smith G, Miach P, Clarke D, Ikin J. Cognitive- existential group psychotherapy for women with primary breast cancer: A randomized controlled trial. Psycho Oncology. 2013; 12 (6): 532- 546.


13. Kross D, Love A, Hotton A, Bloch S, Smith G, Clarke D. Effect of cognitive existential group therapy on survival in early stage breast cancer. J Clin Oncol. 2012; 22 (21): 4255- 4260.


14. Moreira H, canavarro MC. A longitudinal study about the body image and psychosocial adjustment of breast cancer patient during the course of the disease. Eur J Oncology Nur. 2012; 14 (4): 263- 270.


15. Kerry K. Effect of cognitive- existential group therapy on survival in early- stage breast cancer. J Clin Oncology. 2009; 22: 4255- 4260.


16. Kaviani H, Mosavi A. Psychometric properties of Beck depression and anxiety inventory in the age and sex groups of Iranian population. J School Med. 2009; 66 (2): 126- 140.


17. Sarmad Z, Bazargan A, Hejazi E. Research methods in behavioral sciences. Agah publication: Tehran. 2009.


18. Procheska G, Norcross HW. Existential thought and therapeutic practice: An introduction to existential psychotherapy. London: STEGE publications. 2009.


19. Pedram M, Mohammadi M, Naziri G, Aeenparast N. The effectiveness of cognitive behavioral group therapy on anxiety, depression treatment and induce of hope in breast cancer women. Women & Society. 2009; 1: 61- 76.


20. Behroozi F. Comparison of the effectiveness of two methods of cognitive- behavioral and existence originality humanist group therapies on the self- esteem of mashhad prisoners. Thesis for obtaining master's degree, Ferdowsi niversity of Mashhad. 2012.


21. Parizadeh H. Comparison of the effectiveness of existential group therapy and group reality therapy on depression, anxiety, stress, tension, and solving the problem of body image of mastectomy women in mashhad. MSc thesis, Ferdowsi University. 2012.