مدل¬یابی معادلات ساختاری نقش میانجی احساس تنهایی در رابطه بین حمایت اجتماعی ادراک شده و شفقت به خود با اختلال سوگ طولانی مدت در بازماندگان متوفی سرطان پستان
الموضوعات :
زینب جعفری حنان
1
,
محمدرضا تمنایی فر
2
1 - دانشجوی کارشناس ارشد روانشناسی، گروه روانشناسی، موسسه علامه فیض کاشانی، کاشان، ایران
2 - (نویسنده مسئول)، دانشیار، گروه روانشناسی، دانشکده علوم انسانی، دانشگاه کاشان، کاشان، ایران tamannai@kashanu.ac.ir Tel: 09131616609
الکلمات المفتاحية: احساس تنهایی, بازماندگان, حمایت اجتماعی ادراک شده, سرطان پستان, شفقت به خود با اختلال سوگ طولانی مدت, مدل¬یابی معادلات ساختاری,
ملخص المقالة :
چکیده مقدمه: هدف از پژوهش حاضر بررسی مدل¬یابی معادلات ساختاری نقش میانجی احساس تنهایی در رابطه بین حمایت اجتماعی ادراک شده و شفقت به خود با اختلال سوگ طولانی مدت در بازماندگان متوفی سرطان پستان بود. روش پژوهش: روش این مطالعه توصیفی- همبستگی بود. جامعه آماری پژوهش بازماندگان متوفی(فرزندان و همسران) سرطان پستان شهر قم در فروردین و اردیبهشت سال 1403 بودند. حجم نمونه بر اساس مدل کلاین با روش نمونهگیری هدفمند 300 نفر انتخاب شد. ابزار گردآوری داده¬¬های پژوهش شامل مقیاس اختلال سوگ طولانی مدت(PG-13-R) پریگرسون و همکاران، مقیاس چندبعدی حمایت اجتماعی ادراک شده(MSPSS) زیمت و همکاران، مقیاس شفقت خود(SCS) نِف و مقیاس احساس¬تنهایی-نسخه سوم(UCLALS3) راسل بود. داده‌ها با استفاده از همبستگی پیرسون و معادلات ساختاری تحلیل شد. یافته¬ها: یافته¬های پژوهش نشان داد که اثرات مستقیم حمایت اجتماعی ادراک شده(77/0- =β و 001/0=sig) و شفقت خود(47/0- =β و 001/0=sig) بر اختلال سوگ طولانی مدت معنادار بود. همچنین نتایج نشان داد که احساس تنهایی در رابطه بین حمایت اجتماعی ادراک شده(65/0- =β و 001/0=sig) و شفقت خود(62/0- =β و 001/0=sig) با اختلال سوگ طولانی مدت نقش میانجی و معنادار دارد. همچنین مدل نهایی پژوهش از برازش مطلوبی برخوردار بود (06/0=RMSEA و 05/0>p). نتیجه¬گیری: با توجه به یافته¬های این پژوهش و اهمیت نقش حمایت اجتماعی ادراک شده و شفقت به خود در اختلال سوگ طولانی مدت، به روانشناسان پیشنهاد می¬شود، از آموزش حمایت اجتماعی و مداخلات مبتنی بر شفقت خود برای کاهش اختلال سوگ طولانی مدت در بازماندگان متوفی سرطان پستان استفاده کنند
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1. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: a cancer journal for clinicians. 2021; 71(3): 209-49. https://doi.org/10.3322/caac.21660
2. Abachizadeh K, Moradi-Kouchi A, Ghanbari-Motlagh A, Kousha A, Shekarriz-Foumani R, Erfani A. Breast cancer in Iran: Levels, variations and correlates. Community Health (Salamat ijtimai). 2018; 5(1): 11-21. https://journals.sbmu.ac.ir/ch/index.php/ch/article/view/15856/14461
3. Whelan TJ, Smith S, Parpia S, Fyles AW, Bane A, Liu FF, Levine MN. Omitting radiotherapy after breast-conserving surgery in luminal a breast cancer. New England Journal of Medicine, 2023; 389 (7): 612-619. https://doi.org/10.1056/NEJMoa2302344
4. Yue L, Luo Y, Jiang L, Sekido Y, Toyokuni S. PCBP2 knockdown promotes ferroptosis in malignant mesothelioma. Pathology International, 2022; 72 (4): 242-251. https://doi.org/10.1111/pin.13209
5. Jefford M, Howell D, Li Q, Lisy K, Maher J, Alfano CM, Emery J. Improved models of care for cancer survivors. The Lancet, 2022; 399(10334): 1551-1560. https://doi.org/10.1016/s0140-6736(22)00306-3
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