مقایسه مشکلات روانشناختی در دختران نوجوان با و بدون مادر مبتلا به سرطان پستان
محورهای موضوعی : تربیتی
1 - استاد تمام گروه روان شناسی، دانشگاه شهید چمران اهواز، اهواز، ایران
کلید واژه: دختران نوجوان, مشکلات روانشناختی, مادر سرطانی,
چکیده مقاله :
هدف از پژوهش حاضر مقایسه مشکلات روانشناختی در دختران نوجوان با و بدون مادر مبتلا به سرطان پستان بود. روش پژوهش توصیفی از نوع علی- مقایسه‌ای بود. جامعه آماری شامل کل دختران نوجوان بین 13 تا 18 سال مراجعه کننده به بخش آنکولوژی بیمارستان آموزشی درمانی بیمارستان گلستان اهواز در سال 1396 بود و کل دختران نوجوان بین 13 تا 18 سال شهر اهواز بودند که مادر سرطانی نداشتند. به روش نمونه‌گیری در دسترس 57 آزمودنی برای گروه والد مبتلا (با میانگین سنی 31/16)و 57 نفر برای گروه فاقد والد مبتلا (با میانگین سنی 02/16) مشخص گردیدند و به پرسشنامه‌های جهت‌گیری منفی نسبت به مشکل (Robichuad & Dogus, 2005)مقیاس ناامیدی (Beck et al., 1974)و مقیاس استرس ادراک‌شده (Chohen et al., 1983) پاسخ دادند. تحلیل یافته‌ها با استفاده از تحلیل واریانس چند متغیری نشان داد که تفاوت معنی‌داری بین جهت‌گیری منفی نسبت به مشکل و نومیدی بین دو گروه وجود دارد (05/0 p<) به طوری که دختران دارای والد سرطانی جهت گیری نسبت به مشکل و نومیدی بیشتری برخوردار بودند اما در متغیر استرس ادراک‌شده تفاوت معنی‌داری بین دو گروه دختران نوجوان با والدین سرطانی و بدون والد سرطانی نبود (9/0 p =). نتایج این پژوهش نشان داد که عوامل روانشناختی در دختران نوجوان دارای والد مبتلا به سرطان باید مورد توجه قرار گیرد.
The aim of this study was to compare the Psychological Problems in Adolescent Girls with and without Breast Cancer Mothers. This study was a comparative research. The statistical population consisted of all adolescent girls between the ages of 13 to 18 years who referred to the oncology ward of Golestan Hospital of Ahvaz for 6 months as a companion mother with cancer and all adolescent girls between 13 to 18 years Ahvaz city without cancer mother. Using convenience sampling, 57 adolescent girls were identified for the group with the cancer parent (mean age 16/31) and 57 for the without cancer parent group (mean age 16.02). In order to collect information, NOPQ (Robichuad & Dogus, 2005), Hopelessness Scale (Beck & et al., 1974) and Pecieved Stress Scale (Chohen et al., 1983) was used. The results of analysis of variance indicated that there was a significant difference between negative orientation problem and hopelessness between two groups (p<0.05) that is girls with cancer mother had high Negative Orientation to Problem Questionnaire and hopeless than girls without cancer mother but in perceived stress, there was no significant difference between two groups of adolescent girls with and without cancer parents (p = 0.9). The results of this study suggest that psychological factors in adolescent girls with a parent with cancer should be addressed.
Aliloo, M.M., Shahjoie, T., & Hashemi, Z.,(2010). Comparison of Intolerance of Uncertainty, Negative Problem Orientation, Cognitive Avoidance, Positive Beliefs about Worries in Patient whith Generalized Anxiety Disorder and Control Group. Journal of Modern Psychological Researches, 5(20), 169-187.[Persian]
Azarbarzin, M., Malekian, A., & Taleghani, F. (2016). Adolescents experiences when living with a parent with cancer: A qualitative study. Iranian Red Crescent Medical Journal, 18(1), e26410.
Beck, A. T., Weissman, A., Lester, D., Trexler, L. (1974). The measurement of pessimism: The hopelessness scale. Journal of Consulting and Clinical Psychology, 42(6), 861-865.
Campus, B. E., Wosham, N. L., Epping-Jardan, J. E., Grant, K. E., Mireault, G., Howell, D. C., & Malcame, V. L. (1994). When mom and dad has cancer: Markers of psychological distress in cancer patients, spouses and children. Journal of Health Psychology, 13(6), 507-575.
Chen, R., Fall, K., Czene, K., Kennedy, B., Yaldimarsdottir, U., & Fang, F. (2018). Impact of parental cancer on IQ, stress resilience, and physical fitness in youngmen. Clinical Epidemiology, 20(10), 593-604.
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385-396.
Davis – Ali SH, Chesler MA, Chesney BK. (1993). Recognizing cancer as a family disease: Worries and support reported by patients and spouses. Journal of Work in Health Care, 19(2), 45-65.
Engelhardt, J. A. (2012). The developmental implications of prettification: Effects on childhood attachment. Graduate Student Journal of Psychology, 14, 45-52.
Fotokian, Z., Alikhani, M., Salman Yazdi, N., & Jamshidi, R.(2004). Quality Of lives of primary relatives providing Care for their cancer patients. Iranian Journal of Nursing, 17(38),1-10. [Persian]
Gazendam-Donofrio, S. M., Hoekstra, H. J., van der Graaf, W. T., van de Wiel, H. B., Visser, A., & Huizinga, G. A. (2011). Adolescents’ emotional reactions to parental cancer: Effect on emotional and behavioral problems. Journal of Pediatric Psychology, 36(3), 346-59.
Ghahari, Sh., Fallah, R., Bolhari,J.,Mosavi,S.M.,Razaghi, Z.,& Akbari, M.E.(2012). Effectiveness of cognitive- behavioral and spiritual- religious interventions on reducing anxiety and depression of women with breast cancer. Knowledge & Research in Applied Psychology, 13(4), 33-40.[Persian]
Ginter, A., & Braun, B. (2014). Single mothers with breast cancer: Relationships with their children", family relationships and familial responses to health issues (Contemporary Perspectives in Family Research, Vol. 8A. pp. 163-182.). England: Emerald Group Publishing Limited.
Goudarzi, M.A (2002). The study of reliability and validity of beck hopelessness scale in a group of shiraz university students.Journal of Social Sciences and Humanities of Shiraz University, 18(2), 27-39.[Persian]
Hajrasuliha M, Yazdkhasti F, Oreyzi HR.(2016). The Relationship of Behavioral-Emotional Problems and Skills of Children of Parents with Cancer Compared with Control Group. Journal of Research Behavior Science. 14(3): 401-8.[Persian]
Huizinga, G. A., Visser, A., van der Graaf, W. T. A., Hoekstra, H. J., & Hoekstra-Weebers, J. E. H. M. (2005). The quality of communication between parents and adolescent children in the case of parental cancer. Annals of Oncology, 16(12), 1956-1961.
Inhestern, L. & Bergelt, C. (2018). When a mother has cancer: Strains and resources of affected families from the mother’s and father’s perspective – a qualitative study. BMC Women’s Health, 18(1), 1-18.
Jansson, K. B., & Anderzen-Carlsson, A. (2017). Adolescents perspectives of living with a parents cancer: A unique and personal experience. Cancer Nursing, 40(2), 94-101.
Kravel, K., Simon, A., Krause- Hebecker, N., Czimalmos, A., Bottomley, A., & Flechtner, H. (2012). When a parent has cancer: Challenges to patients, their families and health providers. Expert Review of Pharmacoeconomics & Outcomes Research, 12(6), 795-808.
Majid, M. H., Khokar M. A, Abid, M., Raza, A., Qaisar, M. N., Ali, A. A., & Wagas, A. (2018). Frequency and correlates of symptoms of anxiety and depression among young caregivers of cancer patients: A pilot study. BMC Research Notes, 11(1), 631.
Mehrabani, F., Barati, F., Ramezanzadeh Tabrizi, E.,Bakaeian, M., Golami Chaboki, B.(2016). Unpleasant Emotions (Stress, Anxiety and Depression) and it is Relationship with Parental Bonding and Disease and Demographic Characteristics in Patients with Breast Cancer, 9(3),42-52.[Persian]
Morris, J. N., Martini, A., & Preen, D. (2016). The well-being of children impacted by a parent with cancer: An integrative review. Support Care Cancer, 24(7), 3235-51.
Panganbian, C. A., & Medina, J. M. (2011). Family resources study: Part 1: Family resources, family function and caregiver strain in childhood cancer. Asia Practice Family Medicine, 10(4), 1-11.
Phillips, F. (2015). The experience of adolescents who have a parent with advanced cancer: A phenomenological inquiry. Palliative & Supportive Care, 295(13), 1057-1069.
Robichaud, M., & Dugas, M. J. (2005). Negative problem orientation (part II): Psychometric properties of a new measure. Behavior Research and Therapy, 43(3), 39-401.
Safaei, M., & Shokri, O.(2014). Assessing stress in cancer patients: Factorial validity of the perceived stress scale in Iran. Iranian Journal of Psychiatry Nursing, 2(1), 13-22.
Sajadian A, Hydary L, Mokhtari Hesari P. ( 2015). Common breast cancer family care giving problems. Iranian Quarterly of Breast Diseases, 8(2), 7-14 [Persian].
Semple, C.J., McCance, T. (2010). Parent’s experience of cancer who young children: a literature review. Cancer Nursing, 33(2), 110-118.
Shastfooladi, M., & Manshaei, G.R. (2015). The effectiveness of emotion regulation group training on perceived stress in women with breast cancer in Isfahan, Knowledge & Research in Applied Psychology, 16(4), 14-22 .[Persian]
Sieh, D. S., Dikkers, A. L. C., Visser-Miely, J. M. N., & Meijer, A. (2012). Stress in adolescents with a chronically III parent: Inspiration from Rollands family- illness model. Journal of Developmental and Physical Disabilities, 24(6), 591-606.
Sieh, D. S., Meijer, A. M., Oort, F. J., Visser-Meily, J. M. A., & van der Leij, D A. V. (2010). Problem behavior in children with a chronically ill parent: A meta-analysis. Clinical Child and Family Psychology Review, 13(4), 384-397.
Thapa, P., Rawal, N., & Bista, Y. (2010). A study of depression and anxiety in cancer patients. Nepal Medical College Journal, 12(3), 171-175.
Visser, A., Huizinga, G. A., Graaf, W. T., Hoekstra, H. J., & Hoekstra-Weebers, J. E. (2004). The impact of parental cancer on children and the family: A review of the literature. Cancer Treatment Reviews, 30(8), 683-694.
Weaver, K.E., Rowland J.H., Alfano C.M. & McNeel, T.S.(2010). Parental cancer and the family: a population- based estimate of the number of US cancer survivors residing with their minor children. Cancer, 116(18), 4395-4401
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