بررسی مقایسه‌ای اثربخشی واقعیت درمانی و درمان وجودی بر تاب‌آوری زنان مبتلا به سرطان سینه
محورهای موضوعی : زن و خانوادهسمیه افشارپور 1 , علی نقی اقدسی 2
1 - کارشناس ارشد ، روانشناسی بالینی، دانشکده علوم انسانی، واحد تبریز ، دانشگاه آزاد اسلامی ، تبریز، ایران.
2 - استادیار ،گروه مشاوره، واحد تبریز، دانشگاه آزاد اسلامی، تبریز، ایران ( نویسنده مسئول )
aghadasi@iaut.ac.ir
کلید واژه: زنان, واقعیت درمانی, سرطان سینه, تاب‌آوری, درمان وجودی,
چکیده مقاله :
هدف پژوهش حاضر، مقایسه اثربخشی واقعیت درمانی و درمان وجودی بر تاب‌آوری زنان مبتلا به سرطان سینه بود که به روش نیمه آزمایشی همراه با پیش‌آزمون و پس‌آزمون با گروه کنترل و گمارش تصادفی انجام گرفت. جامعه آماری مطالعه، شامل زنان مبتلا به سرطان سینه شهرستان خوی در نه ماهه اول سال 1397 بود. افراد نمونه در مرحله نخست به صورت نمونه‌گیری هدفمند از بیمارستان شهید مدنی خوی که تحت عمل و شیمی درمانی قرار گرفته بودند، انتخاب شدند و پس از تکمیل مقیاس تاب‌آوری به صورت تصادفی در دو گروه کنترل (12نفر) و آزمایش (12 نفر) گمارده شدند. داده‌های حاصل با آزمون تحلیل کواریانس تجزیه و تحلیل شد. نتایج حاصل از این پژوهش نشان داد که واقعیت‌درمانی و درمان وجودی باعث افزایش تاب‌آوری و مولفه‌های آن شده‌اند. همچنین میزان اثربخشی واقعیت درمانی بر تاب‌آوری و مولفه‌های آن نسبت به درمان وجودی بیشتر بوده است. بر این اساس نتیجه گرفته می‌شود، واقعیت درمانی و درمان وجودی باعث افزایش تاب-آوری در زنان مبتلا به سرطان سینه می‌شود که این افزایش، در واقعیت درمانی نسبت به درمان وجودی بیشتر است.
The aim of this study was to compare the effectiveness of reality therapy and existential therapy on the resilience of women with breast cancer. This study was A quasi-experimental one with pre-test and post-test and control group. The statistical population of the study included women with breast cancer in Khoy city in the first nine months of 2018. In the first stage, the subjects were selected by purposive sampling from Shahid Madani Khoy Hospital who had undergone surgery and chemotherapy. After completing the resilience scale, they were randomly divided into two groups of control (n = 12) and experimental (n = 12). The data were analyzed by analysis of covariance. The results of this study showed that reality therapy and existential therapy have increased resilience and its components. Also, the effectiveness of reality therapy on resilience and its components has been more than existential therapy. Based on the findings, it can be concluded that reality therapy and existential therapy increase resilience in women with breast cancer, and its effect is more in reality therapy than existential therapy.
Ahmadian, N., Tabrizi, M. (2018). The Effectiveness of Group Counseling Based on Reality Therapy on Resiliency in Parents of Autistic Children in Isfahan City. Exceptional Education. 1 (150), 35-44. [In Persian]
American Psychiatrie Association. (2013). Diagnostic and statistical manual of mental disorders. American Psychiatric Publishing.
Arefi, M., & Ganjoori, M. (2017). Effectiveness of reality therapy training on psychological well-being of deaf students. Quarterly journal of social work. 6(1), 21-8. [In Persian]
Bari, N. S., Bahrainian, S. A., Azargoon, H., Abedi, H., & Aghaee, F. (2013). The effectiveness of reality therapy on resiliency of divorced Women in Neyshabour City of Iran. International Research Journal of Applied and Basic Sciences. 6(2), 160-64.
Brunet, J., O'Loughlin, J. L., Gunnell, K. E., & Sabiston, C. M. (2018). Physical activity and depressive symptoms after breast cancer: Cross-sectional and longitudinal relationships. Health Psychology. 37(1), 14- 23.
Chan, C. L., Chan, T. H., & Ng, S. M. (2006). The strength-focused and meaning-oriented approach to resilience and transformation (SMART) a body-mind-spirit approach to trauma management. Social Work in Health Care. 43(2-3), 9-36.
Conor, L., & Davidson, M. (2003). An inventory for resilience construct. Personality and Individual Differences. 35, 41-53.
Corey, G. (2015). Theory and practice of counseling and psychotherapy. Nelson Education.
DeSantis, C. E., Ma, J., Goding Sauer, A., Newman, L. A., & Jemal, A. (2017). Breast cancer statistics, 2017, racial disparity in mortality by state. CA: a cancer journal for clinicians. 67(6), 439-448.
Eicher M, Matzka M, Dubey C, White K. (2015). Resilience in adult cancer care: an integrative literature review. Oncol Nurs Forum. 42(1), 3–16.
Emami, M., Askarizade, GH., Fazilatpour, M. (2018). Effectiveness of Cognitive – Behavioral Stress Management Group Therapy on Resilience and Hope in Women with Breast Cancer. Postive psychology. 4 (12), 1-13. [In Persian]
Esmi, Z. (2016). The effectiveness of acceptance and commitment therapy on quality of life, mental health and self-care behaviours of cancer patient. A Thesis for Master Degree in Clinical Psychology. Al-Zahra University. [In Persian].
Gamasian mobarakeh, A., Dokaneheeifard, F. (2017). The effectiveness of reality therapy on increasing resiliency, life expectancy and improve the quality of life of infertile women Infertility Center Sarm. Counseling Culture and Psycotherapy. 8(29), 237-262. [In Persian]
Harirchi, I., Ebrahimi, M., Zamani, N., Jarvandi, S. & Montazeri A. Breast cancer in Iran: Results of multi-center study. Asian Pacific Journal of Cancer Prevention. 2004; 5(1):24-27.
Helmreich, I., Kunzler, A., Chmitorz, A., König, J., Binder, H., Wessa, M., & Lieb, K. (2017). Psychological interventions for resilience enhancement in adults. The Cochrane Database of Systematic Reviews. 2017(2).
Heydarpour, S., Parvane, E., Saqqezi, A., Ziapour, A., Dehghan, F., & Parvaneh, A. (2018). Effectiveness of group counseling based on the reality therapy on resilience and psychological well-being of mothers with an intellectual disabled child. International Journal of Pediatrics. 6(6), 7851-7860.
Jalili nikoo, S., Rezaei, Z., Nejati nezhad, N., Ghasemi jobaneh, R., Nooryan, K. (2015). Effectiveness of Existential Psychotherapy in Increasing the Resiliency of Infertile Women . Armaghane danesh. 20 (5), 453-459 [In Persian]
Kissane, D. W., Bloch, S., Smith, G. C., Miach, P., Clarke, D. M., Ikin, J., ... & McKenzie, D. (2003). Cognitive‐existential group psychotherapy for women with primary breast cancer: a randomised controlled trial. Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer. 12(6), 532-546.
Mancini, A. D., & Bonanno, G. A. (2009). Predictors and parameters of resilience to loss: Toward an individual differences model. Journal of personality. 77(6), 1805-1832.
Mason, D., Palmer, C., Duba, D., & Jill, D. (2009). Using reality therapy in schools: Its potential impact on the effectiveness of the ASCA national model. International journal of reality therapy. 29(2), 5-12.
Molina, Y., Jean, C. Y., Martinez-Gutierrez, J., Reding, K. W., Joyce, P., & Rosenberg, A. R. (2014). Resilience among patients across the cancer continuum: diverse perspectives. Clinical journal of oncology nursing. 18(1), 93-101.
Nazari A, Zarghami S. (2009). Existential psychotherapy, individual and group therapy. Tehran: Pazineh Press. [In Persian]
Padilla-Ruiz, M., Ruiz-Román, C., Pérez-Ruiz, E., Rueda, A., Redondo, M., & Rivas-Ruiz, F. (2019). Clinical and sociodemographic factors that may influence the resilience of women surviving breast cancer: cross-sectional study. Supportive Care in Cancer. 27(4), 1279-1286.
Pedram, M., Mohammadi, M., Naziri, G. & Ayyin Parast, N. Effectiveness Of Cognitive Behavioral Group Therapy On The Treatment Of Anxiety & Depression Disorders & On Raising Hope In Women With Breast Cancer. Journal of Woman & Society. 2011; 1(4):61-75.
Pettit, T. J., Fiksel, J., & Croxton, K. L. (2010). Ensuring supply chain resilience: development of a conceptual framework. Journal of business logistics. 31(1), 1-21.
Prochaska, J., Norcross, C.J. (1999). Systems of psychotherapy : a trans theoretical analysis. Translated by Yahya seyed mohammadi (2010). Tehran: Roshd Publications. [In Persian]
Rahimian Boogarو E., Asgharnejad Farid, A.A. (2008). The Relationship between Psychological Hardiness also Ego-resiliency and Mental Health in Adolescent and Adult Survivors of Bam Earthquake. Iranian Journal of Psychiatry and Clinical Psychology. 14 (1), 62-70. [In Persian]
Ramezani, K., Ehteshami, F. (2015). The Effectiveness of Group Reality Therapy on Increasing Resiliency in M.S. Patients. Achievements of Clinical Psychology. 1(1), 77-92. [In Persian]
Rezaie, R., Nazari, A. M., Zahrakar, K., & Smaeelifar, N. (2013). Effectiveness of existential psychotherapy in increasing the resiliency of mentally retarded children’s mothers. International Journal of Psychology and Behavioral Research. 2(2), 59-64.
Sadegi Somee Oliyaei, R., KHodabakhshi Kolaei, A., Akbari, M.S., Kohsariyan, M. & Kalhorniya Golkar, M. Body image and selfesteem: A comparison of two groups of women with breast cancer. Iranian Quarterly Journal of Breast Disease. 2012; 5(2, 3): 16-29.
Shameli, R., Hasani, F. (2017). The effectiveness of reality therapy on resilience in mothers with children afflicted by cancer. Thoughts and Behavior in Clinical Psychology. 12(43), 77-87. [In Persian]
Shirvani H, Alhaghi F, Montazeri A. (2017). The Effect of Family-centered Empowerment Model on the Functional Scales Quality of Life in Women with Breast Cancer Undergoing Chemotherapy. Iranian journal of diseases breast. 10 (1), 61-72. [In Persian]
Tajikzade, F., Sadeghi, R., Raees karimian, F. (2016). The comparison of resilience, coping style and pain catastrophizing in cancer patients and normal people. Journal of anesthesiologhy and pain. 7 (3), 38-48. [In Persian]
Tavoli, A., Montazeri, A., Mohagheghi, M.A., Roshan, R., Tavoli, Z., Melyani, M. (2007). Knowledge of cancer diagnosis and quality of life in patient with gaetrointestinal cancer. Payesh. 6 (3), 257-264. [In Persian]
Tedeschi RG, Calhoun LG. (1995). Trauma and transformation: growing in the aftermath of suffering. Available from: http://sk.sagepub.com/books/trauma-and-transformation.
Thiede, B. (2016). Resilience and development among ultra-poor households in rural Ethiopia. Resilience. 4(1), 1-13.
Van Deurzen. E. (2002). Existential counselling & psychotherapy in practice. London: Sage Publications.
Walsh, F. (2011). Strengthening Family Resilience. Translated by: Dehghani, M., Khajehrasooli, M., Mohammadi, S., Abbasi, M (2nd edition). Tehran: Danzheh. [In Persian]
Yaghmaei, F. (2005). Introducing a new scale for activities of daily living. Journal of Faculty Nursing and Midwifery of ShahidBeheshti University of Medical Sciences and Health Services.15(50) 3-12. [In Persian]
Zimmermann, C., Burman, D., Bandukwala, S., Seccareccia, D., Kaya, E., Bryson, J., ... & Lo, C. (2010). Nurse and physician inter-rater agreement of three performance status measures in palliative care outpatients. Supportive care in cancer, 18(5), 609-616.
_||_