اثربخشی یکپارچه‌سازی طرح‌واره درمانی با درمان پذیرش و تعهد بر ترس از عود سرطان زنان مبتلا به سرطان پستان

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجو دکترای روانشناسی، گروه روانشناسی، واحد زاهدان، دانشگاه آزاد اسلامی، زاهدان، ایران.

2 استادیار گروه روانشناسی، واحد زاهدان، دانشگاه آزاد اسلامی، زاهدان، ایران. (نویسنده مسئول)

3 دانشیار گروه روانشناسی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران.

4 استادیار گروه روانشناسی، واحد زاهدان، دانشگاه آزاد اسلامی، زاهدان، ایران.

چکیده

مقدمه: یکی از بزرگ‌ترین نگرانی‌ها در سرطان، ترس از عود است و ممکن است باعث اضطراب جدی در بیمار شود. ازاین‌رو، توجه به این مسئله حائز اهمیت است. هدف از پژوهش حاضر بررسی اثربخشی طراحواره درمانی یکپارچه با درمان پذیرش و تعهد بر ترس از عود سرطان زنان مبتلا به سرطان پستان بود.
روش کار: روش تحقیق حاضر نیمه‌آزمایشی با طرح پیش‌آزمون، پس‌آزمون و پیگیری سه ماه با گروه کنترل بود. پژوهش جامعه آماری پژوهش را تمام زنان مبتلا به سرطان پستان  شهرستان یزد را تشکیل دادند. از این میان تعداد 30 نفر به روش نمونه‌گیری در دسترس انتخاب شدند و به طور تصادفی در دو گروه آزمایش (15 نفر) و کنترل (15 نفر) جایگزین شدند. دو نفر از شرکت‌کنندگان گروه آزمایش در مرحله پس­آزمون ریزش داشتند و دو نفر از اعضا گروه کنترل در مرحله پیگیری.  ابزار جمع‌آوری داده­ها عبارت بود از پرسشنامه ترس از عود سرطان سیماراد و ساوارد (2009) بود. تجزیه‌وتحلیل داده‌ها با استفاده از نرم‌افزار SPSS نسخه 27 و آزمون تحلیل واریانس مختلط انجام شد.
نتایج: یافته‌های به‌دست‌آمده از تجزیه‌وتحلیل داده‌ها نشان داد که بین دو گروه آزمایش و کنترل در میزان ترس از عود سرطان پس از دریافت مداخله جلسات درمانی طراحواره درمانی یکپارچه با درمان پذیرش و تعهد تفاوت معناداری وجود دارد. همچنین یافته‌های مرحله پیگیری نشان داد که کاهش میزان ترس از عود سرطان در گروه آزمایش در مرحله پیگیری پایدار بوده است.
نتیجه‌گیری: همان‌طور که یافته‌ها نشان داد، می‌توان گفت طراحواره درمانی یکپارچه با درمان پذیرش و تعهد بر کاهش ترس از عود سرطان زنان مبتلا به سرطان پستان تأثیر معناداری داشته است.

کلیدواژه‌ها

عنوان مقاله [English]

Effectiveness of Integrative Schema Therapy with Acceptance and Commitment Therapy on Fear of Cancer Recurrence in Women with Breast Cancer

نویسندگان [English]

  • Zahra Karami Mohajery 1
  • Fatemeh Soghra Karbalaei Herofteh 2
  • Javad Khalatbari 3
  • Mohammad Ali Fardin 4
1 PhD student in psychology, Department of Psychology, Zahedan Branch, Islamic Azad University, Zahedan, Iran.
2 Assistant Professor, Department of Psychology, Zahedan Branch, Islamic Azad University, Zahedan, Iran. (Corresponding Author)
3 Associate Professor, Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.
4 Assistant Professor, Department of Psychology, Zahedan Branch, Islamic Azad University, Zahedan, Iran.
چکیده [English]

Introduction: Fear of cancer recurrence is one of the primary concerns among cancer patients, often leading to significant anxiety. Therefore, addressing this issue is crucial for improving the well-being of patients. The aim of this study was to investigate the effectiveness of integrative schema therapy with acceptance and commitment therapy (ACT) on the fear of cancer recurrence in women diagnosed with breast cancer.
Methods: This study utilized a semi-experimental design with pre-test, post-test, and three-month follow-up assessments, including a control group. The target population consisted of all women diagnosed with breast cancer in Yazd city. Thirty participants were selected using convenience sampling and randomly assigned to either the experimental group (n=15) or the control group (n=15). Two participants from the experimental group and two from the control group dropped out during the follow-up phase. Data were collected using the Fear of Cancer Recurrence Questionnaire developed by Simard and Savard (2009). Data analysis was performed using SPSS version 26 and mixed variance analysis tests.
Results:  The results of data analysis revealed a significant difference between the experimental and control groups in terms of fear of cancer recurrence following the integrative schema therapy sessions combined with acceptance and commitment therapy. Furthermore, the findings from the follow-up phase indicated that the reduction in fear of cancer recurrence observed in the experimental group remained stable over time.
Conclusion: In conclusion, the findings of this study suggest that integrative schema therapy with acceptance and commitment therapy had a significant effect on reducing the fear of cancer recurrence among women diagnosed with breast cancer. These results emphasize the potential efficacy of integrating different therapeutic approaches in addressing psychological concerns in cancer patients.

کلیدواژه‌ها [English]

  • Integrative schema therapy with acceptance and commitment
  • fear of recurrence
  • cancer
  • breast cancer
  • women

مراجع

  1. World Health Organization. Breast cancer 2023, 12 July [Available from: https://www.who.int/news-room/fact-sheets/detail/breast-cancer.
  2. Sisti A, Huayllani MT, Boczar D, Restrepo DJ, Spaulding AC, Emmanuel G, et al. Breast cancer in women: a descriptive analysis of the national cancer database. Acta Bio Medica: Atenei Parmensis. 2020;91(2):332.
  3. Carreira H, Williams R, Dempsey H, Stanway S, Smeeth L, Bhaskaran K. Quality of life and mental health in breast cancer survivors compared with non-cancer controls: a study of patient-reported outcomes in the United Kingdom. Journal of Cancer Survivorship. 2021;15:564-75.
  4. Carreira H, Williams R, Müller M, Harewood R, Stanway S, Bhaskaran K. Associations between breast cancer survivorship and adverse mental health outcomes: a systematic review. JNCI: Journal of the National Cancer Institute. 2018;110(12):1311-27.
  5. Dinapoli L, Colloca G, Di Capua B, Valentini V. Psychological aspects to consider in breast cancer diagnosis and treatment. Current oncology reports. 2021;23(3):1-7.
  6. Schubart JR, Emerich M, Farnan M, Stanley Smith J, Kauffman GL, Kass RB. Screening for psychological distress in surgical breast cancer patients. Annals of surgical oncology. 2014;21:3348-53.
  7. Hashemi S-M, Rafiemanesh H, Aghamohammadi T, Badakhsh M, Amirshahi M, Sari M, et al. Prevalence of anxiety among breast cancer patients: a systematic review and meta-analysis. Breast Cancer. 2020;27:166-78.
  8. Loughan AR, Lanoye A, Aslanzadeh FJ, Villanueva AAL, Boutte R, Husain M, et al. Fear of cancer recurrence and death anxiety: unaddressed concerns for adult neuro-oncology patients. Journal of clinical psychology in medical settings. 2021;28:16-30.
  9. Luz P, Carvalho AN, Oliveira A, Menezes M, Dinis R, Gosalbez B. Fear of death among young breast cancer patients during adjuvant endocrine therapy. European Journal of Cancer. 2020;138:S122.
  10. Baqutayan SMS. The effect of anxiety on breast cancer patients. Indian journal of psychological medicine. 2012;34(2):119-23.
  11. Charalambous A, Kaite CP, Charalambous M, Tistsi T, Kouta C. The effects on anxiety and quality of life of breast cancer patients following completion of the first cycle of chemotherapy. SAGE open medicine. 2017;5:2050312117717507.
  12. Simard S, Savard J. Fear of Cancer Recurrence Inventory: development and initial validation of a multidimensional measure of fear of cancer recurrence. Supportive care in cancer. 2009;17:241-51.
  13. Meissner VH, Olze L, Schiele S, Ankerst DP, Jahnen M, Gschwend JE, et al. Fear of cancer recurrence and disease progression in long‐term prostate cancer survivors after radical prostatectomy: a longitudinal study. Cancer. 2021;127(22):4287-95.
  14. Dsouza SM, Vyas N, Narayanan P, Parsekar SS, Gore M, Sharan K. A qualitative study on experiences and needs of breast cancer survivors in Karnataka, India. Clinical Epidemiology and Global Health. 2018;6(2):69-74.
  15. Schapira L, Zheng Y, Gelber SI, Poorvu P, Ruddy KJ, Tamimi RM, et al. Trajectories of fear of cancer recurrence in young breast cancer survivors. Cancer. 2022;128(2):335-43.
  16. Tran TXM, Jung S-Y, Lee E-G, Cho H, Kim NY, Shim S, et al. Fear of cancer recurrence and its negative impact on health-related quality of life in long-term breast cancer survivors. Cancer Research and Treatment: Official Journal of Korean Cancer Association. 2022;54(4):1065-73.
  17. Feros DL, Lane L, Ciarrochi J, Blackledge JT. Acceptance and Commitment Therapy (ACT) for improving the lives of cancer patients: a preliminary study. Psycho‐oncology. 2013;22(2): 59-64.
  18. Harris R. Embracing your demons: An overview of acceptance and commitment therapy. Psychotherapy in Australia. 2006;12(4):70-6.
  19. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: Model, processes and outcomes. Behaviour research and therapy. 2006;44(1):1-25.
  20. Fang S, Ding D. A meta-analysis of the efficacy of acceptance and commitment therapy for children. Journal of Contextual Behavioral Science. 2020;15:225-34.
  21. Rafaeli E. Schema therapy. Encyclopedia of Personality and Individual Differences: Springer; 2020. p. 4559-64.
  22. Kiarasi Z, Emadian SO, Fakhri MK. Effectiveness of Logotherapy on Fear of disease progression, Death Anxiety of cancer in Women with Breast Cancer. Iranian Journal of Cancer Care. 2023;2(1):3-10. [In Persian].
  23. Arabameri F, Khodabakhshi-Koolaee A. The role of early maladaptive schemas on coping styles and fear of recurrence in women with breast cancer: a cross-sectional study. Multidisciplinary Cancer Investigation. 2021;5(4): 1-9.
  24. Bredicean AC, Crăiniceanu Z, Oprean C, Riviș IA, Papavă I, Secoșan I, et al. The influence of cognitive schemas on the mixed anxiety-depressive symptoms of breast cancer patients. BMC Women's Health. 2020;20:1-10.
  25. Choobforoushzadeh A, Fatemi aghda N, Nasimi P. Comparing the Effectiveness of Education Based on Acceptance and Commitment with Mindfulness-Based Stress Reduction in Reducing Anxiety and Depression of Infertile Women. Journal of Research in Behavioural Sciences. 2023;21(2):275-88. [In Persian].
  26. Colombo N, Gore M. Treatment of recurrent ovarian cancer relapsing 6–12 months post platinum-based chemotherapy. Critical reviews in oncology/hematology. 2007;64(2):129-38.
  27. Durazo A, Cameron LD. Representations of cancer recurrence risk, recurrence worry, and health-protective behaviours: an elaborated, systematic review. Health Psychology Review. 2019;13(4):447-76.
  28. Fardell JE, Thewes B, Turner J, Gilchrist J, Sharpe L, Smith AB, et al. Fear of cancer recurrence: a theoretical review and novel cognitive processing formulation. Journal of cancer survivorship. 2016;10:663-73.
  29. Ghaneay AK, Shahbazi M, Koraei A. The Effectiveness of Combined Acceptance and Commitment and Cognitive-Behavioral Therapy (ACT-CBT) on Attitude Change and Self-Esteem. Journal of Research in Behavioural Sciences. 2023;21(3):463-74. [In Persian].
  30. Ghayour Kazemi F, Shahhabizadeh F, Safara M, Shahidsales S. Effectiveness of Transdiagnostic Intervention and Mindfulness-Based Schema Therapy on Cancer Self-Efficacy and Resilience in Women with Breast Cancer. North Khorasan University of Medical Sciences. 2022;14(3):24-33. [In Persian].
  31. Jolani E, leilabadi L, Golshani A. Comparison of the effectiveness of Cognitive Behavioral Therapy with using Rumi stories and Acceptance and Commitment Therapy on Distress Tolerance of Mothers of Children with Cerebral Palsy. Journal of Research in Behavioural Sciences. 2023;21(2):238-60. [In Persian].
  32. Mato S, Saffarinia M, Alipour A. Comparison of the effectiveness of spiritual therapy and cognitive-behavioral therapy on fear of recurrence and white blood cells in women with breast cancer. Rooyesh-e-Ravanshenasi Journal(RRJ). 2023;12(3):153-64. [In Persian].
  33. Moghtadaei K, Ebrahimi A, Haghayegh SA, Rezai Jamalouei H, Adibi P. Investigating the effectiveness of acceptance and commitment therapy on treatment compliance and pain intensity in patients with irritable bowel syndrome. Journal of Research in Behavioural Sciences. 2023;21(1):22-31. [In Persian].
  34. Soleimany S, Khanzadeh M, Ansari Shahidi M. The Comparison of the Acceptance and Commitment Therapy and Mentalization Based Treatment on Conflict Resolution Strategies in Spouses Whose Partners Affected by OCD. Journal of Research in Behavioural Sciences. 2023; 21(3): 540-549. [In Persian].
مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 66، شماره 2
خرداد-تیر 1402
خرداد و تیر 1402
صفحه 260-270

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