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.

10.22038/mjms.2023.24126

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

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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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