روابط ساده و چندگانه نظم جویی هیجان، خودکارآمدی درد و ادراک بیماری با بهزیستی روانشناختی در زنان مبتلا به سرطان پستان

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس ارشد روانشناسی بالینی دانشگاه آزاد اسلامی اصفهان واحد خوراسگان، اصفهان، ایران

2 استادیار گروه روانشناسی بالینی، دانشکده روانشناسی و علوم تربیتی، دانشگاه آزاد اسلامی واحد اصفهان(خوراسگان)، ایران

3 استادیار، گروه داخلی دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: پژوهش حاضر با هدف بررسی روابط ساده و چندگانه نظم جویی هیجان، خودکارآمدی درد و ادراک بیماری با بهزیستی روانشناختی در زنان مبتلا به سرطان پستان انجام گردید.
روش: طرح پژوهش حاضر توصیفی از نوع همبستگی و جامعه آماری پژوهش شامل کلیه زنان مبتلا به سرطان پستان مراجعه کننده به مراکز درمانی شهر اصفهان در بهار 1397 بود. متعاقباً 160 زن مبتلا به سرطان پستان تحت درمان به روش نمونه­گیری در دسترس و بر اساس ملاک­های ورود و خروج انتخاب شدند. ابزار گردآوری داده­ها شامل پرسشنامه­های نظم­جویی هیجان گراس و جان، پرسشنامه خودکارآمدی درد نیکولاس (PSEQ)، پرسشنامه ادراک بیماری بردبنت و همکاران (IPQ) و مقیاس بهزیستی روانشناختی ریف (RPWS) بود. به منظور تحلیل داده ها از روش آماری ضریب همبستگی پیرسون و تحلیل رگرسیون خطی به روش گام به گام  به کمک نرم افزار SPSS-24 استفاده شد.
یافته‌ها: نتایج نشان داد که بین راهبرد ارزیابی مجدد (20/0)، درک پیامد (16/0)، کنترل شخصی (17/0)، کنترل درمان (16/0) و نمره کل ادراک بیماری (17/0) با بهزیستی روانشناختی زنان مبتلا به سرطان همبستگی مثبت و معناداری وجود دارد. نتایج تحلیل رگرسیون نشان داد که از بین متغیر­های پژوهش، متغیرهای 1-راهبرد ارزیابی مجدد و 2- درک پیامد بیماری به طور مثبت و معناداری می­تواند تغییرات مربوط به بهزیستی روانشناختی زنان مبتلا به سرطان پستان را پیش­بینی نماید . این دو متغیر بر روی هم قادر به تبیین 8 درصد از واریانس بهزیستی روانشناختی است.
نتیجه‌گیری: با توجه به نتایج به­دست آمده می­‌توان گفت که تغییرات در راهبرد ارزیابی مجدد و درک پیامد بیماری با تغییرات در بهزیستی روانشناختی زنان مبتلا به سرطان پستان همراه است. از این­رو می­توان با شناخت و درک عمیق تر از ویژگی­های روان شناختی و باورهای مربوط به بیماری در زنان مبتلا به سرطان پستان، گام­هایی را برای افزایش بهزیستی روانشناختی آنان با شرایط جدید برداشت.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Simple and Multiple Relationships of Emotional Regulation, Pain Self-efficacy and Perception of Disease with Psychological Well-being in Breast Cancer Women

نویسندگان [English]

  • Z Erisian, 1
  • H Torkan, 2
  • F. Mokarian, 3
1 Clinical Psychology Group, Islamic Azad University, Isfahan (Khorasgan) Branch
2 Associate Professor in Department of Clinical Psychology, Faculty of Psychology and Education, Isfahan (Khorasgan) Branch , Islamic Azad University, Isfahan , Iran
3 Associate Professor, Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
چکیده [English]

Introduction: The aim of this study was to investigate the multiple relationships between emotional regulation strategies, pain self-efficacy and disease perception with psychological well-being in women with breast cancer in Isfahan city.
Method: A descriptive  correlational research design were administered and statistical population included all breast cancer women referred to Isfahan health centers in the Spring 2018. Consequently, 160 breast cancer women were selected by available sampling method and based on inclusion/exclusion criteria. Data collection tools consisted of Gross and John's Emotion Regulation Questionnaires, Nicholas Pain Self-Efficacy Inventory (PSEQ), Bradbent et.al Illness Perception Questionnaire (IPQ) and Reif's Psychological Well-being Questionnaire(RPWS).
Results: The results showed that there is a positive and significant correlation between re-evaluation strategy(0/20), understanding the outcomes(0/16), personal control(0/17), treatment control(0/16) and total score of Perception of Disease(0/17) with psychological well-being in women with cancer.The results of a regression analysis showed that among all variables 1- perceived illness outcome and 2- re-appraisal strategy could significantly predict changes in the psychological well-being of breast cancer women. Two variables could explain 8% of the variance of psychological well-being.
Conclusion: According to the results, changes in the re-evaluation strategy and understanding the outcomes of the disease are associated with changes in the psychological well-being of women with breast cancer. Therefore, by recognizing and understanding deeper psychological characteristics and beliefs about the disease in women with breast cancer, they can take steps to increase their psychological well-being with new conditions.

کلیدواژه‌ها [English]

  • Emotional Regulation
  • Pain Self-efficacy
  • Illness Perception
  • psychological Well-being
  • breast Cancer

1- Moradzadeh R, Hasanzadeh J, Rajaaeifard A, Tahmasebi S, Golmohammadi P. Investigation on gene-environment interaction using breast cancer data a case-only and case-control designs. Journal of Rafsanjan University of Medical Sciences. 2011; 10(4): 267-78.

2- Seyed Tabaee R, Rahmatinejad P, Mohammadi D, Etemad A. The role of coping strategies and cognitive emotion regulation in well-being of patients with cancer. J Qazvin University medicine science. 2017; 21(2): 4-49.

3- Hajiyan S, Mirzaei Najm Abadi KH, Keramat F, Mirzaei H. Systematic review of the effect of muscle relaxation techniques and guided visualization on the reduction of pain and distress due to disease or complications of treatment in women with breast cancer during the years 1998-2007. ijbd. 2009; 1(14): 32-44.

4- Ryff CD, Keyes CL. The structure of psychological well-being revisited. Journal of personality and social psychology. 1995; 69(4): 719.

5- Ghasempour A, Jodat H, Soleimani M. comparison of Psychological Well-Being in Athlete and Non-Athlete Students. JRUMS. 2014; 13(2): 193-204.

6- Soroush M, Hejazi E, Shoakazemi M, Gheranpayeh L. Body Image Psychological Characteristics and Hope in Women with Breast Cancer. ijbd. 2015; 7(4): 52-63.

7- Neg C G, Mohamed S, Kaur K, Sulaiman A. H, Zainal N. Taib NA. Perceived distress and its association with depression and anxiety in breast cancer patients. Public Library of Science one. 2017; 12(3): 1729-75.

8- Abdi R, Pak R.  Investigating the Structural Relationship between Pathological Personality Dimensions and Emotion Dysregulation in Students of Azerbaijan Shahid Madani University and Islamic Art University of Tabriz in 2016. JRUMS. 2017; 16(4): 293-306.

9- Arabi E, Bagheri M. The mediating role of emotion regulation strategies on the relationship between pain intensity and quality of life in patients with chronic pain disorder. Quarterly J of health psychology. 2017; 6(22): 72-87.

10- Gross JJ, John OP.  Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. Journal of personality and social psychology. 2003; 85(2): 348.

11- Mulligan MM. Object relations, emotion regulation patterns, and quality of life in women diagnosed with breast cancer: Adelphi University, The Institute of Advanced Psychological Studies. 2012.

12- Schroevers M, Kraaij V, Garnefski N. How do cancer patients manage unattainable personal goals and regulate their emotions. British journal of health psychology. 2008; 13(3): 551-62.

13- Vallerand AH, Collins-Bohler D, Templin T, Hasenau SM. Knowledge of and barriers to pain management in caregivers of cancer patients receiving homecare. Cancer nursing. 2007; 30(1): 31-7.

14- Mohagheghi M, Sedighi Z. Pain control in cancer patients by opiate use. Tehran University Medical Journal TUMS Publications. 2003; 61(2): 95-102.

15- Asghari Moqaddam MA, Rahmati N, Sho’eyri MR.  The Mediational Role of Pain Self-Efficacy and Fear of Movement in Explaining the Relationship between Chronic Pain and Disability. Clinical Psychology Studies. 2012; 2(6): 141-68.

16- Pajares F, Schunk DH. Self and self-belief in psychology and education: A historical perspective.  Improving academic achievement: Elsevier. 2002; 3-21.

17- Alidoust Ghahfarokhi F, Makvand Hosseini S, Kiyanersi F, Moemeni A. Effectiveness of motivational interviewing on treatment adherence in dialysis patients in Hajar hospital of Shahrekord, 2013. J Shahrekord Univ Med Sci. 2015; 17(4): 17-24.

18- Kalantari H, Bagherian Sararoodi R, Afshar H KN, Forouzandeh N, Daghagh Zadeh H, Marashi MR, et al. Relationship between Illness Perceptions and Quality of Life in Patients with Irritable Bowel

 

Syndrome. J Mazand Univ Med Sci. 2012; 22(86): 33-41.

19- Cameron LD, Leventhal H. The self-regulation of health and illness behaviour. psychology press. 2003.

20- Leventhal H, Leventhal EA, Cameron L. Representations, procedures, and affect in illness self-regulation: A perceptual-cognitive model. Handbook of health psychology. 2001.

21- Lin Y, Furze G, Spilsury K, Lewin R. Misconceived & maladaptive beliefs about heart disease, comparison between Taiwan &British. journal of clinical nursing. 2008; 18: 46-55.

22- Cotton SP1, Levine EG, Fitzpatrick CM, Dold KH, Targ E.  Exploring the relationships among spiritual well-being, quality of life, and psychological adjustment in women with breast cancer. Psychooncology. 2000; 8(5): 429-38.

23- Peh CX, Kua EH, Mahendran R. Hope, emotion regulation, and psychosocial well-being in patients newly diagnosed with cancer. Supportive Care in Cancer. 2016; 24(5): 1955-62.

24- Claire C. Conley, Brenden T. Bishop, and Barbara L.  Emotions and Emotion Regulation in Breast Cancer on Emotional well-being,. Healthcare. 2016; 4(3): 56-63.

25- Li L, Zhu X, Yang Y, He J, Yi J, Wang Y, Zhang J. Cognitive emotion regulation: characteristics and effect on quality of life in women with breast cancer. Health and quality of life outcomes. 2015; 13(1): 51.

26- Tabachnick BG, Fidell LS. Using multivariate statistics (4th ed.). Boston. 2007.

27- Ghasem poor A, Eil Beygi R, Hasan Zade Sh. Psychometric Properties of Grass & John's Emotional Inventory in a Persian Model, Proceedings of the Sixth Students' Mental Health Seminar, Gilan. 2012.

28- Nicholas LJ.  The response of South African professional psychology associations to apartheid. Journal of the History of the Behavioral Sciences. 1990; 26(1): 58-63.

29- Boroumand A. Chronic pain, pain self-efficacy and suicidal ideation: The moderating role of pain self-efficacy on relation between depression and suicidal ideation in chronic pain patients. Journal of Fundamentals of Mental Health. 2012; 14(54): 63-152.

30- Broadbent E, Petrie KJ, Main J, Weinman J. W. The brief illness perception questionnaire. . Journal of psychosomatic research. 2006; 60(6): 631-7.

31- Bazzazian S, Besharat MA.  Attachment styles, illness perception and quality of life in patients with type I diabetes. Contemporary Psychology. 2010; 5(1): 3-11.

32- Ryff CD, Keyes CL, Hughes DL. Status inequalities, perceived discrimination, and eudaimonic well-being: Do the challenges of minority life hone purpose and growth? Journal of health and Social Behavior. 2003; 1(275-91).

33- Ryff CD, Singer B. Flourishing under fire: Resilience as a prototype of challenged thriving. 15–36). ICLMKJHEPpatlwp, editor. Washington, : DC: APA. 2006.

34- SeyedTabaee R, Rahmatinejad P, Mohammadi D, Etemad A. The role of coping strategies and cognitive emotion regulation in well-being of patients with cancer. J Qazvin Univ Med Sci. 2017; 21(2): 41-9.