تأثیر درمان مبتنی بر پذیرش و تعهد بر انعطاف‌پذیری روان‌شناختی، رشد پس از آسیب و کیفیت زندگی در بیماران مبتلابه سرطان پستان

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی سلامت، دانشگاه خوارزمی، تهران، ایران

2 استادیار، گروه روانشناسی تربیتی، دانشکده روانشناسی دانشگاه خوارزمی، تهران، ایران

3 دانشیار، گروه روانشناسی بالینی، دانشکده روانشناسی بالینی دانشگاه خوارزمی، تهران، ایران

4 استادیار، دانشکده پزشکی دانشگاه علوم پزشکی البرز، البرز، ایران

چکیده

مقدمه: این پژوهش با هدف بررسی اثربخشی درمان مبتنی بر پذیرش و تعهد بر رشد پس از آسیب و کیفیت زندگی در بیماران مبتلابه سرطان پستان انجام شد.
روش: پژوهش حاضر از نوع آزمایشی با پیش آزمون-پس آزمون-پیگیری همراه با گروه کنترل می‌باشد. جامعه آماری شامل کلیه بیماران مبتلابه سرطان پستان مراجعه‌کننده به بیمارستان‌های استان البرز در تابستان 1397 است و نمونه این پژوهش 30 نفر از بیمارانی بود که واجد ملاک‌های ورود به پژوهش بودند و به‌صورت تصادفی در دو گروه آزمایش و کنترل قرار گرفتند. سپس پروتکل درمان مبتنی بر پذیرش و تعهد طی 10 جلسه روی گروه آزمایش اجرا شد و گروه کنترل هیچ‌گونه مداخله‌ای دریافت نکرد. برای تجزیه‌وتحلیل داده‌ها از آزمون تحلیل واریانس اندازه‌گیری با نرم‌افزار SPSS استفاده شد.
یافته‌ها: نتایج پژوهش نشان داد بین دو گروه آزمایش و کنترل در انعطاف‌پذیری روان‌شناختی، رشد پس از آسیب و کیفیت زندگی تفاوت معناداری وجود دارد (05/0p <).
نتیجه‌گیری: درمان مبتنی بر پذیرش و تعهد بر افزایش رشد پس از آسیب و کیفیت زندگی مؤثر است و متخصصان حوزه سلامت می‌توانند به منظور ارتقاء کیفیت زندگی در بیماران مبتلابه سرطان پستان از آن استفاده کنند.

کلیدواژه‌ها


عنوان مقاله [English]

The Effectiveness of Acceptance and Commitment Therapy on Psychological Flexibility, Post Traumatic Growth and Quality of Life in Women with Breast Cancer

نویسندگان [English]

  • Maryam Omidbeygi 1
  • Hamidreza Hassanabadi 2
  • Mohammad Hatami 3
  • Amir Abbas Vaezi 4
1 PhD Student in Health Psychology, Kharazmi University, Tehran, Iran
2 Assistant Professor, Department of Educational Psychology, Faculty of Psychology, Kharazmi University, Tehran, Iran
3 Associate Professor, Department of Clinical Psychology, Faculty of Clinical Psychology, Kharazmi University, Tehran, Iran
4 Assistant Professor, School of Medicine, Alborz University of Medical Sciences, Alborz, Iran
چکیده [English]

Abstract
Introduction: Breast cancer is the most common cancer and the second leading cause of death among women with many physical and psychological complications, decreasing the patient’s quality of life. Therefore, the aim of this study was to evaluate the efficacy of acceptance and commitment therapy on the psychological flexibility, post-traumatic growth and quality of life in patients with breast cancer.
Method: In a randomized clinical trial design with pre-test - post-test - fallow up paradigm, a sample of 30 breast cancer patients referred to the Alborz province hospitals selected (summer 2018) and randomly were divided into experiment and control groups after gaining inclusion criteria. Acceptance and commitment based treatment protocol was performed in 10 sessions for the experimental group and the control  receive no intervention. The psychological flexibility (MFPI), post-traumatic growth (PTG) and quality of life (FACT-B) questionnaires completed by patients before and after therapeutic interventions and in the follow-up phase.
Results: The results of mixed analysis of variance showed that the experimental group participants had a significantly higher scores of psychological flexibility, post-traumatic growth and quality of life than the control group. Also, the scores of these variables changed significantly over time from pre-test to follow-up. The interaction of the group in time showed that the participants of the experimental group obtained significantly higher scores in all variables than the control group in the post-test and follow-up stages, which indicated a regular interaction.
Conclusion: Acceptance and commitment therapy is effective on psychological flexibility, posttraumatic growth and quality of life in the breast cancer patients and can be used to improve the quality of life in these patients.

کلیدواژه‌ها [English]

  • Post Traumatic Growth
  • Psychological Flexibility Acceptance and Commitment Therapy
  • cancer
  • Quality of life
  • breast Cancer
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