اثربخشی آموزش اختصاصی‌سازی حافظه بر تنظیم هیجان و تبعیت درمانی بیماران مبتلا به سرطان

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی، واحد شاهرود، دانشگاه آزاد اسلامی، شاهرود، ایران

2 استاد، گروه روانشناسی بالینی، دانشگاه خوارزمی، مؤسسه آموزش عالی علوم‌شناختی، تهران، ایران

3 استادیار، گروه روان­ شناسی، واحد شاهرود، دانشگاه آزاد اسلامی، شاهرود، ایران

4 استاد، گروه روانشناسی، دانشکده علوم‌تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

چکیده

مقدمه: سرطان از چالش‌برانگیزترین بیماری‌های عصر حاضر است. لذا انتخاب و کاربست مداخله‌ای با هدف ارتقای کیفیت زندگی، سلامت روانشناختی و سازگاری بیماران سرطانی حائز اهمیت است. در پژوهش حاضر اثربخشی آموزش اختصاصی‌سازی حافظه به‌عنوان مداخله‌ای کوتاه‌مدت بر تنظیم‌هیجان و تبعیت‌درمانی بیماران سرطانی بررسی شد.
روش: پژوهش حاضر به لحاظ هدف کاربردی و به لحاظ نحوه گردآوری اطلاعات نیمه‌آزمایشی با طرح اندازه‌گیری مکرر، پیش‌آزمون و پس‌آزمون با گروه کنترل است. جامعه آماری پژوهش شامل بیماران سرطانی مراجعه‌کننده به مراکز درمانی تهران در سال 1400 بود. از این جامعه‌ آماری، با روش نمونه‌گیری در دسترس، نمونه پژوهشی ۶۰ نفره انتخاب شد که به‌صورت تصادفی در دو گروه ۳۰ نفره جایگزین ‌شدند؛ گروه مداخله به مدت ۶ جلسه ۹۰ دقیقه‌ای آموزش دریافت کردند و گروه دوم به‌عنوان گروه کنترل در نظر گرفته شد. داده‌ها با استفاده از مصاحبه نیمه‌ساختاریافته، پرسشنامه تنظیم‌هیجان (CERQ) و پرسشنامه تبعیت درمان و در مرحله پیش‌آزمون، پس‌آزمون و پیگیری از دو گروه جمع‌آوری شد. برای تحلیل نتایج نرم‌افزار ۲۴-SPSS و روش تحلیل واریانس آمیخته استفاده شد.
یافته­ ها: نتایج نشان داد که افزایش راهکارهای تنظیم‌هیجان در گروه آموزش اختصاصی‌سازی حافظه نسبت به گروه کنترل مشاهده می‌شود؛ همچنین در خصوص تبعیت درمانی بین دو گروه آموزش اختصاصی ‌سازی حافظه و گروه کنترل تفاوت معناداری وجود دارد و اثر اصلی گروه(0/251= F=13/85،P<0/01،Ƞ2)، اثر اصلی زمان (0/825= F=274/22،P<0/01،Ƞ2) و اثر تعاملی گروه*زمان (0/830= F=283/21،P<0/01،Ƞ2) معنادار است.
نتیجه­ گیری: آموزش اختصاصی‌سازی حافظه به بهبود راهبردهای سازگارانه و تعدیل راهکارهای ناسازگارانه تنظیم‌هیجان و همچنین افزایش تبعیت‌درمانی در این بیماران می‌انجامد.

کلیدواژه‌ها

عنوان مقاله [English]

Effectiveness of Memory Specificity Training on Emotion Regulation and Adherence in Cancer Patients

نویسندگان [English]

  • Pouya Iavaei 1
  • Alireza Moradi, 2
  • Mahboobe Taher 3
  • Niloofar Mikaeili 4
1 PhD student in psychology, Shahrood Branch, Islamic Azad University, Shahrood, Iran
2 Professor, Department of Clinical Psychology, Khwarazmi University, Higher Education Institute of Cognitive Sciences, Tehran, Iran
3 Assistant Professor, Department of Psychology, Shahrood Branch, Islamic Azad University, Shahrood, Iran
4 Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, Mohaghegh Ardabili University, Ardabil, Iran
چکیده [English]

Abstract
Introduction: Cancer is one of the most  challenging diseases in the current age. Therefore it is important to choose and use an intervention aimed at improving the quality of life, mental health, and adaptation to the disease in cancer patients. This research is carried out to determine the effectiveness of Memory Specificity Training, as a short-term training intervention, on emotion regulation and adherence in cancer patients.
Method: This survey is applied research using a semi-experiment design that applies repeated measures (pre-test/post-test/follow-up) control group. The study population consisted of all outpatients in Tehran hospitals and medical care centers, who are diagnosed with Cancer in 2021. 60 patients were recruited by convenience sampling method. They were randomly categorized into experimental and control groups. Participants in the experimental group received Memory Specificity Training in 90 minutes sessions for 6 weeks. Patients were interviewed by a semi-structured clinical interview and filled out Cognitive Emotion Regulation Questionnaire (CERQ) and Adherence Questionnaire. Data were analyzed by mixed variance analysis and SPSS-24.
Results: Significant higher and lower scores were found respectively for adaptive emotion regulation strategies and maladaptive strategies in the Memory Specificity Training group compared to the control group.  A significant difference was also observed in adherence scores. Significant indices of Group Main Effect (F=13.85, p<0.01, Ƞ2=0.251), Time Main Effect (F=274.22, p<0.01, Ƞ2=0.825), and Interaction Main Effect (F=283.21, p<0.01, Ƞ2=0.830) were found.
Conclusion: Memory Specificity Training leads to improving emotion regulation strategies and increasing adherence in cancer patients.

کلیدواژه‌ها [English]

  • Memory Specificity Training
  • Emotion Regulation
  • Adherence
  • Cancer

مراجع

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سابقه مقاله

  • تاریخ دریافت: 24 بهمن 1400
  • تاریخ بازنگری: 21 شهریور 1401
  • تاریخ پذیرش: 09 آبان 1401

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