اثربخشی پارادوکس درمانی بر اضطراب درد و همدلی خود در زنان مبتلا به سرطان پستان

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی بالینی، گروه روانشناسی، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران

2 دانشیار گروه روانشناسی، واحد گرمسار، دانشگاه آزاد اسلامی، گرمسار، ایران

3 استاد گروه روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه تهران، تهران، ایران

4 دانشیار گروه روانشناسی، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران

چکیده

مقدمه: پژوهش حاضر با هدف تعیین اثر بخشی پارادوکس درمانی بر اضطراب درد و همدلی خود در زنان مبتلا به سرطان پستان انجام شد.
روش: طرح پژوهش تک آزمودنی از نوع چند خط‌پایه‌ای با دورة پیگیری بود. جامعه آماری این پژوهش تمامی بیماران زن مبتلا به سرطان پستان بیمارستان‌های شهر تهران در سال 401- 1400 بود. نمونه آماری 3 زن مبتلا به سرطان پستان بود. جلسات درمانی به صورت انفرادی اجراء گردید. ابزارهای پژوهش، پرسشنامه اضطراب درد مک کراکن و دینگرا و پرسشنامه همدلی معنوی پور و همکاران بودند. داده‌ها با استفاده از شاخص درصد بهبودی، تحلیل‌های درون‌موقعیتی و بین‌موقعیتی در نرم‌افزارهای SPSS و Excel، بررسی شدند.
یافته‌ها: نتایج درصد بهبودی نشان داد که پارادوکس درمانی بر اضطراب درد در زنان مبتلا به سرطان پستان در مرحله درمان تأثیر متوسط به بالا و در مرحله پیگیری تاثیر زیاد داشته است و برای متغیر همدلی خود در مرحله درمان و پیگیری تاثیر متوسط داشته است. تحلیل‌های دیداری و نتایج تحلیل‌های درون‌موقعیتی و بین‌موقعیتی حاکی از تفاوت معنادار بین مرحله خط‌پایه و مداخله برای همة شرکت کننده‌ها بود (100=PND). ماندگاری اثر پارادوکس درمانی بر اضطراب درد و همدلی خود در زنان مبتلا به سرطان پستان در مرحلة پیگیری تأیید شد.
نتیجه‌گیری: براساس یافته‌های این پژوهش مشخص شد که پارادوکس درمانی بر اضطراب درد و همدلی خود در زنان مبتلا به سرطان پستان مؤثر است، لذا پیشنهاد می شود روان شناسان بالینی از این درمان برای کاهش اضطراب درد و افزایش همدلی خود در زنان مبتلا به سرطان پستان استفاده کنند.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The Effectiveness of Paradox Therapy on Pain Anxiety and Self-Empathy in Women with Breast Cancer

نویسندگان [English]

  • alireza jamshidi 1
  • Davood Manavipour 2
  • M. A Besharat 3
  • Mina Mojtabaei 4
1 PhD student in clinical psychology, Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran
2 Associate Professor, Department of Psychology, Garmsar Branch, Islamic Azad University, Garmsar, Iran
3 Professor, Depatment of Psychology, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran
4 Associate Professor, Department of Psychology, Rudehen Branch, Islamic Azad University, Rudehen, Iran
چکیده [English]

Introduction: The aim of the present study was to assess the effectiveness of paradox therapy in alleviating pain anxiety and enhancing self-empathy among women diagnosed with breast cancer.Method: The research employed a single-case, multiple-baseline design with follow-up phases. The study included female with breast cancer who sought treatment at hospitals in Tehran between 2021 and 2022. A sample of three patients was selected from this population, The assessment tools utilized were the Pain Questionnaire by McCracken and Dhingra and the Empathy Questionnaire by Manavipour et al. The data were analyzed using the improvement percentage index, as well as within- and between-situation analyses with the assistance of SPSS and Excel software.
Results: The results indicated that paradox therapy had a moderate to high effect on reducing pain anxiety among women with breast cancer during the treatment stage and a high effect during the follow-up phase. It also demonstrated a moderate effect on self-empathy both during treatment and follow-up. The intra-situational and inter-situational analyses revealed significant differences between the baseline and intervention stages for all participants (PND=100). The efficacy and sustainability of paradox therapy in addressing pain anxiety and enhancing self-empathy among women with breast cancer were confirmed during the follow-up phase.Conclusion: The findings of this research suggest that paradox therapy holds promise as a method for reducing pain anxiety and increasing self-empathy in women diagnosed with breast cancer. Therefore, it is recommended that clinical psychologists consider utilizing this treatment approach to alleviate pain anxiety and promote self-empathy in this population

کلیدواژه‌ها [English]

  • paradox therapy
  • pain anxiety
  • self-empathy
  • woman
  • breast cancer
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