با همکاری مشترک دانشگاه پیام نور و انجمن روانشناسی سلامت

نوع مقاله : علمی- پژوهشی

نویسندگان

1 دانشجوی دکتری روانشناسی سلامت، دانشگاه آزاد اسلامی واحد کرج، کرج، ایران. )نویسنده مسئول 1

2 کارشناس ارشد روانشناسی بالینی، دانشگاه علوم پزشکی لرستان، خرم آباد، ایران.

3 دانشجوی دکتری روانشناسی بالینی، دانشگاه علم و فرهنگ، تهران، ایران.

4 دانشجوی دکتری روانشناسی سلامت، دانشگاه آزاد اسلامی واحد کرج، کرج، ایران.

5 کارشناس ارشد روانشناسی بالینی، دانشگاه آزاد اسلامی واحد علوم تحقیقات تهران، ایران.

چکیده

هدف: توجه به علائم روانشناختی بیماران سرطان پستان به دلیل تاثیر نیرومند بر ابتلا، سیر و پیش­آگهی این بیماری، بسیار مهم است. پژوهش حاضر با هدف  بررسی اثر بخشی درمان فراشناختی به شیوه گروهی بر افسردگی و نشخوار فکری زنان مبتلا به سرطان پستان انجام شد.
روش:  پژوهش حاضر، نیمه­آزمایشی با پیش­آزمون-پس­آزمون و دوره پیگیری (2 ماه و 4 ماه) بود که در اسفند 1391 تا اردیبهشت 1392 انجام شد. در این پژوهش 24  نفر از بیماران مبتلا به سرطان پستان مراجعه­کننده به بیمارستان امام حسین شهر تهران به شیوه نمونه­گیری دردسترس انتخاب شدند و به صورت تصادفی در دو گروه درمان فراشناختی (n=12) و گروه گواه (n=12) قرار گرفتند و با استفاده از مصاحبه ساختار­یافته بالینی (SCID)، پرسشنامه اضطراب، افسردگی و استرس (DASS-21) و پرسشنامه نشخوار فکری (RRS) مورد پیش­آزمون قرار گرفتند. سپس گروه آزمایش به مدت 8 جلسه تحت آموزش درمان فراشناختی قرار گرفت و گروه گواه هیچ مداخله­ایی دریافت نکرد. در پایان هر دو گروه مورد پس­آزمون و 2 مرحله پیگیری (2 ماه و 4 ماه) قرار گرفتند و داده­ها با استفاده از نرم­افزار 20-SPSS و روش تحلیل کوواریانس چند متغیره مورد تجزیه و تحلیل قرار گرفتند.
یافته­ها: پژوهش حاضر نشان داد که بین دو گروه آزمایش و گواه پس از اجرای درمان فراشناختی تفاوت معناداری وجود دارد) 005/0> .(P به طوری­که، میانگین نمره افسردگی و نشخوار فکری گروه آزمایش نسبت به گروه کنترل کاهش یافت.
نتیجه­ گیری: با توجه به نتایج پژوهش که نشان داد درمان فراشناختی در کاهش علائم افسردگی و نشخوار فکری زنان مبتلا به سرطان پستان موثر می­باشد، می­توان پیشنهاد داد که به غربالگری روانشناختی بیماران مبتلا به سرطان پرداخته و بیماران نیازمند مداخله طی کارآزمایی­های بالینی مناسب مورد توجه قرار بگیرند.

کلیدواژه‌ها

عنوان مقاله [English]

Effectiveness of Meta-Cognitive Therapy on Depression and Rumination in Women with Breast Cancer

نویسندگان [English]

  • Soheila Rahmani 1
  • Samaneh Mohammad pour 2
  • Bijan Pirnia 3
  • Eshagh Samekhanian 4
  • Abed Mahdavi 5

2 M.A in psychology, Lorestan Medical Siences University, Khoram abad, Iran.

3 PhD Student of Clinical Psychology

4 Phd Student of Health Psychology, Islamic Azad University, Karaj, Iran.

5 M.A in Psychology, Islamic Azad University, Tehran, Iran.

چکیده [English]

Objective: Attending to the psychological symptom in patient with breast cancer because of strong influence on Incidence, progression and prognosis of this disease is very important. The aim of present study was investigating the Effectiveness of Meta-Cognitive Therapy on Depression and Rumination in Women With Breast Cancer.
 
Methods: This research was semi-experimental with pretest-posttest and follow-up (2 & 4 Month) from February to May in 2013. In this study 24 Patient with breast cancer who attended to Imam Hosein Hospital in Tehran city were selected by convenience sampling method and randomly were assigned in 2 experimental group (n=12) and control group (n=12) and Structured Clinical Interview (SCID), Depression Anxiety and Stress Scale (DASS-21) and Ruminative Response Scale were administrated as pretest. In the end, post-test and 2 step follow-up (2 & 4 month) was administrated on two groups and data were analyzing with SPSS-20 software and multivariate covariance analysis.
 
Results: The results of the present study indicated that after administrated Meta-Cognitive Therapy there were significant differences between the control and experimental groups (p.
 
Conclotion: Considering the result of study that showed Meta-cognitive therapy in reduction of depression and rumination is effective, can be recommended that psychological screening in patient with breast cancer and attention to appropriate clinical trials for patient. 

کلیدواژه‌ها [English]

  • Meta-Cognitive Therapy
  • Depression
  • rumination
  • breast cancer
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