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Gholamreza Talebi; Hasan Rezayi Jamaloui; Reza Bagherian Sararodi; Hamidreza Oreyzi; Pegah Bagherian-Sararoudi
Abstract
Objective: Breast cancer is one of the most common cancers among women and the leading cause of cancer-related mortality. From its diagnosis to treatment and potential recurrence, it significantly impacts the quality of life and life satisfaction of patients. In fact, breast cancer influences patients' ...
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Objective: Breast cancer is one of the most common cancers among women and the leading cause of cancer-related mortality. From its diagnosis to treatment and potential recurrence, it significantly impacts the quality of life and life satisfaction of patients. In fact, breast cancer influences patients' lifestyles and presents numerous challenges. Unfortunately, individuals diagnosed with cancer are inevitably confronted with their own mortality. Consequently, death anxiety is evident among these patients, often resulting in an abnormal fear of death accompanied by feelings of panic and dread. Following a cancer diagnosis, women frequently experience intense psychological reactions, one of which is the sensation of being close to death. Today, death anxiety is recognized as a critical psychological factor in cancer patients. Moreover, breast cancer reduces distress tolerance in affected individuals. The psychological distress caused by cancer is a specific emotional discomfort experienced temporarily or permanently by individuals in response to particular stressors and harmful demands. Given the significance of this condition, the present study aimed to investigate the effectiveness of meaning-centered group therapy on death attitudes and distress tolerance in women with breast cancer. Method: In this quasi-experimental study with a pretest-posttest and follow-up design with control group, 36 women with breast cancer and death anxiety were selected through convenience sampling from Sayed al-Shohada Hospital and the Ala Cancer Prevention and Control Center in Isfahan during 2020–2021. They were randomly assigned to an experimental group (18 participants) and a control group (18 participants). The experimental group underwent eight weekly 90-minute sessions of meaning-centered group therapy. Data were collected using the Templer Death Anxiety Scale (1970), Wong et al.'s Death Attitudes Profile (1994), and the Simons and Gaher Distress Tolerance Scale (2005) at three stages: pretest, posttest, and follow-up. Data were analyzed using repeated measures ANOVA with SPSS-23 software. Results: The results indicated that meaning-centered group therapy significantly improved death attitudes and distress tolerance in the experimental group (P < 0.01). Conclusion: It appears that meaning-centered group therapy positively impacts death attitudes and distress tolerance in women with breast cancer. In Meaning-Centered Therapy, by revisiting the definition of suffering and hardship, individuals are encouraged to seek life-affirming meaning when facing life’s difficulties and challenges, enabling them to cope with these hardships in a constructive manner. If a person successfully finds meaning in the bitter and discouraging events of life, they will be able to endure its adversities. Meaning-Centered Therapy emphasizes the freedom of the human spirit, asserting that individuals are not governed by deterministic laws. Humans have the right to choose their attitude toward any given situation. Decision-making is left to the individual, and no external factor has the power to dictate how one thinks or behaves in the face of unchangeable circumstances. Individuals are always responsible for their actions and words. Consequently, the perspective one adopts toward issues and difficulties is of paramount importance in this therapeutic approach. Meaning-Centered Therapy aims to foster a meaning-oriented outlook in individuals when confronted with hardships. Therefore, it is evident that Meaning-Centered Therapy can influence an individual’s attitude toward difficulties and challenges, enhancing their capacity to tolerate distress. Therefore, it is recommended to use meaning-centered therapy to support women with breast cancer experiencing death anxiety.
Seyyedeh Hakimeh Mousavi; Reza Bagherian-saraoudi; farahnaz meschi; javad khalatbari; bouk tajeri
Abstract
Objective: The health literacy for breast cancer patients plays an important role in accessing adequate diagnostic and therapeutic measures. The aim of this study was to investigate the mediating role of resilience in the relationship between health literacy and specific quality of life among patients ...
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Objective: The health literacy for breast cancer patients plays an important role in accessing adequate diagnostic and therapeutic measures. The aim of this study was to investigate the mediating role of resilience in the relationship between health literacy and specific quality of life among patients with breast cancer. Method: In this cross-sectional study, 213 consecutive patients with breast cancer were selected based on the inclusive and exclusive criteria. Then, the pateints completed questionaires of Iranian version of health literacy, quality of life and resilience. Data were analysed using SPSS and LISREL software by path analysis model. Findings: All components of health literacy and specific quality of life were significantly correlated with resilience. Also there was a significant association between health literacy and specific quality of life. The findings showed that as far as the health literacy is increased, the resilience scores significantly are also increased. Conclusion: It seems that resilience plays the mediating role between health literacy and specific quality of life among pateints with breast cancer. Therefore, it is necessary to consider the relational model between these factors for developmemt of psychological protpcols and intagarating those protocols in therapeutic plans for bearst cancer pateints.
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hakimeh mousavi; reza Bagherian
Abstract
Objective: Health literacy is a broad concept defined in a variety of ways. Health literacy is the capacity for acquisition, processing, understanding of information and basic services for appropriate health decisions. Health literacy is heavily important for breast cancer patients so that therapists ...
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Objective: Health literacy is a broad concept defined in a variety of ways. Health literacy is the capacity for acquisition, processing, understanding of information and basic services for appropriate health decisions. Health literacy is heavily important for breast cancer patients so that therapists can decide on a complex set of decision-making decisions based on diagnosis and treatment when physical and emotional distress. Breast cancer is the most common cancer among women throughout the world. Considering the effect of this disease and its treatment on different dimensions of life, evaluating the level of health literacy of patients in order to improve their health seems useful before any study. Method: This study was conducted with the aim of reviewing the world literature on health literacy and breast cancer. In this systematic study, the terms health literacy and Breath Cancer were searched in the title and abstract of the articles published in internationally recognized scientific databases and all English and related articles were listed. Findings: Then the abstract of the articles was examined and in several stages repeated and unrelated items were excluded from the study. Finally, the final papers were selected for comprehensive review and data extraction. Conclusion: The overall result of this study was that according to the literature reviewed, literacy can have an impact on the prevention of breast cancer and the management of symptoms resulting from the disease.
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Reza Bagherian; Gholam Reza Kheirabadi; Mohammad Reza Maracy; Sara Ghaneeian
Abstract
Objective: Appropriate self-care is the base of treatment in hemodialysis patients. The aim of this study was to determine the relationship between psychological factors (personality traits, anxiety, depression and stress) and the self- care of hemodialysis patient. Method: In a cross-sectional study ...
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Objective: Appropriate self-care is the base of treatment in hemodialysis patients. The aim of this study was to determine the relationship between psychological factors (personality traits, anxiety, depression and stress) and the self- care of hemodialysis patient. Method: In a cross-sectional study 125 patients under chronic hemodialysis admitted to Al-Zahra and Noor hospitals of Isfahan city in 2012 were enrolled to the study with regard to the inclusion and exclusion criteria. Data collection tools were including three questionnaires (the five-factor personality inventory (Neo Big-5), Depression Anxiety Stress Scale (DASS) and Hemodialysis Self-care checklist that after the choice of samples were given to complete. the data was analyzed by multivariate regression model. Findings: Depression and conscientiousness are significantly correlated with self-care in hemodialysis patients. There is an inverse correlation between self-care and depression and a direct correlation between conscientiousness with self-care. Conclusion: It seems that pay attention to psychological factors are required in practice with hemodialysis patients.