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Maede Asadollah Najafi; Batool Aminjafari; Mehdi Marvi
Abstract
Objectives: Cancer has experienced alarming growth in the last two decades and is considered as an urgent health problem of modern life. Meanwhile, breast cancer is one of the most common types of cancer, and its annual incidence is increasing at a rate of 1.8 to 2% in the world, and it ranks first among ...
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Objectives: Cancer has experienced alarming growth in the last two decades and is considered as an urgent health problem of modern life. Meanwhile, breast cancer is one of the most common types of cancer, and its annual incidence is increasing at a rate of 1.8 to 2% in the world, and it ranks first among all women's cancers. However it has a major difference from other chronic diseases. In addition to requiring long-term care and treatment, it cannot be completely cured. This study aimed to investigate the effectiveness of group self-healing training on distress tolerance, emotional reactivity and anxiety in women with breast cancer in Isfahan. Methods: It was semi-experimental in the form of pre-test-post-test with a control group. The statistical population included all women with breast cancer in Isfahan who had referred to support center for cancer patients in the first quarter of 2011, and their number was 93 people in this period of time based on the statistics received from the counseling center. 30 people were selected as the sample through available sampling and were placed in two experimental (15 people) and control (15 people) groups. The used tools were Simons & Gaher's distress tolerance (2005), Matuo & Nock's emotional reactivity (2008) and Reese and Patterson anxiety (1985) questionnaires. Self-healing group training sessions based on the protocol of Latifi and Meravi (2017) adapted from Loyd and Johnson (2010) were conducted during 14 sessions. The data were analyzed using SPSS-24 software in two descriptive and inferential (normalization and MANCOVA) according to the investigated hypotheses. Results: The results showed that group self-healing training on distress tolerance and its dimensions (tolerance, evaluation and regulation), emotional reactivity (sensitivity, intensity and stability) and anxiety (fear of physical symptoms, fear of cognitive control distortion, fear of observing anxiety reactions) is effective in women with cancer in Isfahan (P<0.05). Conclusion: Therefore, it seems that this method can be used for breast cancer patients. The reason for the effectivness of self-healing training on reducing cancer patients’ anxiety and stress in physical and psychological dimensions can be attributed to the effects of direct training in the field of fear and anxiety in this intervention. In this treatment method for treating anxiety, strategies include self-education and communication management (keeping calm, avoiding haste, avoiding useless discussions, speaking in a soft tone, not reacting quickly and not judging quickly), trusting others (patience, calmness, happiness and entrusting the solution of the problem to a higher power), adjustment of idealism (reducing the desire to be perfect and accepting mistakes as an inseparable part of every human being), order and time management (having discipline, planning and prioritization and doing necessary daily tasks), correct connection with the mind (living in the present moment), and using physical and muscle relaxation techniques (muscle relaxation, breathing, hydrotherapy, swimming, walking, religious behaviors, watching the sky, listening to the sound of water, meditation and yoga, the use of relaxing audio files at least once a day) were used and the patients were helped to reduce their anxiety to a great. Considering the confirmation of the effectiveness of self-healing training on reducing emotional reactivity and anxiety in people with cancer, it is suggested that doctors and nurses pay attention to their psychological condition in addition to physical treatments for these patients and if they observe psychological problems caused by the disease, refer them to psychologists and counsellors. It is also suggested to set up counseling and psychological centers for cancer patients in hospitals.
Flora EzzatPanah; Zohre Latifi
Abstract
Objective: The purpose of this study was to determine the effectiveness training based on acceptance, commitment and compassion on pain catastrophizing, distress tolerance and post-traumatic growth in patients with fibromyalgia syndrome. Method: This study was done by semi-experimental approach with ...
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Objective: The purpose of this study was to determine the effectiveness training based on acceptance, commitment and compassion on pain catastrophizing, distress tolerance and post-traumatic growth in patients with fibromyalgia syndrome. Method: This study was done by semi-experimental approach with two groups and three stages (pre-test, posttest & follow up). 30 patients with fibromyalgia syndrome were selected through available sampling and randomly assigned into experimental and control groups. Intervention was administered to the experimental group for 10 sessions. The research tools were included of the Pain Catastrophizing Scale of Sullivan et al (1995), Simons & Gaher Distress Tolerance Questionnaire (2005), and Post Traumatic Growth Questionnaire of Tedeschi & Calhoun (1996). Findings: The results showed that training based on acceptance, commitment and compassionhas significant effects on pain catastrophizing, distress tolerance and post-traumatic growth in patients with fibromyalgia syndrome (p < 0.001). These effects have remained in the 45 days follow-up period. Conclusion: According to the results, training based on acceptance, commitment and compassionhave implications for improving the psychological state of patients with fibromyalgia that can be used to improve the quality of life of these patients.
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samira Rahmani javanmard; M.H Khani
Volume 6, Issue 23 , December 2017, , Pages 136-150
Abstract
Introduction: the present study aimed to compare Alexithymia, Distress tolerance, and Anger rumination among patients with Hypertension and normal people. Method: The research design is causal-comparative or ex post facto which is a descriptive – analytic method. The population is all ...
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Introduction: the present study aimed to compare Alexithymia, Distress tolerance, and Anger rumination among patients with Hypertension and normal people. Method: The research design is causal-comparative or ex post facto which is a descriptive – analytic method. The population is all patients with hypertension from the health care centers and hospitals of Aleshtar, Lorestan. The total numbers of the participants is 40 clients which we select them by at hand sampling method. We compare these clients with 40 normal people. Data were analyzed using multivariate analysis of variance. Results: Results indicated that there is a significant difference between patients with Hypertension and normal people in terms of their total scores in alexithymia, distress tolerance, and anger rumination Conclusion: we need to consider these psychological factors in treatment programs.
