با همکاری مشترک دانشگاه پیام نور و انجمن روانشناسی سلامت

نوع مقاله : علمی- پژوهشی

نویسندگان

1 مربی گروه روانشناسی دانشگاه پیام نور.

2 استادیار ، دانشگاه آزاد اسلامی واحد بیرجند ،ایران.

چکیده

مقدمه: شواهد قابل‌توجه موجود نشان می­دهد که بیماران مبتلا به سرطان از ناراحتی­های روان‌شناختی طولانی‌مدت و اساسی مرتبط با اشکال متفاوت سرطان و درمان طبی آن رنج می­برند. پژوهش حاضر با هدف بررسی اثربخشی مداخلات روانی آموزشی بر بهبود بهزیستی روان‌شناختی بیماران مبتلا به سرطان انجام شد. روش: در یک پژوهش نیمه آزمایشی با پیش­آزمون ـ پس­آزمون و گروه کنترل، 12 نفر از بیماران 20 تا 40 ساله مبتلا به سرطان به روش نمونه­گیری در دسترس انتخاب و به‌صورت تصادفی در دو گروه آزمایش و کنترل قرار گرفتند. افراد گروه آزمایش در معرض مداخلات 12 جلسه­ای روانی آموزشی قرار گرفتند، در حالی که گروه کنترل در معرض چنین مداخله­ای قرار نگرفتند. مقیاس تظاهر بهزیستی روان‌شناختی در مورد شرکت­کنندگان اجرا گردید. داده­های پژوهش به کمک نرم­افزار آماری SPSS16 و با استفاده از روش تحلیل کوواریانس یک­راهه مورد تجزیه و تحلیل قرار گرفت. یافته‌ها: نتایج پژوهش حاضر نشان داد که مداخلات روانی آموزشی سبب افزایش بهزیستی روان‌شناختی بیماران گروه آزمایش نسبت به گروه کنترل می­شوند. نتیجه‌گیری: مداخلات روانی آموزشی نقش قابل‌توجهی در بهبود بهزیستی روان‌شناختی بیماران مبتلا به سرطان دارد.

کلیدواژه‌ها

عنوان مقاله [English]

The effectiveness of psychoeducational interventions on the improvement of psychological well-being in patients with cancer

نویسندگان [English]

  • Fereydun Ramazani 1
  • GHasem Ahi 2

1 Instructor,Department of Psychology, Payame Noor Univercity.

2 Assistant Professor, Department of Psychology, Islamic Azad University, Birjand, Iran

چکیده [English]

Objective: There is considerable evidence suggesting that cancer patients suffer from substantial and long-term psychological distress associated with different forms of cancer and its medical treatment. Therefore, the aim of present study was to investigate the effectiveness of psycho-educational interventions on the improvement of psychological well-being in patients with cancer aged 20 to 40 years. Method: In a semi-experimental study with pre-test and post-test and control group, 12 patients with cancer were selected by available sampling method and then randomly designed into tow experimental and control groups. The experimental group participated in 12 sessions of psycho-educational interventions, while control group was not any treatment. The participants completed Well-Being Manifestations Measure Scale (WBMMS). Data were analyzed by SPSS16 software, using one way analysis of covariance (ANCOVA). Results: The results showed that psycho-educational interventions improved psychological well-being experimental group patients compared to control group. Conclusion: Psycho-educational interventions played a significant role in improving the psychological well-being in patients with cancer.

کلیدواژه‌ها [English]

  • Psych educational interventions
  • psychological well-being
  • cancer
پیرخائفی، علیرضا و صالحی، فاطمه. (1392). اثربخشی معنادرمانی گروهی بر ارتقای سلامت­روان زنان مبتلا به سرطان سینه. فصلنامه علمی پژوهشی روانشناسی سلامت، 2، 69-61.
ترخان، مرتضی. (1392). رابطه بین شیوه­های مقابله با استرس و ابراز وجود با استرس ادراک شده زنان در معرض خطر ابتلا به سرطان سینه. فصلنامه علمی پژوهشی روانشناسی سلامت، 2، 47-34.
نوید، جفری و راتوس، اسپنسر. (2007). بهداشت روانی. ترجمه یحیی سیدمحمدی (1389). تهران: ارسباران.
American Cancer Society. (2015). Cancer Facts & Figures 2015. Atlanta: American Cancer Society.
Andersen, B. L., Farrar, W. B., Golden-Kreutz, D., et al. (2007). Distress reduction from a psychological intervention contributes to improved health for cancer patients. Brain, Behavior, and Immunity, 21, 953–961.
Andersen, B. L., Kiecolt-Glaser, J. K., Glaser, R. (1994). A biobehavioral model of cancer stress and disease course. American Psychologist, 49, 389–404.
Antoni, M. H. (2013). Psychosocial intervention effects on adaptation, disease course and biobehavioral processes in cancer. Brain, Behavior, and Immunity, 30 (Suppl), S88–S98.
Barsevick, A. M., Sweeney, C., Haney, E., Chung, E. (2002) A systematic qualitative analysis of psychoeducational interventions for depression in patients with cancer. Oncology Nursing Forum, 29, 73–86.
Brannon, L., Feist, J., Updegraff, J. A. (2014). Health Psychology: An Introduction to Behavior and Health. USA: Wadsworth, Cengage Learning.
Brothers, B. M., Andersen, B. L. (2009). Hopelessness as a predictor of depressive symptoms for breast cancer patients coping with recurrence. Psycho-Oncology, 18, 267–275.
Butow, P. N., Hiller, J. E., Price, M. A., Thackway, S. V., Kricker, A., & Tennant, C. C. (2000).   Epidemiological evidence for a relationship between life events, coping style, and personality factors in the development of breast cancer. Journal of Psychosomatic Research, 49, 169–181.
Carver, C. S., Smith, R. G., Antoni, M. H., Petronis, V. M., Weiss, S., Derhagopian, R. P. (2005). Optimistic personality and psychosocial well-being during treatment predict psychosocial well-being among long-term survivors of breast cancer. Health Psycholology, 24, 508–516.
Chambers, S. K., Pinnock, C., Lepore, S. J., Hughes, S., & O’Connel, D. L. (2011). A systematic review of psychosocial interventions for men with prostate cancer and their partners. Patient Education and Counseling, 85, 75–88.
Chan, W. H. (2005). Psychoeducational intervention: A critical review of systematic analyses. Clinical Effectiveness in Nursing, 9, 101–111.
Chopra, I., & Kamal, K. M. (2012). A systematic review of quality of life instruments in long-term breast cancer survivors. Health and Quality of Life Outcomes, 10, 14.
Clapper, T. (2010). Beyond knowles: What those conducting simulation need to know about adult learning theory. Clinical Simulation in Nursing, 6, 7–14.
Cohen, L., Parker, O., Vence, L., et al. (2011). Presurgical stress management improves postoperative immune function in men with prostate cancer undergoing radical prostatectomy. Psychosomatic Medicine, 73, 218–225.
Correa, D. D., & Ahles, T. A. (2008). Neurocognitive changes in cancer survivors. The Cancer Journal, 14, 396–400.
Dalton, S. O., Boesen, E. H., Ross, L., Schapiro, I. R., & Johansen, C. (2002). Mind and cancer: do psychological factors cause cancer. European Journal of Cancer, 38, 1313–1323.
Doorenbos, A., Given, B., Given, C., Verbitsky. N. (2006). Physical functioning: The effect of a behavioral intervention for symptoms among individuals with cancer. Nursing Research, 55, 161–171.
Friedman, L. C., Kalidas, M., Elledge, R., et al. (2005). Optimism, social support, and psychosocial functioning among women with breast cancer. Psycho-Oncology, 15, 595–603.
Given, C., Given, B., Rahbar, M., et al. (2004). Effect of a cognitive behavioral intervention on reducing symptom severity during chemotherapy. Journal of Clinical Oncology, 22, 507–516.
Henry, M., Cohen, S., Lee, V., et al. (2010). The Meaning-making intervention appears to increase meaning in life in advanced ovarian cancer: A randomized controlled pilot study. Psychooncology, 19, 1340–1347.
Home care guide for advanced cancer. (1997). Atlanta: American College of Physicians
Jones, J. M., Cheng, T., Jackman, M., Walton, T., Haines, S., Rodin, G., Catton, P. (2013). Getting back on track: evaluation of a brief group psychoeducation intervention for women completing primary treatment for breast cancer. Psychooncology, 22, 117-124.
Keefe, F. J., Ahles, T. A., Sutton, L., et al. (2005). Partner-guided cancer pain management at the end of life: a preliminary study. Journal of Pain and Symptom Management, 29, 263–272.
Kolahdoozan, S,M Sajadi, A., Radmard, A. R., & Khademi, H. (2010). Five common cancers in Iran. Archives of Iranian medicine, 13, 143-146.
Kwekkeboom, K., Abbott-Anderson, K., & Wanta, B. (2010). Feasibility of a patient-controlled cognitive-behavioral intervention for pain, fatigue, and sleep disturbance in cancer. Oncology Nursing Forum, 37, 151–159.
Maher, E. J. (2013). Managing the consequences of cancer treatment and the English National Cancer Survivorship Initiative. Acta Oncologica, 52, 225-232
Masse, R., Poulin, C., Dassa, C., Lambert, J., Belair, S., Battaglini, A. (1988). The structure of mental health: Higher-order confirmatory factor analyses of psychological distress and well-being measures. Social Indicator Research, 45, 475-504.
Matsuda, A., Yamaoka, K., Tango, T., Matsuda, T., Nishimoto, H. (2014). Effectiveness of psychoeducational support on quality of life in early-stage breast cancer patients: A systematic review and meta-analysis of randomized controlled trials. Quality of Life Research, 23, 21–30.
Miller, J. J., Frost, M. H., Rummans, T. A., et al. (2007). Role of medical social worker in improving quality of life for patients with advanced cancer with a structured multidisciplinary intervention. Psycho-Oncology, 25, 105–119.
Moorey, S., & Greer, S. (2002). Cognitive Behaviour Therapy for People with Cancer. Oxford: Oxford University Press.
Nelson, E., Wenzel, L., Osann, K., et al. (2008). Stress, immunity and cervical cancer: Biobehavioral outcomes of a randomized clinical trial. Clinical Cancer Research, 14, 2111–2118.
Newell, S., Sanson-Fisher, R., Savolainen, N. (2002). Systematic review of psychological therapies for cancer patients: overview and recommendations for future research. Journal of the National Cancer Institute, 94, 558–584.
Oreizy, H. R., & Farahani, H. A. (2008). Applied research,  methods in counseling and clinical
psychology.
Tehran: Danjeh.
Pinquart, M., Duberstein, P. (2010). Associations of social networks with cancer mortality: A meta-analysis. Critical Reviews in Oncology/Hematology, 75, 122–137.
Rehse, B., & Pukrop, R. (2003). Effects of psychosocial interventions on quality of life in adult cancer patients: Met analysis of 37 published controlled outcome studies Patient. Education and Counseling, 50, 179–186.
Steel, J., Nadeau, K., Olek, M., & Carr, B. I. (2007). Randomized clinical trial on cognitive therapy for depression in women with metatstatic breast cancer: Psychological and immune effects. Psycho-Oncology, 25, 19–42.
Talley, A., Molix, L., Schlegel, R. J., Bettencourt, A. (2010). The influence of breast cancer survivors’ perceived partner social support and need satisfaction on depressive symptoms: A longitudinal analysis. Psychology & Health, 25, 433–449.
Tannock, I. F., Ahles, T. A., Ganz, P. A., et al. (2004). Cognitive impairment associated with chemotherapy for cancer: report of a workshop. Journal of Clinical Oncology, 22, 2233–2239.
Visser, A., Schoolmeesters, A., van den Berg, M., Schell, N., de Gelder, R., Borne, B. (2011). Methodological reflections on body–mind intervention studies with cancer patients. Patient Education and Counseling, 82, 325–334.
Wimberly, S. R., Carver, C. S., Laurenceau, J. P., Harris, S. D., Antoni, M. H. (2005). Perceived partner reactions to diagnosis and treatment of breast cancer: Impact on psychosocial and psychosexual adjustment. Journal of Consulting and Clinical Psychology, 73, 300– 311.
Yoo, H. J., Ahn, S. H,. Kim, S. B., et al. (2005). Efficacy of progressive muscle relaxation training and guided imagery in reducing chemotherapy side effects in patients with breast cancer and in improving their quality of life. Supportive Care in Cancer, 13, 826–833.