In collaboration with Payame Noor University and Iranian Health Psychology Association

Document Type : Scientific Research

Authors

M.Sc., Department of Psychology, Payame Noor University, Tehran, Iran

Abstract

Objective: Cancer crises cause imbalance of mind and body, but most of the time for the patient is a feeling of despair and hopelessness. The purpose of this study was to evaluate the effectiveness of acceptance and commitment therapy on the hope and belief in a just world in patients with breast cancer. Method: The quasi-experimental research method was pretest-posttest design with control group. The population of the study included all women with breast cancer in Tehran. 40 of them were selected by convenience sampling. They were then randomly assigned to the control and experimental groups. The data collection tools included Adel Robin and Pplawprenham (2003) Belief in World Question and Herth Life Expectancy Questionnaire. Data were analyzed using multivariate analysis of covariance. Findings: The results showed a steady increase in the scores of the Hope and Belief in a Fair World Scale for Patients with Breast Cancer, indicating the effectiveness of acceptance and commitment therapy in increasing these variables. Conclusion: Disappointment plays a predisposing, accelerating, and persistent role in cancer, and acceptance and commitment therapy can play an important role as adjunctive and rehabilitative therapies alongside medical treatments.

Keywords

انتظار مهدی، ر؛ شمشیری، ا؛ رمضانی، ر؛ اعتماد، ک. (1391). برنامۀ ملی کنترل سرطان پستان در ایران، برنامه­ریزی عملیاتی و دستورالعمل غربالگری سرطان پستان با CBE و ماموگرافی. مرکز داروهای بهداشت، درمان و آموزش وزارت کنترل و پیشگیری از بیماری­ها واحد سرطان بیماری­های غیرواگیر. 127.
الپزرور، م؛ عابزدینی، د و شاهنگی، ر (1393). نقش جراحی در باور به جهان عادل در مبتلایان به اختلال تراجنسی تغییر جنسیت داده، دانش پژوهش در روانشناسی. 9 (39): 39-68. بالجانی، ا؛ کاظمی، م؛ امان پور، ا؛ تیزفهم، ت. (1390). بررسی ارتباط بین مذهب، سلامت معنوی، امید و کیفیت زندگی در بین بیماران مبتلا به سرطان، فصلنامه دانشکده پرستاری و مامایی مشهد. 1(1): 1-12
بیجاری، ه؛ قنبری- هاشم‌آبادی، ب؛ آقامحمدیان شیرباف ح؛ و همائی-شاندیز، ف. (1388). اثربخشی گروه‌درمانی مبتنی بر امید درمانی برای افزایش امید به زندگی در زنان مبتلا به سرطان پستان. فصلنامه مطالعات تربیتی و روانشناختی. 10 (1)، 171-184.
طائی، ز؛ رادفر، م. (1394). تأثیر ابعاد حمایت اجتماعی بر امیدواری و احساس تنهایی در بیماران مبتلا به سرطان پستان. فصلنامه دانشکده پرستاری و مامائی ارومیه. 6(3): 56-70.
عبداله‌زاده، ح؛ کبیری نسب، ی. (1397). اثربخشی درمان پذیرش و تعهد بر شرم درونی و عزت‌نفس جنسی زنان مبتلا به سرطان پستان پس از جراحی ماستکتومی. فصلنامه علمی پژوهشی روانشناسی سلامت. 4 (28)، 184-199.
قدم پور، ع؛ رادمهر، پ؛ یوسف­وند، ل. (1395). تأثیر درمان مبتنی بر پذیرش و تعهد بر کفایت اجتماعی و امید به زندگی بیماران مبتلا به مولتیپل اسکلروزیس. مجله ارمغان دانش. ۲۱ (۱۱): ۱۱۰۰-۱۱۱۴.
گل پرور، م؛ اکبری، م. (1389). نقش ایدئولوژی­های عدالت و باور به دنیای عادلانه و ناعادلانه بر عدالت رفتاری. مجلۀ تحقیقات علوم رفتاری. 8 (1)، 60-71.
گل‌پرور، م؛ جوادی، س. (1386). «الگوی ارتباطی بین باور به دنیای عادلانه برای خود و دیگران با شاخص‌های بهداشت روانی: الگوی معادلات ساختاری». فصلنامه اصول بهداشت روانی. 3(8): 122-109.
گل‌پرور، م؛ عریضی، ح. (1385). «مقایسه نگرش زنان و مردان اصفهانی نسبت به دنیای عادلانه برای زنان و مردان»، فصلنامه پژوهش زنان. 16(2): 114-95.
مقدم فر، ن. (1397). تأثیر درمان مبتنی بر پذیرش و تعهد بر امید به زندگی و بهزیستی روان‌شناختی زنان مبتلا به سرطان پستان تحت شیمی‌درمانی. پایان‌نامه کارشناس ارشد دانشکده علوم تربیتی و روانشناسی، دانشگاه شهید بهشتی، تهران، ایران.
Aldao, A, C, Weir, HK, Carreira, H, Harewood, R, Spika D, Wang, XS, Bannon F, Ahn, JV, Johnson, CJ, Bonaventure, A, Marcos-Gragera, R. (2015). Global surveillance of cancer survival 1995–2009: analysis of individual data for 25 676 887 patients from 279 population-based registries in 67 countries.CONCORD-2. 14;385(9972):977-1010. Begue, L. (2012). Beliefs in justice and faith in people. Personality and Individual Differences. 32(3), 375-382.
Berendes, D, Keefe, FJ, Somers, TJ, Kothadia, SM, Porter, LS, Cheavens, JS. (2010). Hope in the context of lung cancer: relationships of hope to symptoms and psychological distress. J Pain Symptom Manage. 40(2),174-82.
Bricker, J, Tollison, S. (2011). Comparison of motivational interviewing with acceptance and commitment therapy: a conceptual and clinical review. Behav Cogn Psychother. 39(5), 541-59.
Brown, KW, Ryan, RM. (2003). The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol. 84(4), 822-48.
Caffarel, M. M., Andradas, C., Pérez-Gómez, E., Guzmán, M., & Sánchez, C. (2012). Cannabinoids: A new hope for breast cancer therapy? Cancer Treatment Reviews, 38(7), 911–918.
Dadashi, S, Momeni, F. (2017). Effectiveness of Acceptance and Commitment Therapy on Hope in Women With Breast Cancer Undergoing Chemotherapy. PCP. 5 (2), 107-114.
Deval, C, Bernard-Curie, S, Monestès, J-L. (2017). Effects of an acceptance and commitment therapy intervention on leaders’ and managers’ psychological flexibility. Journal de Thérapie Comportementale et Cognitive. 27(1), 34-42.
Entezar-Mahdi, R, Shamshiri, AR, Ramezani, R, Eaatemad, K. (2011).National breast cancer control program in IR IRAN, operational planning & guideline for breast cancer screening with CBE & Mammography. Ministry Health, Treatment & Education Medicines Center for Disease Control & Prevention Non-communicable Diseases Unit Cancer Office. 127. [Persion].
Feros, DL, Lane, L, Ciarrochi, J, Blackledge, JT. (2013). Acceptance and Commitment Therapy (ACT) for improving the lives of cancer patients: a preliminary study. Psychooncology. 22(2), 459 -64.
Fish, JA, Ettridge, K, Sharplin, GR, Hancock, B, Knott, VE. (2014). Mindfulness-based cancer stress management: impact of a mindfulness-based programme on psychological distress and quality of life. Eur J Cancer Care (Engl). 23(3), 413-21.
Fitzs-Craft, E. (2011). Explaining the relation between thin ideal internalization and body dissatisfaction among college women: The roles of social comparison and body surveillance. Body Image. 9(8), 43-9. Furnham, A., & Procter, E, (2015). Belief in a just world: review and critique of the individual difference literature. British Journal of Social Psychology. 28(4), 365-384.
Hayes S, Luoma JB, Bond F. (2012). Acceptance andcommitment therapy: Model, processes andoutcomes. Behavior Research and Therapy, (44), 1-25.
Hulbert-Williams, NJ, Storey, L, Wilson, KG. (2015). Psychological interventions for patients with cancer: psychological flexibility and the potential utility of Acceptance and Commitment Therapy. Eur J Cancer Care (Engl). 24(1), 15-27.
Kamio, M., Schmidt, M., Germann, M. W., Kubanek, J., & Derby, C. D. (2013). The smell of moulting: N-acetylglucosamino-1,5-lactone is a premoult biomarker and candidate component of the courtship pheromone in the urine of the blue crab, Callinectes sapidus. Journal of Experimental Biology. 217(8), 1286–96.
Lerner, M. J. (1980). The belief in a just world: A fundamentaly delusion. New York: Plenum Press. Neil, A, Stevenson, CE, Williams, ED, Mortimer, D, Oldenburg, B, Sanderson, K. (2013) The health-related quality of life burden of co-morbid cardiovascular disease and major depressive disorder in Australia: findings from a population-based, cross-sectional study. Qual Life Res.5 (1):22
Nelson, HD; Tyne, K; Naik, A; Bougatsos, C; Chan, B; Nygren, P; Humphrey, L. (2009). "Screening for Breast Cancer: Systematic Evidence Review Update for the US Preventive Services Task Force [Internet]". PMID 20722173.
Pamukçu, B, Meydan, B. )2010(. The role of empathic tendency and perceived social support in predicting loneliness levels of college students. Procedia-Social and Behavioral Sciences. 5(5), 905–9.
Pehlivan, S, Ovayolu, O, Ovayolu, N, Sevinc, A, Camci, C. (2012). Relationship between hopelessness, loneliness, and perceived social support from family in Turkish patients with cancer. Supportive Care in Cancer. 20(4), 733-9.
Pinto, B, Trunzo, J. (2015). Body esteem and mood among sedentary and active breast cancer survivors. European Journal of Oncology Nursing. 70(6), 180-89.
Rajandram, RK, Ho SM, Samman N, Chan N, McGrath C, Zwahlen RA. (2011). Interaction of hope and optimism with anxiety and depression in a specific group of cancer survivors: a preliminary study. BMC Res Notes(4),1-4.
Roozen, HG, Waart, RD, Windt, D, Brink, W, Yong, CA, Kerkbof, AFM. (2013). A systematic review of the effectiveness of naltrexone in the maintenance treatment of opioid and alcohol dependence. Eur Neuro psychopharmacol. 16, 311-323.
Sadeghi, F, Hassani, F, Emamipour, S, Mirzaei, H. (2018). Effect of Acceptance and Commitment Group Therapy on Quality of Life and Resilience of Women With Breast Cancer. Arch Breast Cancer [Internet]. 5(3),111-7.
Silveira, J, Sanches Maziero, EC, Loewen, Wall M, Souza, RK, Regina, S, Forlin, DC. (2014). de Morais Chaves AC. Application of theories in studies on breast cancer: integrative review(5), 8.
Snyder, C.R. Stephen, S. Ilardi, Jen. Cheavens Scott T. Michael, Laura Yamhure. (2000). “Susie Sympson”, Cognitive Therapy and Research. 24(6), 747–762.
Snyder, H, Yildirim, Y, Sertoz, O. (2014). The Relationship of pain and hopelessness in patients with cancer. Journal Treat Approaches. 557(12), 147-52.
Thomas, N, Shawyer, F, Castle DJ, Copolov, D, Hayes, SC, Farhall J. (2014). A randomised controlled trial of acceptance and commitment therapy (ACT) for psychosis: study protocol. Psychiatry.14(1),198.
Zeidan F, Johnson SK, Diamond BJ, David Z, Goolkasian P. (2010). Mindfulness meditation improves cognition: evidence of brief mental training. Cogn. 19(2), 597-605.