تأثیردرمان فعال‌سازی رفتاری بر نشخوار فکری و اضطراب مرتبط با درد در زنان مبتلا به سرطان پستان

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس ارشد، گروه روان شناسی، دانشگاه آزاد اسلامی، واحد اصفهان (خوراسگان)، اصفهان، ایران.

2 استادیار، گروه روان‌شناسی بالینی، دانشکده علوم تربیتی و روانشناسی، دانشگاه آزاد اسلامی، واحد اصفهان (خوراسگان)، اصفهان، ایران.

10.22123/chj.2020.173474.1247

چکیده

مقدمه: سرطان پستان از نظر روانشناختی، بیش از سایر سرطان­ها زنان را تحت تأثیر قرار می­دهد و شایع‌ترین علت مرگ ناشی از سرطان در زنان می‌باشد. این پژوهش با هدف بررسی تأثیر درمان فعال­سازی رفتاری بر نشخوار فکری و اضطراب مرتبط با درد در زنان مبتلا به سرطان پستان انجام شد.
مواد و روش ­ها: پژوهش حاضر، مطالعه­ای نیمه تجربی از نوع پیش­آزمون- پس­آزمون با گروه کنترل و پیگیری 45 روزه بود. بدین منظور از بین زنان مبتلا به سرطان پستان مراجعه­کننده به مراکز درمانی شهر اصفهان در بهار 1396، 24 نفر به صورت در ­دسترس انتخاب و به طور تصادفی در دو گروه آزمایش و کنترل جایگزین شدند (هر گروه 12 نفر). شرکت­کنندگان در پژوهش به پرسشنامه­های پاسخ نشخوارگونه نولن و همکاران و اضطراب مرتبط با درد مک کراکن و همکاران پاسخ دادند. آزمودنی­های گروه آزمایش، درمان فعال‌سازی رفتاری را در 8 جلسه 90 دقیقه‌ای، هفته­ای یک بار دریافت نمودند. داده­ها با استفاده از تحلیل واریانس اندازه­های تکرار شده تحلیل شدند.
یافته ­ها: نتایج نشان داد که تعامل اثر زمان و عضویت گروهی در نشخوار فکری و ابعاد اضطراب مرتبط با درد معنی­دار بوده است (05/0>p). همچنین، بین نمرات درمان فعال‌سازی رفتاری و گروه کنترل در متغیرهای پژوهش در هر دو مرحله پس‌آزمون (به جز پس‌آزمون علائم فیزیولوژیک) و پیگیری تفاوت معنی‌داری وجود داشت (05/0>p).
نتیجه ­گیری: بنا بر نتایج این پژوهش برای بهبود متغیرهای روانشناختی مرتبط با درد در افراد مبتلا به سرطان پستان می­توان از درمان فعال­سازی رفتاری استفاده نمود.
واژه ­های کلیدی: درمان فعال­سازی رفتاری، نشخوار فکری، اضطراب مرتبط با درد، سرطان پستان

کلیدواژه‌ها


عنوان مقاله [English]

The Effect of Behavioral Activation Therapy on Rumination and Pain–related Anxiety in Women with Breast Cancer

نویسندگان [English]

  • S Ebrahimi 1
  • I Sajjadian 2
1 M Sc, Dept of Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
2 Assistant prof, Dept of Clinical Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
چکیده [English]

Introduction: Breast cancer psychologically affects women more than other cancers. Further, it is the most common cause of cancer deaths in women. The present study aims to determine the effect of behavioral therapy on rumination and pain-related anxiety in women with breast cancer.
Materials and method: This research was a semi-experimental posttest-pretest control group design with a 45-days follow-up. For this purpose, among women with breast cancer referred to cancer clinics of Isfahan in the spring of 2018, 24 people were selected by the convenience sampling method and randomly assigned to two experimental and control groups (12 in each). The participants responded to the questionnaires of the rumination (Nullen et al.) and the pain-associated anxiety (McCraken et al.). Subjects in the experimental group received behavioral activation therapy in 8 sessions of 90 minutes once a week.
Results: Results of variance analysis for repeated measures showed that the interaction of time effect and group membership in rumination and anxiety dimensions related to pain was significant (p < 0.05(. The results also showed a significant difference between behavioral activation therapy and control group in research variables in both posttest (except for posttest of physiological symptoms) and follow-up (p < 0.05(.
Conclusion: According to this research results, behavioral activation therapy can be used to improve pain-related psychological variables in people with breast cancer.

کلیدواژه‌ها [English]

  • Behavioral activation therapy
  • Rumination
  • Pain-related anxiety
  • breast cancer
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