اثربخشی آموزش ارتقای سبک زندگی سالم به شیوه شناختی-رفتاری بر خودکارآمدی و بهزیستی روان‌شناختی مبتلایان به سرطان

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی سلامت، واحد بین المللی کیش، دانشگاه آزاد اسلامی، جزیره کیش، ایران.

2 استاد، گروه روانشناسی تربیتی، دانشگاه علامه طباطبایی، تهران، ایران.

3 دانشیار، اندوکرینولوژیست، گروه پیوند و مدیریت بیماری، ستاد معاونت درمان وزارت بهداشت و درمان و آموزش پزشکی، تهران، ایران.

4 دانشیار، گروه سنجش و اندازه گیری، دانشکده روانشناسی و علوم تربیتی، دانشگاه علامه طباطبایی، تهران، ایران.

چکیده

مقدمه: سرطان به عنوان یک بیماری مزمن و ناتوان­کننده، دارای تبعات بسیاری است و بهبود سبک زندگی می­تواند سلامتی فرد بیمار را تحت تأثیر قرار ­دهد. پژوهش حاضر با هدف تعیین اثربخشی آموزش ارتقای سبک زندگی سالم به شیوه شناختی-رفتاری بر خود کارآمدی و بهزیستی روان­شناختی مبتلایان به سرطان انجام شد.
مواد روش­ ها: طرح پژوهش حاضر نیمه­آزمایشی با پیش­آزمون – پس­آزمون و گروه کنترل بود. جامعه آماری شامل کلیه بیماران مبتلا به سرطان مراجعه­کننده به بیمارستان شهید فیاض بخش تهران در سال 1398 بود. تعداد 30 نفر به طور هدفمند انتخاب شدند و به طور تصادفی به دو گروه مساوی آزمایش و کنترل اختصاص یافتند. گروه آزمایش تحت 8 جلسه 90 دقیقه­ای آموزش ارتقای سبک زندگی سالم به شیوه شناختی-رفتاری قرار گرفت. برای گروه کنترل مداخله­ای صورت نگرفت. ابزار جمع­آوری داده­ها عبارت بود از مقیاس خودکارآمدی عمومی و پرسش­نامه بهزیستی روان­شناختی که به صورت خودگزارشی تکمیل گردید. داده­ها با استفاده از تحلیل کوواریانس چندمتغیره آنالیز شد.
یافته­ ها: نتایج نشان داد آموزش ارتقای سبک زندگی سالم به شیوه شناختی-رفتاری به طور معنی­داری موجب افزایش نمرات پس­آزمون خودکارآمدی و بهزیستی روان­شناختی در مبتلایان به سرطان شده است (001/0>p).
نتیجه­ گیری: طبق نتایج، آموزش ارتقای سبک زندگی سالم به شیوه شناختی-رفتاری می­تواند بر خودکارآمدی و بهزیستی روان­شناختی مبتلایان به سرطان مؤثر باشد. بنابراین، در حیطه سلامت مربوط به مبتلایان به سرطان می­توان مداخلات مبتنی بر ارتقای سبک زندگی سالم را به منظور ارتقای سلامت روان این بیماران استفاده نمود.

کلیدواژه‌ها


عنوان مقاله [English]

The Effectiveness of Healthy Lifestyle Promotion Training Based on Cognitive-Behavioral Therapy on Self-Efficacy and Psychological Well-Being of Cancer Patients

نویسندگان [English]

  • Z Sadeghzadeh Mofrad 1
  • F Dortaj 2
  • F Ghaemi 3
  • N Farrokhi 4
1 PhD student, Depnt of Health Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran.
2 Prof, Dept of Educational Psychology, Allameh Tabataba'i University, Tehran, Iran. (Corresponding Author)
3 Associate Prof, Endocrinologist, Dept of Transplantation & Disease Management, Deputy Ministry of Health & Medical Education, Tehran, Iran.
4 Associate Prof, Dept of Assessment & Measurement, Psychology & Education Faculty, Allameh Tabataba'i University, Tehran, Iran.
چکیده [English]

Introduction: As a chronic and debilitating disease, cancer has many consequences, and leading a healthier lifestyle can affect the patient’s health. This study aimed to investigate the effectiveness of healthy lifestyle promotion training based on cognitive-behavioral therapy on self-efficacy and psychological well-being of cancer patients.
Materials and Methods: The design of the present study was quasi-experimental with a pretest-posttest and control group. The statistical population of this study included all cancer patients admitted to Shahid Fayyaz Bakhsh Hospital in Tehran in 2019. Among them, 30 individuals who met the inclusion criteria and were willing to participate in the study were purposefully selected and randomly assigned to experimental and control groups. The experimental group received 8 sessions (90 minutes each) of cognitive-behavioral healthy lifestyle promotion training and the control group did not receive any intervention. Data collection tools were the general self-efficacy scale and psychological well-being questionnaire completed by self-report. Data were analyzed using the multivariate analysis of covariance.
Results: The results showed that healthy lifestyle promotion training based on cognitive-behavioral therapy significantly increased the post-test scores of self-efficacy and psychological well-being in cancer patients (p<0.001).
Conclusion: According to the results of this study, healthy lifestyle promotion training based on cognitive-behavioral therapy can be effective in the self-efficacy and psychological well-being of cancer patients. Therefore, as regards the health of cancer patients, interventions based on promoting a healthy lifestyle can be used to promote the mental health of these patients.

کلیدواژه‌ها [English]

  • Lifestyle
  • Cognitive-Behavioral Therapy
  • Self-Efficacy
  • Well-being
  • Cancer
  1. Kurian AW, Ward KC, Howlader N, Deapen D, Hamilton AS, Mariotto A, et al. Genetic testing and results in a population-based cohort of breast cancer patients and ovarian cancer patients. JCO 2019; 37(15):1305-15.
  2. Avan R, Janbabaei G, Hendouei N, Alipour A, Borhani S, Tabrizi N, et al. The effect of pregabalin and duloxetine treatment on quality of life of breast cancer patients with taxane-induced sensory neuropathy: a randomized clinical trial. JRMS 2018; 23:44-52.
  3. Merluzzi TV, Pustejovsky JE, Philip EJ, Sohl SJ, Berendsen M, Salsman JM. Interventions to enhance self‐efficacy in cancer patients: A meta‐analysis of randomized controlled trials. Psycho‐oncology 2019; 28(9):1781-90.
  4. Tonga JB, Eilertsen DE, Solem IK, Arnevik EA, Korsnes MS, Ulstein ID. Effect of self-efficacy on quality of life in people with Mild Cognitive Impairment and Mild Dementia: The mediating roles of depression and anxiety. AJADD 2020; 35(1):1-10.
  5. Maddux JE, Gosselin JT. Self-efficacy. 1nd ed. New York: The Guilford Press; 2012; 390-440.
  6. Havyer RD, van Ryn M, Wilson PM, Griffin JM. The effect of routine training on the self-efficacy of informal caregivers of colorectal cancer patients. SCC 2017; 25(4):1071-7.
  7. Herts KL, Khaled MM, Stanton AL. Correlates of self-efficacy for disease management in adolescent/young adult cancer survivors: A systematic review. Health Psychology 2017; 36(3):192-207.
  8. Baik SH, Oswald LB, Buitrago D, Buscemi J, Iacobelli F, Perez-Tamayo A, et al. Cancer-Relevant Self-Efficacy Is Related to Better Health-Related Quality of Life and Lower Cancer-Specific Distress and Symptom Burden Among Latina Breast Cancer Survivors. IJBM 2020; 27(4):357-365.
  9. Grimmett C, Haviland J, Winter J, Calman L, Din A, Richardson A, et al. Colorectal cancer patient’s self-efficacy for managing illness-related problems in the first 2 years after diagnosis, results from the ColoREctal Well-being (CREW) study. Journal of Cancer Survivorship 2017; 11(5):634-42.
  10. Pugh G, Petrella A, Fisher A, Reynolds J, Epstone S. Trekstock meet & move: the impact of one-day health and well-being events for young adults with cancer. JAYAO 2020; 9(2):278-85.
  11. Jagielski CH, Tucker DC, Dalton SO, Mrug S, Würtzen H, Johansen C. Personality as a predictor of well-being in a randomized trial of a mindfulness-based stress reduction of Danish women with breast cancer. JPO 2020; 38(1):4-19.
  12. Neville AR, Moothathamby N, Naganathan M, Huynh E, Moola FJ. “A place to call our own”: The impact of camp experiences on the psychosocial wellbeing of children and youth affected by cancer–A narrative review. Complementary therapies in clinical practice 2019; 36:18-28.
  13. Heyes SM, Bond MJ. Pathways to psychological wellbeing for patients with bladder cancer and their partners-in-care. EJON 2020; 5:101757.
  14. Senmar M, Hasannia E, Moeinoddin A, Lotfi S, Hamedi F, Habibi M, et al. Psychosocial Adjustment to Illness and Its Relationship with Spiritual Wellbeing in Iranian Cancer Patients. IJCD 2020; 20(4):210-21.
  15. Ryff CD, Singer BH. Know thyself and become what you are: A eudaimonic approach to psychological well-being. JSH 2008; 9(1):13-39.
  16. Seifert T. Assessment of the Ryff scales of psychological well-being. Retrieved October 2005; 23:2010.
  17. Zachariae R, Amidi A, Damholdt MF, Clausen CD, Dahlgaard J, Lord H, et al. Internet-delivered cognitive-behavioral therapy for insomnia in breast cancer survivors: a randomized controlled trial. JNCI 2018; 110(8):880-7.
  18. Abrahams HJ, Gielissen MF, Donders RR, Goedendorp MM, van der Wouw AJ, Verhagen CA, et al. The efficacy of internet‐based cognitive behavioral therapy for severely fatigued survivors of breast cancer compared with care as usual: a randomized controlled trial. Cancer 2017; 123(19):3825-34.
  19. Kucherer S, Ferguson RJ. Cognitive behavioral therapy for cancer related cognitive dysfunction. Supportive & Palliative Care 2017; 11(1):46.
  20. Kamen C, Garland SN, Heckler CE, Peoples AR, Kleckner IR, Cole CL, et al. Social support, insomnia, and adherence to cognitive behavioral therapy for insomnia after cancer treatment. Behavioral Sleep Medicine 2019; 17(1):70-80.
  21. de Groot M, Doyle T, Kushnick M, Shubrook J, Merrill J, Rabideau E, et al. Can lifestyle interventions do more than reduce diabetes risk? Treating depression in adults with type 2 diabetes with exercise and cognitive behavioral therapy. Current Diabetes Reports 2012; 12(2):157-66.
  22. Militello LK, Melnyk BM, Hekler E, Small L, Jacobson D. Correlates of healthy lifestyle beliefs and behaviors in parents of overweight or obese preschool children before and after a cognitive behavioral therapy intervention with text messaging. JPHC 2016; 30(3):252-60.
  23. Vitiello MV, McCurry SM, Shortreed SM, Balderson BH, Baker LD, Keefe FJ, et al. Cognitive‐behavioral treatment for comorbid insomnia and osteoarthritis pain in primary care: The lifestyles randomized controlled trial. JAGS 2013; 61(6):947-56.
  24. Ryff CD, Keyes CL. The structure of psychological well-being revisited. JPSP 1995; 69(4):719.
  25. Bayani AA, Mohammad Koochekya A, Bayani A. Reliability and validity of Ryff’s psychological well-being scales. IJPCP 2008; 14(2):146-51. [Persian]
  26. Schwarzer R, Jerusalem M. Generalized self-efficacy scale. Measures in health psychology: A user’s portfolio. Caul & con 1995; 1(1):35-7.
  27. Dehghani M, Pakmehr H, Malekzadeh A. Relationship between students’ critical thinking and self-efficacy beliefs in Ferdowsi University of Mashhad, Iran. social and behavioral sciences 2011; 15:2952-5.