بررسی تأثیر معنا درمانی مبتنی بر اندیشه‌های مولانا، بر اضطراب مرگ و افسردگی زنان مبتلا به سرطان پستان

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد، گروه روانشناسی‌ مثبت‌گرا اسلامی، دانشگاه آزاد اسلامی واحد‌ ساری، ساری، ایران.

2 استادیار، گروه روانشناسی، واحد‌ ساری، دانشگاه آزاد اسلامی‌، ساری، ایران.

3 استادیار، گروه‌ معارف اسلامی، واحد‌ نکا، دانشگاه آزاد اسلامی‌، نکا، ایران.

10.22123/chj.2023.334823.1880

چکیده

مقدمه: سرطان با پیامدهای روانی متعددی همچون اضطراب و افسردگی همراه است و مداخلات مبتنی بر یافتن معنا در زندگی می تواند به کاهش این عوارض کمک کند. پژوهش حاضر با هدف تعیین اثربخشی معنا درمانی برگرفته از اندیشه­ های مولانا بر اضطراب مرگ و افسردگی زنان مبتلا به سرطان پستان انجام گرفت.
مواد و روش ­ها: این تحقیق از نوع نیمه تجربی، با پیش‌آزمون، پس ­آزمون و گروه کنترل بود. جامعه آماری، شامل کلیه زنان مبتلا به سرطان پستان مراجعه ­کننده به مرکز روان ­تنی بیمارستان امام خمینی (ره) شهر ساری، در سال1400 بود. با روش نمونه ­گیری هدفمند، ۳۰ بیمار انتخاب و به روش تصادفی در دو گروه آزمایش و کنترل تقسیم شدند (۱۵ نفر در هر گروه). برای گروه مورد، شیوه معنا درمانی مبتنی بر اندیشه ­های مولانا (در قالب 8 جلسه ۷۵ دقیقه­ای) اجرا ، و برای گروه شاهد، مداخله­ ای انجام نشد. پرسشنامه ­های اضطراب مرگ و افسردگی بک، در مراحل پیش­ آزمون و پس ­آزمون تکمیل گردید. از آزمون تحلیل کوواریانس چندمتغیره برای آنالیز داده­ ها استفاده شد.
یافته­ ها: در گروه مورد نمره اضطراب مرگ، در پیش ­آزمون ۸۳/۳±۹۳/۱2 و نمره افسردگی، ۴۷/۱۲±۲۹/۵۲ بود، این میزان در پس­ آزمون به ۳۱/۲±۱۶/۸ و ۲۳/۱۰±۰۸/۴۳ کاهش یافت (05/0p<). در گروه کنترل نمره اضطراب مرگ، در پیش ­آزمون ۱۵/۴±۲۲/۱۳و نمره افسردگی ۴۶/۱۱±۹۷/۵۰ بدست آمد درحالی که درپس ­آزمون تغییر معنی ­داری دیده نشد (به ترتیب ۸۹/۳±۷۸/۱۲ و ۳۴/۹±۸۸/۴۹).  
نتیجه ­گیری: بر اساس نتایج این مطالعه، به نظر می­رسد، معنا درمانی مبتنی بر اندیشه­ های مولانا می­تواند در بهبود سطوح اضطراب مرگ و افسردگی در زنان مبتلا به سرطان پستان مؤثر باشد.

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Logotherapy Based on Rumi's Thoughts in Death Anxiety and Depression among Women with Breast Cancer

نویسندگان [English]

  • Sh Bababnejad Darikandeh 1
  • A Norozi 2
  • H Bagheri 3
1 Msc, Dept of Islamic Positive Psychology, Islamic Azad University, Sari branch, Sari, Iran.
2 Assistant prof, Dept of Psychology, Sari Branch, Islamic Azad University, Sari, Iran.
3 Assistant prof, Dept of Islamic teachings, Neka Branch, Islamic Azad University, Neka, Iran.
چکیده [English]

Introduction: Cancer leads to several psychological consequences such as anxiety and depression, and interventions based on finding meaning in life can help reduce these complications. This study aimed to investigate the effectiveness of logotherapy based on Rumi's thoughts in death anxiety and depression among women with breast cancer.
Materials and Methods: This was a quasi-experimental study with pre-test, post-test, and a control group. The statistical population of the study included all women with breast cancer admitted to the psychosomatic center of Imam Khomeini Hospital in Sari in 2021. Thirty patients were selected by purposive sampling method and randomly assigned to experimental and control groups (15 patients in each group). For the experimental group, a logotherapy based on Rumi's thoughts was performed in 8 sessions of 75 minutes, and for the control group, no treatment was performed. Death anxiety scale and Beck Depression Inventory were completed by participants in the pre-test and post-test stages. Analysis of covariance was used to analyze the data.
Results: According to the results, in the experimental group, the death anxiety and depression scores were 12.93±3.83 and 52.29±12.47 in the pre-test, which were reduced to 8.16±2.31 and 43.08±10.23, respectively, in the post-test. In the control group, the death anxiety score in the pre-test was 13.22±4.15 and the depression score was 50.97±11.46, and in the post-test, without significant changes, they were 12.78±3.89 and 49.88±9.34, respectively. Therefore, logotherapy based on Rumi's thoughts significantly reduced the scores of death anxiety and depression in women with breast cancer (p<0.001) in the experimental group, while in the control group, no such change was observed (p>0.001).
Conclusion: Based on the results of this study, it seems that logotherapy based on Rumi's thoughts can be effective in improving the level of death anxiety and depression in women with breast cancer.

کلیدواژه‌ها [English]

  • Death Anxiety
  • Depression
  • Logotherapy
  • Breast cancer
  • Rumi's thoughts

مراجع

  1. Soerjomataram I, Parkin DM, Piñeros M, Znaor A, Bray F. Cancer statistics for the year 2020: An overview. IJC 2021; 149(4):778-89.
  2. Nafissi N, Khayamzadeh M, Zeinali Z, Pazooki D, Hosseini M, Akbari ME. Epidemiology and histopathology of breast cancer in Iran versus other Middle Eastern countries. MEJC 2018; 9(3):243-51.[Persian]
  3. World Health Organization. Guidelines for the early detection and screening of breast cancer. 2017.
  4. Pedersen RN, Mellemkjær L, Ejlertsen B, Nørgaard M, Cronin-Fenton DP. Mortality after late breast cancer recurrence in Denmark. JCO 2022; 11(5): 10-21.
  5. Key TJ, Verkasalo PK, Banks E. Epidemiology of breast cancer. Lancet Oncology 2001; 2(3):133-40.
  6. Teo I, Krishnan A, Lee GL. Psychosocial interventions for advanced cancer patients: a systematic review. Psycho‐oncology 2019; 28(7):1394-407.
  7. Hong Y, Yuhan L, Youhui G, Zhanying W, Shili Z, Xiaoting H, et al. Death anxiety among advanced cancer patients: a cross-sectional survey. SCC 2022; 4(2):1-9.
  8. Yang H, Wang Z, Yu W, Gu Y, Shao J, Zhang Y, et al. Structural Equation Model of Factors Related to Death Anxiety for Chinese Patients with Cancer. Omega: journal Death & Dying 2022; 8(1):148-57.
  9. Sharpe L, Curran L, Butow P, Thewes B. Fear of cancer recurrence and death anxiety. Psycho‐oncology 2018; 27(11):2559-65.
  10. Grossman CH, Brooker J, Michael N, Kissane D. Death anxiety interventions in patients with advanced cancer: A systematic review. Palliative Medicine 2018; 32(1):172-84.
  11. Masror Roudsary D, Lehto RH, Sharif Nia H, Kohestani D. The Relationship between Religious Orientation and Death Anxiety in Iranian Muslim Patients with Cancer: The Mediating Role of Hope. Journal of Religion and Health 2022; 13(4):1-4.
  12. Soleimani MA, Bahrami N, Allen KA, Alimoradi Z. Death anxiety in patients with cancer: A systematic review and meta-analysis. EJON 2020; 48(7):101-8.
  13. Wang YH, Li JQ, Shi JF, Que JY, Liu JJ, Lappin JM,et al. Depression and anxiety in relation to cancer incidence and mortality: a systematic review and meta-analysis of cohort studies. Molecular Psychiatry 2020; 25(7):1487-99.
  14. Pilevarzadeh M, Amirshahi M, Afsargharehbagh R, Rafiemanesh H, Hashemi SM, Balouchi A. Global prevalence of depression among breast cancer patients: a systematic review and meta-analysis. Breast Cancer Research Treatment 2019; 176(3):519-33.
  15. Tsaras K, Papathanasiou IV, Mitsi D, Veneti A, Kelesi M, Zyga S, et al. Assessment of depression and anxiety in breast cancer patients: prevalence and associated factors. Asian Pacific journal of cancer prevention: APJCP 2018;19(6):1661.
  16. Saffarinia M, Dortaj A. Effect of group logotherapy on life expectancy and mental and social wellbeing of the female elderly residents of nursing homes in Dubai. Salmand: Iranian Journal of Ageing 2018; 12(4):482-93.[Persian]
  17. Wang X, Wang N, Zhong L, Wang S, Zheng Y, Yang B, et al. Prognostic value of depression and anxiety on breast cancer recurrence and mortality: a systematic review and meta-analysis of 282,203 patients. Molecular Psychiatry 2020; 25(12):3186-97.
  18. Bahar A, Shahriary M, Fazlali M. Effectiveness of logotherapy on death anxiety, hope, depression, and proper use of glucose control drugs in diabetic patients with depression. IJPM 2021; 12(3): 62-73.
  19. Elsherbiny MM, Al Maamari RH. The effectiveness of logotherapy in mitigating the social isolation of neglected institutionalised older people. BJSW 2018; 48(4):1090-108.
  20. Veisi S, Mohaghegh H, Yaghoobi A, Shams SS, Pirnia B. Comparison of the effectiveness of two mindfulness and logotherapy methods on anxiety index in chronic daily headache of women with marital conflict: A clinical trial study. Chronic Diseases Journal 2020; 8(2):78-84.
  21. Sun FK, Hung CM, Yao Y, Fu CF, Tsai PJ, Chiang CY. The effects of logotherapy on distress, depression, and demoralization in breast cancer and gynecological cancer patients: A preliminary study. Cancer Nurs 2021; 44(1):53-61.
  22. Mozarmpour M, Golestanipour M. Effectiveness of Logotherapy Intervention Program in Reducing Drug Cravings and Preventing Relapse among Males with Substance Dependence in Ahvaz. IJHS 2021; 7(3):11-5.
  23. Raoof SH, Hasanzadeh M. Natural and Cultural Phenomena in Rumi's Thoughts. Journal of Religios Study 2018; 11(22):107-25.[Persian]
  24. Ayub Q, Abbas H. URDU-8 Perfect man, in respect of Quran and Rumi’s thoughts. ARJISH 2020; 4(1):106-17.
  25. Noruzi A, Moradi A, Zamani K, Hasani J. Comparison of the effectiveness of LogoTherapy Based on Rumi's Thoughts with Acceptance and Commitment Therapy on the Autobiographical Memory of the elderly. JCP 2019;7(2):19-37
  26. Noruzi A, Moradi A, Zamani K, Hasani J. Impacts of Logo Therapy based on Rumi's Thoughts compared to Acceptance and Commitment Therapy in Social Health of Elderly People. J. Clin. Psychol 2020; 11(4):53-66. [Persian]
  27. Kim C, Choi H. The efficacy of group logotherapy on community‐dwelling older adults with depressive symptoms: A mixed methods study. PPC 2021; 57(2):920-8.
  28. Baumel WT, Constantino JN. Implementing Logotherapy in Its Second Half-Century: Incorporating Existential Considerations Into Personalized Treatment of Adolescent Depression. JACAP 2020; 59(9):10-12.
  29. Templer DI. The construction and validation of a death anxiety scale. Journal of General Psychology 1970; 82(2):165-77.
  30. Rajabi GR, Bohrani M. Item factor analysis of the death anxiety scale. Journal of Psychology 2002; 4(20): 331-344.[Persian]
  31. Beck AT, Steer RA, Brown GK. Beck depression inventory (BDI-II). London, UK: Pearson; 1996.
  32. Rahimi C. Application of the beck depression inventory-II in Iranian University students.Clinical Psychology and Personality 2014; 12(1):173-88.
  33. Sharif SP, Lehto RH, Amiri M, Ahadzadeh AS, Nia HS, Haghdoost AA, et al. Spirituality and quality of life in women with breast cancer: The role of hope and educational attainment. Palliative Supportive Care 2021; 19(1):55-61.
  34. Araujo RV, Fernandes AF, Nery IS, Andrade EM, Nogueira LT, Azevedo FH. Meditation effect on psychological stress level in women with breast cancer: a systematic review. REEUSP 2019; 53(12):306-15.
سلامت جامعه
دوره 17، شماره 1 - شماره پیاپی 55
اردیبهشت 1402
صفحه 76-86

فایل ها

هم رسانی

ارجاع به این مقاله

آمار