هم سنجی تأثیر آموزش مبتنی بر پذیرش و تعهد و آموزش بهبود مهارت‌های رویارویی زوجی بر بدریختی انگاری بدن و بهزیستی ذهنی زنان دچار سرطان پستان

نوع مقاله : پژوهش اصیل

نویسندگان

1 دانشجوی دکتری روانشناسی، دانشگاه ارومیه، دانشکده ادبیات و علوم انسانی، ارومیه، ایران

2 استاد گروه روانشناسی، دانشگاه ارومیه، دانشکده ادبیات و علوم انسانی، ارومیه، ایران

3 دانشیار گروه روانشناسی، دانشگاه ارومیه، دانشکده ادبیات و علوم انسانی، ارومیه، ایران

4 دانشیار گروه داخلی، دانشکده پزشکی، دانشگاه علوم پزشکی اصفهان، ایران

چکیده

سرطان پستان و جراحی آن می­تواند وضعیت­های روان‌شناختی متعارضی را به دنبال داشته باشد. هدف پژوهش هم سنجی اثربخشی آموزش مبتنی بر پذیرش و تعهد و آموزش بهبود مهارت‌های رویارویی زوجی بر بدریختی انگاری بدن و بهزیستی ذهنی زنان دچار سرطان پستان بود. این پژوهش یک طرح نیمه آزمایشی با پیش­آزمون، پس­آزمون و گروه گواه و پیگیری 3 ماهه بود. جامعه پژوهش بیماران زن دچار سرطان پستان مراجعه‌کننده به بیمارستان سیدالشهدا اصفهان در سال 1396 بود. از میان آن‌ها 45 نفر از داوطلبین به روش ­نمونه­گیری هدفمند پس از بررسی ملاک­های ورود انتخاب و به‌صورت تصادفی در گروه­های آزمایش و گواه گمارش شدند. مداخلات طی 9 نشست 90 دقیقه­ای اجرا شد، گروه گواه در لیست انتظار قرار گرفت. داده­ها با ابزارهای نگرانی از تصویر بدن لیتلتون و همکاران (2005) و بهزیستی ذهنی کی­یز و ماگیارمو (2003) گردآوری شد. برآیندهای تحلیل واریانس اندازه­های مکرر نشان داد که میان گروه­های آزمایش با گروه گواه در بدریختی انگاری بدن و بهزیستی ذهنی تفاوت معنی‌داری وجود دارد و آموزش مبتنی بر پذیرش و تعهد اثرات بیشتری را در سنجش با آموزش مهارت­های رویارویی زوجی بر بهزیستی ذهنی داشته است (05/0p<). بر پایه یافته­ها، آموزش مبتنی بر پذیرش و تعهد موجب فراگیری راهکارهای کارآمد در مدیریت هیجانات، احساسات منفی و عمل متعهدانه شده و آموزش مهارت­های رویارویی زوجی می­تواند منجر به بالا رفتن توانمندی در مدیریت فشار روانی برآمده از بیماری شود. مداخلاتی که در کنار کاهش علائم بدریختی انگاری بدن، می­توانند بهزیستی ذهنی زنان دچار سرطان پستان را ارتقا دهند.

کلیدواژه‌ها


عنوان مقاله [English]

Comparing the efficacy of acceptance and commitment training and groups training of couples coping skills enhancement on body dysmorphic and subjective well-being in women with breast cancer

نویسندگان [English]

  • Mehran Alipour 1
  • Firouzeh Sepehrian Azar 2
  • Esmaeil Soleimani 3
  • Fariborz Mokarian 4
1 Ph.D Student of psychology, Department of educational sciences, Faculty of Literature and Human Sciences, Urmia University, Urmia, Iran
2 Professor, Department of educational sciences, Faculty of Literature and Human Sciences, Urmia University, Urmia, Iran
3 Associate Professor, Department of educational sciences, Faculty of Literature and Human Sciences, Urmia University, Urmia, Iran
4 Associate Professor, Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Breast cancer and its surgery can lead to conflicting psychological conditions. The purpose of this study was to compare the efficacy of Acceptance and Commitment training and Groups Training of Couples Coping Skills Enhancement on body dysmorphic and Subjective Well-Being in women with breast cancer. This study was a semi-experimental study with pre-test, post-test and control groups with 3 months follow-up. The study population consisted of female patients with breast cancer who referred to Isfahan's Seyed Alshohada Hospital in 2017. Among them, 45 volunteers were selected through Purposive sampling after checking the inclusion criteria and randomly assigned to experimental and control groups. Experimental groups were treated for 90 minutes in 9 sessions while the control group did not reseive any treatment. The data were collected using Littleton et al Body Image Concern Inventory (2005) and Keez and Magharmo Subject Well-Being Scale (2003). The results of repeated measurements analysis showed that there was a significant difference in body dysmorphic and subjective Well-Being between experimental groups and control group. Moreover Acceptance and Commitment training was more effective than Training of Couples Coping Skills Enhancement on mental well-being (p<0.05). Findings indicate that Acceptance and Commitment training results in achievement of effective strategies for management of emotions, negative emotions, and committed action, and Training couple skills can lead to the improvement of the ability to manage disease-caused stress. The mentioned interventions not only could reduce body dysmorphic symptoms, but also could improve the Subjective Well-Being in women with breast cancer.

کلیدواژه‌ها [English]

  • acceptance and commitment
  • couples coping skills
  • body dysmorphic
  • subjective well-being
  • breast cancer
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