اثر بخشی آموزش مدیریت استرس به شیوه شناختی رفتاری بر هیجانات منفی و کیفیت زندگی زنان مبتلا به سرطان پستان

نویسندگان

1 استادیار روان پزشکی، مرکز تحقیقات روان پزشکی و علوم رفتاری، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 پزشک عمومی، مرکز تحقیقات روان پزشکی و علوم رفتاری، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

3 کارشناس ارشد روانشناسی بالینی، مرکز تحقیقات روان پزشکی و علوم رفتاری، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: بیشتر مبتلایان به سرطان، یک دوره فشار روانی را تجربه می کنند. یکی ‌از بیماری‌هایی‌که با سلامت روانی ارتباط زیادی دارد، سرطان است. شواهد متعددی وجود دارد که نشان می دهد درمان استرس تأثیر مثبتی بر نتایج درمان سرطان دارد. مطالعه حاضر با هدف تعیین اثربخشیآموزش مدیریت استرس به شیوه شناختی رفتاری بر استرس، اضطراب، افسردگی و کیفیت زندگی زنان مبتلا به سرطان پستان انجام شد.
روش کار: این مطالعه کاربردی در سال 1391 بر روی 32 نفر از زنان تازه تشخیص داده شده در مرحله یک و دو سرطان سینه مراجعه کننده به مرکز درمانی امام رضا (ع) شهر مشهد انجام شد. افراد به طور تصادفی در دو گروه آزمون ‌و کنترل قرار گرفتند.گروه‌ آزمون تحت 10 هفته آموزش مدیریت استرس به شیوه شناختی رفتاری توسط یک روانشناس با تجربه در این حوزه قرار گرفتند. پرسشنامه افسردگی، اضطراب و استرس  DASSو پرسشنامه کیفیت زندگی 36SF به عنوان ابزار در پیش‌آزمون و پس‌آزمون استفاده شدند. تجزیه و تحلیل داده ها با استفاده از نرم افزار آماری SPSS (نسخه 11) و آزمون های تی مستقل، آزمون f لوین و تحلیل کواریانس انجام شد. میزان p کمتر از 05/0 معنادار در نظر گرفته شد.
یافته‌ها: تغییرات استرس و اضطراب در پس‌آزمون بین گروه های مداخله و کنترل معنادار بود (01/0=p). در مورد افسردگی، تفاوت معناداری بین دو گروه پس از مداخله مشاهده نشد (به ترتیب60/0=p، 50/0=p)، در گروه مداخله پس از انجام مداخله تفاوت معناداری بین نمرات پیش آزمون و پس آزمون مقیاس کیفیت زندگی در نمرات کیفیت زندگی مشاهده شد (02/0=p).
نتیجه‌گیری: آموزش مدیریت استرس به شیوه شناختی رفتاری بر استرس، اضطراب و کیفیت زندگی در زنان مبتلا به سرطان مؤثر است.

کلیدواژه‌ها

عنوان مقاله [English]

Cognitive behavioral stress management effects on quality of life and negative emotions in women with breast cancer

نویسندگان [English]

  • Amir Rezaei Ardani 1
  • Farhad Farid Hoseini 1
  • Mahdieh Borhani Moghani 2
  • Hamid Seyfi 3
1 Assistant Professor, Department of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Ibn-e-Sina Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2 General physician, Psychiatry and Behavioral Sciences Research Center, Ibn-e-Sina Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
3 M.Sc. of Clinical Psychology, Psychiatry and Behavioral Sciences Research Center, Ibn-e-Sina Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Most people with cancer experience a period of mental stress. Cancer is one of the diseases which is highly related with mental health. There is much evidence that stress management can have a positive impact on the results of cancer treatment. The present study was performed with aim to investigate the efficacy of cognitive behavioral stress management training on stress, anxiety, depression and quality of life in women with breast cancer.
Methods: This applicable study was performed on 32 woman recently diagnosed with stage I& II of breast cancer referred to Mashhad Imam Reza treatment center in 2012. They were randomly divided in two intervention and control groups. The intervention group received 10 weeks of cognitive behavioral stress management training by an experienced psychologist. Depression, anxiety, stress questionnaire (DASS) and quality of life questionnaire of SF36 were used as tools in pre-test and post-test. Data were analyzed by SPSS software (version 11) and independent-t test, f Lovin test, and Covariance analysis. PResults: there are significant differences between intervention and control groups in terms of stress and anxiety changes in post-test (P=0.01). No significant difference was observed between both two groups in terms of depression after the intervention (P=0.60, P=0.50). Significant differences were observed between the scores of post-test and pre-test of quality of life in the intervention group after the intervention (P=0.02).
Conclusions: The cognitive behavioral stress management training is effective on stress, anxiety, and quality of life in women with cancer.

کلیدواژه‌ها [English]

  • Anxiety
  • Cancer
  • Cognitive - behavioral therapy
  • Depression
  • Quality of life
  • stress
  • stress management

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مجله زنان، مامایی و نازایی ایران
دوره 18، شماره 154 - شماره پیاپی 154
هفته چهارم تیر ماه 1394
تیر 1394
صفحه 8-18

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