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مدلیابی معادلات ساختاری پریشانی روانشناختی بر اساس شفقت به خود با نقش میانجی تصویر بدنی منفی در زنان متاهل مبتلا به سرطان پستان | ||
| روانشناسی سلامت | ||
| دوره 14، شماره 55، آذر 1404، صفحه 99-116 اصل مقاله (1.65 M) | ||
| نوع مقاله: علمی- پژوهشی | ||
| شناسه دیجیتال (DOI): 10.30473/hpj.2025.73174.6158 | ||
| نویسندگان | ||
| یاسمین مهرزاد1؛ نسرین باقری* 2؛ مینا مجتبایی3 | ||
| 1دانشجوی دکتری، گروه روانشناسی، واحد رودهن، دانشگاه آزاد اسلامی، تهران، ایران. | ||
| 2استادیار، گروه روانشناسی، واحد رودهن، دانشگاه آزاد اسلامی، تهران، ایران. | ||
| 3دانشیار، گروه روانشناسی، دانشکده روانشناسی و علوم اجتماعی، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران. | ||
| چکیده | ||
| مقدمه: هدف از پژوهش حاضر بررسی مدلیابی معادلات ساختاری پریشانی روانشناختی بر اساس شفقت به خود با نقش میانجی تصویر بدنی منفی در زنان متاهل مبتلا به سرطان پستان بود. روش: روش این مطالعه توصیفی- همبستگی بود. جامعه آماری پژوهش زنان مبتلا به سرطان پستان شهر کرمان در شهریور ماه سال 1403 بودند. حجم نمونه بر اساس مدل کلاین(2023) و با روش نمونهگیری در دسترس 400 نفر انتخاب شد. ابزار گردآوری دادههای پژوهش شامل مقیاس پریشانی روانشناختی کسلر (K-10) کسلر و همکاران (2003)، فرم کوتاه مقیاس شفقت خود (SF-SCS) رائس و همکاران(2011) و سیاهه تصویر بدنی منفی (BICI) لیتلتون و همکاران (2005) بود. دادهها با استفاده از همبستگی پیرسون و معادلات ساختاری تحلیل شد. نرم افزار تحلیل دادهها برنامه SPSS و AMOS نسخه 28 بود. یافتهها: یافتههای پژوهش نشان داد که اثرات مستقیم شفقت به خود (66/0- =β و 001/0=sig) بر روی پریشانی روانشناختی معنادار است. همچنین نتایج نشان داد که تصویر بدنی منفی در رابطه بین شفقت به خود (71/0- =β و 001/0=sig) با پریشانی روانشناختی نقش میانجی و معنادار دارد. همچنین مدل پژوهش از برازش مطلوبی برخوردار بود (06/0=RMSEA و 05/0>p) و 97 درصد از واریانس پریشانی روانشناختی تبیین می شود. نتیجهگیری: با توجه به یافتههای این پژوهش و نقش شفقت به خود و تصویر بدنی بر پریشانی روانشناختی در زنان مبتلا به سرطان پستان استفاده از نتایج این پژوهش برای کاهش پریشانی روانشناختی در زنان مبتلا به سرطان پستان پیشنهاد می شود. | ||
| کلیدواژهها | ||
| پریشانی روانشناختی؛ تصویر بدنی منفی؛ سرطان پستان؛ شفقت به خود | ||
| عنوان مقاله [English] | ||
| Structural Equation Modeling of the Psychological Distress based on Self-Compassion with the Mediating Role of Negative Body Image in Married Women with Breast Cancer | ||
| نویسندگان [English] | ||
| Yasamim Mehrzad1؛ Nasrin Bagheri2؛ Mina Mojtabaie3 | ||
| 1PhD student, Department of Psychology, Roudhen Branch, Islamic Azad University, Tehran, Iran. | ||
| 2Assistant Professor, Department of Psychology, Roudehen Branch, Islamic Azad University, Tehran, Iran. | ||
| 3Associate Professor, Department of Psychology, Faculty of Psychology and Social Sciences, Roudehen Branch, Islamic Azad University, Roudehen, Iran. | ||
| چکیده [English] | ||
| Objective: Breast cancer is one of the most common and deadly cancers among women worldwide, affecting millions of people, with 2.3 million new cases (one in four new cancer cases) and leading to cancer-related deaths among the female population, with 685,000 cancer deaths (one in six deaths) reported in 2020. After lung cancer, breast cancer is the most common cause of death in women globally. The disease, due to its nature and the fact that the breast is a symbol of femininity, holds emotional significance for all affected women; therefore, being diagnosed with breast cancer causes psychological distress. The purpose of the present study was to investigate structural equation modeling of psychological distress based on self-compassion, with the mediating role of negative body image in married women with breast cancer. Method: This was descriptive-correlational research. The statistical population of the study was women with breast cancer in Kerman city during the summer of 2024. The sample size was selected based on Klein's model (2023) and involved convenience sampling of 400 women. Data collection tools included the psychological distress scale (K-10) by Kessler et al. (2003), the short form of the self-compassion scale (SF-SCS) by Raes et al. (2011), and the body image concern inventory (BICI) by Littleton et al. (2005). Data were analyzed using Pearson correlation and structural equation modeling. The data analysis software was SPSS and AMOS version 28. Results: The results showed a direct effect of self-compassion (β = -0.66, sig = 0.001) on psychological distress, which is significant. The results also indicated that negative body image has a significant mediating role in the relationship between self-compassion (β = -0.71, sig = 0.001) and psychological distress. Additionally, the final research model demonstrated a good fit (RMSEA = 0.06, p < 0.05), explaining 97% of the variance in psychological distress. Conclusion: In explaining the results, it can be said that those who lack self-compassion and are unkind to themselves also have a negative view of their bodies when they are ill. Body image refers to the complex psychological relationship with one's body, which focuses mainly, but not exclusively, on one's physical appearance. It includes a person's perceptions and attitudes about their body, encompassing a wide range of thoughts, beliefs, feelings, and behaviors related to the body. Body image issues can also stem from social standards that emphasize vitality, physical beauty, and fitness. As a result, the removal of part of the breast (lumpectomy), the entire affected breast (mastectomy), or both breasts (double mastectomy) may be interpreted as an indicator of failure. Patients who have undergone surgery to remove a cancerous tumor in the breast must adapt to changes in body structure, function, and image at the physical, social, and psychological levels, which can lead to increased levels of psychological distress. Therefore, it is logical to say that negative body image can play a mediating role in the relationship between self-compassion and psychological distress in women with breast cancer. According to the findings of this research and the roles of self-compassion and negative body image in psychological distress in women with breast cancer, it is suggested that the results of this study be used to reduce psychological distress in this population. | ||
| کلیدواژهها [English] | ||
| Breast Cancer, Negative Body Image, Psychological Distress, Self-Compassion | ||
| مراجع | ||
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