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The Effect of Mindfulness-Based Cognitive-Behavioral Therapy (MBCT) on Perceived Stress, Disease Adaptability, Quality of Life, and Cognitive Functions in Patients Undergoing Chemotherapy | ||
Iranian Journal of Health Psychology | ||
مقاله 4، دوره 5، شماره 4 - شماره پیاپی 14، آذر 2022، صفحه 45-58 اصل مقاله (268.33 K) | ||
نوع مقاله: research | ||
شناسه دیجیتال (DOI): 10.30473/ijohp.2023.63821.1249 | ||
نویسندگان | ||
mohammad oraki1؛ Majid Safarinia1؛ sajad bahrami* 2 | ||
1department of psychology, Payame Noor University, Tehran, Iran | ||
2Department of psychology - payam noor univercity(PNU) - P.O.Box 19395-4697- tehran - iran | ||
چکیده | ||
Objective: This study aimed at investigating the effectiveness of mindfulness-based cognitive-behavioral therapy on the perceived stress, disease adaptation, quality of life, and cognitive function of patients undergoing chemotherapy. Method: The design of the study was semi-experimental with a pretest-posttest and control group. The statistical population of this study was all patients with sarcoma-lymphatic and gastrointestinal cancer undergoing chemotherapy in Firoozgar-Taleghani-Shariati specialized hospitals in Tehran in the second half of 2021. The study sample consisted of 40 patients with cancer who were selected through convenience sampling and then were randomly assigned to experimental and control groups (20 in each group). The therapy was performed by the researcher for eight 90 minutes –sessions, two sessions per week. Research data were collected using Cohen's Perceived Stress Scale (1983), Watson's disease adaptability (1988), Barclay's cognitive functions, and quality of life questionnaires (2012), and were analyzed by multivariate repeated measures variance analysis. Results: The results showed a significant difference in all variables, and demonstrated that mindfulness-based cognitive therapy significantly improved perceived stress, disease adaptation, quality of life, and cognitive functions of participants in the experimental group in the post-test and follow-up. Conclusion: According to the research findings, it can be concluded that mindfulness-based cognitive therapy is effective in improving the psychological indicators of cancer patients. | ||
کلیدواژهها | ||
Mindfulness-based cognitive therapy؛ Perceived stress؛ Disease adaptation؛ cognitive functions؛ Health psychology | ||
عنوان مقاله [English] | ||
اثربخشی مداخله شناختی رفتاری مبتنی بر ذهن آگاهی(MBCT) بر استرس ادراک شده، سازگاری با بیماری، کیفیت زندگی و کارکردهای شناختی در بیماران تحت شیمی درمانی | ||
نویسندگان [English] | ||
محمد اورکی1؛ مجید صفاری نیا1؛ سجاد بهرامی2 | ||
1گروه روانشناسی،دانشگاه پیام نور ،تهران ،ایران | ||
2گروه روانشناسی - دانشگاه پیام نور - ص پ ۱۹۳۹۵-۴۶۹۷ - تهران - ایران | ||
چکیده [English] | ||
مقدمه: پژوهش حاضر با هدف بررسی اثر بخشی مداخله شناختی رفتاری مبتنی بر ذهن آگاهی بر استرس ادراک شده، سازگاری با بیماری، کیفیت زندگی و کارکردهای شناختی در بیماران تحت شیمی درمانی انجام گرفت. روش پژوهش: طرح پژوهش، نیمهآزمایشی از نوع پیش آزمون و پس آزمون با گروه کنترل بود. جامعه آماری این پژوهش را کلیه افراد مبتلا به سرطان های سارکوم – لنف و گوارش تحت شیمیدرمانی در بیمارستان های تخصصی فیروزگر – طالقانی - شریعتی شهر تهران در نیم سال دوم سال 1400 تشکیل داد. نمونه پژوهش شامل 40 فرد مبتلا به سرطان بود که به صورت در دسترس انتخاب و به صورت تصادفی در دو گروه آزمایش و کنترل گمارده شده بودند( 20 نفر به گروه آزمایش و 20 نفر به گروه کنترل اختصاص یافتند). درمان به مدت 8 جلسه 90 دقیقهای به صورت هر هفته دو جلسه توسط پژوهشگر انجام شد. دادههای پژوهش با استفاده از مقیاس استرس ادراک شده کوهن، سازگاری با بیماری واتسون، کارکردهای شناختی بارکلی و کیفیت زندگی جمعآوری؛ و با روش آماری واریانس چند متغیره با اندازهگیری مکرر تجزیه و تحلیل شد. یافتهها: نتایج نشان دهنده تفاوت معناداری در تمام متغیرها بود و مداخله شناختی مبتنی بر ذهنآگاهی موجب بهبود معنادار استرس ادراک شده، سازگاری با بیماری، کیفیت زندگی و کارکردهای شناختی در گروه آزمایش و مرحله پسآزمون و پیگیری شده بود. نتیجهگیری: با توجه به یافته های پژوهش می توان نتیجه گرفت که مداخله شناختی مبتنی بر ذهنآگاهی در بهبود شاخص های روانشناختی افراد مبتلا به سطران موثر میباشد. | ||
کلیدواژهها [English] | ||
مداخله شناختی مبتنی بر ذهن آگاهی, استرس ادراک شده, سازگاری با بیماری, کارکردهای شناختی, بیماران تحت شیمی درمانی, روانشناسی سلامت | ||
مراجع | ||
Akin, S., Can, G., Durna, Z., Aydiner, A. (2008). The quality of life and self-efficacy of Turkish breast cancer patients undergoing chemotherapy. European Journal of Oncology Nursing.; 12(5):449-56 American Cancer Society. (2013). Cancer in children. [updated 3 May 2013; cited 4 July 2011]. Available from: http://www.cancer.org/acs/groups/cid/documents/webcontent/002287-pdf.pdf Ashdown, H., Dumont, Y., Ng, M., Poole, S., Boksa, P., & Luheshi, G. N. (2006). The role of cytokines in mediating effects of prenatal autoimmune encephalomyelitis and multiple sclerosis—a review. Psychoneuroendocrinology, 32, 604–618. Asoudi Kermani, I., Ashrafian, P., Zeinali, Sh., Imani, M., Shabanlo, R. (2010). Assessing the personality profile of people with cancer and normal people. Journal of Hamedan medical science and health service university, 16(4), 41-50. Barkely, R. A. (2002). ADHD in children, adolescents and adults: Diagnosis, assessment and treatment. Papers presented at 5 th Annual National ADHD Conference, St, louis, Mo. Barkley, R.A.(2012). Barkley Deficits in Executive functioning scalechildren and adolescents ( BDEFS-CA). nEW York: Guilford Press. Board PC. Adjustment to cancer: anxiety and distress (PDQ®). InPDQ Cancer Information Summaries [Internet] 2015 Feb 19. National Cancer Institute (US). Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior; 24: 385–396. Crane, R. (2009). Mindfulness- Based Cognitive Therapy. Unite states of America, New York, Routledge. 3-15. Dehghani, Z., Tavakoli, M., Makarian, F. (2017). Evaluation of memory in patients with breast cancer before and after chemotherapy. Iranian Breast Diseases Quarterly, 10 (4): 38-46. Dehghan, M., Hasani, J., Moradi, M., & Mohammadkhani, S. (2015). Cancer-Based Contextual Experiences: A Phenomenological Study of Cancer Patients. Quarterly Journal of Health Psychology; 10(3, 39): 51-66.
Delaware, A. (2011). Theoretical and scientific concepts of research in humanities and social sciences. Tehran, Roshd Publications. Finucane, A., & Mercer, S. (2006). An exploratory mixed methods study of the acceptability and effectiveness of Mindfulness-Based Cognitive Therapy for patients with active depression and anxiety in primary care. BMC Psychiatry 7(6): 14-20 Holley, S. K. (2015). Evaluating patients distress from cancer related fatigue: an instrument development study. Oncol Nurs Forum; 27(9): 1425-1430 Ivtzan, I., Niemiec, R. M., Briscoe, C. (2016). A study investigating the effects of Mindfulness-Based Strengths Practice (MBSP) on wellbeing. Int J Wellbeing ;6(2):1-13. Kabat-Zinn, J. (2004). Full catastrophe living: The program of the stress reduction clinic at the University of Massachusetts Medical Center. New York: Dell Publishing Kroska, E. B., Miller, M. L., Roche, A. I., Kroska, S. K. & O’Hara, M.W.(2018).Effects of traumatic experiences on obsessive-compulsive and internalizing symptoms: The role of avoidance and mindfulness. Journal of affective disorders, 225: 326 -336. Krull, K. R., Huang, S., Gurney, J. G. (2010). Adolescent behavior and adult health status in childhood cancer survivors. Journal of Cancer Survivorship; 4(3): 210-7. Mace, C. (2008). Mindfulness and mental health: therapy, theory, and science. America, New York. Routledge Press; 35-36. Mashhadi, A., Mirdorghi, F., Hosseinzadeh, Z., Hassani, J., Hamza Lu, M. (2014). Factor Structure, Validity and reliability of the Persian Version of the Deficiency Scale in Barclay Executive Performance - Adult Version. Journal of Clinical Psychology 7 (1): 51-63. McCay, E., Frankford, R., Beanlands, H. (2016). Evaluation of Mindfulness-Based Cognitive Therapy to Reduce Psychological Distress and to Promote Well-Being: A Pilot Study in a Primary Health Care Setting. SAGE: 1-12 Mehdipour, F., Rafiepoor, A., & Haji Alizadeh, K. (2019). The Effectiveness of Mindfulness-Based Group Cognitive Therapy on Improving the Quality of Life in Patients with Cancer. Biquarterly Iranian Journal of Health Psychology; 2(1, 3): 125-134. Mohammadi, I., Davoodi, H., Ale Yasin, S. A. (2017). The effect of mindfulness-based cognitive therapy on psychological adjustment to cancer in women with breast cancer, 6th Congress of the Iranian Psychological Association, Tehran. Montazeri, A., Goshtasbi, A., Vahdani Nia, M. (2005). Translation, determination of reliability and validity of Persian version of SF-36 standard tool. Payesh Quarterly, 5 (1): 49-56. Mussgay, L., Rüddel, H. (2004). Autonomic dysfunctions in patients with anxiety throughout therapy. J Psychophysiol; 18(1): 27-37. Nasiri Kalmarzi, R., Moradi, Gh., Asmaei Majd, S., Khanpour, F. (2018). The effectiveness of mindfulness-based cognitive therapy on quality of life and mindfulness of asthmatics. Journal of Cognitive Psychology and Psychiatry. 5 (5): 1-14. Nawaz, A; Malik, J. A; Batool, A. (2014). Relationship Between Resilience and Quality of Life in Diabetics. Journal of the College of Physicians and Surgeons Pakistan. 24 (9): 670-675 Oraki, M., Zare, H., Hosseinzadeh Qasemabad, A. (2020). Comparison of the effectiveness of mindfulness-based cognitive therapy and acceptance and commitment-based therapy on perceived stress in people with non-alcoholic fatty liver disease. Razi Journal of Medical Sciences 27: 186-196. Owen, A. (2002). The neuropsychological sequelae of frontal lobe damage. In: Cognitive deficits in brain disorders: Martin Dunitz; 8: 79-97. Derman, Y. E., Deatrick, J. A. (2016). Promotion of well-being during treatment for childhood cancer: a literature review of art interventions as a coping strategy. Canc Nurs; 39(6): E1-6 Pak, F. Berleti, M., Shokrollahi, M., Kokhaei, P. (2014). Tumor pathology and mechanisms of tumor cell escape from the immune response. Koomesh Journal, 15 (4): 412-431. Pato, M., Moradi, A., Allahyari, A., Payende, M. (2015). Evaluation of psychometric properties of the short version of the Cancer Adjustment Scale in Cancer Patients. Journal of Research in Mental Health, 9 (1): 3-13 Qasemi, F., Karimi, M. Dabbaqi, P. (2018). The effectiveness of mindfulness-based cognitive therapy intervention on the quality of life of women with breast cancer. Journal of Nurse and doctor in war. 6 (20): 51-59. Razavizadeh Tabadakan, B. Z., Jajarmi, M., Vakili,, J. (2019). The effectiveness of mindfulness-based cognitive therapy on depression, rumination, and perceived stress in women with type 2 diabetes. Journal of North Khorasan Medical Science University, 11 (1): 1-8. Safaei, M., Shokri, O. (2014). Measuring stress in cancer patients: factor validity of the perceived stress scale in Iran. Journal of Psychiatric Nursing 2 (1): 13-22. Segal, Z. V., Williams, J., Teasdale, J. D. (2012). Mindfulness-based cognitive therapy for depression. New York: Guilford. Shahid Sales, S., Hassanzadeh, M., Sajjadi, S. S. Ale Dawood, S. A. (2017). A Comparative Study of Sexual Function Disorders in Women with Breast Cancer: A Case study. Journal of Medical School 75 (5): 350-357. Shapero BG, Greenberg J, Mischoulon D, Pedrelli P, Meade K, Lazar SW. (2018). Mindfulness-Based Cognitive Therapy Improves Cognitive Functioning and Flexibility Among Individuals with Elevated Depressive Symptoms. Mindfulness. 2018 :1-13. Sheikhzadeh, M., Zanjani, Z., Bari, A. (2019). The effectiveness of mindfulness-based cognitive therapy (MBCT) on quality of life and mindfulness of cancer patients in Mashhad, 2nd National Congress of Third Wave Behavioral Therapies, Kashan. Shin, M. S., Choi, H., Kim, H., Hwang, J. W., Kim, B. N., Cho, S. C. (2008). A study of neuropsychological deficit in children with obsessive-compulsive disorder. Eur Psychiatry; 23(7): 512-20. Siu, A. L. (2016). U.S. Preventive Services Task Force. Screening for Breast Cancer: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med.; 164(4): 279-96. Soref, A., Dar, R., Argov, G., Meiran, N. (2008). Obsessive-compulsive tendencies are associated with a focused information processing strategy. Behav Res Ther; 46(12): 1295-9. Spence, S.H., Donvan, & Berchman-Toussaint. M. (2000). The treatment of children social phobia: the effectiveness of a social skills training-based, cognitive-behavioral intervention, with and without parental involvement. Journal of child psychology and psychiatry and allied Disciplines, 41, 743-726. Strauss, , C., Gu, J., Pitman., N., Chapman, C., Kuyken, W., & Whittington , A. (2018). Evaluation of mindfulness-based cognitive therapy for life and a cognitive behavioural therapy stress-management workshop to improve healthcare staff stress: study protocol for two randomised controlled trials. BMC 209 Taqiloo, L., Makvand Hosseini, Sh., Sedaqat, M. (2017). "Evaluation of the effectiveness of mindfulness-based cognitive therapy in reducing perceived stress in patients with MS." Quarterly Journal of Nurse and Physician in War 15 (5): 5- 10. Teasdale, J. D; Segal, S; Wiliiams, M. G. (1995). How does cognitive therapy prevent depressive relapse and why should antinational contend(mindfullness) training? Behaviour Research and Therapy,33: 25-39. Teasdale, T. D. (1999). Metcognition, mindfulness and the modification of mood disorders. Clinical Psychology and Psychotherapy, 6: 146-156 Torre, L. A., Bray, F., Siegel, R. L., Ferlay, J. (2015). Global cancer statistics. CA Cancer J Clin; 65(2):87-108 Ustandac, S; Zencirci, A. D. (2015). Factors affecting the quality of life of cancer patients undergoing chemotherapy: A questionnaire study. Asia Pacific Journal of Oncology Nursing 2(1): 17-25 Watson, M; Greer, S; Young, J; Inayat, Q; Burgess, C; & Robertson, B. (1988). Development of a questionnaire measure of adjustment to cancer: the MAC scale. Psychological Medicine, 18, 203–209. Witek-Janusek, L., Albuquerque, K., Chroniak, K. R., Chroniak, C., Durazo-Arvizu, R., Mathews, H. L. (2008). Effect of mindfulness based stress reduction on immune function, quality of life and coping in women newly diagnosed with early stage breast cancer. Brain Behav Immun; 22(6): 969-81 Yendork, J. S; Somhlaba, N. Z. (2014). Stress, coping and quality of life: An exploratory study of the psychological well-being of Ghanaian orphans placed in orphanages. Children and Youth Services Review 46: 28-37 | ||
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