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محمودفخه, هیمن, رحیمی چم حیدری, راضیه. (1403). اثربخشی طرحواره درمانی بر رشد پس از سانحه و سرمایه روانشناختی در زنان مبتلا به سرطان پستان. فصلنامه علمی زیست فناوری گیاهان زراعی, 13(50), 63-76. doi: 10.30473/hpj.2024.67379.5777
هیمن محمودفخه; راضیه رحیمی چم حیدری. "اثربخشی طرحواره درمانی بر رشد پس از سانحه و سرمایه روانشناختی در زنان مبتلا به سرطان پستان". فصلنامه علمی زیست فناوری گیاهان زراعی, 13, 50, 1403, 63-76. doi: 10.30473/hpj.2024.67379.5777
محمودفخه, هیمن, رحیمی چم حیدری, راضیه. (1403). 'اثربخشی طرحواره درمانی بر رشد پس از سانحه و سرمایه روانشناختی در زنان مبتلا به سرطان پستان', فصلنامه علمی زیست فناوری گیاهان زراعی, 13(50), pp. 63-76. doi: 10.30473/hpj.2024.67379.5777
محمودفخه, هیمن, رحیمی چم حیدری, راضیه. اثربخشی طرحواره درمانی بر رشد پس از سانحه و سرمایه روانشناختی در زنان مبتلا به سرطان پستان. فصلنامه علمی زیست فناوری گیاهان زراعی, 1403; 13(50): 63-76. doi: 10.30473/hpj.2024.67379.5777

اثربخشی طرحواره درمانی بر رشد پس از سانحه و سرمایه روانشناختی در زنان مبتلا به سرطان پستان

روانشناسی سلامت
دوره 13، شماره 50، شهریور 1403، صفحه 63-76    اصل مقاله (477.4 K)
نوع مقاله: علمی- پژوهشی
شناسه دیجیتال (DOI): 10.30473/hpj.2024.67379.5777
نویسندگان
هیمن محمودفخه* 1؛ راضیه رحیمی چم حیدری2
1استادیار، گروه روانشناسی، دانشگاه پیام نور، تهران، ایران.
2کارشناسی ارشد، روانشناسی بالینی، گروه روانشناسی، دانشگاه پیام نور، تهران، ایران.
چکیده
مقدمه: پژوهش حاضر با هدف اثربخشی طرحواره‌درمانی بر رشد پس از سانحه و سرمایه‌روانشناختی در زنان مبتلا به سرطان پستان انجام گرفت.
روش: روش پژوهش نیمه آزمایشی با طرح پیش‌آزمون-پس‌آزمون و گروه کنترل بود. جامعه آماری مشتمل بود بر زنان مبتلا به سرطان پستان مراجعه کننده به کلینیک آنکولوژی بیمارستان امام خمینی (ره) تهران، از سال ۱۳۹۹ تا ۱۴۰۰.  از میان این افراد، ۲۰ نفر با استفاده از روش نمونه گیری دردسترس انتخاب و  به صورت تصادفی در گروه آزمایش و گروه کنترل (هر گروه شامل ۱۰ نفر) گمارش شدند. جهت گردآوری داده‌ها از ابزارهای پرسشنامه رشد  پس از سانحه تدسچی و کالهون (۱۹۹۶) و سرمایه‌روانشناختی لوتانز (۲۰۰۷) استفاده شد. جلسات آموزشی طرحواره‌درمانی یانگ  (۲۰۰۶) در ۲۰ جلسه ی ۶۰ دقیقه‌ای و به صورت هفتگی اجرا گردید، در حالی که گروه کنترل هیچ مداخله‌ای را دریافت نکردند. تجزیه و  تحلیل داده‌ها نیز با استفاده از روش تحلیل کوواریانس چند متغیره در محیط SPSS-23  انجام گردید.
یافته‌ها: نتایج نشان داد که روش طرحواره‌درمانی بر رشد پس از سانحه و سرمایه‌های روانشناختی تاثیر دارد (۰۵/۰P<).
نتیجه‌گیری: براساس یافته‌ها میتوان نتیجه گیری کرد که طرحواره‌درمانی می‌تواند روشی  موثر جهت افزایش سرمایه‌های روانشناختی و رشد پس از سانحه در بیماران مبتلا به سرطان پستان باشد. بنابراین به متخصصان پیشنهاد می‌گردد که به جهت ارتقای ابعاد روانی بیماران مبتلا به سرطان پستان، این درمان را بکار بگیرند.
کلیدواژه‌ها
رشد پس از سانحه؛ سرمایه روانشناختی؛ سرطان پستان؛ طرحواره درمانی
عنوان مقاله [English]
The Effectiveness of Schema Therapy on Post-Traumatic Growth and Psychological Capital in Women with Breast Cancer
نویسندگان [English]
heman mahmoud fakhe1؛ ,Razie Rahimi Cham Heydari2
1Assistant Professor, Department of Psychology, Payame Noor University, Tehran, Iran.
2M.A, Clinical Psychology, Department of Psychology, Payame Noor University, Tehran, Iran
چکیده [English]
Objective: In today's era, human knowledge has made many advances in the field of controlling and treating various diseases and medical science. However, cancer is still the second leading cause of death, and in other words, breast cancer is considered one of the most important diseases of the present century, which is one of the most common cancers in women, accounting for 32% of women's cancers. Even though this disease has a traumatic nature and causes problems in all aspects of life, fighting it after diagnosis and treatment can lead to positive changes, which is referred to as post-traumatic growth. Another variable that can affect various aspects of the lives of people with breast cancer and act as a shield against diseases and traumatic events is psychological capital. Therefore, it is important to promote post-traumatic growth and psychological capital in people with breast cancer. In this regard, the current research seeks to answer the question of whether schema therapy has a significant effect on post-traumatic growth and psychological capital in women with breast cancer. Method: The design of the current research was a quasi-experimental type of pre-test and post-test. The research population consisted of women with breast cancer who were referred to the oncology clinic of Imam Khomeini Hospital (RA) in Tehran from 2019 to 2020. Among these people, 20 people were selected by the available sampling method and were randomly placed in the experimental and control groups (each group includes 10 people). To collect data, the tools of Tedeschi and Calhoun's post-traumatic growth Inventory (1996) and Luthans’s Psychological Capital Questionnaire (2007) were used. Young’s (2006)schema therapy training sessions were conducted in 20 60-minute sessions weekly, while the control group received no intervention. Data analysis was also done using covariance analysis in the SPSS-23 environment. Results: The findings showed that schema therapy has an effect on post-traumatic growth and psychological capital in women with breast cancer (P<0.05). So the average post-traumatic growth and psychological capital in the experimental group increased in the post-test phase compared to the pre-test. According to the results presented about the descriptive indicators and the difference between the two test and control groups in the post-test of these indicators, it can be said that schema therapy increases post-traumatic growth and psychological capital in women with breast cancer. Conclusion: Schema therapy focuses on the deepest levels of cognition, i.e. schemas and the internalized voice of parents, and teaches clients to become aware of the root of their thoughts. It also helps them to evaluate the correctness of their schemas and examine the evidence that confirms and rejects them, and in this way, question negative thoughts and schemas, and change your approach to the future, the world, and yourself. In other words, first the early maladaptive schemas are identified and then they change and adaptive schemas replace them. In the behavioral pattern-breaking stage, clients were taught how to replace the schema behavioral pattern with healthier coping styles. Also, by correcting the schema of incompetence and shame, people realized their personal abilities and strengths and were able to think about their own values ​​and set goals for themselves, which led to their lives becoming meaningful and valuable and they were able to make spiritual changes in their lives. In this way, schema therapy can help a person to achieve post-traumatic growth and psychological capital. Based on the obtained results, it can be said that by using schema therapy, post-traumatic growth and psychological capital can be increased in women with breast cancer.
کلیدواژه‌ها [English]
Breast Cancer, Post-Traumatic Growth, Psychological Capital, Schema Therapy
مراجع

Afzali, R., Ehteshamzadeh, P., Asgari, P., & Naderi, F. (2022). The Effectiveness of Schema Therapy on Food Cravings, Cognitive Flexibility and Food Attentional Bias in People with binge Eating Disorder. Health Psychology, 11(41), 27-46. https://doi.org/10.30473/hpj.2022.57289.5091. (in Persian).

Akbari, H & Akbari, ME. (2018). The comparison of three components of breast cancer in females with cancer and healthy ones: coping styles, psychological capital, and patience. Multidisciplinary Cancer Investigation. 2018 Jul 10;2(3):23-9.  Doi:10.30699/acadpub.mci.2.3.32.

Alami niya, M. (2015). A critical review of researches in schema therapy area. Clinical Psychology Studies, 5(18), 99-125. https://jcps.atu.ac.ir/article_1048.html?lang=fa. (in Persian).

Aliakbari dehkordi, M., & bitaneh, M. (2021). The Effectiveness of Psychological Capital Elements Training on Psychological Flexibility and Psychological Distress on the Women with Breast Cancer. Health Psychology, 10(38), 7-22. https://doi.org/10.30473/hpj.2021.50016.4645. (in Persian).

Ali Akbari, M., Hassanzadeh Hanoui, M., Alipor, A., & Bayat, N. (2023). The Effectiveness of Schema Therapy on Coping Styles in Rheumatoid Arthritis Patients. Health Psychology, 12(45), 147-162https://doi.org/10.30473/hpj.2023.67051.5754. (in Persian).

Alizadeh, N., Mirzaian, B., & Abbasi, G. (2022). Comparison of the Effectiveness of Schema Therapy and Short-Term Psychodynamic Therapy on Psychological Capital in Females with Breast Cancer. Rooyesh, 10 (11), 229-240. Dor: 20.1001.1.2383353.1400.10.11.21.1. (in Persian).

Bach, B., & Bernstein, D. P. (2019). Schema therapy conceptualization of personality functioning and traits in ICD-11 and DSM-5. Current Opinion in Psychiatry, 32(1), 38-49. DOI: 10.1097/YCO.0000000000000464.

ÇINAR, S. E., BOYALI, C., & Özkapu, Y. (2022). The relationship between posttraumatic growth and psychological resilience in the Covid-19 pandemic: The mediating role of cognitive flexibility and positive schemas. Turkish Psychological Counseling and Guidance Journal, 12(64), 1-17. Doi:https://doi.org/10.17066/tpdrd.1095688.

Dubuy, Y., Sébille, V., Bourdon, M., Hardouin, J. B., & Blanchin, M. (2022). Posttraumatic growth inventory: challenges with its validation among French cancer patients. BMC Medical Research Methodology, 22(1), 1-18. Doi: https://pubmed.ncbi.nlm.nih.gov/36153507/

Ebrahimi, S., ahmadi, K., & farokhi, N. (2022). Effectiveness of Emotion-Focused Therapy on Psychological Capital and Post Traumatic Growth in Women with Multiple Sclerosis. 3 JNE, 11 (3), 85-96.https://doi.org/10.22034/JNE.11.3.85.(in Persian).

Eisazadeh, F., heidary, S., Agajanbaglu, S., & saffarinia, M. (2020). Study of the Effectiveness of Schema Therapy on Improving Social Adjustment and Psychological Capital in Transsexual Persons. Social Psychology Research, 10(37), 13-28.

https://doi.org/10.22034/spr.2020.109694. (in Persian).

Essue, B. M., Iragorri, N., Fitzgerald, N., & de Oliveira, C. (2020). The psychosocial cost burden of cancer: A systematic literature review. Psycho‐oncology, 29(11), 1746-1760. Doi: https://pubmed.ncbi.nlm.nih.gov/32783287/.

Farzaneh,Sima,Mousazadeh,Tavakkol,Nazarzadeh,Vakil.(2022).Comparison of the effectiveness of acceptance and commitment-based therapy and schema therapy on the self-efficacy and Self compassion of women after hysterectomy.Women and Family Studies, 15(57), 55-74.https://doi.org/10.30495/jwsf.2021.1930693.1573. (in Persian).

Faryadras, N., Sajadinezhad, M S., & Sajadian, A S.(2023). Investigating the Relationship Between Psychological Capital and Fear of Recurrence and Sexual Function in Women with Breast Cancer. Ijbd, 16 (1), 19-32.https://doi.org/10.30699/ijbd.16.1.19 (in Persian).

Fekih-Romdhane, F., Riahi, N., Achouri, L., Jahrami, H., & Cheour, M. (2022, September). Social Support Is Linked to Post-Traumatic Growth among Tunisian Postoperative Breast Cancer Women. In Healthcare (Vol. 10, No. 9, p. 1710). MDPI. Doi:

https://doi.org/10.3390/healthcare10091710.

Ghayour Kazemi, F., Shahhabizadeh, F., Safara, M., & Shahidsales, S. (2022). Effectiveness of Transdiagnostic Intervention and Mindfulness-Based Schema Therapy on Cancer Self-Efficacy and Resilience in Women with Breast Cancer. North Khorasan University of Medical Sciences, 14 (3), 24-33.https://doi.org/10.32592/nkums.14.3.24.(in Persian).

Ghalyanee, B., Asadzandi, M., Bahraynian, S A., & Karimi Zarchi, A A. (2021). Comparing the Effects of Spiritual Counseling Based on the Sound Heart Model with Mindfulness Training on the Quality of Life of Women with Breast Cancer. Ijbd, 14 (3), 34-45.https://doi.org/10.30699/ijbd.14.3.34.(in Persian).

Ghorbani Zadeh, V., Alizadeh, H., Khani, S., & Mohamadi, A.(2015). A Structural Model for the Effect of Psychological Capital on Organizational Citizenship Behavior. JRSM, 5 (10), 95-106. http://jrsm.khu.ac.ir/article-1-2366-fa.html. (in Persian).

Guarino, A., Polini, C., Forte, G., Favieri, F., Boncompagni, I., & Casagrande, M. (2020). The effectiveness of psychological treatments in women with breast cancer: A systematic review and meta-analysis. Journal of clinical medicine, 9(1), 209. Doi:

https://doi.org/10.3390/jcm9010209.

Hajian, M., & Nikoonejad, F. (2021). The effectiveness of cognitive schema therapy on the mixed symptoms of anxiety and depression in breast cancer patients. Rooyesh, 10 (7), 87-94. Dor: 20.1001.1.2383353.1400.10.7.7.9. (in Persian).

Luthans, B. C., Luthans, K. W., & Jensen, S. M. (2012). The impact of business school students’ psychological capital on academic performance. Journal of Education for Business, 87(5), 253-259. Doi:https://doi.org/10.1080/08832323.2011.609844.

Michalczyk, J., Dmochowska, J., Aftyka, A., & Milanowska, J. (2022). Post-Traumatic Growth in Women with Breast Cancer: Intensity and Predictors. International journal of environmental research and public health, 19(11), 6509. Doi: https://doi.org/10.3390/ijerph19116509.

Mirkhan, N. S., Khalatbari, J., & Tajeri, B. (2019). Comparison of the Effectiveness of Acceptance and Commitment Therapy and Schema Therapy on Resiliency of Breast Cancer Patients in East Tehran Medical Centers. Iranian journal of educational sociology, 2(1), 171-177. Doi: 10.29252/ijes.2.1.171.

Momennasab, M., Nouzari, R., & Najafi, S S.(2021). Post-Traumatic Growth among Patients with Gastrointestinal Cancer and Its Association with Social Support and Hope. Yafte, 23 (2), 46-58.https://doi.org/10.32592/Yafteh.2021.23.2.5. (in Persian).

Pordelan, N., & Hosseinian, S. (2021). Online career counseling success: the role of hardiness and psychological capital. International Journal for Educational and Vocational Guidance, 1-19. Doi: https://doi.org/10.1007/s10775-020-09452-1.

Robatmili, S., posht koohi, M., & vazayfi shahrivar, M. (2022). Evaluation of Anxiety Symptoms based on Ambiguity Tolerance and Post Traumatic Growth among Breast Cancer Patients. Health Psychology, 11(43), 163-178. https://doi.org/10.30473/hpj.2022.59686.5268. (in Persian).

Schelleman-Offermans, K., & Massar, K. (2020). Explaining socioeconomic inequalities in self-reported health outcomes: The mediating role of perceived life stress, financial self-reliance, psychological capital, and time perspective orientations. PloS one, 15(12), e0243730. Doi: https://doi.org/10.1371/journal.pone.0243730.

Seyed Mahmoudi, S., Rahimi, C., Mohamadi, N., & Hadian Fard, H. (2010). Increasing Posttraumatic Growth during Time and Its Relationship with Coping Styles and Optimism in Individuals with HIV. Psychological Achievements, 17(2), 165-186.

https://psychac.scu.ac.ir/article_11685.html?lang=fa. (in Persian).

Selabkhori Z.(2019Investigating the efficacy of schema therapy on self-criticism and shame in addicts undergoing methadone maintenance treatment. Journal of Psychological Science. 22(121), 153-170. doi:10.52547/JPS.22.121.153. (in Persian).

Song, Z., Wei, L., Liu, Y., Bian, J., Wang, C., & Wang, S. (2023). The mediating role of psychological capital between post-traumatic growth and uncertainty in illness among patients with Parkinson's disease. Geriatric Nursing, 50, 194-202. Doi:

https://doi.org/10.1016/j.gerinurse.2023.01.014.

Tabibzadeh, F., soleimani, E., & Ghorban Shiroodi, S. (2022). Effectiveness of Emotional Schema Therapy on Cancer related Fatigue and Self-care Behaviors in Patients with Breast Cancer. SJKU, 27 (2), 113-127.https://doi.org/10.52547/sjku.27.2.113.(in Persian).

Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: measuring the positive legacy of trauma. Journal of traumatic stress, 9(3), 455–471.https://doi.org/10.1007/BF02103658

Westhoff, C. L., & Pike, M. C. (2018). Hormonal contraception and breast cancer. Contraception, 98(3), 171-173. Doi: https://doi.org/10.1016/j.contraception.2018.05.002

Young, J. E., Klosko, J. S., & Weishaar, M. E. (2006). Schema therapy: A practitioner's guide. guilford press. 95-100.

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