اثربخشی آموزش مدیریت استرس وآرام‌سازی در کاهش عاطفه‌ی منفی و افزایش کیفیت زندگی زنان مبتلا به سرطان پستان

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عطيه صفرزاده
فائزه شفيعي
زهرا احمدوند

چکیده

مقدمه: در سال 2005، سرطان معده، مری، پستان و پروستات به عنوان شایع‌ترین سرطان‌ها در مردان و زنان ایرانی تشخیص داده شدند. پژوهش حاضر، طرح آزمایشی همراه با پیگیری و گروه شاهد و با هدف بررسی اثربخشی آموزش مدیریت استرس و آرام‌سازی در کاهش عاطفه‌ی منفی و افزایش کیفیت زندگی زنان مبتلا به سرطان پستان انجام شد.


شیوه‌ی مطالعه: در این پژوهش آزمایشی، 18 زن مبتلا به سرطان پستان مراجعه‌کننده به درمانگاه بیمارستان مصطفی خمینی شهر تهران، بر اساس ملاک‌های ورود و خروج انتخاب و به صورت تصادفی در گروه شاهد (9 نفر) و آزمایش (9 نفر) گنجانده شدند. برنامه‌ی آموزش مدیریت استرس و آرام‌سازی برای زنان مبتلا به سرطان پستان در طی 10 جلسه‌ی هفتگی بر روی گروه آزمایش اجرا شد. هر دو گروه قبل، بعد و 2 ماه بعد از اتمام برنامه به منظور پیگیری نتایج درمان، به طور همزمان پرسش‌نامه‌ی عاطفه PANAS، پرسش‌نامه‌ی کیفیت زندگی سرطان QLQ-C30 و کیفیت زندگی سرطان پستان QLQ-Br23 را تکمیل کردند.


یافته‌ها: نتایج به دست آمده از تحلیل واریانس آمیخته درون- برون گروهی حاکی از کاهش معنی‌دار عاطفه‌ی منفی و بهبود شماری از خرده مقیاس‌های کیفیت زندگی گروه آزمایش در مقایسه با گروه شاهد می‌باشد که در پیگیری 2 ماهه نیز پایدار بود.


نتیجه‌گیری: برنامه‌ی مدیریت استرس و آرام‌سازی برای زنان مبتلا به سرطان پستان، کیفیت زندگی و وضعیت روان‌شناختی این افراد را افزایش خواهد داد.


کلیدواژه‌ها: درمان شناختی- رفتاری مدیریت استرس، اضطراب، استرس، کیفیت زندگی، عاطفه‌ی منفی، سرطان پستان

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نوع مقاله
مقاله پژوهشی

مراجع

1. Khademi M, Sajadi Hazaveh M. Breast cancer: A phenomenological study. Journal of Arak University of Medical Sieneces (Rahavard Danesh). 2009;12(1 ):29-39. [In Persian]
2. Kolahdoozan S, Sadjadi A, Radmard AR, Khademi H. Five common cancers in Iran. Arch Iran Med. 2010;13(2):143-6.
3. Kilbreath S, Refshauge K, Beith J, Lee M. Resistance and stretching shoulder exercises early following axillary surgery for breast cancer. Rehabilitation Oncology. 2006;24(2):9-14.
4. Osoba D. Health-related quality of life and cancer clinical trials. Ther Adv Med Oncol. 2011;3(2):57-71.
5. karami O, Falahat Pishe F, Jahani Hashemi H, Bierghdar N. Quality of life in cancer patients. Journal of Quazvin of Medical Sciences. 2007;14(3):61-86. [ In Persian]
6. Bakhshi M, Memarian R, Azad Fallah P. The Effect of Progressive Muscle Relaxation on the Dosage of Antiemetic Drugs in Cancer Patients Undergoing Chemotherapy. Quarterly of Horizon of Medical Sciences. 2009;15(3):5-12. [In Persian]
7. Agha barari M, Ahmadi F, Mohammadi E, Hajizadeh E, Varvarani A. Physical, emotional and social dimension of quality of life among breast cancer women under chemotherapy. IJNR. 2007;1(3):55-65. [In Persian]
8. Kernan WD, Lepore SJ. Searching for and making meaning after breast cancer: Prevalence, patterns, and negative affect. Social Science & Medicine. 2009;68(6):1176-82.
9. Sepah SC, Bower JE. Positive affect and inflammation during radiation treatment for breast and prostate cancer. Brain, Behavior, and Immunity. 2009;23(8):1068-72.
10. Mozafari Sh, Hadianfard H. Positive psychology, feeling of mental happiness. Psychotheray News (Hypnothysm). 2004;31/32. [In Persian]
11. Golparvar M, Golparvar M, Joodi S. The relationship between justic of world beliefs for others and oneself with general health, life satisfaction, positive and negative emotions and automatic thoughts. Knowledge and research in psychology. 2007;31(9):29-68. [In Persian]
12. Antoni MH. Stress management intervention for women with breast cancer: American Psychological Association; 2003.
13. Antoni MH, Lechner S, Diaz A, Vargas S, Holley H, Phillips K, et al. Cognitive behavioral stress management effects on psychosocial and physiological adaptation in women undergoing treatment for breast cancer. Brain, behavior, and immunity. 2009;23(5):580-91.
14. Antoni MH, Wimberly SR, Lechner SC, Kazi A, Sifre T, Urcuyo KR, et al. Reduction of cancer-specific thought intrusions and anxiety symptoms with a stress management intervention among women undergoing treatment for breast cancer. American Journal of Psychiatry. 2006;163(10):1791-7.
15. Antoni MH, Lechner SC, Kazi A, Wimberly SR, Sifre T, Urcuyo KR, et al. How stress management improves quality of life after treatment for breast cancer. J Consult Clin Psychol. 2006;74(6):1143-52.
16. Antoni M. Stress management effects on biobehavioral processes in breast cancer. Brain, Behavior, and Immunity. 2009;23:S26.
17. Giese-Davis J, Wilhelm FH, Conrad A, Abercrombie HC, Sephton S, Yutsis M, et al. Depression and stress reactivity in metastatic breast cancer. Psychosomatic medicine. 2006;68(5):675-83.
18. Montazeri A, Harirchi I, Vahdani M, Khaleghi F, Jarvandi S, Ebrahimi M, et al. The EORTC breast cancer-specific quality of life questionnaire (EORTC QLQ-BR23): translation and validation study of the Iranian version. Qual Life Res. 2000;9(2):177-84.
19. Heravi karimavi M, Pourdehghan M, Faghihzadeh S, Montazari A, Jadid Milani M. The effects of group therapy on quality of life of bereast cancer treated by chemotherapy. Kermanshah University of MedicaL Sciences. 2006;10(1):10-22. [In Persian]
20. Safaee A, Zeighami B, Tabatabaee H, Moghimi Dehkordi B. Quality of life and Related Factors in Breast Cancer Patients under Chemotherapy. Iranian Journal of Epidemiology. 2008;3(3):61-6. [ In Persian]
21. Tavali A, Montazeri A, Mohagheghi M. A, Roshan chelsi R, Tavali Z, Meliani M. The Role of information of cancer diagnosis on quality of life of patients of digestion cancer. Payesh. 2007;6(3):257-64. [In Persian]
22. Montazeri A, Harirchi I, Vahdani M, Khaleghi F, Jarvandi S, Ebrahimi M, et al. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30): translation and validation study of the Iranian version. Supportive Care in Cancer. 1999;7(6):400-6.
23. Bakhshi pour roodsari A, Dejkam M. Confirmatory factor analysis of positive and negative emotions. Psychology. 2006;4(36):351-65. [ In Persian]
24. Rafiee Nia P. The role of personality and affects on emotional information precessing and cardial response. Tehran: Tarbiat Modares University; 2005. [ In Persian]
25. Montazeri A, Vahdaninia M, Harirchi I, Ebrahimi M, Khaleghi F, Jarvandi S. Quality of life in patients with breast cancer before and after diagnosis: an eighteen months follow-up study. BMC Cancer. 2008;8:330.
26. Witek-Janusek L, Albuquerque K, Chroniak KR, Chroniak C, Durazo-Arvizu R, Mathews HL. Effect of mindfulness based stress reduction on immune function, quality of life and coping in women newly diagnosed with early stage breast cancer. Brain, behavior, and immunity. 2008;22(6):969-81.
27. Carlson LE, Speca M, Faris P, Patel KD. One year pre–post intervention follow-up of psychological, immune, endocrine and blood pressure outcomes of mindfulness-based stress reduction (MBSR) in breast and prostate cancer outpatients. Brain, behavior, and immunity. 2007;21(8):1038-49.
28. Wojtyna E, Zycinska J, Stawiarska P. The influence of cognitive_bahavioral therapy on quality of life and self-esteeem in women suffering from breast cancer: Replication of Practical Oncology in Radiotherapy 2007;12(2):109-117.
29. Goodwin PJ, Leszcz M, Ennis M, Koopmans J, Vincent L, Guther H, et al. The effect of group psychosocial support on survival in metastatic breast cancer. N Engl J Med. 2001;345(24):1719-26.
30. Savard J, Simard S, Ivers H, Morin CM. Randomized study on the efficacy of cognitive-behavioral therapy for insomnia secondary to breast cancer, part I: Sleep and psychological effects. Journal of Clinical Oncology. 2005;23(25):6083-96.
31. Pedram M, Mohammadi M, Naziri G, Aeinparast N. Effectiveness of Cognitive-behavioral Group Therapy on the Treatment of Anxiety and Depression Disorders and on Raising Hope in Women with Breast Cancer. Quarterly Journal of Women and Society. 2010;1(4):34-61. [In Persian]
32. Bordeleau L, Szalai JP, Ennis M, Leszcz M, Speca M, Sela R, et al. Quality of life in a randomized trial of group psychosocial support in metastatic breast cancer: overall effects of the intervention and an exploration of missing data. Journal of Clinical Oncology. 2003;21(10):1944-51.
33. Errihani H, Elghissassi I, Mellas N, Belbaraka R, Messmoudi M, Kaikani W. Impact of cancer on sexuality: How is the Moroccan patient affected? Sexologies. 2010;19(2):92-8.
34. Trudel G, Goldfarb M. Marital and sexual functioning and dysfunctioning, depression and anxiety. Sexologies. 2010;19(3):137-42.
35. Takahashi M, Kai I. Sexuality after breast cancer treatment: Changes and coping strategies among Japanese survivors. Social science & medicine. 2005;61(6):1278-90.
36. Avis NE, Crawford S, Manuel J. Quality of life among younger women with breast cancer. Journal of Clinical Oncology. 2005;23(15):3322-30.
37. Schover LR. Counseling cancer patients about changes in sexual function. Oncology (Williston Park, NY). 1999;13(11):1585-91; discussion 91.
38. Vos PJ, Visser AP, Garssen B, Duivenvoorden HJ, de Haes HC. Effects of delayed psychosocial interventions versus early psychosocial interventions for women with early stage breast cancer. Patient education and counseling. 2006;60(2):212-9.