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اثربخشی شناخت‌درمانی مبتنی بر ذهن‌آگاهی بر حس انسجام، پردازش هیجانی، اضطراب مرگ و تصویر بدنی بیماران با سرطان سینه

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد مشاوره، گروه مشاوره، واحد خمینی شهر، دانشگاه آزاد اسلامی، خمینی شهر، ایران

2 استادیار، گروه روانشناسی، واحد نایین، دانشگاه آزاد اسلامی، نایین، ایران

10.30476/smsj.2024.97697.1396

چکیده

 
مقدمه: سرطان سینه شایع‌ترین نوع سرطان در زنان است که تأثیرات عمیقی بر وجوه مختلف عملکرد بیماران دارد؛ بنابراین پژوهش حاضر با هدف بررسی اثربخشی شناخت‌درمانی مبتنی‌بر ذهن‌آگاهی بر حس‌ انسجام، پردازش‌ هیجانی، اضطراب ‌مرگ و تصویر ذهنی از بدن در بیماران مبتلابه سرطان سینه انجام شد.
مواد و روش‌ها: روش پژوهش نیمه‌آزمایشی با طرح پیش‌آزمون‌پس‌آزمون با گروه کنترل بود. جامعه‌ی پژوهش را بیماران مبتلابه سرطان سینه‌ی شهر اصفهان در سال 1401 تشکیل دادند. از جامعه‌ی مذکور، سی بیمار به‌روش هدفمند انتخاب و تصادفی در دو گروه آزمایش و کنترل، گمارش شدند. پیش‌آزمون از طریق پرسش‌نامه‌ی حس‌انسجام، مقیاس پردازش‌ هیجانی، مقیاس اضطراب مرگ و پرسش‌نامه‌ی نگرش فرد درمورد تصویر بدنی انجام شد. گروه آزمایش هشت جلسه‌ی نوددقیقه‌ای شناخت‌درمانی مبتنی‌بر ذهن‌آگاهی دریافت نمودند. گروه کنترل در این مدت مداخله‌ای دریافت نکرد. پس از اتمام جلسات، پس‌آزمون اجرا شد. داده‌ها به‌وسیله‌ی تحلیل‌کواریانس و با استفاده از نرم‌افزار SPSS تحلیل شدند. 
یافته‌ها: بین حس انسجام (P=0/0001، E=0/425)، پردازش هیجانی (P=0/0001، E=0/451)، اضطراب مرگ (P=0/0001، E=0/422) و تصویر ذهنی از بدن (P=0/0001، E=0/507) در دو گروه در پس‌آزمون، تفاوت معنادار وجود دارد، یعنی انجام شناخت‌درمانی مبتنی‌بر ذهن‌آگاهی توانسته است نمرات حس انسجام، پردازش‌هیجانی و رضایت از تصویر بدنی را افزایش و نمرات اضطراب مرگ را کاهش دهند (0/05<P). 
نتیجه‌گیری: شناخت‌درمانی مبتنی‌بر ذهن‌آگاهی می‌تواند به‌عنوان یک گزینه‌ی مداخله‌ای مؤثر برای کمک به بیماران مبتلابه سرطان سینه و بهبود حس‌ انسجام، پردازش‌ ‌هیجانی، اضطراب ‌مرگ و تصویر ذهنی از بدن این گروه استفاده شود. 
 

تازه های تحقیق

Razieh Hosseinpoormohammadabadi (Google Scholar)

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Mindfulness-Based Cognitive Therapy on Sense of Coherence, Emotional Processing, Death Anxiety, and Body Image in Breast Cancer Patients

نویسندگان [English]

  • Razieh Hosseinpoormohammadabadi 1
  • Hasan Khoshakhlagh 2

1 Master's Student in Counseling, Department of Counseling, Khomeinishahr Branch, Islamic Azad University, Khomeinishahr, Iran

2 Assistant Professor, Department of Psychology, Naein Branch, Islamic Azad University, Naein, Iran

چکیده [English]

Introduction: Breast cancer, as the most common type of cancer in women, has profound effects on various aspects of patients’ performance; Therefore, the present study aimed to investigate the effectiveness of mindfulness-based cognitive therapy on sense of coherence, emotional processing, death anxiety, and body image in breast cancer patients.
Methods: This research had a pretest-post-test quasi-experimental design with a control group. The research population consisted of breast cancer patients in Isfahan in 2022. From the aforementioned population, 30 patients were selected using purposive sampling and randomly divided into experimental and control groups. The pre-test was conducted through the Sense of Cohesion Questionnaire (SOC-29), Emotional Processing Scale (EPS), Death Anxiety Scale (DAS), and the Multidimensional Questionnaire of Individual’s Attitude About Body Image (MBSR); the experimental group underwent eight 90-minute sessions of mindfulness-based cognitive therapy. The control group received no intervention. After the intervention, the post-test was administered. The data were analyzed using covariance analysis with SPSS.
Results: The findings showed a significant difference between the sense of coherence (E=0.425, P=0.0001), emotional processing (E=0.451, P=0.0001), death anxiety (E=0.422, P=0.0001), and body image (E=0.507, P=0.0001) in the two groups in the post-test. This means that performing mindfulness-based cognitive therapy has increased the scores of coherence sense, emotional processing, and satisfaction from body image and decreased the scores of death anxiety (P>0.05).
Conclusion: Mindfullness-based cognitive therapy can be used as an effective intervention to improve the sense of coherence, emotional processing, death anxiety, and body image of breast cancer patients.

کلیدواژه‌ها [English]

  • Cognitive therapy based on mindfulness
  • Sense of coherence
  • Emotional processing
  • Death anxiety
  • Body image
  • Breast cancer
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مجله علوم پزشکی صدرا
دوره 12، شماره 1
دی 1402
صفحه 12-24
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هم رسانی
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