بررسی اثربخشی درمان شناختی رفتاری بر ترس از عود سرطان در بیماران مبتلا به سرطان روده بزرگ
محورهای موضوعی : psychotherapyیگانه ابراهیمی 1 , فاطمه معقول 2 , حسن رضایی جمالویی 3
1 - گروه روانشناسی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، اصفهان، ایران
2 - مرکز تحقیقات بیماری های گوارش پورسینای حکیم، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.
3 - گروه روانشناسی، واحد نجف آباد، دانشگاه آزاد اسلامی، نجف آباد، اصفهان، ایران
کلید واژه: درمان شناختی رفتاری, ترس از عود سرطان, سرطان روده بزرگ,
چکیده مقاله :
تعداد فزایندهای از بیماران مبتلا به سرطان دستگاه گوارش از عوارض جانبی درمان سرطان رنج میبرند که میتواند بر سلامت روانی- اجتماعی آنها از جمله وضعیت خلقی و کیفیت زندگی آنها تأثیر بگذارد. هدف از پژوهش حاضر، بررسی اثربخشی درمان شناختی- رفتاری بر ترس از عود سرطان در بیماران مبتلا به سرطان روده بزرگ بود. این مطالعه بصورت نیمه آزمایشی با طرح پیش آزمون – پس آزمون با گروه کنترل بود. 22 نفر با روش نمونه گیری هدفمند به عنوان نمونه مورد نظر پژوهش انتخاب شدند و سپس به طور تصادفی در دو گروه آزمایش و کنترل قرار گرفتند. ابزار گردآوری داده ها پرسشنامه 42 سوالی ترس از عود سرطان بود. برای هر دو گروه پرسشنامه ترس از عود سرطان تکمیل شد. سپس، گروه آزمایش در جلسات آموزشی درمان شناختی رفتاری به مدت 8 جلسه 90 دقیقه ای شرکت کردند اما گروه کنترل مداخله ای دریافت نکرد. میانگین (انحراف معیار) نمره کل ترس از عود سرطان در گروه آزمایش از پیش آزمون به پس آزمون کاهش یافت و تفاوت معنی دار بود ولی در گروه کنترل این میانگین ها تفاوت چندانی با یکدیگر نداشتنند. بر اساس یافته های به دست آمده از پژوهش حاضر، درمان شناختی رفتاری می تواند باعث کاهش ترس از عود سرطان در بیماران مبتلا به سرطان روده بزرگ شود.
An increasing number of patients with colorectal cancer suffer from side effects of cancer treatment, which can affect their psychosocial health, including their mood and quality of life. The purpose of this study was to investigate the effectiveness of cognitive behavioral therapy on the fear of cancer recurrence in patients with colorectal cancer. This study was semi-experimental with a pre-test-post-test design with a control group. 22 people were selected as the target sample of the research with the purposeful sampling method and then they were randomly divided into two experimental and control groups. The data collection tool was the 42-question Fear of cancer recurrence questionnaire. Questionnaire was completed for both groups. Then, the experimental group participated in cognitive behavioral therapy training sessions for 8 sessions of 90 minutes, but the control group did not receive any intervention. The mean (standard deviation) of the total score of fear of cancer recurrence in the experimental group decreased from pre-test to post-test and the difference was significant but in the control group, these averages did not differ much from each other. Based on the findings of the present study, cognitive behavioral therapy can reduce the fear of cancer recurrence in patients with colorectal cancer.
Ghanbari, N., & Narimani, M. (2020). Designing an educational-therapeutic package based on cognitive behavioral approaches and examining its efficacy in managing psychological distresses of cancer patients undergoing surgery.
Greer, J. A., Park, E. R., Prigerson, H. G., & Safren, S. A. (2010). Tailoring cognitive-behavioral therapy to treat anxiety comorbid with advanced cancer. Journal of cognitive psychotherapy, 24(4), 294-313.
Hall, D. L., Luberto, C. M., Philpotts, L. L., Song, R., Park, E. R., & Yeh, G. Y. (2018). Mind‐body interventions for fear of cancer recurrence: a systematic review and meta‐analysis. Psycho‐oncology, 27(11), 2546-2558.
Heydarzadeh, M., & Ghahramanzadeh, M. (2019). A survey on posttraumatic growth on the basis of demoralization syndrome and religious coping among cancer patients referring to reza radiotherapy and oncology center in mashhad in 2018: A descriptive study. Journal of Rafsanjan University of Medical Sciences, 18(6), 557-572.
Khaneghaee, R., Meschi, F., Taghizadeh, A., & Kraskian Moujembari, A. (2019). Comparison of the Effectiveness of Cognitive-behavioral Group Therapy and Acceptance and Commitment Group Therapy on Self-Efficacy in Breast Cancer Patients. Journal of Research in Behavioural Sciences, 17(2), 221-231.
Kharazi Nutash, H., Khademi, A., & Alivandi Vafa, M. (2019). The Effectiveness of Cognitive-Behavioral Therapy on Pain Self-efficacy and Fear of Migraine Progression among Female Nurses in Tabriz in 2019. Community Health Journal, 13(2), 23-32.
Majidi Yaychi, N., Hasanzadeh, R., Faramarzi, M., & Homayouni, A. R. Modeling the relationship between early Maladaptive Schemes and mediating health promoting bbehaviors on students’ mental health [. Middle Eastern Journal of Disability Studies. 2018; 8 (15): 43-43.
Moorey, S. (2011). Socratic methods in adversity. In: Padesky CA and Kennerley H, eds. Oxford guide to Socratic Methods in CBT, pp. 000-000. Oxford: Oxford University Press.
Moorey, S., & Greer, S. (2012). Oxford guide to CBT for people with cancer. OUP Oxford. Translated by: Sadeghi-Firoozabadi V., Barani M., & Dahaghin Bazrafshan F. (2019). Tehran: Arjmand pub.
Mutsaers, B., Butow, P., Dinkel, A., Humphris, G., Maheu, C., Ozakinci, G., ... & Lebel, S. (2020). Identifying the key characteristics of clinical fear of cancer recurrence: an international Delphi study. Psycho‐oncology, 29(2), 430-436.
Mutsaers, B., Rutkowski, N., Jones, G., Lamarche, J., & Lebel, S. (2020). Assessing and managing patient fear of cancer recurrence. Canadian Family Physician, 66(9), 672-673.
Özkal, F., & Arıkan, Y. (2014). The opinions of patients and patient’s relatives on announcement of the cancer diagnosis to the patient. Global Journal on Advances Pure and Applied Sciences, 4.
Simard, S., & Savard, J. (2009). Fear of Cancer Recurrence Inventory: development and initial validation of a multidimensional measure of fear of cancer recurrence. Supportive care in cancer, 17(3), 241-251.
Smith, A. B., Sharpe, L., Thewes, B., Turner, J., Gilchrist, J., Fardell, J. E., ... & Butow, P. (2018). Medical, demographic and psychological correlates of fear of cancer recurrence (FCR) morbidity in breast, colorectal and melanoma cancer survivors with probable clinically significant FCR seeking psychological treatment through the ConquerFear study. Supportive Care in Cancer, 26(12), 4207-4216.
Tauber, N. M., O’Toole, M. S., Dinkel, A., Galica, J., Humphris, G., Lebel, S., ... & Zachariae, R. (2019). Effect of psychological intervention on fear of cancer recurrence: a systematic review and meta-analysis. Journal of Clinical Oncology, 37(31), 2899.
Thakral, M., Von Korff, M., McCurry, S. M., Morin, C. M., & Vitiello, M. V. (2020). Changes in dysfunctional beliefs about sleep after cognitive behavioral therapy for insomnia: a systematic literature review and meta-analysis. Sleep medicine reviews, 49, 101230.
Thewes, B., Bell, M. L., & Butow, P. (2013). Fear of cancer recurrence in young early‐stage breast cancer survivors: the role of metacognitive style and disease‐related factors. Psycho‐oncology, 22(9), 2059-2063.
van de Wal, M., Servaes, P., Berry, R., Thewes, B., & Prins, J. (2018). Cognitive behavior therapy for fear of cancer recurrence: a case study. Journal of Clinical Psychology in Medical Settings, 25(4), 390-407.
Wilhelm, S., Phillips, K. A., Greenberg, J. L., O’Keefe, S. M., Hoeppner, S. S., Keshaviah, A., ... & Schoenfeld, D. A. (2019). Efficacy and posttreatment effects of therapist-delivered cognitive behavioral therapy vs supportive psychotherapy for adults with body dysmorphic disorder: a randomized clinical trial. JAMA psychiatry, 76(4), 363-373.
