Showing 20 results for Cancer
Sheyda Dibaei, Masood Janbozorghi, Masood Arefnazar,
Volume 3, Issue 1 (5-2009)
Abstract
This study examined the role of emotional ambivalence and control of mothersin anxiety of children and adolescents with cancer. The population of this study was 8 to 17 years old children and adolescents with cancer under active treatment who were in pediatric hospital (inpatient or outpatient) in Tehran. The sample is 102 children and adolescents with cancer (56 boys and 46 girls) and their mothers. Emotional Control Questionnaire (ECQ) and Ambivalence over Emotional Expression (AEQ) for mothers and Revised Children's Manifest Anxiety Scale (RCMAS) for sick children were used. Data analyses revealed that children whose mothers were high in emotional ambivalence reported higher level of anxiety. But significant relation between emotional control of mothers and children’s anxiety were not found. Also, result of hierarchical regression analysis showed that mother’s emotional ambivalence and control do not account any changes in children’s anxiety. However, child’s gender modifies the relationship between mother’s emotional ambivalence and control. It seems child’s sex in the relationship between mother’s emotional ambivalence and control, and child’s anxiety, may contribute to perceived social support which can lead type of adjustment with cancer and high or low anxiety
Sima Alemi, Alireza Moradi, Arash Jonabian,
Volume 6, Issue 1 (12-2012)
Abstract
According to the last edition of APA (DSM-IV-TR), the cancer has been known as a traumatic stress that can affect on Psychological and cognitive health in spouses as a caregiver and might show the signs of PTSD. Attention to this aspect is very important for treatment in cancer patients. This study examined the effect of cancer (during treatment and after treatment) on the emotional performance (anxiety, depression and post-traumatic stress disorder) and cognitive performance (autobiographical memory) on their spouses. 120 individuals in 3 groups (spouses of cancer patients (during treatment), spouses of cancer patients (after treatment) and the healthy group), that have been matched in sex age and intelligence attend to the research. The instruments of the research include the Wechsler Adult Intelligence Scale-Revised (WAIS-R), the Persian versions of the Impact of Event Scale-Revised (IES-R), the Beck Depression Inventory-II (BDI-II), the Beck Anxiety Inventory (BAI), the Autobiographical Memory Test (AMT) and the Autobiographical Memory Inventory (AMI). Results indicated that no significant difference in depression was found between all three groups but the target group (during treatment) showed more psychological distress than the control group. Both of target groups indicated no significant difference in PTSD at all and control group showed higher levels of episodic specificity, episodic memory and autobiographical memory scores than the other groups. The findings are discussed in terms of the proposed theory about interaction of emotion and cognition, especially PTSD
Atiye Safarzade, Rasool Roshan, Jalaladin Shams,
Volume 6, Issue 4 (12-2013)
Abstract
The present study was an experimental design with follow-up and control group and it aimed at investigating the effectiveness of stress management and relaxation training (SMART) in reducing the Negative Affect and in improving the life quality of women with Breast Cancer. Population of the study included all the women with breast cancer who visited Mostafa Khomeyni Hospital and 18 patients were selected and were put randomly into experimental group (9 patients) and control group (9 patients) based on the inclusion and exclusion criteria. The B-SMART was administrated in 10 weekly sessions on the experimental group while there was no psychological treatment for the control group. PANAS questionnaire for Negative Affect, QLQ -C30, QLQ-Br23 questionnaires for quality of life, were completed by both groups before, after and 2 months after the program .The results obtained from the repeated measures analysis of variance showed the significant reduction of negative affect and improvement of the some life quality subscales of the experimental group in comparison to the control group which was stable during the 2 months follow-up.
Somaieh Borjalilu, Shriar Shahidi, Mohammad Ali Mazaheri,
Volume 8, Issue 3 (12-2014)
Abstract
Cancer is the second leading cause of death in children. It has clinical issue and spiritual crisis. Family is one of the care team who facing with these challenges. This study was done to explore the experiences of parent by children with cancer who facing by this challenge. This study is a phenomenology study with applying content analysis method. 21 participants were interviewed in the Mahak hospital for three months. The obtained data were constantly analyzed through content analysis method. The obtained data were constantly analyzed through content analysis method. Data analysis showed that “philosophy questions, faith and hope, Relationship with nature and play, Love and social support, Express fear and anxiety, and aggression, coping mechanism, hope to future was the main theme or core category of this study. Using a qualitative approach for exploring the experiences of parents with children cancer helped recognize them more profoundly. On the other hand, “philosophy questions, faith and hope and social support” as the theme shows the importance of attention to parents’ problems. So it needs that training should be conducted to empower parents who care children with cancer.
Omid Shokri, Raheme Salehi, Maryam Safaie, Masomeh Abdalkhaleghi,
Volume 8, Issue 4 (3-2014)
Abstract
This study examined the mediating role of religious coping on the relationship between perceived stress and emotional well-being among cancer patients. On a sample consisting of 155 cancer patients were administrated the Brief Religious Coping Scale (Pargament, Koenig & Perez, 2000), the Perceived Stress Scale (Cohen, Kamarck & Mermelstein, 1983) and the positive affect and negative affect schedule (Watson, Clark & Tellegen, 1988). Structural equation modeling was used to assess the mediating role of religious coping on the relationship between perceived stress and emotional well-being among cancer patients. Results indicated that there is a significant positive correlation between perceived self-efficacy with positive religious coping, significant positive correlation between perceived helplessness with negative religious coping, significant positive correlation between perceived self-efficacy with positive affect and a significant positive correlation between perceived helplessness with negative affect. Results also indicated that the relationship between perceived stress and emotional well-being by positive and negative religious coping strategies is mediated. All of the regression weights in the proposed model were statistically significant and model' predictors accounted for 80 and 60% of the variance in positive and negative affect, respectively. These findings show that in cancer patients when encountering to stressful experiences, difference in scores of positive and negative affect among patients, accounted for by difference in degree of positive and negative religious coping strategies.
Mozhgan Patou, Alireza Moradi, Abbas Ali Allahyari, Mehrdad Payandeh,
Volume 9, Issue 1 (11-2015)
Abstract
Mental adjustment to cancer is known a psychological, physical and psychological health variable in cancer patients. The present study examined the factor structure and psychometric properties of the Mini - Mental Adjustment to Cancer Scale (Mini-MA)in a sample of Iranian adults.The sample consisted of 320 cancer patients selected through non-random convenient sampling procedure from the hospitals and clinics in Kermanshah and Shiraz, and was conducted Mini - Mental Adjustment to Cancer Scale, among of them 100 was also completed the Hospital Anxiety and Depression Scale. Statistical methods for analysing the data exploratory, discriminate validity and for internal consistency Cronbach alpha coefficients were used. Alpha coefficients for the subscales helplessness/hopelessness, 0.94, cognitive avoidance 0.76, anxious preoccupation, 0.90, Fatalism, 0.77, the fighting spirit 0.80 and the total scale as well as 0.84, respectively. Factor analysis confirmed that the five factors in the Mini-MAC. Significant correlations between subscales of Mini-MAC and Hospital Anxiety and Depression Scale also show that this scale has discriminate validity. The results confirm the five-factor structure of the Mini-MAC scale and also a reliable and valid scale, shows this scale has power to measure aspects of mental adjustment with cancer.
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Volume 9, Issue 2 (5-2015)
Abstract
The aim of this study was to determine the effectiveness of cognitive behavioral therapy on coping styles (avoidant behavior, cognition, emotion and problem-focused) for patient who had cancer. 40 cancer patients in this study were randomly assigned to two experimental and control groups (each group, n = 20), that experimental group was trained for 12 sessions. The tool used in this research was “coping styles Billings and mouse questionnaire”. Pre-test and post-test was conducted.
In order to analyze the data ANCOVA and Kolmogorov - Smirnov was used. The results showed that cognitive behavior therapy had desired effect on coping style (emotion-focused coping style and avoidance coping style decreased behavioral, cognitive and problem-oriented increase). Also follow-up showed after one month that this effect was stable.(P > 0.05, P > 0.01).
Najmeh Shafaat, Shahrokh Makvand Hosseini, Ali Mohammad Rezaei,
Volume 11, Issue 2 (8-2017)
Abstract
The aim of the current research was to examine the effectiveness of group multi-components cognitive-behavior therapy on insomnia severity and quality of sleep of breast cancer patients after surgerical operation. Applying an available sampling procedure and randome assignment method for assigning group samples, a sample of 30 breast cancer patients (experimental=15, control= 15) were selected. The criteria of inclusion and exclusion were checked for and the Pittsburgh Sleep Quality Index (PSQI) and Insimnia Severity Inventory (ISI) were completed by all subject in three occasions (pre, post and follow-up stages). The six session’s therapy protocol were conducted on experimental group, whereas another group received only simple meeting with the therapist. Data extracted from questionnaires and analysed using Multivariate Analysis of Covariance (MANCOVA). Significant differences were revealed for insomnia severity in the follow up stage, and for quality of sleep in the post-test and follow-up stages, between two groups with decreased mean scores in the experimental group than contol.Multi-components Cognitive-behavioral therapy could improve insomnia severity and sleep quality of patients with breast cancer after surgery and is recommended for these patients to resolve their insomnia problems.
Denaa Adili, Fateme Dehghani-Arani,
Volume 12, Issue 2 (8-2018)
Abstract
Caregivers of patients with cancer suffer from fatigue and high levels of caregiver burden. This study aimed to determine the level of caregiver burden in relation to the quality of life of breast cancer patients. This cross-sectional descriptive-analytic study conducted in 116 caregivers of breast cancer patients. Data collection instrument included a questionnaire contains caregiver’s burden inventoryand cancer patient's Quality of Life Questionnaire-Core 30. Among the five subscales of caregiver’s burden, caregivers have the most complaints of lack of time. Among the functional components of patient's quality of life, social dysfunction, role dysfunction, and emotional dysfunction, respectively, show the highest correlation with caregiver’s burden. Among the components of the signs of quality of life, pain, insomnia and fatigue, respectively, show the highest correlation with caregiver’s burden. The patient's social dysfunction explains 19 and the patient's pain explain 17 percent of the variance of caregiver’s burden. There is an inverse relationship between the age of the patient and caregiver burden. Based on the findings, improving the patient's social support network by self-help groups, Pain management courses for patients, providing informational support to caregivers to reduce caregiver burden and subsequently improving patient quality of life could be recommended.
Raheme Salehi, Gholamreza Dehshiri,
Volume 12, Issue 2 (8-2018)
Abstract
The role of post-traumatic growth has been approved in cancer patients, which can have a positive psychological effect in cancer patients. The aim of this study was to investigate the relationship between post-traumatic growth with spiritual well-being, subjective well-being, psychological well-being, and hope in cancer patients. Methods: The sample of this research consisted of 225 patients with cancer who were selected by convenience sampling method. The assessment tools have been including the silver lining questionnaire, spiritual well-being scale, well-being index WHO-5 Satisfaction with Life Scale and positive affect and negative affect schedule and hope scale. The results showed that post-traumatic growth has a positive and significant relationship with the variables of psychological well-being, spiritual well-being, subjective well-being and hope. The variables of psychological well-being and existential well-being and the pathway component of hope have a significant role in predicting post-traumatic growth. In general, the results of this study indicate the importance of the post-traumatic growth dimensions in improving the mental status of cancer patients.
Hamed Kashanaki, Fatemeh Dehghani Arani, Tayebeh Ferdosi,
Volume 12, Issue 4 (2-2019)
Abstract
Cancer can cause many psychological problems. Up to now, most of the research has focused on post-cancer problems, while this study has been done with the purpose of understanding the normal and abnormal personality patterns which would have a role in cancer. The aime of this study was to clarify the normal and abnormal personality patterns in a patients with leukemia. This study is based on the biopsychosocial model of health and dynamic model of personality. Shedler and Westsen's Assessment Procedure (SWAP) was used for evaluating the patient's normal/abnormal personality patterns. The diagnosis which obtained from conducting SWAP were consistent with the patient's normal/abnormal personality patterns. In other words, the dependent and obsessive-compulsive personality disorder patterns in the patient was consistent with low self-knowledge, high narcissism, low machiavelism, low psychopathy, low self-esteem, high fundamentalism, high repression, low mindfulness, low self-compassion, and high social desirability. Findings of this study explored the main normal and abnormal personality charachteristics associated with leukemia. Identifying and planning for managing the effects of these kind of personality patterns could empower psychotherapeutic protocols and also increase therapeutic compliance in patients with lukemia.
Afrooz Afshari, Maryam Homayoun Poor, Narges Seraj Poor, Zahra Taheri,
Volume 13, Issue 1 (5-2019)
Abstract
Cancer is an unpredictable stressor in children and has a psychological impact on their lives. Understanding the children's view about their condition, provide better services and eliminating barriers that effects on accepting treatment by the child. The aim of present study was to explore and understand the perspectives of children with cancer about their disease. The present study was a qualitative investigation that conducted by content analysis method in which 20 hospitalized children aged 4-12 years suffering from different type of cancer were selected through purposive sampling and sampling continued until data saturation. To explore the perspectives of children about cancer and its consequences, content analysis of the drawings (by psychoanalytic approach) and the recorded semi-structured interviews were conducted. Data analysis was conducted continuously and simultaneously with data collection and with a comparative method using MAXQDA software. Approximately 1020 codes were identified by the implementation of recorded interviews and drawings of children by open coding. The data coded were finally summarized in five categories: 1. Concerns relative to the place of treatment; 2. Concern with physical problems due to illness and pain; 3. post-traumatic growth, 4. negative problems due to illness, 5. Family consequences of the disease, and 6. The child's view of the process of the disease.
Fatemeh Abdi, Shokoohsadat Banijamli, Hassan Ahadi, Shirin Koushki,
Volume 13, Issue 2 (9-2019)
Abstract
According to the prevalence of cancer in Iran and the importance of women’ s suffering from breast cancer psychological survey, credit scoring of Resilience instrument has been used in this research. The questionnaire of Connor-Davidson (CD-RISC) - including 25 questions-was answered by 202 breast cancers women who had been under treatment all over Tehran’s hospitals. Confirmatory Factor Analysis(CFA) and Exploratory Factor Analysis (EFA) has been used for validity consideration.In the confirmatory factor analysis, all fitting indices have been found to be optimal and factor matrix has been calculated based on 2 factors. These two factors had totally 48/37% of total variance. The First Value was 10/75 that was 43/025% of total variance and the ratio of the first value to the second was 1/33 that it was 5/319 %of total variance. According to the results, in general the highest Cronbach’s Coefficient Alpha was related to the first factor (α=0/935) and the least was relevant to the second factor (α=0/792) and for the whole factors, (α=0/942) is calculated which shows the high internal coordination. In conclusion, results have proved the accessibility of Connor-Davidson (CD-RISC) instrument in women with breast cancer.
Rezvan Shafiee, Maryam Salehzadeh, Fahimeh Dehghani, Muhammad Reza Motazavizadeh,
Volume 13, Issue 2 (9-2019)
Abstract
This study aimed to investigate The Role Emotional Expressiveness and Fear of Intimacy at Prediction of Quality Interpersonal Relationship at the Individuals with Cancer. This research was a descriptive study of correlational and causal-comparative. The population of this study was all Cancer Individuals of shahid Ramezanzadeh Center of Yazd. From this community, 115 people were selected via Convenience Sampling. There King & Emmons’s emotional expressiveness, Descutner and Thelen’s Fear of intimacy and Pierce, Sarason, Sarason’s quality of interpersonal relationships were used for this research. Pearson correlation and Enter regression were used for statistical analyze. The data were analysis using spss22 software. . Findings indicated that there is a significant and Negative relationship between Fear of intimacy with quality of interpersonal relationships (-0/379) and there is a significant and Positive relationship between emotional expressiveness with quality of interpersonal relationships (0/598). According to the findings, 49 percent of the variance in quality of interpersonal relationships are explained by emotional expressiveness and Fear of intimacy.
Niloofar Kianrad, Dr Hamid Taher Neshatdoost, Dr Mehdi Reza Sarafraz,
Volume 13, Issue 3 (12-2019)
Abstract
The human mental organization has a behavioral regulative principle that operates based on certain conscious and unconscious needs. Experience of stress disrupts human mental structure and results in symptoms of psychological and physical disorders. One source of stress is having ailing children. Accordingly, this study investigates self-regulation mediational processes in the context of perceived stress in mothers of children diagnosed with cancer. The convenience sample of this study consisted of 245 mothers, who volunteered to participate and were administered the following questionnaires: Integrative self-knowledge; Self-control Scale; Self-compassion Scale; perceived stress and Chronic Self-destructiveness Scale, body-symptoms checklist. Analysis of the survey data was carried out using structural equation modeling (SEM). The analysis suggests that perceived stress is mediated through self-regulation for self-destructiveness, physical symptoms, and unpleasant self-relevant through. Therefore, exposure to stress has destructive effects both in terms of physical symptoms and on an emotional and behavioral level. The authors concluded that self-regulation was a supportive variable, helping individuals cope better with unpleasant events, retrieve their ideal mental balance and maintain their mental organization. It is implied that based on a self-regulation model, effective management of one’s mental organization can improve an individual’s capacity to effectively cope with inevitable sources of stress.
Faezeh Bakhshalizadeh Irani, Shahriar Shahidi, Abdolrahim Hazini,
Volume 14, Issue 2 (9-2020)
Abstract
Terminal patients with advanced cancer have important and undeniable concerns as well as worries which may provide valuable information to care providers so that they can act for planning and care improvement based on their needs. The aim of the present study was to investigate the psychological experiences, especially concerns, needs and worries of these patients throughout the disease. In this research, a qualitative method with a descriptive phenomenological approach was employed. From amongst all cancer patients receiving palliative care for advanced cancer in Firoozgar hospital and Ala cancer control and prevention centre, eleven patients were chosen according to the targeted sampling method. Data collection was used with a semi-structured interview and data interpretation was done in Collizi method. The results of this study were categorised in five main clusters: “concerns about family and friends”, “socio-economic concerns”, “concerns about oneself”, “concerns regarding hospital staff, environment and medical treatment” and “spiritual and religious concerns” in addition to 34 sub-clusters. Being on the verge of death and diagnosed with cancer causes concerns, worries and needs in different dimensions of a person and their family’s life. If such aspects are neglected, a person’s well-being and quality of life will be disrupted. Recognition and emphasis on patients’ feelings, anxieties and concerns along with taking care of their needs may help them feel at peace and more confident in accepting this difficult situation.
Mosayeb Yarmohammadi Vasel, Farhad Jokar, Mehran Farhadi, Mohammadreza Zoghi Paydar,
Volume 14, Issue 2 (9-2020)
Abstract
Cancer makes various changes in quality of life and identifying the influential components in this variable can significantly influence patients' quality of life. This study aimed to investigate the structural association between integrative self-knowledge, perception of suffering and quality of life regarding cancer patients. This research was a correlational study and participants were 340 patients selected via available non-random sampling from Karaj medical centres. Patients completed the quality of life (sf-36), self-knowledge and perception of suffering questionnaires. Data were analysed using structural equations model (LISREL) version 8.5 and SPSS version 19. The results showed that there was a significant relationship between integrative self-knowledge and physical suffering, psychological suffering and existential suffering with patients' quality of life. Moreover, the equation-structural relationship between integrative self-knowledge with the components of perceiving suffering and quality of life were significant. In other words, integrative self-knowledge can predict quality of life in the case of cancer patients directly with the meditating role of physical and existential suffering. Fitness indices showed that the proposed model is suitable for explaining the quality of life through the variables of integrative self-knowledge and perception of suffering. Integrative self-knowledge has significant effects on people's cohesiveness and psychological integrity and has a significant impact on improving the quality of life of patients by affecting how they perceive suffering.
Maryam Payandehdarinejad, , , ,
Volume 15, Issue 1 (5-2021)
Abstract
This study examined the associations among the cognitive fusion, sense of coherence, rumination, and psychological distress, in cancer patients, as well as the mediating role of emotional dysregulation, in the relationship between this variables in cancer patients. Participants included 200 cancer patients who completed the DASS-21, Cognitive fusion questionnaire, sense of coherence scale, Rumination scale and the DERS-16. Structural equation modeling revealed was a direct associated between rumination with emotion dysregulation and emotion dysregulation with psychological distress. Also, the results indicated that no significant relationship between cognitive fusion and sense of coherence with psychological distress. Interaction-mediation analysis demonstrated that emotion dysregulation in the relationship between cognitive fusion and sense of coherence with psychological distress plays a full mediating role and in the relationship between rumination and psychological distress has minor mediating role. Therefore, considering the relationships between the studied variables and identifying the role of emotional dysregulation as a mediating variable in this regard, paying attention to the findings can be the first step in identifying the variables involved in psychological distress in cancer patients. This is followed by the design and application of evidence-based training and rehabilitation programs to reduce psychological pain and suffering in cancer patients, which can be considered by the mental health team of these patients.
Soheil Redaei, Mohammad Ali Goodarzi, Mahdi Imani,
Volume 16, Issue 4 (3-2023)
Abstract
Pain is an unpleasant experience, usually accompanied by potential or actual tissue injury, and is composed of emotional, sensory, cognitive, and social components. Past research has shown that both cognitive and emotional factors play a significant role in experiencing pain. An important complication of cancer is pain. More than 70 % of cancer patients experience disease-related pain. The cancer-caused chronic pain affects the quality of life of people with cancer. It also increases the risk of depression and anxiety in these patients. Psychological factors play a significant role in how patients adapt to pain. The research design was descriptive-correlational and the statistical population included people with Leukemia who had referred to clinics and hospitals in Yazd for treatment and chemotherapy. In total, 240 individuals were selected by convenient sampling method. The results showed that there is a significant relationship between metacognitions, meta-emotions, psychological flexibility and experienced pain. The presence of negative emotions and decreased mental flexibility was associated with increased pain. The role of psychological flexibility as a mediating variable between metacognition and meta-emotion with the amount of pain experienced was confirmed. It was demonstrated that metacognitions and meta-emotions, through psychological flexibility affect the degree of the pain experienced.
Miss Sanaz Nabipour, Dr Moradi Moradi, Dr Robabeh Nouri, Dr Hadi Parhoon, Dr Maryam Moghadasin,
Volume 17, Issue 1 (6-2023)
Abstract
Death anxiety is commonly experienced by individuals with advanced cancer who have a limited life expectancy. The Death and Dying Distress Scale (DADDS) is a validated measure that was created to capture this experience; but no Persian version is available to date. We conducted a cross-sectional study to explore the psychometric properties of a Pearsion version DADDS (DADDS) in patients with advanced cancer.200 patients with advanced cancer were recruited from the Imam Khomeini, Shohada Tajrish and Baqiyatallah hospitals. Measures administered included: DADDS-C, Patient Health Questionnaire (PHQ-9), and General Anxiety Disorder-7(GAD-7). McDonald's Omega, Cronbach's alpha, Confirmatory Factor Analysis were used to test DADDS reliability and validity.The Persian version of DADDS has good reliability (internal consistency between 0.67 and 0.91 and test-retest reliability between 0.73 and 0.89) and appropriate convergent validity through correlation with PHQ-9 and GAD-7 in the range was between (0.47 to 0.51). Also, according to construct validity, SEM showed that the two-factor model is the best fitting model for DADDS in Persian language.The DADDS is a valid measure of death anxiety in Iranian patients with advanced cancer. It may provide useful information in the assessment and treatment of distress in patients near the end of life.
