اثربخشی مشاوره گروهی مبتنی بر پذیرش و تعهد بر تاب آوری و سازگاری زناشویی مادران کودکان مبتلا به سرطان خون

نوع مقاله : مقاله پژوهشی

نویسندگان

1 Ph.D. student in counseling, Faculty of Humanities, Hormozgan University, Bandar Abbas, Hormozgan, Iran.

2 Associate professor, Department of Counseling, Faculty of Psychology and Educational Sciences, Kharazmi .University, Tehran, Iran

3 Professor, Department of Counseling, Faculty of Psychology and Educational Sciences, Kharazmi University, Tehran, .Iran

چکیده

مقدمه: داشتن فرزند مبتلا به سرطان خون یک چالش بزرگ برای مادر است که می تواند زندگی شخصی و زناشویی او را تحت تاثیر قرار دهد. به همین منظور، پژوهش حاضر با هدف تعیین اثربخشی مشاوره گروهی مبتنی بر پذیرش و تعهد بر تاب‌آوری و سازگاری زناشویی مادران دارای فرزند مبتلا به سرطان خون انجام شد.
روش‌ کار: جامعه مورد مطالعه را مادران دارای فرزند مبتلا به سرطان خون در بخش انکولوژی بیمارستان آیت‌الله مدنی خرم‌آباد در سال 1399 تشکیل دادند. از بین 50 داوطلب، 20 نفری که کمترین نمره را در مقیاس های تاب آوری کانر ریچاردسون و سازگاری زناشویی اسپینر دریافت کردند به طور تصادفی در دو گروه آزمون و شاهد قرار گرفتند. داده ها با استفاده از آزمون مانکووا و نرم افزار SPSS نسخه 25 تجزیه و تحلیل شدند.
یافته‌ها: نتایج تحلیل کوواریانس نشان داد که مشاوره گروهی مبتنی بر درمان مبتنی بر پذیرش و تعهد بر تاب‌آوری و سازگاری زناشویی آزمودنی‌های گروه آزمایش تأثیر مثبت و معناداری داشت (05/0>P) و 9/79 درصد از تغییرات توسط درمان تبیین شد.
نتیجه گیری: با توجه به اثربخشی مشاوره گروهی مبتنی بر پذیرش و تعهد درمانی، درمانگران می توانند از این مدل درمانی برای کاهش آسیب های ناشی از بیماری کودک استفاده کنند.

کلیدواژه‌ها

مراجع

  1. Mirlashari J, Ebrahimpour F, Salisu WJ. War on two fronts: Experience of children with cancer and their family during COVID-19 pandemic in Iran. J Pediatr Nurs 2021; 57: 25-31.
  2. Wild CP. The global cancer burden: necessity is the mother of prevention. Nat Rev Cancer 2019; 19(3): 123-4.
  3. Al Qadire M, Al-Sheikh H, Suliman M, Tawalbeh LI, Albashtawy M, Al-Radwan M, et al. Predictors of anxiety and depression among parents of children with cancer in Jordan. Psychooncology 2018; 27(4): 1344-46.
  4. Ragab I, Makkeyah S, Farouk A, Shawiesh M. Outcome of Acute Lymphoblastic Leukemia (ALL) in Egyptian children without high dose methotrexate: The pre-minimal residual disease stratification era. Clin Lymphoma Myeloma Leuk 2018; 18: S181.
  5. Sanz MA. Current treatment of acute promyelocytic leukemia. Leuk Res 2019; 85: S1.
  6. Amonoo HL, LeBlanc TW, Kavanaugh AR, Webb JA, Traeger LN, Jagielo AD, et al. Posttraumatic stress disorder symptoms in patients with acute myeloid leukemia. Cancer 2021; 127(14): 2500-6.
  7. Rensen N, Steur LM, Schepers SA, Merks JH, Moll AC, Kaspers GJ, et al. Determinants of health-related quality of life proxy rating disagreement between caregivers of children with cancer. Qual Life Res 2020; 29(4): 901-12.
  8. Babayev M, Mehtiyeva K, Ahmadova A, Babayeva N. Studying the problems of a connected pathological liver condition in children with acute lymphoblastic leukemia. Leuk Res 2019; 85: S59.
  9. Ocak E, Kaçar D, Üneri Ö, Yaralı H. Health-related quality of life in children with acute lymphoblastic leukemia. Leuk Res 2019; 85: S83-S4.
  10. Dong S, Dong Q, Chen H. Mothers' parenting stress, depression, marital conflict, and marital satisfaction: The moderating effect of fathers' empathy tendency. J Affect Disord 2022; 299: 682-90.
  11. Lavi I, Fladeboe K, King K, Kawamura J, Friedman D, Compas B, et al. Stress and marital adjustment in families of children with cancer. Psychooncology 2018; 27(4): 1244-50.
  12. Fladeboe K, Gurtovenko K, Keim M, Kawamura J, King KM, Friedman DL, et al. Patterns of spillover between marital adjustment and parent–child conflict during pediatric cancer treatment. J Pediatr Psychol 2018; 43(7): 769-78.
  13. McCarthy MC, Marks IR, Mulraney M, Downie P, Matson A, De Luca CR. Parental adjustment following their child's completion of acute lymphoblastic leukemia treatment. Pediatr Blood Cancer 2021; 68(11): e29302.
  14. Van Schoors M, Loeys T, Goubert L, Berghmans G, Ooms B, Lemiere J, et al. Couples dealing with pediatric blood cancer: a study on the role of dyadic coping. Front Psychol 2019; 10: 402.
  15. Luo Y, Li W, Cheung A, Ho LLK, Xia W, He X, et al. Relationships between resilience and quality of life in parents of children with cancer. J Health Psychol 2022; 27(5): 1048-56.
  16. Fashler SR, Weinrib AZ, Azam MA, Katz J. The use of acceptance and commitment therapy in oncology settings: a narrative review. Psychol Rep 2018; 121(2): 229-52.
  17. Byrne G, Ghráda ÁN, O'Mahony T, Brennan E. A systematic review of acceptance and commitment therapy in supporting parents. Psychology and psychotherapy: Theory, research, and practice 2021; 94: 378-407.
  18. Han A, Yuen HK, Lee HY, Zhou X. Effects of acceptance and commitment therapy on process measures of family caregivers: A systematic review and meta-analysis. J Contextual Behav Sci 2020; 18: 201-13.
  19. Shahabi A, Ehteshamzadeh P, Asgari P, Makvandi B. Comparison of the effectiveness of acceptance and commitment therapy and guided imagery on the resilience of cardiac disease patients referring to the heart rehabilitation department. Quarterly of the horizon of medical sciences 2020; 26(3): 276-97.
  20. Hatami A, Ghalati ZK, Badrani MR, Jahangirimehr A, Hemmatipour A. The relationship between resilience and perceived social support with hope in hemodialysis patients: A cross-sectional study. J Res Med Dent Sci 2019; 7(3): 14-20.
  21. Ahangarzadeh Rezaei S, Rasoli M. [Psychometric properties of the Persian version of ConnorDavidson Resilience Scale in adolescents with cancer]. The journal of Urmia Nursing and Midwifery Faculty 2015; 13(9): 739-47. (Persian)
  22. Kermani Mamazandi Z, Akbari Balutbangan A, Mohammadyfar MA. [Model test to explain happiness based on marital adjustment and life satisfaction: The mediating role of forgiveness]. Journal of family psychology 2020; 6(2): 29-42. (Persian)
  23. Isanezhad O, Ahmadi S-A, Bahrami F, Baghban-Cichani I, Farajzadegan Z, Etemadi O. Factor structure and reliability of the Revised Dyadic Adjustment Scale (RDAS) in Iranian population. Iran J Psychiatry Behav Sci 2012; 6(2): 55-61.
  24. Harris R. ACT with love: Stop struggling, reconciles differences, and strengthens your relationship with acceptance and commitment. Oakland, California: New Harbinger; 2009.
  25. Hayes S, Strosahl K, Wilson K. Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford; 1999.
  26. Udell CJ, Ruddy JL, Procento PM. Effectiveness of acceptance and commitment therapy in increasing resilience and reducing attrition of injured US Navy recruits. Mil Med 2018; 183(9-10): e603-e11.
  27. Akhavan Gholami M, Hayati M. [The effectiveness of treatment based on acceptance and commitment (ACT) therapy on ineffective communication beliefs and marital adjustment of discordant women]. Knowledge and research in applied psychology 2019; 20(3): 31-43. (Persian)
  28. Shirvani F, Aliakbari M, Alipoor A, Rafiepoor A. Comparison of the cognitive-behavioral therapy and acceptance and commitment therapy on resilience and diagnostic factors in patients with chronic pain. International journal of applied behavioral sciences 2021; 8(1): 21-33.
  29. Kazemi Z, Hassanzadeh R, Hidari S. [The effectiveness of acceptance and commitment therapy on quality of life, marital satisfaction and self-resiliency of women with early menopausal referred to the health center]. Women and family studies 2022; 15: 167-86. (Persian)
  30. Mousavi MS, Bakhshipour A, Mahdian H. Comparing the effectiveness of acceptance and commitment therapy and compassion focused therapy and acceptance and commitment therapy enriched with compassion on social adjustment of women with depression and marital conflict. Journal of fundamentals of mental health 2021; 23(4): 285-98.
  31. Abdollahi Siahkaldeh F, Khoshravesh V. [The effectiveness of acceptance and commitment-based therapy on early maladaptive schemas and emotionali of mothers with children with cancer]. Journal of new ideas in psychology 2022; 11: 1-13. (Persian)
مجله اصول بهداشت روانی
دوره 25، شماره 2
فروردین و اردیبهشت 1402
صفحه 133-139

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