پديد آورندگان :
حسيني، زينب دانشگاه آزاد اسلامي واحد نجف آباد - گروه روانشناسي , انصاري شهيدي، مجتبي دانشگاه آزاد اسلامي واحد نجف آباد - گروه روانشناسي , روانبد، محمدرضا دانشگاه علوم پزشكي و خدمات بهداشتي درماني استان بوشهر - دانشكدهٔ پزشكي - گروه هماتولوژي انكولوژي , رضايي جمالويي، حسن دانشگاه آزاد اسلامي واحد نجف آباد - گروه روانشناسي , رمضان زاده، محبوبه دانشگاه علوم پزشكي و خدمات بهداشتي درماني استان بوشهر - دانشكدهٔ پزشكي - گروه ژنتيك و پزشكي مولكولي
چكيده فارسي :
زمينه و هدف: افراد مبتلا به سرطان پستان در الكسيتايمي با چالش‌هاي زيادي مواجه مي‌شوند. پژوهش حاضر به منظور بررسي اثربخشي معنويت‌درماني بر الكسيتايمي در افراد مبتلا به سرطان پستان با گيرنده‌هاي استروژن و پروژسترون انجام شد.
روش‌بررسي: پژوهش حاضر، مطالعه‌اي نيمه‌آزمايشي با طرح پيش‌آزمون- پسآزمون با گروه گواه بود. جامعهٔ آماري اين پژوهش را تمامي افراد بيمار زن 30 تا 65 ساله و مبتلا به سرطان پستان استان بوشهر در سال 1398 تشكيل دادند. سي آزمودني به روش نمونه‌گيري در دسترس انتخاب شدند. شيوهٔ گمارش آن‌ها در گروه‌ها به روش تصادفي انجام گرفت، به‌نحوي‌كه اعضاي هر گروه 15 نفر بود. گروه آزمايش، در 12 جلسهٔ آموزش برنامهٔ معنويت‌درماني شركت كردند در‌حالي‌كه گروه گواه در اين جلسات شركت نداشت. ابزار اين پژوهش پرسشنامهٔ الكسيتايمي (بگبي، پاركر و تيلور، 1994) بود. داده‌ها با استفاده از تحليل كوواريانس چندمتغيري در سطح معناداري 0٫05 تحليل شدند.
يافته‌ها: نتايج نشان داد كه در مرحلهٔ پسآزمون، گروه آزمايش با گروه گواه در الكسيتايمي تفاوت معناداري داشتند (0٫001>p). نتايج تحليل كواريانس چندمتغيري نشان داد كه آموزش برنامهٔ معنويت‌درماني بر الكسيتايمي در افراد مبتلا به سرطان پستان با گيرنده‌هاي استروژن و پروژسترون اثر معناداري داشته است. در واقع، آموزش برنامهٔ معنويت‌درماني سبب بهبود الكسيتايمي در افراد مبتلا به سرطان پستان با گيرنده‌هاي استروژن و پروژسترون شد.
نتيجه‌گيري: براساس يافته‌هاي پژوهش، آموزش برنامهٔ معنويت‌درماني مي‌تواند الكسيتايمي را در زنان مبتلا به سرطان پستان با گيرنده‌هاي استروژن و پروژسترون بهبود بخشد.
چكيده لاتين :
Background & Objective: Cancer has turned out to be one of the most prevalent health hazards globally. Among the various types, breast
cancer is the most common one in women and also is the main cause of cancer mortality in women. Breast cancer is the most common cancer in
females in Iran and most of the developed countries. Studies have shown that having chronic stress in individuals predisposes several types of
cancer, including breast cancer. In recent years, there has been overwhelming evidence to point out the effects of religion or spirituality on mental
and physical health. Rapidly growing evidence shows that stress, negative feelings, and lack of spirituality, such as depression and anxiety, have
adverse side effects on physiological systems which are necessary to maintain physical health and increase susceptibility to a wide range of
physical disorders. Spiritual factors correlate with indices of breast cancer, so do psychiatric conditions and changes in receptor gene expression
in breast cancer. The spiritual therapy program training has a considerable effect on the attitude of an individual with estrogen receptor (ER) and
progesterone receptor (PR) receptor breast cancer. Because these individual are facing main problems in alexithymia. Women, especially women
with breast cancer in emotional reactions, face many challenges. Undoubtedly, inattention to spiritual therapy can lead to alexithymia in an
individual with breast cancer. Therefore, this study aimed to determine the effectiveness of spiritual therapy on alexithymia in the individual
with ER and PR receptor breast cancer.
Methods: The present research was a quasi-experimental study with pre-test, post-test design with the control group. The participants were 30
women with ER and PR receptor breast cancer aged 30-65 years old in the 2019 year. They were from middle socio-economical class. Subjects
were selected by convenient sampling method from Shohaday Persian Gulf hospital in Bushehr city. Subjects divided into experimental with
control groups. They assigned into groups with the random method, each group consisting of 15 individuals randomly. The experimental group
participated in spiritual therapy program training in 12 sessions (One session weekly; each lasts for 90 minutes), while the control group did not.
The alexithymia scale (Bagby, Parker and Taylor, 1994) used for assessment of all participants. The alexithymia scale completed by participants
in pre-test and post-test. Data collected through the questionnaire before and after the training sessions. Multivariate analysis of covariance
(MANCOVA) used with 24th version of statistical package for social sciences (SPSS).
Results: The first, normality of variables and contingency of variance and covariance assumptions tested. The Kolmogorov Smirnov test showed
that all variables were standard. Also, the Box test confirmed the contingency of variance-covariance assumption. So, assumptions of multivariate
analysis of covariance test proved and can be used the multivariate analysis of covariance test for analysis of data. Results of multivariate analysis
of covariance showed that experimental with control groups had a significant difference in alexithymia (p <0.001). The results of multiple
analysis of covariance showed spiritual therapy program training had a significant effect on alexithymia in women with ER and PR receptor
breast cancer (p <0.001). Spiritual therapy program training has led to the decrease alexithymia in women with ER and PR receptor breast cancer.
It can be said that according to Eta square, 55% of variations of the alexithymia variable, can be explained by the subjects’ participation in
spiritual therapy program training. Also, the results revealed that spiritual therapy program training had a significant effect on all subscales of
alexithymia (difficulty in identifying feelings, difficulty in describing emotions and objective thinking) in these participants. It can be stated that
according to Eta square 53%, 58%, and 54% of variations in components such as difficulty in identifying feelings, difficulty in describing
emotions and objective thinking respectively, can be explained by the subjects’ participation in spiritual therapy program training.
Conclusion: Planning for such training programs similar to the spiritual therapy program training has an important role in the decrease of
alexithymia in women with ER and PR receptor breast cancer. Based on the finding of this research, the spiritual therapy program training can
have improved alexithymia in an individual with ER and PR receptor breast cancer.
