1- University of Lorestan
2- Shahid Beheshti University
3- Azad University, Kermanshah
4- University of payamenor
Abstract: (3332 Views)
Background One of the most prevalent and most influential invasive cancers in women and the main cause of their deaths in developed and developing countries is breast cancer, which has caused emotional , physical and psychological problems in women . Women with breast cancer face various physical and psychological problems, including decreased immune system strength, fatigue, chronic pain, anxiety, depression, decreased mental health. Due to the diagnosis and therapeutic interventions in women with breast cancer, the psychological well-being of these patients has decreased. Considering the positive impact of psychological well-being on different areas of life, identification of factors related to psychological well-being of women with breast cancer is of great importance., the aim of this study was to investigate the predictive role of psychological hardiness and mindfulness on the psychological well-being of patients with breast cancer in Khorramabad city.
Methods : The study was a cross –sectional study and correlation one. The statistical population of patients with breast cancer included all women in Khorramabad city in 1397 . Participants consisted of 110 women with breast cancer That They had come with Treatment centers in Khorramabad city Including public and private hospitals, clinics and health centers who were selected by convenient sampling. Freiburg Mindfulness questionnaire (FMI-SF) (Wallach et al. (2006)) ,18- item psychological well-being questionnaire Reef (2002) and 27-item Ahvaz Hardiness psychological questionnaire) Kiyamrthy and Najarian (2008( to collect data. To analyze the data At the level of descriptive statistics, mean and standard deviation were used and at the level of inferential statistics Pearson correlation coefficient and regression were used and To analyze data Spss software version 24 (VERSION 24. SPSS, IBM crop ., Armonk. NY) were used .
Results : To investigate the results of the research, data were analyzed at the level of descriptive statistics and inferential statistics . At the level of descriptive statistics, The mean and standard deviation of the participants were 49.09 and 9.69 years. The frequency of education for the subjects was as follows: 20 (19.5%) cycles, 36 (35.5%) were diplomas, 26 (25.5%) super diplomas, 18 (17.5%) were bachelors and Two (2%) had a master's degree. the mean and standard deviation psychological well-being in patients with breast cancer (X= 61/73, S2= 10/56). the mean and standard deviation Mindfulness in patients with breast cancer (X= 32/79, S2= 5/95). the mean and standard deviation Hardiness psychological in patients with breast cancer (X= 32/79, S2= 5/95). Results showed that there is a significant Positive correlation between Hardiness psychological with psychological well-being in patients with breast cancer in Khorramabad city (r = 0/271, p < 0/01) . there was observed a significant Positive correlation between Mindfulness with psychological well-being in patients with breast cancer in Khorramabad city. (r = 0/253, p < 0/01) . there was observed a significant Positive correlation between Hardiness psychological with psychological well-being in patients with breast cancer in Khorramabad city. (r = 0/212, p < 0/05). In order to study the predictive role of mindfulness and psychological hardiness in predicting the psychological well-being of women with breast cancer, multivariate regression method was used and the results of multivariate regression showed that Psychological hardiness and mindfulness explained 11.4% of variance of psychological well-being variables in patients with breast cancer. The results of multivariate regression analysis showed that psychological hardiness positively and significantly predicted the variables of psychological well-being (B = 0.222, t = 2.44, p =0.016), as well as the component of mindfulness Positive and meaningful variables predicted psychological well-being (B = 0.204, t = 2.19, p = 0.30).
Discussion : Results showed between mindfulness and psychological hardiness with psychological wellbeing of women with breast cancer, there was a significant relationship. People who have a higher level of psychological hardiness and higher awareness about dealing with life-threatening events are opening up in a more open way and responding more to life events, increasing the capacity to cope with life events less anxiety, stress and depression, have a higher self-efficacy and have better quality of life, improve their immune system and therefore have higher mental health and quality of life., which leads to improvements Psychological well-being in them. Therefore, in dealing with these patients, carers of these patients by using programs that increase psychological hardiness and mindfulness Improved psychological well-being in patients with breast cancer.