1- Allameh Tabatabaei University
2- Islamic Azad university
3- Non-profit university
2- Islamic Azad university
3- Non-profit university
Abstract: (42 Views)
Introduction and purpose: Cancer is a disease characterized by the uncontrolled growth of abnormal cells. In 2020, there were 10 million cancer-related deaths, with lung cancer having the highest incidence and mortality rates, especially among men. This type of cancer typically presents no symptoms in its early stages, which often leads patients to seek medical attention only after the disease has progressed. Cancer not only poses chronic physical risks but also presents significant psychological challenges, increasing the need for psychological support among these patients. Many patients experience concerns about survival, which can negatively impact their mental health and emotional regulation, often resulting in anxiety and depression. The relationship between changes in the mindset of cancer patients and their health-promoting behaviors has gained global importance. Given that cancer has numerous causes and treatment methods, psychological and behavioral factors are as crucial as physical factors. Alongside drug treatments, psychological interventions can effectively address mental health issues. Two key psychological constructs related to the mental health of cancer patients are emotional regulation and tolerance of ambiguity. This study aims to evaluate the effectiveness of acceptance and commitment therapy on emotional regulation and ambiguity tolerance in patients with lung cancer.
Materials and methods: This research was semi-experimental and pre- and post-test with a control group. The statistical population included all patients with lung cancer who referred to the Association for the Support of Patiants of Lung Cancer in Tehran. According to the records, 132 men had Among them, 30 people were selected purposefully and randomly replaced in two experimental (15 people) and control (15 people) groups. Research entry criteria: 1. Diagnosed with lung cancer, 2. Completed chemotherapy, 3. Provided consent to participate, 4. Aged 20 to 50 years, 5. No mental disorders. Exclusion criteria: 1. Withdrawal from therapy, 2. Over two absences from therapy sessions, 3. Concurrent involvement in psychotherapy. The experimental group received treatment based on acceptance and commitment in 8 weekly sessions for 90 minutes, and the control group did not undergo any psychological treatment during this period. The data were collected through two questionnaires of ambiguity tolerance (McLean, 1993) and emotion regulation (Gross and John, 2003) in two stages before and after the therapeutic intervention in two groups. After the research concluded, the treatment program was also implemented for the control group to uphold ethical standards. Data analysis consisted of two parts; descriptive statistics and inferential statistics. Descriptive statistics included frequency, percentage, mean, and standard deviation, while inferential statistics involved univariate analysis of covariance. The analysis was conducted using SPSS software version 27, with a significance level set at 0.05.
Results: Data analysis indicated that the scores of emotional regulation and ambiguity tolerance in lung cancer patients in the intervention group significantly improved after treatment compared to the control group (p<0.001). The results from the univariate covariance analysis indicate that treatment based on acceptance and commitment is effective. According to the obtained value of the eta coefficient for emotional regulation and tolerance of ambiguity, it can be said that 0.491 of the variance of suppression and 0.481 of the variance of re-evaluation was related to the effect of acceptance and commitment therapy. Additionally, 0.708 of the variance in tolerance of ambiguity is also attributed to the impact of the acceptance and commitment treatment. respectively, indicating the considerable effect of the acceptance and commitment treatment on increasing tolerance of ambiguity and emotional regulation in patients with Lung Cancer.
Conclusion: The treatment based on acceptance and commitment has been effective in increasing ambiguity tolerance and emotional regulation of lung cancer patients. Therefore, this treatment method can be used in medical centers to reduce the psychological problems of patients with lung cancer.
Materials and methods: This research was semi-experimental and pre- and post-test with a control group. The statistical population included all patients with lung cancer who referred to the Association for the Support of Patiants of Lung Cancer in Tehran. According to the records, 132 men had Among them, 30 people were selected purposefully and randomly replaced in two experimental (15 people) and control (15 people) groups. Research entry criteria: 1. Diagnosed with lung cancer, 2. Completed chemotherapy, 3. Provided consent to participate, 4. Aged 20 to 50 years, 5. No mental disorders. Exclusion criteria: 1. Withdrawal from therapy, 2. Over two absences from therapy sessions, 3. Concurrent involvement in psychotherapy. The experimental group received treatment based on acceptance and commitment in 8 weekly sessions for 90 minutes, and the control group did not undergo any psychological treatment during this period. The data were collected through two questionnaires of ambiguity tolerance (McLean, 1993) and emotion regulation (Gross and John, 2003) in two stages before and after the therapeutic intervention in two groups. After the research concluded, the treatment program was also implemented for the control group to uphold ethical standards. Data analysis consisted of two parts; descriptive statistics and inferential statistics. Descriptive statistics included frequency, percentage, mean, and standard deviation, while inferential statistics involved univariate analysis of covariance. The analysis was conducted using SPSS software version 27, with a significance level set at 0.05.
Results: Data analysis indicated that the scores of emotional regulation and ambiguity tolerance in lung cancer patients in the intervention group significantly improved after treatment compared to the control group (p<0.001). The results from the univariate covariance analysis indicate that treatment based on acceptance and commitment is effective. According to the obtained value of the eta coefficient for emotional regulation and tolerance of ambiguity, it can be said that 0.491 of the variance of suppression and 0.481 of the variance of re-evaluation was related to the effect of acceptance and commitment therapy. Additionally, 0.708 of the variance in tolerance of ambiguity is also attributed to the impact of the acceptance and commitment treatment. respectively, indicating the considerable effect of the acceptance and commitment treatment on increasing tolerance of ambiguity and emotional regulation in patients with Lung Cancer.
Conclusion: The treatment based on acceptance and commitment has been effective in increasing ambiguity tolerance and emotional regulation of lung cancer patients. Therefore, this treatment method can be used in medical centers to reduce the psychological problems of patients with lung cancer.
Keywords: lung cancer, Acceptance and Commitment Therapy, tolerance of ambiguity, emotional regulation
Type of Study: Original Research Article |
Subject:
Psychology
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