fa تعیین اثربخشی درمان مبتنی‌بر شفقت بر کارکرد خانواده و شادکامی در زنان مبتلا به سرطان سینه روانشناسی Psychology مقاله پژوهشی اصیل Original Research Article <p style="text-align: justify;"><span style="font-size:12px;"><span style="font-family:Tahoma;"><span style="direction:rtl"><span style="unicode-bidi:embed"><span lang="FA"><span style="color:#231f20"><span style="letter-spacing:-.2pt">چکیده</span></span></span></span></span><br> <span style="direction:rtl"><span style="unicode-bidi:embed"><span lang="FA"><strong>زمینه و هدف</strong>: سرطان پستان بیماری مزمنی است و تشخیص و درمان آن مشکلات روان‌شناختی زیادی به‌همراه دارد که لزوم استفاده از درمان روان‌شناختی را بیشتر می‌کند؛ بنابراین هدف پژوهش حاضر تعیین اثربخشی درمان مبتنی‌بر شفقت بر کارکرد خانواده و شادکامی در زنان مبتلا به سرطان سینه بود. </span></span></span><br> <span style="direction:rtl"><span style="unicode-bidi:embed"><span lang="FA"><strong>روش‌بررسی</strong>: روش این پژوهش از نوع نیمه‌آزمایشی با طرح پیش‌آزمون و پس‌آزمون همراه با دو گروه آزمایش و گواه بود. جامعهٔ آماری پژوهش را تمامی بیماران زن مبتلا به سرطان سینه در بیمارستان امام‌خمینی‌(ره) تشکیل دادند که در سال‌های ۹۹-۱۳۹۸ به این بیمارستان مراجعه کردند و طبق آمار اعلام‌شده حدود ۲۵۰ نفر بودند. از بین آن‌ها سی نفر داوطلب واجد شرایط به‌صورت تصادفی وارد مطالعه شدند و به‌تصادف در دو گروه آزمایش و گواه (هر گروه پانزده نفر) قرار گرفتند. هر دو گروه <span style="color:black">پرسش‌نامهٔ کارکرد خانواده</span> (اپشتاین و همکاران، ۱۹۸۳) و پرسش‌نامهٔ شادکامی زناشویی (آزرین و همکاران، ۱۹۷۳) را تکمیل کردند. در ادامه اجرای برنامهٔ درمان مبتنی‌بر شفقت روی گروه آزمایش صورت گرفت. سپس پرسش‌نامه‌های مذکور توسط هر دو گروه تکمیل شد. تحلیل داده‌ها با استفاده از نرم‌افزار </span><span dir="LTR" lang="EN-US">S</span><span dir="LTR" lang="EN-US">PSS</span><span lang="FA"> نسخهٔ ۲۴ و روش تحلیل کوواریانس انجام پذیرفت. </span></span></span><br> <span style="direction:rtl"><span style="unicode-bidi:embed"><span lang="FA"><strong>یافته‌ها</strong>: یافته‌های پژوهش نشان داد، تأثیر درمان مبتنی‌بر شفقت بر کارکرد خانواده و شادکامی در زنان مبتلا به سرطان سینه معنادار است (۰٫۰۰۱></span><i><span dir="LTR" lang="EN-US">p</span></i><span lang="FA">).</span></span></span><br> <span style="direction:rtl"><span style="unicode-bidi:embed"><span lang="FA"><strong>نتیجه‌گیری</strong>: نتایج پژوهش حاضر مشخص کرد، درمان مبتنی‌بر شفقت بر کارکرد خانواده و شادکامی در زنان مبتلا به سرطان سینه تأثیر مثبت دارد؛ بنابراین باتوجه به نتایج، توصیه می‌شود برای مداخلات مرتبط با سلامت به‌ویژه به‌منظور کاهش مشکلات روان‌شناختی در زنان مبتلا به سرطان سینه از درمان مبتنی‌بر شفقت در کنار سایر روش‌های درمانی استفاده شود.</span></span></span></span></span></p> <p style="text-align: justify;"><span style="font-size:12px;"><span style="font-family:Tahoma;"><span style="unicode-bidi:embed"><b><span lang="EN-US"><span style="color:#231f20"><span style="letter-spacing:-.2pt">Abstract</span></span></span></b><span lang="EN-US"><span style="color:black"></span></span></span><br> <span style="unicode-bidi:embed"><b><span lang="EN-US">Background & Objectives:</span></b> <span lang="X-NONE">Cancer is a general term for a large group of diseases affecting any body part. Breast cancer is the most common cancer in women and can have profound effects on the various functions of women in life. In Iran, 16% of all cancers in both men and women are related to breast cancer, and it ranks first among Iranian women and causes profound emotional problems in them. This study aimed to evaluate the effectiveness of compassion&ndash;based therapy on family functioning and happiness in women with breast cancer. Breast cancer is a chronic disease; </span><span lang="EN-US">its</span><span lang="X-NONE"> diagnos</span><span lang="EN-US">is </span><span lang="X-NONE">and treat</span><span lang="EN-US">ment are accompanied by</span><span lang="X-NONE"> many psychological problems</span><span lang="EN-US">,</span><span lang="X-NONE"> increas</span><span lang="EN-US">ing</span><span lang="X-NONE"> the need for psychological </span><span lang="EN-US">suppor</span><span lang="X-NONE">t. Cancer patients are worried about their survival</span><span lang="EN-US">.</span><span lang="X-NONE"> They are in pain, and this can seriously affect their mental state.</span></span><br> <span style="unicode-bidi:embed"><b><span lang="X-NONE">Methods:</span></b><span lang="X-NONE"> This research </span><span lang="EN-US">is</span><span lang="X-NONE"> quasi&ndash;experimental, using </span><span lang="EN-US">a </span><span lang="X-NONE">pretest</span><span lang="EN-US">&ndash;</span><span lang="X-NONE">posttest design with </span><span lang="EN-US">a</span><span lang="X-NONE"> control group. The statistical population of this study included all female patients with breast cancer </span><span lang="EN-US">referred to</span><span lang="X-NONE"> Imam Khomeini Hospital in 20</span><span lang="EN-US">1</span><span lang="X-NONE">9&ndash;20</span><span lang="EN-US">2</span><span lang="X-NONE">0. According to the </span><span lang="EN-US">records,</span><span lang="X-NONE"> 250 </span><span lang="EN-US">women had breast cancer</span><span lang="X-NONE">. Among them, using </span><span lang="EN-US">an</span> <span lang="EN-US">a</span><span lang="X-NONE">vailable sampling</span><span lang="EN-US">,</span><span lang="X-NONE"> 30 people were randomly selected and assigned to </span><span lang="EN-US">the </span><span lang="X-NONE">experimental and control groups (each group consisting of 15 people). </span><span lang="EN-US">The i</span><span lang="X-NONE">nclusion criteria </span><span lang="EN-US">comprised</span><span lang="X-NONE"> being a woman, having breast cancer, committing to participate in </span><span lang="EN-US">therapy sessions,</span> <span lang="EN-US">having a </span><span lang="X-NONE">minimum level of diploma education, </span><span lang="EN-US">and </span><span lang="X-NONE">not participating at the same time in </span><span lang="EN-US">other</span><span lang="X-NONE"> psychological treatment interventions</span><span lang="EN-US">. The</span><span lang="X-NONE"> exclusion criteria also include</span><span lang="EN-US">d</span> <span lang="EN-US">a</span><span lang="X-NONE">bsence for more than three sessions</span><span lang="EN-US"> from the intervention program</span> <span lang="EN-US">and n</span><span lang="X-NONE">on&ndash;observance of the rules of the treatment group.</span><span lang="EN-US"> A</span><span lang="X-NONE">fter choosing the sample group and before starting the treatment program, </span><span lang="EN-US">the </span><span lang="X-NONE">Family Assessment </span><span lang="EN-US">Device</span><span lang="X-NONE"> (Epstein</span><span lang="EN-US"> et al.</span><span lang="X-NONE">, 1983) and </span><span lang="EN-US">C</span><span lang="X-NONE">ouple</span><span lang="EN-US">s</span> <span lang="EN-US">H</span><span lang="X-NONE">appiness</span><span lang="EN-US"> Inventory</span><span lang="X-NONE"> (Azrin, Naster, and Jones, 1973) were distributed </span><span lang="EN-US">among</span> <span lang="EN-US">t</span><span lang="X-NONE">he two groups. After that, the diagnosis&ndash;based treatment program was performed on the experimental group (8 sessions of 90 minutes</span><span lang="EN-US">,</span><span lang="X-NONE"> once a week), and the control group did not receive any treatment program. In the end, the posttest was performed again from both groups. Also, after the end of the research, the treatment program was implemented for the control group to maintain ethical standards. Data analysis was performed in two sections: descriptive statistics and inferential statistics. At the level of descriptive statistics, frequency, percentage, mean, standard deviation, and inferential statistics, multivariate analysis of covariance w</span><span lang="EN-US">ere</span><span lang="X-NONE"> used. Data analysis was performed in SPSS software version 24, and the significance level of the tests was considered to be 0.05.</span></span><br> <span style="unicode-bidi:embed"><b><span lang="X-NONE">Results:</span></b><span lang="X-NONE"> The results showed that the effect of compassion&ndash;based therapy on family functioning and happiness in women with breast cancer was significant (</span><i><span lang="EN-US">p</span></i><span lang="EN-US"><</span><span lang="X-NONE">0.001)</span><span lang="EN-US">.</span></span><br> <span style="unicode-bidi:embed"><b><span lang="X-NONE">Conclusion:</span></b> <span lang="EN-US">I</span><span lang="X-NONE">t can be said that compassion&ndash;based therapy is one of the therapies of the third wave </span><span lang="EN-US">generation</span><span lang="X-NONE"> of psychological therapies that have been able to improve the family functioning and happiness of women with breast cancer.</span></span></span></span></p> درمان مبتنی‌بر شفقت, کارکرد خانواده, شادکامی, سرطان سینه Compassion–Based therapy, Family function, Happiness, Breast cancer 116 116 http://jdisabilstud.org/browse.php?a_code=A-11-3018-1&slc_lang=fa&sid=1 Elham Anoushirani الهام انوشیروانی elhamanooshiravani@yahoo.com 100319475328460058765 100319475328460058765 No PhD Student in Psychology, Shahroud Branch, Islamic Azad University, Shahroud, Iran دانشجوی دکتری تخصصی روان‌شناسی، واحد شاهرود، دانشگاه آزاد اسلامی، شاهرود، ایران Shahnaz Nouhi شهناز نوحی psynut.sh@shahrood.ac.ir 100319475328460058766 100319475328460058766 Yes Assistant Professor, Department of Psychology, Shahroud Branch, Islamic Azad University, Shahroud, Iran استادیار گروه روان‌شناسی، واحد شاهرود، دانشگاه آزاد اسلامی، شاهرود، ایران Narges Razeghi نرگس رازقی nrazeghi@iautb.ac.ir 100319475328460058767 100319475328460058767 No Assistant Professor of Psychology, Professor Hessabi Unit, Islamic Azad University, Tafresh, Iran استادیار گروه روان‌شناسی، واحد پروفسور حسابی، دانشگاه آزاد اسلامی، تفرش، ایران Hakime Aghaei حکیمه آقایی ha.aghae@shahrood.ac.i 100319475328460058768 100319475328460058768 No Assistant Professor, Department of Psychology, Shahroud Branch, Islamic Azad University, Shahroud, Iran استادیار گروه روان‌شناسی، واحد شاهرود، دانشگاه آزاد اسلامی، شاهرود، ایران