Mohammad Ali Besharat; Fariba Zarani; Golnaz Mazaheri Nejad Fard; Gholamreza Sarrami foroushani; Maryam Haji SeyedSadeghi
Abstract
Objective: Given the importance of screening as one of the health behaviors in cervical cancer, this study aims to develop and evaluate the psychometric characteristics of the Cervical Cancer Screening Behavior Scale (CCSBS).Methods: In this cross-sectional study, 376 women referred to Javaheri Health ...
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Objective: Given the importance of screening as one of the health behaviors in cervical cancer, this study aims to develop and evaluate the psychometric characteristics of the Cervical Cancer Screening Behavior Scale (CCSBS).Methods: In this cross-sectional study, 376 women referred to Javaheri Health Center during the study period were selected through convenience sampling. Then, the scale was developed, and its content and face validities were examined. To ensure divergent and convergent validity, Depression Anxiety Stress Scale (DASS-21) was used. The internal consistency method (Cronbach's alpha) was used to determine the reliability of the questionnaire. Finally, confirmatory factor analysis was used to assess the construct validity of the CCSBS, and SPSS and LISREL software were applied to analyze the data.Results: The findings of this study provided strong support, which confirmed the content and face validities. Regarding the convergent and divergent validity, perceived vulnerability, perceived severity and deterioration, and perceived barriers have a direct and significant relationship with the three variables of depression, anxiety, and stress. On the other hand, perceived motivation had a significant inverse correlation with all three variables of depression, anxiety, and stress. Additionally, perceived self-efficacy had a significant inverse correlation with depression. The results of Cronbach's alpha indicated the appropriate internal consistency of the whole questionnaire and its components. Cronbach's alpha for the whole questionnaire was 0.78. According to confirmatory factor analysis, the goodness of fit indicators of the proposed model was confirmed and the paths were significant.Conclusion: CCSBS is a reliable and valid tool for measuring the screening behavior of cervical cancer in Iranian women and it appears to be a comprehensive and useful tool for assessing women's beliefs related to cervical cancer and cervical cancer screening.
Alaleh Attaran khorasani; Mohammad javad Aldaghi; niki darbanbashi khamesi; manizheh maleki; zahra jahani; rahman razavi
Abstract
Objective: Treatment adherence, the extent to which patients can follow the agreed recommendations for prescribedtreatments with a healthcare provider, is a key component of chronic disease management. This study aimed atexamining the structural pattern of personality traits of cancer patients on treatment ...
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Objective: Treatment adherence, the extent to which patients can follow the agreed recommendations for prescribedtreatments with a healthcare provider, is a key component of chronic disease management. This study aimed atexamining the structural pattern of personality traits of cancer patients on treatment adherence and cancer coping selfefficacy mediated by social support.Method: The method of the present study was descriptive, and the research design was correlational based on structuralequation modeling. The statistical population included all female patients with breast cancer referred to Shahid RahimiHospital for follow-up treatment, among whom 300 were selected using the convenience sampling method. Then, theycompleted the research questionnaires, including Five Personality Traits, the Self-efficacy for Appropriate MedicineUse Scale, Cancer Behavior Inventory, and Social Support Therapeutic Outcomes Questionnaire. The research datawere analyzed using AMOS statistical software.Results: The results showed a significant relationship between personality traits, adherence to treatment, cancer selfefficacy, and social support. The results of structural equation modeling showed a good fit of the model with theexperimental data, and the general hypothesis of the research was confirmed. Personality traits have a significantpositive effect on adherence to cancer treatment and self-efficacy. Also, personality traits mediated by social supportshowed a negative and significant relationship with adherence to treatment and cancer self-efficacy.Conclusion: This study showed the effective role of social support in the outcome of social and individual measuresto increase adherence to treatment and cancer self-efficacy in patients with breast cancer.
Somayeh Hashemizadeh; Mahdieh Salehi; Amin Rafiepoor; Afsaneh Ghanbaripanah
Abstract
Objective: The role of cognitive, metacognitive, and meta-emotional factors in psychological distress has been clearly confirmed. The current research aims to examine a psychological distress model based on intolerance of uncertainty and emotional schemas of cancer patients with the mediating role of ...
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Objective: The role of cognitive, metacognitive, and meta-emotional factors in psychological distress has been clearly confirmed. The current research aims to examine a psychological distress model based on intolerance of uncertainty and emotional schemas of cancer patients with the mediating role of metacognitive beliefs and cognitive avoidance.
Method: Regarding the methodology, the present study was correlational based on structural equation modeling. The study sample included 300 cancer patients who visited various hospitals in Tehran and completed the questionnaires of uncertainty intolerance, stress, depression, anxiety, emotional schemas, metacognitive beliefs, and cognitive avoidance.
Results: Findings demonstrated that the proposed model has appropriate fitness among cancer patients. Also, the relationship between mediating variables and endogenous and exogenous variables is significant. The variables under investigation explained 46 percent of psychological distress variance in the patients.
Conclusion: Psychological distress in cancer patients is affected by the interaction of excessive emotional states, intolerance of uncertainty, such as metacognitive beliefs, and emotional schemas.
Elmira Majedi; Mahdieh Salehi; amin rafiepoor; Afsaneh Ghnbaripanah
Abstract
Objective: Researchers have considered the components of positive psychology as predictors of psychological well-being. This study aimed to investigate the psychological well-being model based on rumination and the meaning of life with the mediating role of post-traumatic growth and resilience in cancer ...
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Objective: Researchers have considered the components of positive psychology as predictors of psychological well-being. This study aimed to investigate the psychological well-being model based on rumination and the meaning of life with the mediating role of post-traumatic growth and resilience in cancer patients.
Method: The present study was conducted by correlation method and structural equation modeling. The statistical population consisted of all the cancer patients referred to hospitals in Tehran in 2020, among whom 300 individuals (218 women and 82 men) were selected by purposive sampling. Participants received psychological well-being questionnaires, rumination-reflection, the meaning of life, post-traumatic growth, and resilience.
Results: Findings demonstrated that this model fits well in cancer patients, and the relationship between mediating variables with endogenous and exogenous variables was significant (df2c =2.14, GFI=0.92, and CFI= 0.93 and RMSEA =0.05, P=0.01). The variables studied by the model explained 51% of the psychological well-being variance in these patients. Conclusion: The Psychological well-being of cancer patients is affected by variables related to positive psychology such as the meaning of life, post-traumatic growth, and resilience. Rumination, if leading to meaning-making and post-traumatic growth, can potentially positively affect psychological well-being.
Ziba Farajzadegan; Neda Tavakoli Moghadam; Mahboobeh Naderolasli; Hossein Aahmadloo; Mohammad Ali Boroumand; Nima Motamed
Abstract
objective: Quality of life (QOL) in cancer patients is more important than being only alive. In all types of cancers, treatments and complications of treatments affect patients’ quality of life directly and indirectly. So finding ways to improve the quality of life in cancer patients is one ...
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objective: Quality of life (QOL) in cancer patients is more important than being only alive. In all types of cancers, treatments and complications of treatments affect patients’ quality of life directly and indirectly. So finding ways to improve the quality of life in cancer patients is one of the priorities of the health system. One effective way is the improvement of the sense of coherence (SOC) which is one of the components of salthogenic medicine. In this research, we investigated the effect of sense of coherence on quality of life in cancer patients through a systematic review.
Methods and material: As the research method was a systematic review, in our search strategy, we searched some databases, such as PubMed, Scopus, Cochrane, web of science, and Embase. At first, we studied all the articles, and based on their title, we chose some of them. Then based on the inclusion and exclusion criteria of the study, appropriate and related articles were selected. CASP (Critical Appraisal Skills Program) checklist was used to evaluate the articles. Finally, eight articles remained for analysis. Then the results were extracted and synthesized.
Results: In this review, it was found that in most studies there was a strong association between SOC and QOL, but some variables, such as age and stage of cancer, could impress the degree of this association. The differences between the kinds of questions in different questionnaires might be the result of these differences.
Conclusion: Taken together, there is a moderate correlation between SOC and QOL and some other factors can influence both of them, so we should do more research to find the factors that can improve the SOC in cancer patients.
seyedeh shahrzad hejri; shahla pakdaman; saeed ghanbari; seddighe sadat mirzaei
Abstract
Objective: This study aimed to determine the effectiveness of painting therapy in reducing emotional- behavioral problems of children with cancer (internalized problems: anxious-depressed, withdrawn-depressed, somatic complaints; externalized problems: aggressive behavior and rule-breaking behavior).
Method: ...
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Objective: This study aimed to determine the effectiveness of painting therapy in reducing emotional- behavioral problems of children with cancer (internalized problems: anxious-depressed, withdrawn-depressed, somatic complaints; externalized problems: aggressive behavior and rule-breaking behavior).
Method: The research method was quasi-experimental with a pretest-posttest design and control group with follow-up. Using targeted sampling, 40 children (6-12 years old) with cancer, whose score on the Child Behavior Check List (CBCL) was one standard deviation above the mean, was selected and randomly divided into two experiment (n = 20) and control (n = 20) groups, but due to drop in the number of participants, it decreased to 31 (16 experimental group and 15 control group). The painting program was performed on the experimental group in the form of 8 two-hour sessions. To analyze the data, the mixed variance analysis method was used.
Results: The results showed that although the overall score of the internalized and externalized problems was significantly reduced, painting therapy did not affect the somatic complaints (of internalized problems) and the rule-breaking behavior (of externalized problems).
Conclusions: The results showed that painting therapy can be an effective way to reduce the emotional-behavioral problems of children with cancer. Therefore the findings of this study can have preventive clinical applications.
fateme mehdipour; Amin Rafiepoor; kobra Hajializade
Abstract
Background & Objective: The majority of cancer patients have a poor quality of life. It seems mindfulness-based cognitive group therapy can improve quality of life in these patients. Therefore this study was conducted with the purpose of evaluating the effectiveness of mindfulness-based cognitive ...
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Background & Objective: The majority of cancer patients have a poor quality of life. It seems mindfulness-based cognitive group therapy can improve quality of life in these patients. Therefore this study was conducted with the purpose of evaluating the effectiveness of mindfulness-based cognitive group therapy in improving quality of life among patients with cancer. Materials & Methods: This study was a quasi-experimental research conducted by pre- and post-testing. The sample population consisted of 30 cancer patients selected by purposive sampling and randomly placed in two groups of experimental and control (15 individuals per group). All subjects completed the quality of life questionnaire in the two stages of pre-test and post-test. The findings were analyzed by the SPSS software and multivariate analysis of covariance tests. Results: The results showed that there is a significant difference between the control and the experimental group and that mindfulness-based cognitive group therapy had a significant effect in improving quality of life in the members of the experimental group (p< 0/01). Conclusion: According to the results, it can be proposed that it is necessary for therapeutic centers and support forums related to refractory patients to use mindfulness-based cognitive group therapy in their plans to improve patients’ quality of life.
