In collaboration with Payame Noor University and Iranian Health Psychology

Document Type : research

Authors

1 Assistant professor, Department of psychology and Educational science payam noor university Tehran Iran

2 M.A in psycology, payam noor university, Tehran, Iran

Abstract

 Objective: This study aimed to investigate the effectiveness of the integrated approach of meaning therapy and hope therapy on tolerance of ambiguity, alexithymia, and psychological hardiness of women with breast cancer in Dezful City.
Method: The statistical population of this study consisted of all women with breast cancer in Dezful in 2021, from whom 30 people were randomly selected and assigned to experimental and control groups. Toronto Alexithymia Scale (Taylor, 1986), Ambiguity Tolerance Scale, and Hardiness Questionnaire (Kobasa et al.,1982) were administered to both groups. Then the experimental group was subjected to group therapy of the integrated approach of meaning therapy and hope therapy. The number of therapy sessions was eight 90-minute sessions, and after the end of the training course, both experimental and control groups completed the research questionnaires again. After collecting data, multivariate and univariate analyses of variance were used to analyze data via SPSS software.
Results: The results of the data analysis confirmed the effectiveness of this integrated approach on tolerance of ambiguity, alexithymia, and psychological hardiness (p≤ 0/001). Also, the results showed the effect of this integrated approach on the dimensions of alexithymia (difficulty in recognizing emotions, difficulty in describing feelings, and extrovert thinking) and the dimensions of psychological hardiness (commitment, control, and struggle).
Conclusion: The findings of this study could lead to positive consequences of the integrated approach of meaning therapy and hope therapy in women with breast cancer 

Keywords

Article Title [Persian]

اثربخشی رویکرد تلفیقی معنادرمانی و امید درمانی برتحمل ابهام، ناگویی هیجانی و سرسختی روانشناختی زنان مبتلا به سرطان پستان

Authors [Persian]

  • مرضیه محمودی 1
  • شهلا دینوی زاده 2

1 استادیارگروه علوم تربیتی و روانشناسی دانشگاه پیام نور، ایران

2 کارشناسی ارشد روانشناسی عمومی دانشگاه پیام نور، ایران

Abstract [Persian]

مقدمه: پژوهش حاضر با هدف بررسی اثربخشی رویکرد تلفیقی معنادرمانی و امید درمانی برتحمل ابهام، ناگویی هیجانی
و سرسختی روانشناختی زنان مبتلا به سرطان پستان شهرستان دزفول انجام شد.
روش: جامعه آماری این پژوهش که شامل کلیه زنان مبتلا به سرطان پستان شهر دزفول در نیمه دوم سال 1400 بود 30 نفر به‌صورت در دسترس انتخاب و سپس به‌صورت تصادفی در دو گروه آزمایش و کنترل قرار گرفتند. پرسشنامه‌های ناگویی هیجانی تورنتو(تیلور، 1986)، تحمل ابهام (، 1993) و سرسختی (کوباسا و همکاران) ۱۹۸۲) بر روی هر دو گروه اجرا شد و سپس گروه آزمایش تحت گروه درمانی رویکرد تلفیقی معنادرمانی و امیددرمانی قرار گرفتند. تعداد جلسات برای درمان این افراد در 8 جلسه 90 دقیقه‌ای تنظیم شد و پس از پایان دوره آموزشی هر دو گروه آزمایش و کنترل مجددا پرسشنامه‌های پژوهش را تکمیل نمودند. در نهایت اطلاعات جمع آوری شده توسط نرم‌افزار
SPSS و با استفاده از تحلیل واریانس چندمتغیره و تک متغیره تجزیه‌وتحلیل شد.
یافته ها: نتایج حاصل از تحلیل داده‌ها نشان داد که رویکرد تلفیقی معنادرمانی و امید درمانی بر تحمل ابهام، ناگویی هیجانی و سرسختی روانشناختی زنان مبتلا به سرطان پستان موثر بوده است .(0/001 ) همچنین سایر نتایج رویکرد تلفیقی معنادرمانی و امیددرمانی را بر ابعاد ناگویی هیجانی (دشواری در تشخیص احساسات، دشواری در توصیف حساسات، تفکر با جهت گیری خارجی) و ابعاد سرسختی روانشناختی (تعهد، کنترل و مبارزه) تأیید کرد.
نتیجه گیری:
یافته‌های این پژوهش می‌تواند منجر به پیامدهای مثبتی در جهت کاربرد رویکرد تلفیقی معنادرمانی و امید درمانی درزنان مبتلا به سرطان پستان ‌گردد.

Keywords [Persian]

  • رویکرد تلفیقی معنادرمانی و امید درمانی
  • تحمل ابهام
  • ناگویی هیجانی
  • سرسختی روانشناختی
  • سرطان پستان
Abadi Bavil, D. & Dulatian, M. (2018). Investigation of possible support with the process of breast cancer treatment and recovery. Biquarterly journals of clinical excellence, 7(4).
Abolghasemi, A. (2014). The relationship between resilience, self-efficacy and stress with life satisfaction in students with high and low academic achievement. Journal of Psychological Studies, 1(7), 223-231.
Aghajani, M.J.; Akbari, B.; Khalatbari, J. & Sadeghi, A. (2018). The effectiveness of meaning therapy in a group way on the feeling of loneliness and psychological toughness of female students with love trauma syndrome. Armaghane knowledge. 23 (5), 559-576.
Ahmadi Fard, M.; Sadeghi, M. & Gholamrezaei, S. (2019). The effectiveness of the combined approach of meaning therapy and hope therapy on fear of body image and social adjustment in women with breast cancer. Journal of Psychiatric Nursing, 7(1), 63-78.
Ayatollahi, H. (2012). Investigating the quality of life in breast cancer patients undergoing treatment at the Omid-Urmia Cancer Research Center. Quarterly Journal of Breast Diseases of Iran. 4(5), 35-43.
Behari, F. (2014). The basics of hope and hope therapy (a guide to creating hope). Tehran: Danje.
Bower E, Kemeny E & Taylor E & Fahey L. (2018). Cognitive processing, Discovery of meaning, Cd4 Declime, and Aids – Related Mortality among Beteared HIV Seropositive men. Journal of counsulting and clinlcal psychology. Vol 17, No 7.
Carl. J.R. Gallagher. M. W. & Barlow. D. H. (2018). Development and preliminary evaluation of a positive emotion regulation augmentation module for anxiety and depression. Behavior Therapy 49(6) 939-950.
Dehghani, Z. & Khodabakhshi Kolaee, A. (2017). The effectiveness of group hope therapy on the quality of life and resilience of addicted women. Journal of Education and Community Health. 4 (1), 28-34.
Devoe D. (2012). Viktor Frankl's Logotherapy: The Search for Purpose and Meaning. Inquiries Journal, 4(07),1-8.
Fernia, F.; Bagshahi, N. & Zarei, H. (2016). Investigating the effectiveness of group hope therapy on the happiness of hemodialysis patients. Journal of nursing and midwifery. 6(14), 543-550.
Frankel, V. E. (1978). An unheard cry for meaning, psychotherapy and humanism. Translated by Tabrizi, Alavinia (1383). Tehran: Farawan Publications.
Ghadampour, E.; Youssef Vand, M.; Alavi, Z. & Khosravi, S. (2018). The effectiveness of meaning therapy on academic enthusiasm and academic tenacity in male students of the second secondary school in Khorramabad city in the academic year 2016-2017, Roish Psychology Journal, 9(30), 96- 111.
Kang KA, Im JI, Kim HS, Kim SJ, Song MK, & Sim S. (2019). The effect of logotherapy on the suffering, finding meaning, and spiritual well-being of adolescents with terminal cancer. Journal of Korean Academy of Child Health Nursing, 15(2), 136-144.
Kazemian Moghadam, K. (2020). The effectiveness of group meaning therapy on stubbornness and psychological well-being in women with substance-dependent spouses. Quarterly Journal of Addiction Research. 14 (58), 291-310.
Kiarasi, Z.; Emadian, S. O. & Hassanzadeh, R. (2021). Comparison of compassion-focused therapy and meaning therapy on death anxiety and ambiguity tolerance in women with breast cancer. Development of Psychology, 8(65), 187-199.
Lee CH. (2016). Effects of Logotherapy with exercise on Meaning of life, ego integrity and ADL in the elderly. Teahan kanho Hakhoe chi. Vol 36, No 5. 701 – 709.
Levine EG & Targ E. (2019). Spiritual correlates of functional well-being in women with breast cancer. Integr Cancer Ther; 1:166-74.
Meddi H& Kobasa A. (1982). Stress and burnoutin the human service professions. New York: pergamon press.
Mehrinejad, A. Rajabi Moghadam, S. (2019). Investigating the effectiveness of meaning therapy on increasing the life expectancy of addicts with short-term withdrawal. Clinical Psychology Quarterly, 2(8), 29-40.
Mohammadpour, A. R. (2016). Founder of Meaning Therapy, Faradidi on Psychology and Existential Psychotherapy, Tehran: Danje Publications.
Nardelli S, Pentassuglio I, Pasquale C. (2019). Depression, anxiety and alexithymia symptoms are major determinants of health related quality of life (HRQoL) in cirrhotic patients. Metab Brain Dis. 28: 239-43.
Nicolaidis CS, & Katsaros, K. (2018). Tolerance of ambiguity and emotional attitudes in a changing business environment: A case of Greek IT CEOs. Journal of Strategy and Management, 4(1), 44–61.
Rapiti E, Fioretta G, Verkooijen HM, Vlastos G, Schafer P, Sappino AP, et al. (2019). Survival of young and older breast cancer patients in Geneva from 1990 to 2018. Eur J Cancer; 41(10):1446-52.
Saadat, M. (2019). Investigating the effect of teaching the dimensions of meaning therapy (freedom, responsibility, values) on reducing the hopelessness of women with cancer in Tehran, Al-Zahra University master's thesis.
Shankar, A., Rafnsson, S. B., & Steptoe, A. (2015). Longitudinal associations between social connections and subjective wellbeing in the English Longitudinal Study of Ageing. Psychology & health, 30(6), 686-698.
Shokohi Fard, S. & Sudani, M. (2013). Investigating the effectiveness of psychological toughness training on the quality of life of female teacher training students. Journal of Knowledge and Research in Applied Psychology, 2 (55), 14-25.
Snyder CR. (2000). The psychology of hope: you can get there from here. USA: Free Press.
Soltani, S. & Sadati Firouzabadi, S.S. (2020). Investigating the effectiveness of hope therapy on the psychological well-being of mothers with autistic children, the 4th International Conference on Psychology, Counseling and Educational Sciences, Tehran.
Stasiewcz, PR., Brandizza, C.M., Gudleski, G.D., Coffey, S.F., Schlauch, R.C., Bailey, S.T., et al. (2012). Th relationship of alexithymia to emotional dysregulation within an alcohol dependent treatment sample. Addictive Behaviour, 4(37), 469-479.
Tadris Tabrizi, M., Saffarnia, M., & Alipour, A. (2022). Structural Model of Women’s Sexual Health Based on Alexithymia, Differiantion of Self, and Gender Roles Mediating by Social Exchange Styles. Iraninan Journal of Health Psyhology. 5(3): 17-34.
Valkamo M, Hintikka J, Honkalampi K, Niskanen L, Koivumaa-Honkanen H, Vinama ki H. (2019). Alexithymia in patients with coronary heart disease. J Psychosom Res. 2011; 50: 125-30
Warrier S, Tapia G, Goltsman D, Beith J. An update in breast cancer screening and management. Womens Health (Lon) 2016; 12(2):229-39.
Wiebe C & Wiliyamz B. (2020). Managing stress: Principles and strategies for health and well being.
Zare, H. & Aminpour, H. (2014). Investigating the psychometric characteristics of the stubbornness test and investigating its differences between people with university and non-university education.
Abadi Bavil, D. & Dulatian, M. (2018). Investigation of possible support with the process of breast cancer treatment and recovery. Biquarterly journals of clinical excellence, 7(4).
Abolghasemi, A. (2014). The relationship between resilience, self-efficacy and stress with life satisfaction in students with high and low academic achievement. Journal of Psychological Studies, 1(7), 223-231.
Aghajani, M.J.; Akbari, B.; Khalatbari, J. & Sadeghi, A. (2018). The effectiveness of meaning therapy in a group way on the feeling of loneliness and psychological toughness of female students with love trauma syndrome. Armaghane knowledge. 23 (5), 559-576.
Ahmadi Fard, M.; Sadeghi, M. & Gholamrezaei, S. (2019). The effectiveness of the combined approach of meaning therapy and hope therapy on fear of body image and social adjustment in women with breast cancer. Journal of Psychiatric Nursing, 7(1), 63-78.
Ayatollahi, H. (2012). Investigating the quality of life in breast cancer patients undergoing treatment at the Omid-Urmia Cancer Research Center. Quarterly Journal of Breast Diseases of Iran. 4(5), 35-43.
Behari, F. (2014). The basics of hope and hope therapy (a guide to creating hope). Tehran: Danje.
Bower E, Kemeny E & Taylor E & Fahey L. (2018). Cognitive processing, Discovery of meaning, Cd4 Declime, and Aids – Related Mortality among Beteared HIV Seropositive men. Journal of counsulting and clinlcal psychology. Vol 17, No 7.
Carl. J.R. Gallagher. M. W. & Barlow. D. H. (2018). Development and preliminary evaluation of a positive emotion regulation augmentation module for anxiety and depression. Behavior Therapy 49(6) 939-950.
Dehghani, Z. & Khodabakhshi Kolaee, A. (2017). The effectiveness of group hope therapy on the quality of life and resilience of addicted women. Journal of Education and Community Health. 4 (1), 28-34.
Devoe D. (2012). Viktor Frankl's Logotherapy: The Search for Purpose and Meaning. Inquiries Journal, 4(07),1-8.
Fernia, F.; Bagshahi, N. & Zarei, H. (2016). Investigating the effectiveness of group hope therapy on the happiness of hemodialysis patients. Journal of nursing and midwifery. 6(14), 543-550.
Frankel, V. E. (1978). An unheard cry for meaning, psychotherapy and humanism. Translated by Tabrizi, Alavinia (1383). Tehran: Farawan Publications.
Ghadampour, E.; Youssef Vand, M.; Alavi, Z. & Khosravi, S. (2018). The effectiveness of meaning therapy on academic enthusiasm and academic tenacity in male students of the second secondary school in Khorramabad city in the academic year 2016-2017, Roish Psychology Journal, 9(30), 96- 111.
Kang KA, Im JI, Kim HS, Kim SJ, Song MK, & Sim S. (2019). The effect of logotherapy on the suffering, finding meaning, and spiritual well-being of adolescents with terminal cancer. Journal of Korean Academy of Child Health Nursing, 15(2), 136-144.
Kazemian Moghadam, K. (2020). The effectiveness of group meaning therapy on stubbornness and psychological well-being in women with substance-dependent spouses. Quarterly Journal of Addiction Research. 14 (58), 291-310.
Kiarasi, Z.; Emadian, S. O. & Hassanzadeh, R. (2021). Comparison of compassion-focused therapy and meaning therapy on death anxiety and ambiguity tolerance in women with breast cancer. Development of Psychology, 8(65), 187-199.
Lee CH. (2016). Effects of Logotherapy with exercise on Meaning of life, ego integrity and ADL in the elderly. Teahan kanho Hakhoe chi. Vol 36, No 5. 701 – 709.
Levine EG & Targ E. (2019). Spiritual correlates of functional well-being in women with breast cancer. Integr Cancer Ther; 1:166-74.
Meddi H& Kobasa A. (1982). Stress and burnoutin the human service professions. New York: pergamon press.
Mehrinejad, A. Rajabi Moghadam, S. (2019). Investigating the effectiveness of meaning therapy on increasing the life expectancy of addicts with short-term withdrawal. Clinical Psychology Quarterly, 2(8), 29-40.
Mohammadpour, A. R. (2016). Founder of Meaning Therapy, Faradidi on Psychology and Existential Psychotherapy, Tehran: Danje Publications.
Nardelli S, Pentassuglio I, Pasquale C. (2019). Depression, anxiety and alexithymia symptoms are major determinants of health related quality of life (HRQoL) in cirrhotic patients. Metab Brain Dis. 28: 239-43.
Nicolaidis CS, & Katsaros, K. (2018). Tolerance of ambiguity and emotional attitudes in a changing business environment: A case of Greek IT CEOs. Journal of Strategy and Management, 4(1), 44–61.
Rapiti E, Fioretta G, Verkooijen HM, Vlastos G, Schafer P, Sappino AP, et al. (2019). Survival of young and older breast cancer patients in Geneva from 1990 to 2018. Eur J Cancer; 41(10):1446-52.
Saadat, M. (2019). Investigating the effect of teaching the dimensions of meaning therapy (freedom, responsibility, values) on reducing the hopelessness of women with cancer in Tehran, Al-Zahra University master's thesis.
Shankar, A., Rafnsson, S. B., & Steptoe, A. (2015). Longitudinal associations between social connections and subjective wellbeing in the English Longitudinal Study of Ageing. Psychology & health, 30(6), 686-698.
Shokohi Fard, S. & Sudani, M. (2013). Investigating the effectiveness of psychological toughness training on the quality of life of female teacher training students. Journal of Knowledge and Research in Applied Psychology, 2 (55), 14-25.
Snyder CR. (2000). The psychology of hope: you can get there from here. USA: Free Press.
Soltani, S. & Sadati Firouzabadi, S.S. (2020). Investigating the effectiveness of hope therapy on the psychological well-being of mothers with autistic children, the 4th International Conference on Psychology, Counseling and Educational Sciences, Tehran.
Stasiewcz, PR., Brandizza, C.M., Gudleski, G.D., Coffey, S.F., Schlauch, R.C., Bailey, S.T., et al. (2012). Th relationship of alexithymia to emotional dysregulation within an alcohol dependent treatment sample. Addictive Behaviour, 4(37), 469-479.
Tadris Tabrizi, M., Saffarnia, M., & Alipour, A. (2022). Structural Model of Women’s Sexual Health Based on Alexithymia, Differiantion of Self, and Gender Roles Mediating by Social Exchange Styles. Iraninan Journal of Health Psyhology. 5(3): 17-34.
Valkamo M, Hintikka J, Honkalampi K, Niskanen L, Koivumaa-Honkanen H, Vinama ki H. (2019). Alexithymia in patients with coronary heart disease. J Psychosom Res. 2011; 50: 125-30
Warrier S, Tapia G, Goltsman D, Beith J. An update in breast cancer screening and management. Womens Health (Lon) 2016; 12(2):229-39.
Wiebe C & Wiliyamz B. (2020). Managing stress: Principles and strategies for health and well being.
Zare, H. & Aminpour, H. (2014). Investigating the psychometric characteristics of the stubbornness test and investigating its differences between people with university and non-university education.