The Mediating Role of Avoidant Coping in the Relationships Between Psychological Well-Being and Chemotherapy-Induced Delayed Nausea in Women with Breast Cancer in Shiraz

Aslami, Elahe; Izadi, Masoumeh; Malekzadeh, Akram

doi:10.30473/ijohp.2025.69994.1339

Document Type : research

Authors

¹ Department of psychology, Payam Noor University (PNU), Tehran, Iran

² MA. in psychology, Payam Noor University (PNU), Tehran, Iran

³ Department of psychology،Payam Noor University (PNU), Tehran, Iran

https://doi.org/10.30473/ijohp.2025.69994.1339

Abstract

Objective: Despite significant antiemetic advances, almost 50 % of treated cancer patients still experience nausea and vomiting. The purpose of this study was to investigate the mediating role of avoidant coping in the relationships between psychological well-being and chemotherapy-induced delayed nausea in women with breast cancer in Shiraz.
Method: The research method was descriptive-correlational. The statistical population of this study consists of women with breast cancer in Shiraz with an average age of 51 to 56 years. In this research, a non-random and voluntary sampling method was used; thus, 211 female patients with breast cancer treated by chemotherapy voluntarily completed the relevant questionnaires, which included psychological well-being questionnaire (Ryff, 1989), chemotherapy-induced delayed nausea questionnaire (Rhodes & McDaniel, 1999), and coping style questionnaire (Endler & Parker, 1990). The data were analyzed by AMOS software.
Results: Research findings showed a negative and significant relationship between psychological well-being and avoidant coping style, and a positive and significant relationship between avoidant coping style and delayed nausea. The Sobel test confirmed the mediating role of avoidant coping style in the relationship between psychological well-being and delayed nausea. Therefore, it can be concluded that there was a relationship between psychological well-being and delayed nausea, with the mediation of avoidant coping style. Also, psychological well-being had an indirect effect on delayed nausea.
Conclusion: Chemotherapy-induced delayed nausea can be reduced by improving coping skills and strategies and the psychological well-being of women with breast cancer.

Keywords

Main Subjects

Chronic diseases such as cancer, diabetes, AIDS, cardiovascular, MS, etc.

Article Title [Persian]

مدل علّی حالت تهوع تأخیری ناشی از شیمی‌درمانی بر اساس بهزیستی روان‌شناختی با میانجیگری سبک مقابلۀ اجتنابی در زنان مبتلا به سرطان سینه در شیراز

Authors [Persian]

الهه اسلمی ¹
معصومه ایزدی ²
اکرم ملک زاده ³

¹ Department of psychology, Payam Noor University (PNU), Tehran, Iran

² M.A. in psychology, Payam Noor University (PNU), Tehran, Iran

³ Department of psychology،Payam Noor University (PNU), Tehran, Iran

Abstract [Persian]

هدف پژوهش حاضر بررسی مدل علی حالت تهوع تأخیری ناشی از شیمی‌درمانی بر اساس بهزیستی روان‌شناختی با میانجیگری سبک مقابلۀ اجتنابی در زنان مبتلا به سرطان سینه بود. روش پژوهش، توصیفی از نوع همبستگی بود و جامعۀ آماری این پژوهش را زنان مبتلا به سرطان سینه در شیراز با میانگین سنی 51 تا 56 سال تشکیل دادند. در این پژوهش از روش نمونه‌گیری دردسترس استفاده شد و تعداد 211 بیمار زن مبتلا به سرطان سینه که تحت درمان به وسیله شیمی‌درمانی بودند به صورت داوطلبانه بهزیستی روان‌شناختی ریف (1989)، پرسشنامۀ تهوع تأخیری ناشی از شیمی‌درمانی (1986) و پرسشنامۀ سبک‌های مقابله‌ای پارکر و اندلر (1990) را تکمیل کردند. داده‌ها به‌وسیلۀ نرم‌افزار ایموس تحلیل شد؛ یافته‌های پژوهش نشان داد که بهزیستی روان-شناختی بر سبک مقابلۀ اجتنابی تاثیر منفی و معناداری دارد و سبک مقابلۀ اجتنابی بر تهوع تأخیری تاثیر مثبت و معناداری دارد. آزمون سوبل نقش میانجیگری سبک مقابلۀ اجتنابی در رابطۀ بین بهزیستی روان‌شناختی و حالت تهوع تأخیری را تأیید کرد و مدل علی حالت تهوع تأخیری ناشی از شیمی-درمانی بر اساس بهزیستی روان‌شناختی با میانجیگری سبک مقابلۀ اجتنابی از برازش خوبی برخوردار بود. بنابراین می‌توان از طریق بهبود راهبردهای اجتنابی و بهزیستی روان‌شناختی زنان مبتلا به سرطان سینه، حالت تهوع تأخیری ناشی از شیمی‌درمانی را کاهش داد.

Keywords [Persian]

بهزیستی روان‌شناختی
حالت تهوع تأخیری
سبک مقابلۀ‌ اجتنابی
سرطان سینه
شیمی‌درمانی

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The Mediating Role of Avoidant Coping in the Relationships Between Psychological Well-Being and Chemotherapy-Induced Delayed Nausea in Women with Breast Cancer in Shiraz

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References

Volume 7, Issue 4 - Serial Number 22November 2024

Volume 7, Issue 4 - Serial Number 22
November 2024