با همکاری مشترک دانشگاه پیام نور و انجمن روانشناسی سلامت ایران

نوع مقاله : پژوهشی

نویسندگان

1 Assistant Professor, Department of educational sciences and psychology, Payam Noor University, Tehran, Iran

2 M.A. in General Psychology, Department of Educational Sciences and Psychology, Payam Noor University, Tehran, Iran

10.30473/ijohp.2025.69875.1334

چکیده

هدف: سرسختی روانشناختی، اضطراب مرگ و راهبردهای مقابله ای ممکن است بین دو گروه از بیماران مبتلا به بیماری قلبی عروقی و سرطان متفاوت باشد.
روش: پژوهش حاضر یک مطالعه توصیفی علی- مقایسه ای است. آزمودنی های این مطالعه شامل دو گروه از زنان مبتلا به سرطان سینه و بیماری های قلبی عروقی 60 بیمار (30 نفر مبتلا به بیماری قلبی عروقی و 30 نفر مبتلا به سرطان سینه) بودند. برای سنجش سه متغیر مطالعه از مقیاس سرسختی روانشناختی اهواز و مقیاس ترس از مرگ کولت- لستر و پرسشنامه راهبردهای مقابله لازاروس استفاده شد.
یافته ها: نتایج آزمون تحلیل کواریانس چند متغیره تفاوت معناداری را بین سرسختی روانشناختی و اضطراب مرگ در دو گروه از بیماران نشان داد. زنان مبتلا به بیماری قلبی نسبت به زنان مبتلا به سرطان پستان، سرسختی (F=4/84، P=0.3) و اضطراب مرگ کمتری (F=4/71, P=0/3) داشتند. زنان مبتلا به سرطان سینه از راهبردهای متمرکز بر هیجان بیشتر از زنان بیماری قلبی استفاده می کردند، در حالی که زنان مبتلا به بیماری قلبی از راهبردهای مقابله متمرکز بر مشکل (F=4/42, P=0/4) استفاده می کردند.
نتیجه‌گیری: یکی از عوامل تعیین‌کننده نقش متغیرهای روان‌شناختی مثبت در بیماری‌های مزمن می‌تواند نوع بیماری باشد. زنان مبتلا به سرطان استرس و اضطراب مرگ بیشتری دارند و از راهکارهای مقابله ای ناکارآمد برای مقابله با استرس استفاده می کنند.

کلیدواژه‌ها

موضوعات

Abedini, M., Akbari, B., Sadeghi, A., & Asadi Mujareh, S. (2021). Relationship model of resilience and mindfulness with emotional well-being, with the mediating role of emotion regulation in cancer patients. Health Psychology, 10(39), 67-84. [Persian] https:// doi.org/10.18502/bccr.v14i1.14390
Albakova, Z. A-M., Ezhov, K. E., Umerkaeva, S. Sh., Antonova, M. A., Kidinov, A. V., Aigumova, Z. I., & Klepach, Y. V. (2020). Social and Psychological Features of Hardiness in the Personality of Students of Higher Education Institutions. Propositions and Representations, 8 (2), 660- 671. https://doi.org/ 10.20511/pyr2020.v8nSPE2.660
Azarkalah, A., Abolghasemi, A., Nadermohammadi, M., & Salut, H. (2018). The relationship between the sense of coherence, positive thinking, and emotional self-disclosure with the quality of life of cancer patients. Health Psychology, 8(32), 7-24. [Persian] https://doi.org/10.30473/hpj.2020.41518.4082
Bahrami, M., Mohamadirizi,S.,  Mohamadirizi, SH. (2017). Hardiness and Optimism in Women with Breast Cancer. Iranian journal of nursing and midwifery research, 12 (23), 43-56. [Persian] https:// doi.org/10.4103/ijnmr.IJNMR_200_1                        
Bozo, O., Tunca, A., & Simşek, Y. (2009). The Effect of Death Anxiety and Age on Health-Promoting   Behaviors: A Terror-Management Theory Perspective. The Journal of Psychology, 143. 377-89. https://doi.org/10.3200/jrlp.143.4.377-389     
Caillier, M., Verkaeren, O., Righes, S., Liénard, A., Libert, Y., Kristanto, P., Razavi, D. (2023).  Improving emotion regulation in breast cancer patients in the early survivorship period: Efficacy of a brief ecologically boosted group intervention. Psychoncology, 32(4), 597-609. https://doi.org/10.1002/pon.6105                                                 
Chida, Y., Steptoe, A. (2009). Cortisol awakening response and psychosocial factors: a systematic review and meta-analysis. Biological Psychology, 80(3):265-78. https://doi.org/10.1016/j.biopsycho.2008.10.004
Ching S. S. Y., Cheung K., Hegney D., Rees C. S. (2020). Stressors and coping of nursing students in clinical placement: A qualitative study contextualizing their resilience and burnout. Nurse Education in Practice, 42, 102690. https://doi.org/10.1016/j.nepr.2019.102690
Dianatinasab, M., Mohammadianpanah, M., Daneshi, N., Zare-Bandamiri, M., Rezaeianzadeh, A., et al (2018). Socioeconomic Factors, Health Behavior, and Late-Stage Diagnosis of Breast Cancer: Considering the Impact of Delay in Diagnosis. Clinical Breast Cancer.18 (3):239-45. [Persian] https://doi.org/10.1016/j.clbc.2017.09.005                                                                   
DiMatteo, M. R. (2004).  Social support and patient adherence to medical treatment: A meta-analysis. Health Psychology, 23(2), 207-18. https://doi.org/10.1037/0278-6133.23.2.207
Distelhorst, G., Hainmueller, J., Locke, R. (2015).  Does Lean Improve Labor Standards? Management and Social Performance in the Nike Supply Chain. Management Science, Forthcoming, Watson Institute for International Studies Research, 9 (8), 123-146. https://dx.doi.org/10.2139/ssrn.2337601
Elsheshtawy, E. A., Abo-Elez, W.F., Ashour, H.S., Farouk, O. E.l., Zaafarany, M.I. (2014). Coping strategies in Egyptian ladies with breast cancer. Breast Cancer, 5(8), 97-102. https://doi.org/10.4137/bcbcr.s14755
Firestone, R. W., & Catlett, J. (2009). Beyond Death anxiety. New York: Springer Publishing.                                                Fischer, I.C., Cripe, L.D., Rand, K.L. (2018) Predicting symptoms of anxiety and depression in patients living with advanced cancer: the deferential roles of hope and optimism. Support Care Cancer 26:3471–3477. https://doi.org/10.1007/s00520-018-4215-0
Garnefski, N., & Kraaij, V. (2006). Cognitive emotion regulation questionnaire - development of a short 18-item version (CERQ-short). Personality and Individual Differences, 41(6), 1045–1053.  http://dx.doi.org/10.1016/j.paid.2006.04.010    
Ghasemi Rahmatabadi, M., Erfani, N. (2025). Study of Coping Strategies and Hardiness among Mothers of Children with Cancer and Typical Children in Hamedan City. IJER. 4(1), 345-360. [Persian]  https://doi:10.22034/4.1.345                                                                                                                                                                              
Ghasemipour, Y., & Ghorbani, N. (2010). Mindfulness and basic psychological needs among patients with coronary heart disease. Iranian Journal of psychiatry and clinical psychology, 16(2), 154-162.  [Persian]                                                                                 
Heydari Sangalji, M., Rasouli, M., Shirinabadi Farahani, A., Shakri, N., and Ilkhani, Mahnaz. (2014). Relationship between spiritual attitude and hope with the quality of life of adolescents with chronic disease. Medical Ethics, 9(34), 143-163. [Persian] https://doi.org/10.32598/ijn.35.138.764.29                                                                                                                               
Hosseinzadeh, M., Eivazi Ziaei, J., Mahdavi,  N., Aghajari, P., Vahidi, M., Fateh, A. (2014).  Risk factors for breast cancer in Iranian women: A hospital‑based case‑control study in Tabriz, Iran. Journal of Breast Cancer, 17:236‑43. [Persian] https://doi.org/10.4048%2Fjbc.2014.17.3.236                                                                                                                                                                             
Hong, Y., Yuhan, L., Youhui, G., Zhanying, W., Shili, Z., Xiaoting, H., Wenhua, Y. (2022). Death anxiety among advanced cancer patients: a cross-sectional survey. Supportive Care in Cancer, 30. 1-9. https://doi.org/10.1007/s00520-022-06795-z
Islam, M. M., Wesonga, R., Al-Hasani, I., & Al Manei, A. (2022). Prevalence and determinants of mental health issues among university students during COVID-19 pandemic in Oman: An Online Cross-sectional Study. International Research Journal of Public and Environmental Health, 43-54.  https://doi.org/10.15739/irjpeh.22.006                           
Karimi, A., Delpisheh, A., Sayehmiri, K., Saboori, H., Rahimi, E. (2014).  Predictive factors of survival time of breast cancer in Kurdistan province of Iran between 2006–2014: A Cox regression approach. Asian Pac Journal of Cancer, 15:8483‑8. [Persian]  https://doi.org/10.7314/apjcp.2014.15.19.8483
Khalid, A., Ghaffari, A.S, Iqbal, K., Su, Y. (2025).  Mediating role of coping strategies in the relationship between death anxiety and insomnia among patients with non-communicable diseases: a gender perspective. Psychological report, 15(1):15351. [Persian] https:// doi: 10.1038/s41598-025-99348-3.                                                                                                         
 Kobasa, S., Maddi, S.R, Puccetti, M. (1982). Personality and exercise as buffers in the stress-illness relationship. Journal of Behavioral Med. 5(4): 391-404. https://doi.org/10.1007/bf00845369                                                                                         
Kochanek, K.D; Murphy, S. L., Xu, J., Tejada-Vera, B. (2016). Deaths: Final Data for 2014. National Vital State Report, 65(4):1-122. https://db.cngb.org/search/literature/27378572/                                                                                                                                                   
Kodeboina, M., Piayda, K., Jenniskens, I., Vyas, P., Chen, S., Pesigan, R. J., Ferko, N., Patel, B.P., Dobrin, A., Habib, J., Franke, J. (2023). Challenges and Burdens in the Coronary Artery Disease Care Pathway for Patients Undergoing Percutaneous Coronary Intervention: A Contemporary Narrative Review. International Journal of Environment Results Public Health, 20(9):5633. https://doi.org/10.3390/ijerph20095633                                                                   
Khanlarzadeh, F., Asgari, K., Amini, M. (2015). An Investigation of the neuropsychological performance in patients with diabetes type 2. Medical Journal of Mashhad University of Medical Sciences, 58(8):459-65. [Persian]   https://doi.org/10.22038/mjms.2015.5966                                                                                                                                                                                                      
Khosravi, P., Moradi, A., and Janabian, A. (2013). "Investigation of the effectiveness of mindfulness-based cognitive therapy on reducing post-traumatic stress symptoms and increasing specific history memory in breast cancer patients. Counseling Culture and Psychotherapy, 5(18), 51-67. [Persian] https://qccpc.atu.ac.ir/article_548.html?lang=en    
Kiamarthi, A., Najarian, B., MehrabiZadeh Honarmand, M. (1999). Development and validation of a scale for measuring psychological hardiness. Journal of Educational Sciences and Psychology, 3: 271-284. [Persian] http://journals.iau-astara.ac.ir/
Kyota, A., Kanda, K. (2019) How to come to terms with facing death: a qualitative study examining the experience. BMC Palliate Care, 4, 18(1):33. https://doi.org /10.1186/s12904-019-0417-6         
Lazarus R, S., Folkman, S. (1984). Stress, Appraisal, and coping strategies. New York: Springer
Lee, V., Robin Cohen, S., Edgar, L., Laizner, A. M, Gagnon, A.J. (2006). Meaning-making intervention during breast or colorectal cancer treatment improves self-esteem, optimism, and self-efficacy. Social Science & Medicine, 62(12):3133-45. https://doi.org/10.1016/j.socscimed.2005.11.041 
Merckaert, I., Waroquier, P., Caillier, M., Verkaeren, O., Righes, S., Liénard, A., Libert, Y., Kristanto, P., Razavi, D. (2023). Improving emotion regulation in breast cancer patients in the early survivorship period: Efficacy of a brief ecologically boosted group intervention. Psycho-Oncology, 32(4), 112-124. https://doi.org/10.1002/pon.6105                                                                                                                                
Maddi, S S. & Kobasa, R (1994).  Hardiness and mental health. Journal of Personality Assessment, 63. 262-274. https://doi.org/10.1207/s15327752jpa6302_6  
Mehdifar, H., Azari, S., Aminpour, H., and Amirsardari, L. (2014). Factor analysis and standardization of death anxiety questionnaire, National Conference of Applied Researches in Educational Sciences and Psychology and Social Injuries of Iran, Tehran. [Persian]
Monirpoor, N., Khoosfi, H., Ghazi Tabatabai, M., Yazdandoost, R., Atef Vahid, M. K., Delavar, A. (2007). Evaluating attribution models of adolescent depression using structural equation modeling. Advances in Cognitive Sciences, 9(3):52–62. [Persian]  http://icssjournal.ir/article-1-389-en.html                                                                                                                                                             
Moradi, S., Shaker, A. (2015). The relationship between psychological hardiness and quality of life among teachers of District One high schools of Urmia city. Journal of Pharmacy and Bio allied Sciences, 2(20), 43-7. [Persian]  http://sdme.kmu.ac.ir/article_91546.html
Mahdavi, A., Jenaabadi, H., Mosavimoghadam, S.R., Langari, S.S., Lavasani, M.G., et al. (2019). Relationship Between Mental, Existential, and Religious Wellbeing and Death Anxiety in Women With Breast Cancer. Archives of Breast Cancer, 29(6) 34-46. [Persian]  https://doi.org/10.32768/abc.20196129-34                                                                                                              
Nazari, F., Khoshnood, Z., Shahrbabaki, P.M. (2021). The relationship between authenticity and death anxiety in cancer patients. Omega (Westport) 20 (11), 228-332. [Persian] https://doi.org/10.1177/0030222821997603
Naderi, F., Ismaili, S.A., Akbari, G. (2004). Validation of death anxiety scale and comparison of anxiety level Death, suicidal tendencies, and life satisfaction in male and female students of Ahvaz Islamic Azad University. Bachelor thesis, Azad University Ahvaz Islamic. [Persian]            
Nasri, H.A., Nasiri, A., Hosseini, S.V., khazraei, H., Hajhosseini, F., Fereidooni, S. (2020). Investigation of the effect of the family-centered improvement model on the self-care ability of patients with colorectal cancer. Journal of Birjand University Medical Science, 27 (4):355-365. [Persian] magiran.com/p2207979                        
Najmeh, S., Cools-Lartigue, J., Mueller, C., Ferri, L.E. (2016).  Comparing laparoscopic to endoscopic resections for early gastric cancer in a high volume North American center. Journal of Gastrointestinal Surgery, 20(9):1547-53. [Persian]  https://doi.org/10.1007/s11605-016-3176-1
Nourisaeed, A., Ghorban Shiroudi, Sh., Salari, A. (2020). Effect of Dialectical Behavior Therapy on Perceived Stress and Coping Skills of Patients with Acute Myocardial Infarction. Journal of Guilan University of Medical Sciences, 29(3):2-13. [Persian] http://dx.doi.org/10.32598/JGUMS.29.3.1562.1
Omran, M.T. & Sadeghpour, M. & Yaghoubi, A.A. & Shamsi, Reza. (2017). A Comparison of Coping Styles and Quality of Life in Patients with Coronary Heart Disease and Healthy People. Journal of Babel University of Medical Sciences, 19(2), 7-14. [Persian]
Pedram, M., Mohammadi, M., Naziri, G.h., Aeinparast, N. (2011). Effectiveness of cognitive-behavioral group therapy on the treatment of anxiety and depression disorders and on raising hope in women with breast cancer. Quarterly Journal of Women and Society, 1(4):34-61. [Persian] https://dorl.net/dor/20.1001.1.20088566.1389.1.4.4.4
Peterson, C., & Seligman, M. E. (1984). Causal explanations as a risk factor for depression: Theory and evidence. Psychological Review, 91(3), 347–374. https://psycnet.apa.org/doi/10.1037/0033-295X.91.3.347                                                                            
Roest, A.M., Martens, E.J., de Jonge, P., Denollet, J.  (2010). Anxiety and risk of incident coronary heart disease: a meta-analysis. Journal of American College of Cardiology, 56:38–46. https://doi.org/10.1016/j.jacc.2010.03.034                                              
Rahimian Boger, P., Asgharnejad, F. (2018). The relationship between tenacity and psychological health and resilience with mental health in youth and adults who survived the Bam earthquake. Psychiatry and Clinical Psychology, 8 (7), 50-65. [Persian]
Sarafino, E.P. (2012). Health psychology: Biopsychosocial interactions [E. Mirzai, S.A., Ahmadi Abhari, Persian translation]. 3rd ed. Tehran: Roshd.
Salmanian, Kefayat, & Marashian, Fatemeh Sadat. (2021). Association of Coping Strategies with Death Anxiety through the Mediating Role of Disease Perception in Patients with Breast Cancer: A Cross-Sectional Study. Archive of breast cancer, 8(3), 226-232.[Persian]  https://doi.org/10.32768/abc.202183226-232
Sandvik, L. L., Duhan, D. F., & Sandvik, K. (2014). Innovativeness and Profitability: An Empirical Investigation in the Norwegian Hotel Industry. Cornell Hospitality Quarterly, 55(2), 165 185. https://doi.org/10.1177/1938965514520963
Taimory, S., Khakpor, M., Momeni Mahmouei, H. (2015). The relationship between hardiness and self-efficacy and personal control in cancer patients. Journal of Torbat Heydarieh University of Medical Sciences, 3 (1):42-35. [Persian] http://eprints.thums.ac.ir/55/1/article-1-212-en.pdf
Shahandeh, M., Agha Yousofi, A. (2011). Comparing brain systems of behavioral inhibition/activation and locus of control of male and female students. Quarterly Journal of Applied Psychology, 3(6), 87-80. [Persian] https://www.sid.ir/paper/151692/en
 Schwartz, S. H. (2014). Rethinking the concept and measurement of societal culture in light of empirical findings. Journal of Cross-Cultural Psychology, 45(1), 5–13. https://doi.org/10.1177/0022022113490830
Şhahan,E., Zengin Eroğlu, M., Baran Karataş,M., Mutluer,B.,Uğurpala,C.,Berko, D. (2018). Death anxiety in patients with myocardial infarction or breast cancer. Egypt Heart Journal, 70(3): 143–147. [Persian] https://doi.org/10.1016/j.ehj.2018.04.003                      
Soleimani, M.A., Lehto, R.H., Negarandeh, R., Bahrami, N., Nia, H.S. (2016). Relationships between death anxiety and quality of life in Iranian patients with cancer. Asia-Pacific journal of oncology nursing, 3(2):183. [Persian]  https://doi.org/10.4103%2F2347-5625.182935   
Simonelli, L.E, Siegel, S.D., Duffy, N.M. (2017). Fear of cancer recurrence: a theoretical review and its relevance for clinical presentation and management. Psychoncology, 26(10):1444-1454. [Persian] https://doi.org/10.1002/pon.4168                            
Taheri, A., Ahadi, H., Lotfi, F., Kermani, R.A.(2014). Mental Hardiness and Social Support in Life Satisfaction of Breast Cancer Patients. Social and Behavioral Sciences, 159:406-409.[Persian] http://dx.doi.org/10.1016/j.sbspro.2014.12.397
Tajikzadeh, F., Sadeghi, R., and Rais Karimian, F. (2015). Comparison of resilience, stress coping and pain catastrophizing in cancer patients and normal people. Anesthesia and Pain, 7(1), 38-48. [Persian]    https://sid.ir/paper/216413/fa                    
Vehling, S., Malftano, C., Shnall, J., Watt, S., Panday, T., Chiu, A., Rydall, A., Zimmermann, C., Hales, S., Rodin, G., Lo, C. (2017). A concept map of death-related anxieties in patients with advanced cancer. BMJ Support Palliat Care, 7(4), 427–434 40. https://doi.org/10.1136/bmjspcare-2016-001287                                      
Waroquier, P., Delevallez, F., Razavi, D., Merckaert, I. (2022). Psychological factors associated with clinical fear of cancer recurrence in breast cancer patients in the early survivorship period. Psych oncology, 31(11):187-198. https://doi.org/10.1002/pon.5976
Witkowski, L., Goudie, C., Ramos, P., Boshari, T., Brunet. J.S., Karnezis, A.N, Longy, M., Knost, J.A.,     Saloustros, E., McCluggage, W.G, Stewart, C.J.R., Hendricks, W.P.D., Cunliffe, H., Huntsman, D.G., Pautier, P., Levine, D.A., Trent, J.M., Berchuck, A.(2016). The influence of clinical and genetic factors on patient outcome in small cell carcinoma of the ovary, hypercalcemic type. Gynecology Uncool, 141(3), 454-460.  https://doi.org/10.1016/j.ygyno.2016.03.013  
Yiğitalp, G., Bürçün, R. (2025). The Examination of the Relationship Between Death Anxiety, Psychological Resilience and Religious Attitude Levels of Cardiology Patients with and without Myocardial Infarction in Turkey. Journal of  Religion Health. 64(5):4243-4263. https://doi: 10.1007/s10943-025-02294-7.                                                         
Zhu, P., Liu, X., Shang, X., Chen, Y., Chen, C., Wu, Q. (2023).  Mindfulness-Based Stress Reduction for Quality of Life, Psychological Distress, and Cognitive Emotion Regulation Strategies in Patients with breast cancer under early chemotherapy a randomized controlled trial. Holistic Nursing Practice 37(3), 131-142. https://doi.org/10.1097/hnp.0000000000000580