نوع مقاله : پژوهشی
نویسندگان
1 گروه روانشناسی سلامت، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران
2 استادیار، گروه روانشناسی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران
3 تهران، خیابان استاد نجات اللهی شمالی، نرسیده به خیابان کریم خان زند، نبش چهارراه سپند، پلاک 233
4 تهران، بزرگراه امام علی(ع) –بلوار ارتش – خیابان شهید سوهانی - مجتمع دانشگاهی ولایت
چکیده
مقدمه: نقش مولفه‌های روانشناسی مثبت در بهزیستی روانشناختی مورد تائید قرارگرفته است. هدف پژوهش حاضر بررسی مدل بهزیستی روانشناختی بر اساس نشخوار فکری و معنای زندگی در بیماران مبتلا به سرطان: نقش میانجی رشد پس از سانحه و تاب‌آوری بود. روش: پژوهش حاضر به روش همبستگی و با استفاده از مدل‌سازی معادلات ساختاری انجام شد. نمونه شامل 300 نفر از بیماران مبتلا به سرطان مراجعه‌کننده به بیمارستان‌های شهر تهران بودند که پرسش‌نامه‌های بهزیستی روانشناختی (ریف، 1989)، نشخوار فکری-تامل (تراپنل و کمپل،1999)، معنای زندگی (استگر، 2010)، رشد پس از سانحه (تدسچی و کالهون، 1996) و تاب آوری (کانر و دیویدسون، 2003) را تکمیل کردند. یافته‌ها: نتایج نشان داد این مدل در بیماران مبتلا به سرطان برازش مناسبی دارد و روابط بین متغیرهای میانجی با متغیرهای درون‌زا و برون‌زا معنادار بود. متغیرهای مورد بررسی مدل، 51 درصد از وایانس بهزیستی روانشناختی را در این بیماران تبیین کردند. نتیجه‌گیری: بهزیستی روانشناختی بیماران مبتلا به سرطان تحت تاثیر متغیرهای مرتبط با روانشناسی مثبت نگر مانند معنای زندگی، رشد پس از سانحه و تاب آوری قرار می‌گیرد.
کلیدواژه‌ها
Aghayousefi, A., Kharbou, A., & Hatami, H. (2015). Role of rumination in psychological well-being and anxiety in cancer patients’ espouses in Qom province. Health Psychology, 4(14), 79-97.
Balouchi, J., Bozorgmanesh, M., Amirfakhraee, A., & Shafa’at, t. (2017). Mediating role of resilience in the relationship between the meaning of life and spiritual health with the mental health in patients with colon cancer. Journal of Research in behavioral Sciences, 15(4), 411-419.
Bapiri, O., Kalantari, M., Neshatdoust, H., & Oreyzi, H. (2020). Developing a meaningful model in life and comparing the effectiveness of model-based education with Frankel's meaningful concepts on frustration and suicidal thoughts in second-year high school girls. Journal of Psychological Sciences, 94, 1243-1256.
Beri, N., & Dorji, P. (2021). Role of Resilience and Psychological Wellbeing during Difficult Situations. Annals of the Romanian Society for Cell Biology, 1572-1580.
Blanke, E. S., Schmidt, M. J., Riediger, M., & Brose, A. (2019). Thinking mindfully: How mindfulness relates to rumination and reflection in daily life. Emotion. 20(8), 1369–1381.
Booth, S., Ryan, R., Clow, A., Smyth, N., Sharpe, S., & Spathis, A. (2021). Enhancing well-being and building resilience in people living with cancer part 2: a central role for nurses. Cancer Nursing Practice, 20(3).
Brown, C., & Shay, M. (2021). From resilience to wellbeing: Identity‐building as an alternative framework for schools’ role in promoting children’s mental health. Review of Education.9 (2):599-634.
Calhoun, L. G., Cann, A., Tedeschi, R. G., & McMillan, J. (2000). A correlational test of the relationship between posttraumatic growth, religion, and cognitive processing. Journal of Traumatic Stress, 13(3), 521-527.
Cann, A., Calhoun, L. G., Tedeschi, R. G., & Solomon, D. T. (2010). Posttraumatic growth and depreciation as independent experiences and predictors of well-being. Journal of Loss and Trauma, 15(3), 151-166.
Connor, K. M., & Davidson, J. R. T (2003). Development of a New Resilience Scale: The Connor- Davidson Resilience Scale (CD-RISC). Journal of Depression and Anxiety 18, 76-82.
Crane, M. F., Searle, B. J., Kangas, M., & Nwiran, Y. (2019). How resilience is strengthened by exposure to stressors: the systematic self-reflection model of resilience strengthening. Anxiety, Stress, & Coping, 32(1), 1-17.
Damreyhani, N., Behzadipour, S., & Tahmasbi, S. (2017). Relationship of the role of perceived social support with psychological well-being and the marital adjustment in women undertaking mastectomy. Iranian Journal of Surgery, 25(1), 61-69.
Dezutter, J., Luyckx, K., & Wachholtz, A. (2015). Meaning in life in chronic pain patients over time: associations with pain experience and psychological well-being. Journal of Behavioral Medicine, 38(2), 384-396.
Fazel, M., Salimi bajestani, H., Farahbakhsh, K., & Esmaeeli, M. (2017). Post traumatic growth model in cancer patients: A Grounded theory study. Culture Counseling, 8(29), 79-105.
Garcia, D., Nima, A. A., Lindskär, E., Jimmefors, A., Archer, T., & MacDonald, S. (2018). Questions of self-regulation and affect: affectivity, locomotion, assessment, and psychological well-Being. Iranian Journal of Health Psychology, 1(1), 37-50
Ghorbani, N., Watson, P. J., & Hargis, M. B. (2008). Integrative self-knowledge: Correlations and incremental validity of a cross-cultural measure developed in Iran and the United States. The Journal of Psychology: Interdisciplinary and Applied. 142, 395-412.
Gravetter, F., & Wallnau, L. (2014). Essentials of statistics for the behavioral sciences (8th ed.). Belmont, CA: Wadsworth.
Harrington, R., & Loffredo, D. A. (2010). Insight, rumination, and self-reflection as predictors of well-being. The Journal of psychology, 145(1), 39-57.
Hassanpour, S. H., & Dehghani, M. (2017). Review of cancer from perspective of molecular. Journal of Cancer Research and Practice, 4(4), 127-129.
Hassanzadeh naming, F., Peymani, J., Ranjbaripour, T., & Abolma’ali Alhosseini, K. (2019). The prediction model of psychological well-being based on resilience and cognitive emotional regulation with mediating role of perceived stress. Social Psychology, 7(51), 55-67.
Ho, M. Y., Cheung, F. M., & Cheung, S. F. (2010). The role of meaning in life and Optimism in promoting well-being. Personality and Individual Differences, 48(1), 658-663.
Holtmaat, K., Van der Spek, N., Lissenberg-Witte, B. I., Cuijpers, P., & Verdonck-de Leeuw, I. M. (2019). Positive mental health among cancer survivors: overlap in psychological well-being, personal meaning, and posttraumatic growth. Supportive Care in Cancer, 27(2), 443-450.
Joseph, S. (2003). Person-centered approach to understanding post-traumatic stress. Person-Centered Practice, 11, 70-75.
Kang, K., Im, J., Kim, H., Kim, S., Song, M., & Sim, S. (2009). The effect of logotherapy on the suffering, finding meaning, and spiritual well-being of adolescents with terminal cancer. Journal ofCurrent Directions in Psychological Science, 312.
Keyes, C. L. M., Shmotkin, D., & Ryff, C. D. (2002). Optimizing well-being: The empirical encoundter of two traditions. Journal of Personality and Social Psychology, 82, (6) 1007-1022.
Khanjani, M., Shahidi, S., Fathabadi, J., Mazaheri, M. A., & Shokri, O. (2014). Factor structure and psychometric properties of the Ryff’s scale of psychological well-being, short form (18-item) among male and female students. Journal of Thought and Behavior in Clinical psychology, 9(32), 27-36.
Kline, R. B. (2016). Principles and practice of structural equation modeling (4th Ed.). Guilford Publications.
Kouchakinia, M., & Dehghanzadeh, S. (2017). Role of perception of God and meaning of life in predicting resilience of elderly residents in sanatoria. Aging Psychology, 3(4), 263-270.
Lianchao, A., Tingting, M. (2020). Mindfulness, rumination and post-traumatic growth in a Chinese cancer sample. Psychology, Health & Medicine, 25(1), 37-44.
Manavipour, D., & Shahhosseini, A. (2015). Investigation of psychometric properties of rumination-reflection scale. The Neuroscience Journal of Shefaye Khatam, 4(1), 7-16.
Mehrabi, M., Mohammadifar, M., Dabiri, S., & Erfani, N. (2016). Effect of post-traumatic growth on the quality of dealing with stress and attachment styles and quality of life in people after car accidents. World Fever, 3(11), 27-35.
Mesrabadi, J., Ostovar, N., & Jafarian, S. (2013). Investigating structural and diagnostic validity of meaning of life questionnaire among students. International Journal of Behavioral Sciences, 7(1), 83-90.
Meyers, L. S, Gamest. G., & Goarin, A. J. (2006).Applied multivariate research, design and interpretation, thousand oaks. London. New Deihi, Sage publication.
Mohammadi, M., Nikbakht, R., & Khosravi Bonjar, A. (2019). Relationship Between Optimism and the Meaning of Life Among the Diabetic Patients Referring to the Internal Department of Amiralmomenin Ali Hospital, Zabol, Iran in 2018. Journal of Diabetes Nursing, 7(1), 728-736.
Mozaffari, M. S., Sohrabi Shegefti, N., & Samani, S. (2011). Mediating role of resilience in the relationship between dimensions of Attachment and mental health. Methods and Models of psychology, 2, 165-182.
Newman, D. B., & Nezlek, J. B. (2019). Private self-consciousness in daily life: Relationships between rumination and reflection and well-being, and meaning in daily life. Personality and Individual Differences, 136, 184-189.
Öcalan, S., & Özçetin, Y. S. U. (2020). Rumination, Fatigue and Psychological Resilience in Cancer Experience. Psikiyatride Guncel Yaklasimlar, 12(3), 421-433.
Ostafin, B. D., & Proulx, T. (2020). Meaning in life and resilience to stressors. Anxiety, Stress, & Coping, 33(6), 603-622.
Park, C. L., and George, L. S. (2013). Assessing meaning and meaning making in the context of stressful life events: measurement tools and approaches. J. Posit. Psychol. 8, 483–504.
Popa-Velea, O., Mihăilescu, A. I., Diaconescu, L. V., Gheorghe, I. R., & Ciobanu, A. M. (2021). Meaning in Life, Subjective Well-Being, Happiness and Coping at Physicians Attending Balint Groups: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 18(7), 3455.
Poudel, A., Gurung, B., & Khanal, G. P. (2020). Perceived social support and psychological wellbeing among Nepalese adolescents: the mediating role of self-esteem. BMC psychology, 8, 1-8.
Ramos, C., & Leal, I. (2013). Posttraumatic growth in the aftermath of trauma: A literature review about related factors and application contexts. Psychology, Community & Health, 2(1), 43-54.
Ryff, C. D., & Singer, B. (1998). The contours of positive human health. Psychological inquiry, 9(1), 1-28.
Ryff, C. D., & Singer, B. (2006). Best news yet on the six-factor model of well-being, Journal of Social Science Research. 35(17), 1103-1119.
Salehi, R., & Dehshiri, G. (2018). Post-traumatic growth in cancer patients: the role of psychological well-being, spiritual well-being, subjective well-being, and hope. Journal of Research in Psychological Health, 12(2), 1-13.
Samani, S., Jokar, b., Sahragard, N. (2007). Resilience, mental health and life satisfaction. Iranian Journal of Psychiatry and Clinical Psychology, 13(3), 290-295.
Sawyer, A., Ayers, S., & Field, A. P. (2010). Posttraumatic growth and adjustment among individuals with cancer or HIV/AIDS: A meta-analysis. Clinical Psychology Review, 30(4), 436-447.
Shi, L., Yu, Y., Peng, L., Liu, B., Miao, Y., Li, M., & Lv, X. (2015). Posttraumatic growth in fresh medical cadets after military training and its influencing factors. Journal of Psychiatry, 18(3), 1-5.
Schumacker, R. E. & Lomax, R.G. (2004). A beginner’s guide to structural equation modeling, Lawrence Erlbaum association publishers, Mahwah, New Jersey & London.
Steger, M. F., & Shin, J. Y. (2010). The relevance of the Meaning in Life Questionnaire to therapeutic practice: A look at the initial evidence. In International Forum for Logotherapy. Viktor Frankl Inst of Logotherapy.
Steger, M. F., Frazier, P., Oishi, S., & Kaler, M. (2010). The Meaning in Life Questionnaire (MLQ). Diambil dari http://www. michaelfsteger. com/wp-content/uploads/2013/12/MLQdescription-scoring-and-feedback-packet. pdf.
Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of traumatic stress, 9(3), 455-471.
Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological inquiry, 15(1), 1-18.
Trapnell, P. D., & Campbell, J. D. (1999). Private self-consciousness and the five-factor model of personality: distinguishing rumination from reflection. Journal of personality and social psychology, 76(2), 284.
Walsh, D. M., Morrison, T. G., Conway, R. J., Rogers, E., Sullivan, F. J., & Groarke, A. (2018). A model to predict psychological-and health-related adjustment in men with prostate Cancer: the role of post traumatic growth, physical post traumatic growth, resilience and mindfulness. Frontiers in psychology, 9, 136.
Williams, K., Jackson, S. E., Beeken, R. J., Steptoe, A., & Wardle, J. (2016). The impact of a cancer diagnosis on health and well‐being: A prospective, population‐based study. Psycho‐Oncology, 25(6), 626-632.
Yilmaz, G. (2019). Spiritual Orientation, Meaning in Life, Life Satisfaction, and Well-Being in Mothers with Disabled Children. Journal of religion and health, 58(6), 2251-2262.
Zargham Hajebi, M. (2009). Corrsponding effects of trauma: A conceptual review. Thought and Behavior, 11, 7-22.
)