In collaboration with Payame Noor University and Iranian Health Psychology

Document Type : research


1 Phd student, Department of Health psychology, central Tehran Branch, Islamic Azad University, Tehran, Iran

2 Assistant professor, Department of Health psychology, central Tehran Branch, Islamic Azad University, Tehran, Iran

3 Rasoul Akram hospital clinical Research Development Center(RRDC), Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran

4 Assistant professor, Department of psychology, Karaj branch, Iran


Objective: The aim of this study was to evaluate the effectiveness of emotion-focused therapy on anxiety and quality of life in women with breast cancer.
Method: A quasi-experimental design was used to collect pre-test, post-test and follow-up data (three months after) from treatment and control groups. The sample consisted of 30 women with breast cancer in Tehran who had a high score in anxiety after screening. They were selected based on purposive sampling and randomly placed in experimental and control groups of size 15. The experimental group received 12 sessions (50 minutes) of emotion-focused therapy (Greenberg, 2010). The control group did not receive an intervention. Data were collected using Beck Anxiety Inventory and Functional Assessment of Cancer Therapy - Breast Cancer (FACT-B) in three stages: pre-test, post-test, and follow up, and analyzed using mixed variance analysis.
Findings: Results showed significant within and between subject differences (P<0.01) on measures of anxiety and quality of life. Emotion-focused therapy significantly reduced anxiety and increased quality of life in the treatment group relative to the control group. Moreover, post-test and follow-up levels of anxiety and quality of life differed significantly from pre-test levels, but not from each other.
 Conclusion: Emotion-focused therapy targeting emotional processing and expression improved [d1] regulation of clients' emotions and can be used as an appropriate intervention method to reduce anxiety and increase quality of life in women with breast cancer.


Article Title [Persian]

اثربخشی درمان متمرکز بر هیجان بر اضطراب و کیفیت زندگی زنان مبتلا به سرطان پستان

Authors [Persian]

  • زهرا سالاری راد 1
  • لیدا لیل آبادی 2
  • ناهید نفیسی 3
  • آدیس کراسکیان موجمباری 4

1 دانشجوی دکتری روانشناسی سلامت، گروه روانشناسی سلامت، دانشکده روانشناسی و علوم تربیتی، دانشگاه آزاد اسلامی، واحد تهران مرکزی،

2 استادیار، گروه روانشناسی سلامت، دانشکده روانشناسی و علوم تربیتی ،دانشگاه آزاد اسلامی واحد تهران مرکزی، تهران، ایران

3 استادیار جراحی عمومی گروه جراحی عمومی، دانشکده پزشکی مجتمع آموزشی درمانی حضرت رسول اکرم (ص) دانشگاه علوم پزشکی ایران

4 استادیار، گروه روانشناسی، دانشکده روان شناسی، دانشگاه آزاد اسلامی واحد کرج ، تهران، ایران

Abstract [Persian]

هدف: پژوهش حاضر با هدف بررسی اثربخشی درمان متمرکز بر هیجان بر اضطراب و کیفیت زندگی زنان مبتلا به سرطان پستان انجام شد. روش: طرح پژوهش، نیمه‌آزمایشی با پیش‌آزمون - پس‌آزمون با گروه گواه و پیگیری 3 ماهه بود. نمونۀ پژوهش 30 نفر از زنان مبتلا به سرطان پستان در شهر تهران بود که پس از غربالگری نمره بالایی در اضطراب داشتند و براساس نمونه‌گیری هدفمند انتخاب شده و به صورت تصادفی در دو گروه 15 نفره آزمایش و گواه، جایگزین شدند. گروه آزمایش طی 12 جلسه 50 دقیقه‌ای، تحت درمان متمرکز بر هیجان بر اساس برنامه پروتکل درمان پروتکل درمان متمرکز بر هیجان گرینبرگ (2010) قرار گرفتند. داده‌های پژوهش با استفاده از پرسشنامۀ اضطراب بک و مقیاس ارزیابی کارکرد درمان سرطان- پستان (FACT-B)، پیش از شروع مداخله، پس از مداخله و 3 ماه پس از پایان دوره درمانی، از افراد هر دو گروه جمع‌آوری شدند. تحلیل داده‌ها با استفاده از روش تحلیل واریانس آمیخته انجام شد.
یافته‌ها: نتایج حاصل از تحلیل واریانس آمیخته نشان داد درمان متمرکز بر هیجان به طور معناداری موجب کاهش اضطراب و افزایش کیفیت زندگی شد. یافته‌های آزمون تعقیبی بنفرونی نشان‌داد اثربخشی درمان متمرکز بر هیجان بر اضطراب و کیفیت زندگی زنان مبتلا به سرطان در طول زمان ثبات دارد.
نتیجه‌گیری: درمان متمرکز بر هیجان با تمرکز بر پردازش و ابراز هیجانی، به بهبود تنظیم هیجانات مراجعان منجر شده و می‌تواند به‌عنوان روش مداخله‌ای مناسب برای کاهش اضطراب و افزایش کیفیت زندگی در زنان مبتلا به سرطان پستان به کار رود.

Keywords [Persian]

  • درمان متمرکز بر هیجان
  • اضطراب
  • کیفیت زندگی
  • سرطان پستان
  • بدخیمی
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