In collaboration with Payame Noor University and Iranian Health Psychology

Document Type : research

Authors

1 M.A student of clinical psychology, faculty of educational science and psychology, ferdowsi university, Mashad , Iran

2 M.A.student of clinical psychology,faculty of psychology and educational science, University of Tehran, Iran

3 M.A of clinical psychology, university of semnan, Semnan, Iran

4 Master of clinical psychology, child and adolescent , Tabriz University, Tabriz, Iran

5 Master of General Pasychology, Quchan Branch of Islamic Azad University, Quchan, Iran

6 PhD of Health Psychology, Gorgan Branch, Islamic Azad University, Gorgan, Iran

Abstract

Objective: Treatment adherence, the extent to which patients can follow the agreed recommendations for prescribed
treatments with a healthcare provider, is a key component of chronic disease management. This study aimed at
examining the structural pattern of personality traits of cancer patients on treatment adherence and cancer coping selfefficacy mediated by social support.
Method: The method of the present study was descriptive, and the research design was correlational based on structural
equation modeling. The statistical population included all female patients with breast cancer referred to Shahid Rahimi
Hospital for follow-up treatment, among whom 300 were selected using the convenience sampling method. Then, they
completed the research questionnaires, including Five Personality Traits, the Self-efficacy for Appropriate Medicine
Use Scale, Cancer Behavior Inventory, and Social Support Therapeutic Outcomes Questionnaire. The research data
were analyzed using AMOS statistical software.
Results: The results showed a significant relationship between personality traits, adherence to treatment, cancer selfefficacy, and social support. The results of structural equation modeling showed a good fit of the model with the
experimental data, and the general hypothesis of the research was confirmed. Personality traits have a significant
positive effect on adherence to cancer treatment and self-efficacy. Also, personality traits mediated by social support
showed a negative and significant relationship with adherence to treatment and cancer self-efficacy.
Conclusion: This study showed the effective role of social support in the outcome of social and individual measures
to increase adherence to treatment and cancer self-efficacy in patients with breast cancer.

Keywords

Article Title [Persian]

الگوی ساختاری وِیژگی های شخصیت در بیماران سرطانی بر تبعیت از درمان و خودکارآمدی با واسطه حمایت اجتماعی

Authors [Persian]

  • آلاله عطاران خراسانی 1
  • محمدجواد الداغی 2
  • نیکی دربان باشی خامسی 3
  • منیژه مالکی 4
  • زهرا جهانی 5
  • رحمان رضوی 6

Abstract [Persian]

مقدمه: تبعیت از درمان و خودکارآمدی مقابله با سرطان از مؤلفه‌های کلیدی در مدیریت بیماری‌ سرطان است.
هدف: هدف پژوهش حاضر بررسی الگوی ساختاری وِیژگی های شخصیت در بیماران سرطانی بر تبعیت از درمان و خودکارآمدی با واسطه حمایت اجتماعی می‌باشد.
روش: روش پژوهش حاضر توصیفی و طرح پژوهش، همبستگی از نوع الگویابی معادلات ساختاری بود. جامعه آماری شامل کلیه بیماران زن مبتلا به سرطان پستان بود که برای پیگیری درمان به بیمارستان شهید رحیمی مراجعه کرده بوند و 300 نفر از آنها با استفاده از روش نمونه‌گیری دردسترس انتخاب شدند. سپس ، پرسشنامه های پنج عامل شخصیت، خودکارآمدی استفاده مناسب از دارو، مقیاس رفتار سرطان و پرسشنامه پیامدهای درمانی حمایت اجتماعی را تکمیل کردند. داده‌های پژوهش با استفاده از نرم‌افزار آمار AMOS مورد تجزیه‌وتحلیل قرار گرفت.
نتایج: بین ویژگی های شخصیت، تبعیت از درمان، خودکارآمدی مقابله با سرطان و حمایت اجتماعی رابطه معنی‌داری مشاهده شد. نتایج الگویابی معادلات ساختاری نشان دهنده برازش مطلوب مدل با داده های تجربی بود. ویژگی های شخصیت اثر مستقیم معناداری بر تبعیت از درمان و خودکارآمدی مقابله با سرطان دارد. همچنین ویژگی های شخصیت به واسطه ی حمایت اجتماعی اثر غیرمستقیم و معناداری بر تبعیت از درمان و خودکارآمدی مقابله با سرطان نشان داد.
نتیجه گیری: این پژوهش بیانگر نقش مؤثر حمایت اجتماعی در برآیند تدابیر اجتماعی و فردی برای افزایش تبعیت از درمان و خودکارآمدی مقابله با سرطان در مبتلایان به سرطان پستان بود.

Keywords [Persian]

  • ویژگی های شخصیت
  • تبعیت از درمان
  • خودکارآمدی
  • حمایت اجتماعی
  • سرطان
Akbari, R., Gholami Raad, Z., Fateme, S., Weisi Poor, F., & Saeid, S. (2021). The Role of Perceived Social Support, Family Resiliency and Religious Orientation in predicting Emotional Cognitive Regulation among student. Islamic Studies in Health5(3), 35-44.
asadi medikhanmahalle, N., zebardast, A., rezaei, S. (2021). The Explanation of Regrets in Frist Degree Survivors of Cancer Patients with Early Death. QUARTERLY JOURNAL OF HEALTH PSYCHOLOGY, 10(39), 7-28.
Aziz, H., Hatah, E., Makmor-Bakry, M., Islahudin, F., Ahmad Hamdi, N., & Mok Pok Wan, I. (2018). Qualitative exploration of the modifiable factors for medication adherence among subsidised and self-paying patients in Malaysia. BMC health services research18(1), 605-613.
Bandura, A. (1997). Self-efficacy: The exercise of control. New York, NY: Freeman.
bayat asghari, A., gharaee, B., heydari, H., javaheri, J., mousanejad, S., aramon, A. (2015). The relationship between personality dimensions’ adherence in patients with type 2 diabetes. QUARTERLY JOURNAL OF HEALTH PSYCHOLOGY, 4(16), 59-68.
Berkman, L. F. (1982). Glass T. Brissette I. & Seeman T. E (2000). From social integration to health: Durkheim in the new millennium. Social Science & Medicine, 51, 843-857.
Boehmer, S., Luszczynska, A., & Schwarzer, R. (2007). Coping and quality of life after tumor surgery: Personal and social resources promote different domains of quality of life. Anxiety, Stress and Coping, 20(1), 61–75.
Boehmer, S., Luszczynska, A., & Schwarzer, R. (2007). Coping and quality of life after tumor surgery: Personal and social resources promote different domains of quality of life. Anxiety, Stress and Coping, 20(1), 61–75.
Boehmer, S., Luszczynska, A., & Schwarzer, R. (2007). Coping and quality of life after tumor surgery: Personal and social resources promote different domains of quality of life. Anxiety, Stress and Coping, 20(1), 61–75.
Burkhart, P. V., & Sabaté, E. (2003). Adherence to long-term therapies: evidence for action. Journal of nursing scholarship: an official publication of Sigma Theta Tau International Honor Society of Nursing, 35(3), 207-215.
Cunningham, A. J., Lockwood, G. A., & Cunningham, J. A. (1991). A relationship between perceived self-efficacy and quality of life in cancer patients. Patient Education and Counseling, 17(1), 71–78.
Den Oudsten, B. L., Van Heck, G. L., Van der Steeg, A. F., Roukema, J. A., & De Vries, J. (2009). Predictors of depressive symptoms 12 months after surgical treatment of early‐stage breast cancer. Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 18(11), 1230-1237.
Emilsson, M., Gustafsson, P., Öhnström, G., & Marteinsdottir, I. (2020). Impact of personality on adherence to and beliefs about ADHD medication, and perceptions of ADHD in adolescents. BMC psychiatry, 20(1), 139-149.
Farajzadegan, Z., Tavakoli Moghadam, N., Naderolasli, M., Aahmadloo, H., Boroumand, M. A., & Motamed, N. (2021). Correlation between sense of coherence (SOC) and quality of life (QOL) in cancer patients; A systematic review. Iranian Journal of Health Psychology4(2), 77-86.
Gale, C. R., Čukić, I., Batty, G. D., McIntosh, A. M., Weiss, A., & Deary, I. J. (2017). When Is Higher Neuroticism Protective Against Death? Findings from UK Biobank. Psychological science, 28(9), 1345–1357.
Giulietti, M. V., Vespa, A., Ottaviani, M., Berardi, R., Balercia, G., Arnaldi, G., Gattafoni, P., Fabbietti, P., Rosa, M. D., & Spatuzzi, R. (2019). Personality (at Intrapsychic and Interpersonal Level) Associated with Quality of Life in Patients with Cancer (Lung and Colon). Cancer control: journal of the Moffitt Cancer Center26(1), 1073274819880560.
Haber, M. G., Cohen, J. L., Lucas, T., & Baltes, B. B. (2007). The relationship between self-reported received and perceived social support: A meta-analytic review. American journal of community psychology39(1), 133-144.
Hirai, K., Suzuki, Y., Tsuneto, S., Ikenaga, M., Hosaka, T., & Kashiwagi, T. (2002). A structural model of the relationships among self-efficacy, psychological adjustment, and physical condition in Japanese advanced cancer patients. Psycho-Oncology, 11(3), 221–229.
Hochhausen, N., Altmaier, E. A., McQuellon, R., Davies, S. M., Papadopoulos, E., Carter, S., et al. (2007). Social support, optimism, and self-efficacy predict physical and emotional well-being after bone marrow transplantation. Journal of Psychosocial Oncology, 25(1), 87–101.
İzci, F., Erdogan, Z. İ., İlgün, A. S., Çelebi, E., Alço, G., Kocaman, N., ... & Özmen, V. (2018). Impact of personality traits, anxiety, depression and hopelessness levels on quality of life in the patients with breast cancer. European journal of breast health, 14(2), 105-111.
Jaam, M., Hadi, M. A., Kheir, N., Mohamed Ibrahim, M. I., Diab, M. I., Al-Abdulla, S. A., & Awaisu, A. (2018). A qualitative exploration of barriers to medication adherence among patients with uncontrolled diabetes in Qatar: integrating perspectives of patients and health care providers. Patient preference and adherence12, 2205–2216.
Joyner, C., Rhodes, R. E., & Loprinzi, P. D. (2018). The Prospective Association Between the Five Factor Personality Model with Health Behaviors and Health Behavior Clusters. Europe's journal of psychology14(4), 880–896
Kadambi, S., Soto-Perez-de-Celis, E., Garg, T., Loh, K. P., Krok-Schoen, J. L., Battisti, N. M. L., ... & Hsu, T. (2020). Social support for older adults with cancer: Young International Society of Geriatric Oncology review paper. Journal of Geriatric Oncology, 11(2), 217-224.
Kaniasty, K., & Norris, F. H. (1992). Social support and victims of crime: Matching event, support, and outcome. American journal of community psychology, 20(2), 211-241.
Karamoozian, M., Kalantari Khandani, B., Bagheri, M., Dehghanifar, F., & Darekordi, A. (2019). Assessing Self-efficacy for Coping with Cancer: Psychometric Analysis of the Cancer Behavior Inventory (CBI). Iranian Quarterly Journal of Breast Disease, 12(4), 8-20.
Ko, K. M., Moon, S. J., Koh, J. H., Pae, C. U., & Min, J. K. (2020). Contribution of Personality Traits, Psychological Factors, and Health-Related Quality of Life to Medication Adherence in Patients with Rheumatoid Arthritis. Yonsei medical journal61(5), 406–415.
Maghsoodi, S., & Salehinejad, Z. (2018). The relationship between social support and quality of life among cancer patients in Kerman. Quarterly Journal of Social Work, 7(2), 15-22.
Merluzzi, T. V., Philip, E. J., Heitzmann Ruhf, C. A., Liu, H., Yang, M., & Conley, C. C. (2018). Self-efficacy for coping with cancer: Revision of the Cancer Behavior Inventory (Version 3.0). Psychological Assessment, 30(4), 486-499.
Minami, Y., Hosokawa, T., Nakaya, N., Sugawara, Y., Nishino, Y., Kakugawa, Y., ... & Tsuji, I. (2015). Personality and breast cancer risk and survival: The Miyagi cohort study. Breast cancer research and treatment, 150(3), 675-684.
Montgomery, M., & McCrone, S. H. (2010). Psychological distress associated with the diagnostic phase for suspected breast cancer: systematic review. Journal of advanced nursing, 66(11), 2372-2390.
Moser, A., Stuck, A. E., Silliman, R. A., Ganz, P. A., & Clough-Gorr, K. M. (2012). The eight-item modified Medical Outcomes Study Social Support Survey: psychometric evaluation showed excellent performance. Journal of clinical epidemiology, 65(10), 1107-1116.
Mosher, C. E., Johnson, C., Dickler, M., Norton, L., Massie, M. J., & DuHamel, K. (2013). Living with metastatic breast cancer: a qualitative analysis of physical, psychological, and social sequelae. The breast journal, 19(3), 285-292.
Nausheen, B., Gidron, Y., Peveler, R., & Moss-Morris, R. (2009). Social support and cancer progression: a systematic review. Journal of psychosomatic research, 67(5), 403-415.
Nielsen, M. B., Christensen, J. O., Finne, L. B., & Knardahl, S. (2020). Workplace bullying, mental distress, and sickness absence: the protective role of social support. International archives of occupational and environmental health93(1), 43-53.
Northouse, L. L., Mood, D., Kershaw, T., Schafenacker, A., Mellon, S., Walker, J., et al. (2002). Quality of life of women with recurrent breast cancer and their family members. Journal of Clinical Oncology, 20(19), 4050–4064.
Parker, S., Prince, A., Thomas, L., Song, H., Milosevic, D., Harris, M. F., & IMPACT Study Group (2018). Electronic, mobile and telehealth tools for vulnerable patients with chronic disease: a systematic review and realist synthesis. BMJ open8(8), e019192
Pazokian, M., Beigmoradi, S., Movafegh, F., & Akbarzadeh, S. (2020). Correlation between Social Support and Hope with Medication Adherence in Type II Diabetic Patients. Archives of Pharmacy Practice, 11(1), 130-135.
Quast, L. F., Gutiérrez-Colina, A. M., Cushman, G. K., Rea, K. E., Eaton, C. K., Lee, J. L., George, R. P., & Blount, R. L. (2020). Adherence Barriers for Adolescent and Young Adult Transplant Recipients: Relations to Personality. Journal of pediatric psychology45(5), 540–549.
Rastgar Faraj Zadeh, L., & Mohammadian, A. (2019). The Role of the Mediator of Attachment Styles in the Relationship between Personality Traits and Fetishism. The Neuroscience Journal of Shefaye Khatam7(2), 44-55.
Safren, S. A., Blashill, A. J., Lee, J. S., O'Cleirigh, C., Tomassili, J., Biello, K. B., Mimiaga, M. J., & Mayer, K. H. (2018). Condom-use self-efficacy as a mediator between syndemics and condomless sex in men who have sex with men (MSM). Health psychology: official journal of the Division of Health Psychology, American Psychological Association37(9), 820–827.
Sanchooli.A, Bagheri, H & Ebrahimi,H  (2018). Validation of the Persian Version of Self-Efficacy for Appropriate Medication Use Scale (SEAMS). Knowledge and Health in Basic Medical Sciences, 12(4), Page:69-75
Schwarzer R, Knoll N, Rieckmann N. (2004). Socialsupport. InHealth Psychology, Kaptein A,Weinman J (ed.), Blackwell: Malden, UK,;158–181.
Shen, A., Qiang, W., Wang, Y., & Chen, Y. (2020). Quality of life among breast cancer survivors with triple negative breast cancer--role of hope, self-efficacy and social support. European journal of oncology nursing: the official journal of European Oncology Nursing Society46, 101771. Advance online publication. 16; 46:101771
Tamura, S., Suzuki, K., Ito, Y., & Fukawa, A. (2021). Factors related to the resilience and mental health of adult cancer patients: a systematic review. Supportive Care in Cancer29(7), 3471-3486.
Thompson, E., Solà, I., & Subirana, M. (2005). Non-invasive interventions for improving well-being and quality of life in patients with lung cancer—a systematic review of the evidence. Lung Cancer, 50(2), 163-176.
Thorneloe, R. J., Griffiths, C. E., Emsley, R., Ashcroft, D. M., Cordingley, L., Barker, J., ... & Hussain, S. (2018). Intentional and unintentional medication non-adherence in psoriasis: the role of patients’ medication beliefs and habit strength. Journal of investigative dermatology138(4), 785-794.
Toledo, G., Ochoa, C. Y., & Farias, A. J. (2020). Exploring the role of social support and adjuvant endocrine therapy use among breast cancer survivors. Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer28(1), 271–278.
Uchino, B. N. (2008). Social support and physical health. In Social Support and Physical Health. Yale university press. 1-247
Viswanathan, M., Golin, C. E., Jones, C. D., Ashok, M., Blalock, S. J., Wines, R. C., ... & Lohr, K. N. (2012). Interventions to improve adherence to self-administered medications for chronic diseases in the United States: a systematic review. Annals of internal medicine, 157(11), 785-795.
Wang, S. H., He, G. P., Jiang, P. L., Tang, L. L., Feng, X. M., Zeng, C., & Wang, G. F. (2013). Relationship between cancer‐related fatigue and personality in patients with breast cancer after chemotherapy. Psycho‐Oncology, 22(10), 2386-2390.
Watson, R. J., Grossman, A. H., & Russell, S. T. (2019). Sources of social support and mental health among LGB youth. Youth & Society51(1), 30-48.
Yousuf, S. A., Al Amoudi, S. M., Nicolas, W., Banjar, H. E., & Salem, S. M. (2012). Do Saudi nurses in primary health care centres have breast cancer knowledge to promote breast cancer awareness? Asian Pacific Journal of Cancer Prevention, 13(9), 4459-4464.
Zhang, X., Wang, M. C., He, L., Jie, L., & Deng, J. (2019). The development and psychometric evaluation of the Chinese Big Five Personality Inventory-15. PloS one14(8), e0221621.