In collaboration with Payame Noor University and Iranian Health Psychology

Document Type : research


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


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.


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
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