Mahbobeh Azarnia; Farah Naderi; Behnam Makvandi
Abstract
Background: Breast cancer can cause significant emotional and psychological challenges for women and their families. The stress and anxiety associated with a cancer diagnosis can pave the way for the development of a variety of psychological disorders. This study investigated the potential mediating ...
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Background: Breast cancer can cause significant emotional and psychological challenges for women and their families. The stress and anxiety associated with a cancer diagnosis can pave the way for the development of a variety of psychological disorders. This study investigated the potential mediating role of physical health in the association between distress tolerance and metaemotional awareness in women diagnosed with breast cancer.
Methods: This study employed a descriptive correlational design, enrolling a convenience sample of women diagnosed with breast cancer who were receiving treatment at the hematology department of Shafa Hospital in Ahvaz City, Iran, between March and August 2023. A sample of 207 patients was selected using convenience sampling method. Distress Tolerance Scale, Meta-Emotion Scale, and Physical Health Questionnaire were used to collect data. The hypothesized model was assessed using structural equation modeling (SEM) with maximum likelihood estimation. Data analysis was performed using the SPSS version 27 and Amos version 25.
Results: The results showed a significant correlation between physical health and distress tolerance in women with breast cancer (P<0.001). The correlation between meta-emotion and distress tolerance was not significant (P<0.001). Moreover, the indirect correlation of meta-emotion to distress tolerance through the mediating role of physical health was significant (P=0.009).
Conclusion: In women with breast cancer, physical health was significantly correlated with distress tolerance, while metaemotion had an indirect correlation mediated by physical health. These findings suggested that physical health is a crucial factor for distress tolerance, and warrants further investigation to better understand how meta-emotion and distress tolerance are connected through the pathway of physical health.
Iman Nazari; Behnam Makvandi; Naser Saraj Khorrami; Alireza Heidari
Abstract
Background: Considered as a major health concern worldwide, breast cancer (BC) is the most prevalent cancer among women. The present study aimed to investigate the effects of gestalt group therapy and reality therapy on perceived self-efficacy in women with BC.Methods: This quasi-experimental research ...
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Background: Considered as a major health concern worldwide, breast cancer (BC) is the most prevalent cancer among women. The present study aimed to investigate the effects of gestalt group therapy and reality therapy on perceived self-efficacy in women with BC.Methods: This quasi-experimental research adopted a pretest and posttest with a control group and follow-up period. The statistical population included all the women with BC visiting the subspecialty clinic of cancer in Yasuj, Iran, in 2021. We selected 60 patients via convenience sampling method. Afterwards, using a random number table, we placed them in two experimental groups and a control group (n=20 women in each group). The first experimental group received gestalt therapy (10 sessions of 60 minutes; once a week) while the second experimental group received reality therapy (based on choice theory) (10 sessions of 60 minutes; once a week). The control group was placed on the waiting list. We used the general self-efficacy scale for data collection. The data were analyzed with repeated measures ANOVA in SPSS version 25.Results: Mean and standard deviation of the perceived self-efficacy for gestalt therapy, reality therapy, and control groups in the posttest were 52.06±8.83, 55.93±8.66, and 39.33±7.56, respectively. The results indicated that the gestalt group therapy and the reality therapy affected the perceived self-efficacy of women with BC (P<0.001). Moreover, the findings depicted no significant differences between the gestalt group therapy and the reality theory. The effects persisted in the follow-up (P<0.001).Conclusions: According to the results, the gestalt group therapy and the reality therapy could improve the psychological capacity and adaptability of women with BC in different personal and social aspects. Hence, psychotherapists are advised to employ gestalt group therapy and reality therapy in counseling centers in order to enhance perceived self-efficacy in women with BC.
Masoumeh Dehdashti Lesani; Behnam Makvandi; Farah Naderi; Fariba Hafezi
Abstract
Background: Quality of life is a multidimensional and dynamic concept that can be assessed based on the differences between expectations and reality level. The present study aimed to investigate the mediating role of social anxiety in the causal relationships of alexithymia and social intelligence with ...
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Background: Quality of life is a multidimensional and dynamic concept that can be assessed based on the differences between expectations and reality level. The present study aimed to investigate the mediating role of social anxiety in the causal relationships of alexithymia and social intelligence with the quality of life in women-headed household in Ahvaz.Methods: The research design was causal-correlational and had a field type. A total of 261 women-headed household were selected from Ahvaz City by convenience sampling. The research instrument included World Health Organization Quality of Life Questionnaire-Short Form, Ahvaz Alexithymia scale (AAS- 26 questions), Tromso Social Intelligence Scale (TSIS), and Jerabek Social Anxiety Scale. Analysis of the data involved both descriptive and inferential statistics including mean, standard deviation, Pearson’s correlation, and path analysis. Data analysis was done using SPSS version 24.Results: A direct and positive relationship was observed between social intelligence and quality of life (β=0.152, P=0.003) and between alexithymia and social anxiety (β=0.245, P=0.001). There was a direct and negative relationship between social anxiety and quality of life (β=-0.618, P=0.001). There was no direct and significant relationship between alexithymia and quality of life (β=0.043, P=0.417). The path analysis results indicated that social anxiety had a mediating role in the relationship between alexithymia and quality of life (β=-0.246, P=0.001) as well as the relationship between social intelligence and quality of life (β=-0.275, P=0.001).Conclusion: Social anxiety plays an important role in the relationship between social intelligence, alexithymia, and quality of life.
