乳腺癌患者自然意义治疗模式的验证

Fateme Neamati, S. Vaziri, F. Dehghani, S. M. R. Mortazavizadeh
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摘要

压力和社会孤立可导致疾病的进展或癌症的复发,在这方面,需要对这些人进行压力管理和精神放松是必不可少的。创造人类和平的途径之一是拥有生命的意义,意义疗法教育可以在实现这一目标方面发挥有效作用。今天,意义治疗教育在世界上不同的目标群体中以不同的方式进行,缺乏伊朗本土的意义治疗模式被认为是我们现有教育的不足之一。本研究旨在验证伊朗模式的意义治疗乳腺癌患者。方法:本描述性调查研究基于Neamati博士论文(29)关于癌症患者生活体验的结果。该模型包括4个主要主题(个人和社会发展、超验痛苦、积极心理能力和死亡天使)和16个次要主题。本研究的统计人群为全部心理学家1400人,采用方便抽样法抽取120人。采用验证性因子分析和Amos22软件对心理学家调查所得数据进行分析。结果:验证性因子分析结果显示,在患者对生命意义的感知、患者对癌症的感知、患者对癌症策略及其并发症的感知、患者对死亡意义的感知等问题上,主旋律与子旋律关系的因子负荷处于有利状态(0.6 ~ 0.7)。所有子主题的解释方差均大于25%。结论:本土意义治疗模式适合乳腺癌患者。建议在癌症治疗中心和这些患者的咨询和心理中心实施以意义治疗为基础的模式。
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Validation of the Native Model of Logotherapy in Patients with Breast Cancer
Introduction: Stress and social isolation can lead to the progression of the disease or the recurrence of cancer, in this regard, the need for stress management and mental relaxation in these people is essential. One of the ways to create peace in humans is to have meaning in life, and logotherapy education can play an effective role in achieving this goal. Today, logotherapy education is done in different ways for different target communities in the world, and the lack of a native Iranian model of logotherapy is considered one of our existing educational deficiencies. This study aims to validate a Iranian model of logotherapy for breast cancer patients.  Methods: This descriptive-survey study was conducted based on the results of  Neamati's Ph.D thesis (29) on the lived experience of cancer patients. This model include 4 main themes (individual and social development, transcendental suffering, positive psychological abilities, and the angel of death) and 16 sub-themes.The statistical population of this study included all psychologists in 1400, and 120 psychologists were selected by convenience sampling method. The data obtained from the survey of the psychologists were analyzed using confirmatory factor analysis and Amos22 software. Results:The findings of confirmatory factor analysis showed that the factor loads related to the relationship between the main theme and its sub-themes, in response to questions about patients' perceptions of the meaning of life, patients' perceptions of cancer, patients' perceptions of cancer strategies and its complications, and patients' perception of the meaning of death are in a favorable condition (0.6 to 0.7). Also, the explained variance of all sub-themes was higher than 25%. Conclusion:The native model of logotherapy for breast cancer patients has a good fit. It is suggested that the logotherapy-based  model be implemented in cancer treatment centers and counseling and psychological centers for these patients.
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