اثربخشی زوج‌ درمانی سیستمی- سازه‌‌گرا بر افزایش رضایتمندی زناشویی زنان مبتلا به سرطان سینه

زن و مطالعات خانواده

مقاله 4، دوره 10، شماره 36، شهریور 1396، صفحه 55-69   

نوع مقاله: علمی پژوهشی

نویسندگان

مسعودی ثانی راحله¹؛ نسیم پاک نیا²؛ فرزانه دورودیان³

¹ایران- تهران- دانشگاه علوم بهزیستی و توانبخشی- روه آموزشی مشاوره

²تهران- دانشاه علوم بهزیستی و توانبخشی- گروه مشاوره

³دانشگاه آزاد واحد رودهن

چکیده

هدف این پژوهش بررسی اثربخشی زوج­درمانی سیستمی- سازه­گرا بر رضایت­مندی زناشویی زنان مبتلا به سرطان سینه بود. نمونه پژوهش شامل 30 نفر از زنان مبتلا به سرطان سینه مراجعه­کننده به بیمارستان امام حسین (ع) تهران در سال 1395 بود که به روش نمونه­گیری در دسترس انتخاب و به صورت تصادفی در دو گروه آزمایش و کنترل جایگزین شدند، گروه کنترل هیچ نوع مداخله­ی درمانی را دریافت نکردند. طرح پژوهش از نوع نیمه­آزمایشی با طرح پیش­آزمون – پس­آزمون همراه با گروه کنترل بود. ابزار پژوهش شامل "مقیاس رضایت زناشویی انریچ" بود. داده­های جمع­آوری شده در نرم­افزار اس پی اس اس ورژن 22 وارد گردید و با روش آماری تحلیل واریانس مورد تجزیه و تحلیل قرار گرفت. یافته­های حاصل نشان داد که آموزش زوج­درمانی سیستمی- سازه­گرا به طور معناداری بر افزایش رضایت زناشویی اثربخش بوده­ است (01/0p<). با توجه به یافته­های بدست آمده از پژوهش حاضر می­توان نتیجه گرفت: زوج­درمانی سیستمی – سازه­گرا بر افزایش رضایت زناشویی زنان مبتلا به سرطان سینه مؤثر می­باشد.

کلیدواژه‌ها

رضایت‌مندی زناشویی؛ درمان سیستمی- سازه‌گرا؛ سرطان سینه

مراجع

Aghabrari, M, A., fazlollah, M., Jesus, H., A. Farahani, A. (2007). Social, psychological and physical aspects of quality of life for women with breast cancer undergoing chemotherapy. Nursing preceding studies, (3), 56-55. [in Persian] 

Ahmad, S. (2012). Enhancing the quality of South Asian Marriages through Systemic-Constructivist Couple Therapy (SCCT): Investigating the role of Couple Identity in Marital Satisfaction. dissertation submitted for Doctorate in Clinical Psychology, York University, Toronto, Canada.

Akbari, k.  (2011). The effectiveness of group-rich marriage of style and marital satisfaction hopes to improve relations Olson on women referred to counseling centers and its indirect impact on their spouses. Master's dissertation. University of Rehabilitation Sciences and Social Welfare. [in Persian] 

Ali Akbari dehkordi, M. (2012). The relationship between emotional intelligence and marital satisfaction in couples. Journal of Behavioral Sciences, 6 (2).{in Persian}

American cancer society. (2011-2012). Cancer fact & figures. Atlanta: American cancer society.

Avci, I. A.; Kumcagız, H. (2011). Marital Adjustment and Loneliness Status of Women with Mastectomy and Husbands Reactions. Asian Pacific Journal of Cancer Preventio. Vol. 12. 453-459.

Azizi, S,; Rahmani, F.Qhaderi, B. (2010). Marital satisfaction in patients with cancer. Journal of Nursing and Midwifery, Tabriz, No. 17, 50- 55. [in Persian]

Babarbi, M. (2013). Married life skills training to women to increase marital satisfaction in women with breast cancer mastectomy surgery after mastectomy and their spouses. Master's thesis. University of Rehabilitation Sciences and Social Welfare. [in Persian] 

Bahmani, B. (2010). Comparison of two methods of cognitive therapy and group therapy, cognitive-instructional style Michael Frey / existential on hope, self-esteem and quality of life of women after treatment for breast cancer unreleased, have exhibited symptoms of depression. PhD thesis, University of Allameh Tabatabai. [in Persian] 

Bahmani, B; Naghiaee, M, Ghanbari absolute, A.; Khorasani, Bijan; D, Aida Ali Mohammadi, F. (2014). Marital satisfaction in women with breast cancer during the course of completing medical treatments: a comparative study. Health Psychology, 3 (9), 1-12. [in Persian] 

Baquet, C.R., Mishra, S.I., Commiskey, P., Ellison, G.L., & DeShields, M. (2008). Breast cancer epidemiology in blacks and whites: disparities in incidence, mortality, survival rates and histology. J Natl Med Assoc, 100(5), 480-488.

Baumeister, R. F. & K. Vohs. (2007). Encyclopedia of Social Psychology. New York: SAGE Publications.

Beirami, M, S, Fahim Akbar, E. Amiri, A. (2012). Attachment styles and marital satisfaction based on differentiation components. Journal of Mental Health, the fourteenth year. (53).

Berek, J. (2007). Gynecology. California. Lippincott Williams & Wilkins. 1605.

Besharat M. A., Tashak, A.; Zadeh, Saead, M. R. (2007). Explaining marital satisfaction and mental health in terms of coping styles. Contemporary Psychology, Volume I, Number One. [in Persian] 

Bidadian, M., Bahramizadeh, H., & Poursharifi, H. (2011). Obesity and quality of life: The role of early maladaptive schemas. Social and Behavioral Sciences, 30, 993 – 998

Blancas, I., Garcia-Puche, J.L., Bermejo, B., Hanrahan, E.O., Monteagudo, C., Martinez-Agullo, A., Rouzier, R., Hennessy, BT., Valero, V., & Lluch, A. (2006). Low number of examined lymph nodes in node-negative breast cancer patients is an adverse prognostic factor. Ann Oncol, 17(11), 1644-1649.

Bonnie, A., Micheal, H., & Antoni, M. (2009). Psychological Intervention and healt outcomes among Women treated for breast cancer. Brain Behavior Immunology, 23(2), 159-166.

Cavaliere, C. (2008). Listening to Understand as a Therapeutic Strategy for Enhancing Interpersonal Processing in an Intimate Relationship. York University, Toronto, Ontario, Canada.

Costanza, M.E., & Chen, W.Y. (2013). Factors that modify breast cancer risk in women. Up to Date [Online]. 2013. Available from: URL: http://www.uptodate.com/contents/factors-thatmodify-breast-cancer-risk-in-women.

Elliss, A. (2001). Overcoming destructive belifes, feeling and behaviors. Amherst, NY: Prometheus Book.

Galbraith M.E, Arechiga A, Ramirez J, Pedro L.W. (2005). Prostate Cancer Survivors’ and Partners’ Self-Reports of Health-Related Quality of Life, Treatment Symptoms, and Marital Satisfaction 2.5– 5.5 Years After Treatment. Oncology Nursing Forum, 32, 30-41.

Goya, M. M., Mousavi, S. M. (2008). Palliative medicine. The first Congress in cancer supportive care and relief, the university martyr Beheshti Medical Sciences. [Persian] 

Greeff, A. P. (2000). Characteristics of Families that Function Well. Journal of Family Issues. 21(8). 948- 963.

Kayser, K.; Scott, J. L. (2008). Helping Couples Cope with Women’s Cancers An Evidence-Based Approach for Practitioners. Springer Science + Business Media. LLC.

Hamza, S,; Bayrami, M., Hashemi Nsrt‌Bady, T. (2011). Compare personality traits, experience negative emotions and coping styles in women with and without cancer. Martyr Yazd University of Medical Sciences Journal, 19 (5). 627- 636. [in Persian] 

Hinnen C. (2008). Relationship satisfaction in women: a longitudinal casecontrol study about the role of breast cancer, personal assertiveness, and partners. British Journal of Health and Psychology, 13(4), 737-54.

Izadi Ajirlu, A. (2011). The effectiveness of cognitive behavioral intervention group on reform of body image and self-esteem increased after the implementation of mastectomy in women with breast cancer. Master's thesis. University of Rehabilitation Sciences and Social Welfare. [in Persian] 

Jadoon, N.A., Munir, W., Shahzad, M,A., & Zeshan, S.C. (2010). Assessment of depression and anxiety in adult cancer out patients: a cross-sectional study. BMC cancer, 10(594), doi: 10.1186/1471-2407-10-594.

Miller, P.J., Caughlin, J.P. & Huston, T.L. (2000). Triat expressiveness and marital satisfaction. Manuscript submitted for publication.

Mousavi, M., Mohammad Khani, B., Mousavi, A. S, Hussein, F., Delaware, A. (2006). The effectiveness of systemic therapy - treatment on depression and marital satisfaction depressed women. New Cognitive Science, 8 (2), 12-20. [in Persian] 

Nikuee M, Sief S. (2007).[ Assessing the relationship between religion and marital satisfaction]. Advances and researches in counseling, 4 (13), 61-79. (in Persian)

Olson, D. H.; J. DeFrain & L.Skogrand. (2011). Marriages and Families: Intimacy, Diversity, and Strengths. New York: McGraw-Hill.

Pukay-Martin, M. D. (2009). Couple connection and cancer: Understanding the mechanisms of partner support for women with breat cancer. Doctoral Disseration.

Rajabi, G. R; Nvbndgany rare, Z., our God, A., vBulletin countryside, M. (2014). Couple Therapy System - Saz·hgra the close relationship and interpersonal process in the troubled couples. Methods and psychological models, 3 (20), 105-128. [in Persian] 

Reid, D. W., Dalton, J., Laderoute, K., Doell, F., & Nguyen, T. (2006). Therapeutically induced changes in couple identity: The role of we-ness and interpersonal processing in relationship satisfaction. Genetic, Social and General Psychology Monographs, 132, 121-143.

Reid, D. W., Doell, F., Dalton, J., & Ahmad, S. (2008). Systemic Constructivist Couple Therapy (SCCT): Description of approach, theoretical advances, and published longitudinal evidence. Psychotherapy Theory, Research, Practice, Training, 45, 4, 477–490.

Rustoen, T., Moum, T., Wiklund, I., & Hanestad, B.R. (1999). Quality of Life in Newly Diagnosed Cancer Patients. J-Adv-Nur, 29(2), 490-498.

Samii Siboni, F., A., Brittany; Alhani, F. (2010). The effect of family counseling on a scale of indicator of quality of life for women with breast cancer undergoing chemotherapy. Iranian Journal of Breast Disease, Issue I and II28-39. [in Persian] 

Shakerian, A. (2009). To examine the factors in marital satisfaction Islamic Azad University. Scientific Journal of Kurdistan University of Medical Sciences, the period of fourteen. [in Persian]

Soleimanian, A. A. (1993). The ideas of irrational cognitive approach based on marital satisfaction. Master thesis, University of Teacher Education, Faculty of Psychology and Educational Sciences. [Persian] 

 Sprecher S.; A. Wenzel. & J. Harvey. (2008). Handbook of Relationship Initiation. New York: Taylor & Francis Group.

Tuinman M.A, Fleer J, Sleijfer D.T, Hoekstra H.J, Weeber J.H.M. (2005). Marital and sexual satisfaction in testicular cancer survivors and their spouses. Support Care Cancer, 13, 540- 548.11.

Yusefi, R.; Abedin, A. R., Tirgi, A., Fathabadi, G. (2010). Trhvarh‌Ha model-based intervention effectiveness in improving marital satisfaction. Journal of Clinical Psychology, 2 (3, row 7). [in Persian] 

Zabalegui A, Sanchez S, Sanchez PD, Juando C. (2005). Nursing and cancer support groups. Journal of Advanced Nursing, 51(4), 369-38.

Zolfaghari, M,; Fatehizadeh, M,; Abedi, Mohammad, R. (2008). The relationship between early maladaptive schemas with dimensions of marital intimacy. JOURNAL OF FAMILY RESEARCH, 3 (4), 247- 261. [in Persian]