اثربخشی درمان متمرکز بر شفقت بر خستگی مزمن، احساس شکست و تاب‌آوری در مادران کودکان مبتلا به سرطان خون

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روان‌شناسی، واحد ارومیه، دانشگاه آزاد اسلامی، ارومیه، ایران

2 گروه روان‌شناسی، واحد ارومیه، دانشگاه آزاد اسلامی، ارومیه، ایران

3 گروه روان‌شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه تبریز، تبریز، ایران

4 دانشگاه علوم پزشکی ارتش، تهران، ایران

10.22034/jmpr.2026.51477.4925

چکیده

هدف پژوهش حاضر اثربخشی درمان متمرکز بر شفقت بر خستگی مزمن، احساس شکست و تاب‌آوری در مادران کودکان مبتلا به سرطان خون بود. این پژوهش به شیوه نیمه‌آزمایش‌ و از نوع طرح پیش‌آزمون- پس‌آزمون با گروه آزمایش و گروه کنترل اجرا شد. جامعه آماری پژوهش را تمامی مادران دارای فرزند مبتلا به سرطان استان تهران در سال 1399 تشکیل دادند که با استفاده از روش نمونه‌‎گیری هدفمند نمونه‌ای به حجم 24 نفر انتخاب شد که12 نفر در گروه آزمایش اول و 12 نفر در گروه کنترل قرار گرفتند. پرسشنامه خستگی فالمن و همکاران (2013)، تاب‌آوری کانر و دیویدسون (2003)، ناامیدی بک (1974) و احساس شکست گیلبرت و آلن (1998) تکمیل شد. سپس گروه‎ آزمایش جلسات درمان متمرکز بر شفقت را به مدت هشت جلسه 90 دقیقه‌ای و هر هفته یک‌بار دریافت نمودند و در این مدت گروه کنترل برنامه عادی روزانه خود را گذراندند. برای تحلیل داده‌های پژوهش از تحلیل کوواریانس چندمتغیره استفاده شد. نتایج پژوهش نشان داد که درمان متمرکز بر شفقت بر خستگی مزمن، احساس شکست و تاب‌آوری مادران دارای کودک مبتلا به سرطان خون تأثیر دارد. درواقع درمان متمرکز بر شفقت باعث کاهش خستگی مزمن و احساس شکست شده و میزان تاب‌آوری آن‌ها را افزایش می‌دهد. بنابراین توجه به درمان متمرکز بر شفقت نقش مهمی در جنبه‌های سلامتی مادران دارای کودک مبتلا به سرطان دارد.  

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The Effectiveness of Compassion-Focused Therapy on Chronic Fatigue, Failure and Resilience in Mothers of Children with Leukemia

نویسندگان [English]

  • Shadi Valizadeh 1
  • Ali Khademi 2
  • Majid Mahmoud Alilou 3
  • Azim Mehrvar 4
1 PhD Student, Department of Psychology, Ur.C., Islamic Azad University, Urmia, Iran
2 Department of Psychology, Ur.C., Islamic Azad University, Urmia, Iran
3 Department of Psychology, Faculty of Education and Psychology, University of Tabriz, Tabriz, Iran
4 Army University of Medical Sciences, Tehran, Iran
چکیده [English]

The aim of this study was to examine the effectiveness of compassion-focused therapy on chronic fatigue, failure and resilience in mothers of children with leukemia. This research was conducted in a quasi-experimental manner with a pretest-posttest design with an experimental group and a control group. The statistical population of the study was all mothers with children with cancer in Tehran province in 2020. Using purposive sampling method, a sample of 24 people was selected, 12 in the first experimental group and 12 in the control group were located. The Falman et al. (2013) Fatigue Questionnaire, Connor & Davidson Resilience Questionnaire (2003), Beck Disappointment Questionnaire (1974), and the Gilbert and Allen Feeling Feelings (1998) were completed. The experimental group then received compassion-focused treatment sessions for eight 90-minute sessions once a week, during which time the control group completed their daily routine. Multivariate analysis of covariance was used to analyze the research data. The results showed that compassion-focused treatment has an effect on chronic fatigue, failure and resilience of mothers with children with leukemia. In fact, compassion-focused therapy reduces chronic fatigue and feelings of failure and increases their resilience. Therefore, attention to compassion-focused treatment plays an important role in the health aspects of mothers with children with cancer.

کلیدواژه‌ها [English]

  • compassion-focused therapy
  • chronic fatigue
  • failure
  • resilience
  • cancer
Abdi, F., Bani Jamali, S. S., Ahadi, H., & Kooshki, S. (2019). Examining the psychometric properties of the Connor–Davidson Resilience Scale in women with breast cancer. Journal of Research in Psychological Health, 13(2), 81–99. (In Persian) https://www.sid.ir/FileServer/JF/45113980206
Aldao, A., & Nolen-Hoksema, S. (2010). Specificity of cognitive emotion regulation strategies: A transdiagnostic examination. Behavior research and therapy. 48, 974-983. https://pubmed.ncbi.nlm.nih.gov/20591413/
Barakat, L. P., Kazak, A. E., Meadows, A. T., Casey, R., Meeske, K., & Stuber, M.  L. (1997). Families surviving childhood cancer: A comparison of posttraumatic stress symptoms with families of healthy children. Journal of Pediatric Psychology, 22(6), 843-859.
Borneman, T, Stahl, C., Ferrell, B.R, Smith, D. (2002). The concept of hope in family caregivers of cancer patients at home. Journal Hospitl Palliat Nursis, 4(1), 21-33. https://pubmed.ncbi.nlm.nih.gov/9494321/
Cousineau, T.M., Hobbs, L.M & Arthur, K.C (2019) The Role of Compassion and Mindfulness in Building Parental Resilience When Caring for Children With Chronic Conditions: A Conceptual Model. Front. Psychol. 10, 1602. doi: 10.3389/fpsyg.2019.01602
Fahlman, S.A., Mercer, K.B., Gaskovski, P., Eastwood, A.E., Eastwood, J.D. (2009). Does a lack of life meaning cause boredom? Results from psychometric, longitudinal, and experimental analyses. Journal Society Clinical Psychology, 28(3), 307-340. https://psycnet.apa.org/record/2009-04996-002
Ferrario, S, Zotti, A.M, Massara, G. (2003). A combative assessment of psychological and psychosocial characteristic of cancer patients. Psychooncology, 12(1), 1-7. https://pubmed.ncbi.nlm.nih.gov/12548644/
Fisher, R, Pusztai L.  Swanton, C. (2013). Cancer heterogeneity: implications for targeted therapeutics. British Journal Cancer, 108, 479-85. https://www.nature.com/articles/bjc2012581
Florian, V, Mikulincer, M & Yaubman, O. (2005). Does hardiness contribute to mental health during a stressful real-life situation? The roles of appraisal and coping. Journal of Personality and Social Psychology, 68, 687-695. https://pubmed.ncbi.nlm.nih.gov/7738771/
Gilbert, P. & Allen, S. (1998). The role of defeat and entrapment (arrested flight) in depression: an exploration of an evolutionary view. Psychological medicine, 28(3), 585-598. https://pubmed.ncbi.nlm.nih.gov/9626715/
Gilbert, P. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53, 6-41. https://pubmed.ncbi.nlm.nih.gov/24588760/
Inzlicht, M, Aronson, J, Good, C & McKay, L. (2006). A particular resiliency to threatening environments. Journal of Experimental Social Psychology, 42, 323-336. https://www.sciencedirect.com/science/article/pii/S0022103105000739
Irons, C., & Lad, S. (2017). Using compassion focused therapy to Work with shame and self-criticism in complex trauma. Australian Clinical Psychologist. 3, 47-54. https://www.semanticscholar.org/paper/Using-Compassion-Focused-Therapy-to-Work-with-Shame-Irons-Lad/74c458d1daff8488ef91fb200d492c32d60aff2a
Kadan-Lottic, N.S. (2014). Epidemiology of childhood and adolescent cancer. IN: Behrman RE, Kligman RM, Jenson HB. Nelson Textbook of pediatrics. 17th ed. New York: Mc Grow hill. https://www.ncbi.nlm.nih.gov/books/NBK221740/
Khanna, R. (2010). Burden of Care and Health-Related Quality of Life among Caregivers of Children with Autism Spectrum Disorder. USA: West Virginia University Libraries. https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-025-06154-x
Kobasa, S.C & Puccetti, M.C. (2002). Personality and social resources in stress resistance. Journal of Personality and Social Psychology, 45, 839-850. https://pubmed.ncbi.nlm.nih.gov/6631665/
Kobasa, S.C. (1998). Stressful life events: An inquiry into hardiness. Journal of Personality and Social Psychology, 37, 1-11. https://psycnet.apa.org/record/1980-21134-001
Lucre, K.M, Corten, N. (2013). An exploration of group compassion-focused therapy for personality disorder. Psychol Psychother, 86(4), 387-400. https://pubmed.ncbi.nlm.nih.gov/24217864/
Meacham, C.E., Morrison, S.J. (2013). Tumor heterogeneity and cancer cell plasticity. Nature, 501, 328-37. https://www.nature.com/articles/nature12624
Mozafari, N., Asgharnejad Farid, A. A., Dezhman, M., Fathali Lavasani, F., & Faranoosh, M. (2016). God and the meaning of life: The lived experience of children with cancer, a qualitative study. Iranian Journal of Psychiatry and Clinical Psychology, 22(2), 93–102. (In Persian) https://psycnet.apa.org/record/2017-12088-002
Mystakidou, K. Tsilika, E., Parpa, E., Pathiaki, E., Galanos, A. et al. (2007). Exploring the relation between depression, hopelessness, cognitive status, pain and spirrituality in patient with advanced canser. Archives of psychiarity nursing, 21(3), 150-161. https://www.sciencedirect.com/science/article/abs/pii/S0883941707000295
Swallow, V.M., & Jacoby, A. (2010). Mothers' evolving relationships with doctors and nurses during the chronic childhood illness trajectory. Journal of Advanced Nursing, 36(6) 755–764. https://pubmed.ncbi.nlm.nih.gov/11903705/
Taylor, P. J. (2010). The role of defeat and entrapment in suicide. the University of Manchester. https://journals.lww.com/amhe/fulltext/2021/22010/defeat_and_entrapment_in_the_pathogenesis_of.9.aspx
Taylor, P. J., Gooding, P., Wood, A. M., & Tarrier, N. (2011). The role of defeat and entrapment in depression, anxiety, and suicide. Psychological bulletin, 137(3), 391–420. https://doi.org/10.1037/a0022935
Williamson, A., Lombardi, D.A., Folkard, S., Stutts, J., Courtney, T.K, & Connor, J.L. (2011).  The links between fatigue, safety and performance. Accid AnalPrev. 43, 498-515. https://pubmed.ncbi.nlm.nih.gov/21130213/