اثر ساختاری فرایندهای پذیرش و تعهد بر تضعیف روحیه در بیماران مبتلا به سرطان: نقشهای میانجی رشد و افت پس از سانحه | ||
| فصلنامه روانشناسی کاربردی | ||
| مقاله 7، دوره 20، شماره 1 - شماره پیاپی 77، فروردین 1405، صفحه 141-165 اصل مقاله (996.97 K) | ||
| نوع مقاله: مقاله پژوهشی | ||
| شناسه دیجیتال (DOI): 10.48308/apsy.2026.242663.1944 | ||
| نویسندگان | ||
| محمدمهدی حسن پور دهکردی1؛ اسحق رحیمیان بوگر* 2 | ||
| 1دانشجوی کارشناسی ارشد روانشناسی بالینی، گروه روانشناسی بالینی، دانشکده روانشناسی و علوم تربیتی، دانشگاه سمنان، سمنان، ایران | ||
| 2دانشیار روانشناسی سلامت، گروه روانشناسی بالینی، دانشکده روانشناسی و علوم تربیتی، دانشگاه سمنان، سمنان، ایران | ||
| چکیده | ||
| هدف: پژوهش حاضر با هدف تعیین اثر ساختاری فرایندهای پذیرش و تعهد بر تضعیف روحیه در بیماران مبتلا به سرطان با در نظر گرفتن نقشهای میانجی رشد و افت پس از سانحه انجام شد. روش: این مطالعه همبستگی با 260 بیمار مبتلا به سرطان مراجعهکننده به بیمارستان امید اصفهان در بهار و تابستان 1403 انجام شد. شرکتکنندگان با استفاده از نمونهگیری در دسترس انتخاب شدند. ابزارهای جمعآوری دادهها شامل مقیاس فرآیند درمان پذیرش و تعهد (Compact؛ فرانسیس و همکاران، 2016)، مقیاس تضعیف روحیه (DS-II؛ روبینسون و همکاران، 2016) و پرسشنامه رشد و افت پس از سانحه گسترده (PTGDI-X؛ تاکو و همکاران، 2021) بود. دادهها با استفاده از همبستگی پیرسون و مدلسازی معادلات ساختاری (SEM) با نرم افزار 26- Amos تجزیه و تحلیل شدند. یافتهها: تحلیل نشان داد که همبستگی منفی معناداری بین فرآیندهای پذیرش و تعهد و تضعیف روحیه وجود دارد (001/0P<). رشد پس از سانحه و افت پس از سانحه بهطور معناداری واسطة رابطه ی بین فرآیندهای پذیرش و تعهد و تضعیف روحیه هستند (001/0P<). مدل نهایی برازش مناسبی با دادهها نشان داد (05/0P<). نتیجهگیری: فرایندهای پذیرش و تعهد بهطور مستقیم و بواسطة رشد و افت پس از سانحه در تضعیف روحیه نقش دارند. پیشنهاد میشود مداخلاتی که فرآیندهای پذیرش و تعهد را هدف قرار میدهند، و همچنین رشد پس از سانحه و کاهش افت پس از سانحه را تقویت میکنند، برای کاهش تضعیف روحیه در بیماران سرطانی توسعه داده شوند. | ||
| کلیدواژهها | ||
| پذیرش و تعهد؛ تضعیف روحیه؛ رشد پس از سانحه؛ افت پس از سانحه؛ سرطان | ||
| عنوان مقاله [English] | ||
| The Structural Impact of Acceptance and Commitment Processes on Demoralization in Cancer Patients: Mediating Roles of Post-Traumatic Growth and Depreciation | ||
| نویسندگان [English] | ||
| Mohammad Mahdi Hassanpour-Dehkordi1؛ Isaac Rahimian-Boogar2 | ||
| 1MSc student in Clinical Psychology, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran. | ||
| 2Associate Professor of Health Psychology, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran. | ||
| چکیده [English] | ||
| Aim: This study examined the structural relationship between acceptance and commitment processes and demoralization in cancer patients, with post-traumatic growth and post-traumatic depreciation as mediating variables. Method: This correlational study included 260 cancer patients attending Omid Hospital in Isfahan during spring and summer 2024. Participants were selected using convenience sampling. Data were collected using the Acceptance and Commitment Therapy Process Scale, the Demoralization Scale, and the Expanded Post-traumatic Growth and Depreciation Questionnaire. Pearson correlation and structural equation modeling were performed using Amos-26. Results: Acceptance and commitment processes showed a significant negative association with demoralization (p < 0.001). Post-traumatic growth and post-traumatic depreciation significantly mediated the relationship between acceptance and commitment processes and demoralization (p < 0.001). The proposed model demonstrated acceptable fit indices. Conclusion: Acceptance and commitment processes influence demoralization both directly and indirectly through trauma-related psychological outcomes. Interventions that strengthen psychological flexibility and promote post-traumatic growth may help reduce demoralization in cancer patients and improve psychological adaptation to illness. | ||
| کلیدواژهها [English] | ||
| Acceptance and Commitment, Demoralization, Post-Traumatic Growth, Post-Traumatic Depreciation, Cancer | ||
| مراجع | ||
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