fa اثربخشی طرح‌واره درمانی بر تنظیم هیجانی و تاب‌آوری در بیماران مبتلا به سرطان پستان: یک مطالعه نیمه‌تجربی روانپزشكي Psychiatry پژوهشي Research <span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">زمینه و هدف:</span></span></span></b> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">سرطان پستان معضل بهداشت عمومی است</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> استفاده از</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">طرح‌واره درمانی و انجام پژوهش در این زمینه افزایش یافته است و شواهد روزافزون حاکی از مفید بودن این درمان در موقعیت&shy;های مختلف است. بنابراین، پژوهش حاضر با هدف تعیین اثربخشی طرح‌واره درمانی بر تنظیم هیجانی و تاب‌آوری در بیماران مبتلا به سرطان پستان انجام </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">گرفت.</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">مواد و روش‌ها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> روش پژوهش حاضر، نیمه‌آزمایشی از نوع پیش‌آزمون-پس‌آزمون با گروه کنترل بود. جامعه آماری پژوهش شامل</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> کلیه زنان دارای تشخیص سرطان پستان مراجعه‌کننده به بیمارستان امام خمینی(ره) واقع در</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> شهر ساری در سال 1402 بود که 32 نفر به روش نمونه&shy;گیری در دسترس انتخاب شدند و </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">به&shy;صورت تصادفی </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">در گروه آزمایش (16 نفر) و کنترل (16 نفر) قرار گرفتند. سپس هر دو گروه به‌وسیله پرسش‌نامه </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">تنظیم هیجان و تاب‌آوری</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> ارزیابی شدند. افراد گروه آزمایش 12 جلسه طرح‌واره </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">درمانی گروهی </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">را در طول سه ماه و به‌صورت </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">یک جلسه 90 دقیقه‌ای در هر هفته دریافت کردند و گروه کنترل مداخله‌ای دریافت نکردند. داده‌ها با روش تحلیل کوواریانس چندمتغیره تجزیه</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">&shy;و</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">تحلیل شدند. </span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">یافته‌ها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> نتایج </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">نشان داد پس از ارائه</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> درمان، </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">میانگین نمره راهبردهای غیرانطباقی تنظیم هیجان در گروه آزمایش کاهش (001/0</span></span></span>P<<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">)، در حالی‌که میانگین نمره راهبردهای انطباقی تنظیم هیجان و تاب‌آوری در گروه آزمایش افزایش</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">یافت (001/0</span></span></span>P<<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">) و در تنظیم هیجانی و تاب‌آوری تغییرات معناداری ایجاد شد (001/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">).</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">نتیجه&shy;گیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> مطالعه حاضر نشان داد که</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">طرح‌واره درمانی بر تنظیم هیجانی و تاب‌آوری بیماران مبتلا به سرطان پستان </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">مؤثر است. بنابراین، استفاده از این رویکرد جهت بهبود </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">تنظیم هیجانی و تاب‌آوری توصیه می‌گردد.</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">واژه&shy;های کلیدی:</span></span></span></b> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">طرح‌واره درمانی، تنظیم هیجان، تاب‌آوری، سرطان پستان</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:135%">Background and Objectives: </span></span></b></a><span style="font-size:9.0pt"><span style="line-height:135%">Breast cancer is a public health problem. The use of schema therapy and research in this field has increased, and increasing evidence indicates that this treatment is useful in various situations. Therefore, the present study was conducted with the aim of determining the effectiveness of schema therapy on emotional regulation and resilience in patients with breast cancer.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Materials and Methods:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> The current study was a quasi-experimental study with a pretest-posttest design and a control group. The statistical population of the study included all women diagnosed with breast cancer who referred to Imam Khomeini Hospital in Sari in 2023, out of which 32 people were selected using convenience sampling method and randomly assigned to the experimental and control groups, with 16 people in each group. Then, both groups were evaluated using the emotion regulation and resilience questionnaire. The experimental group received 12 sessions of group schema therapy over two months, one 90-minute session per week, and the control group did not receive any intervention. The data were analyzed using multivariate analysis of covariance.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Results:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> The results showed that after treatment, the mean score of maladaptive emotion regulation in the experimental group decreased (p<0.001), while the mean score of adaptive emotion regulation and resilience in the experimental group increased (p<0.001), and significant changes were made in emotion regulation and resilience (p<0.001).</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Conclusion:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> The present study showed that schema therapy is effective on emotion regulation and resilience in patients with breast cancer. Therefore, the use of this approach is recommended to improve emotion regulation and resilience.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%">Keywords:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%"> Schema therapy, Emotion regulation, Resilience, Breast cancer</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-size:9.0pt"><span style="line-height:135%"></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%">Funding:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%"> This study did not have any funds.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%">Conflict of interest:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%"> None declared.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Ethical considerations</span></span></b><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%">:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%"> The Ethics Committee of Islamic Azad University, Behshahr Branch of Medical Sciences, approved the study (</span></span><span style="font-size:9.0pt"><span style="line-height:135%">IR.IAU.SARI.REC.1402.288</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%">)</span></span><span style="font-size:9.0pt"><span style="line-height:135%">.</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:135%"></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Authors&rsquo; contributions:</span></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Conceptualization:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Samaneh Mirzayi</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Methodology:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Samaneh Mirzayi</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Data collection:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Samaneh Mirzayi</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Formal analysis:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Samaneh Mirzayi</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Supervision:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Majid Pourfraj Omran</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Project administration:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Majid Pourfraj Omran</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Writing &ndash; original draft:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Samaneh Mirzayi</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Writing &ndash; review & editing:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Samaneh Mirzayi</span></span></span></span></span></span></span><br> &nbsp; طرح‌واره درمانی, تنظیم هیجان, تاب‌آوری, سرطان پستان ​​​​​​​ Schema therapy, Emotion regulation, Resilience, Breast cancer 346 359 http://journal.rums.ac.ir/browse.php?a_code=A-10-6825-1&slc_lang=fa&sid=1 Samaneh Mirzayi سمانه میرزایی s.mirzaei20201398@gmail.com 6900319475328460060944 0009-0009-3483-4605 No MS.C Student in Clinical Psychology, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Islamic Azad University, Behshahr Branch, Behshahr, Iran. دانشجوی کارشناسی ارشد روان شناسی بالینی، گروه روانشناسی بالینی، دانشکده روانشناسی و علوم تربیتی، دانشگاه آزاد اسلامی، واحد بهشهر، بهشهر، ایران. Majid Pourfraj Omran مجید پورفرج عمران m.pourfaraj@gmail.com 6900319475328460060945 6900319475328460060945 Yes Associate Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Islamic Azad University, Behshahr Branch, Behshahr, Iran استاد، گروه روانشناسی بالینی، دانشکده روانشناسی و علوم تربیتی، دانشگاه آزاد اسلامی، واحد بهشهر، بهشهر، ایران.