Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1405
2
1
gregorian
2026
5
1
24
12
online
1
fulltext
fa
اثربخشی مداخله توانبخشی شناختی بر تصویر بدنی و توجه در زنان مبتلا به سرطان پستان: یک مطالعه نیمهتجربی
Effectiveness of a Cognitive Rehabilitation Therapy on Body Image and Attention in Women with Breast Cancer: A Quasi-Experimental Study
روانپزشكي
روانپزشكي
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">زمینه و هدف:</span></span></span></b> <span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">سرطان پستان شایعترین بدخیمی در میان زنان است و پیامدهای روانشناختی و شناختی قابل توجهی دارد. پژوهش حاضر با هدف تعیین اثربخشی مداخله توانبخشی شناختی بر تصویر بدنی و توجه در زنان مبتلا به سرطان پستان انجام شد.</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 style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">مواد و روشها:</span></span></span></b><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> این مطالعه نیمهتجربی با طرح پیشآزمون-پسآزمون همراه با گروه کنترل و پیگیری سهماهه انجام شد. تعداد 30 زن مبتلا به سرطان پستان بهصورت هدفمند انتخاب و بهطور تصادفی در دو گروه توانبخشی شناختی (۱۵ نفر) و کنترل (۱۵ نفر) گمارده شدند. گروه مداخله ۱۲ جلسه گروهی توانبخشی </span></span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">شناختی (</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">Cognitive Rehabilitation Therapy; CRT</span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">) دریافت کردند و گروه کنترل مداخلهای دریافت نکرد. ابزارهای پژوهش شامل پرسشنامه چندبعدی نگرش فرد نسبت به بدن (</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">Multidimensional Body-Self Relations Questionnaire; MBSRQ</span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">) و آزمون عملکرد مداوم (</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">Continuous Performance Test; CPT</span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">) بودند. دادهها با استفاده از آنالیز واریانس دوطرفه با اندازهگیریهای مکرر تجزیه</span></span></span> <span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">و</span></span></span> <span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">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 style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">یافتهها:</span></span></span></b><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> نتایج نشان داد اثر زمان، گروه و اثر متقابل آنها بر تصویر بدنی معنیدار بود (44/414=</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">F</span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">، 0/001></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">P</span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">، 0/613=</span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">η²</span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">). همچنین، مداخله توانبخشی شناختی موجب کاهش معنیدار خطای ارائه پاسخ، خطای حذف و زمان واکنش شد (0/001></span></span></span><span dir="LTR" style="font-size:9.5pt"><span style="line-height:115%">P</span></span><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">). نتایج پیگیری سه ماهه نشان داد اگرچه بخشی از اثرات مداخله کاهش یافت، اما بهبود تصویر بدنی و عملکرد توجهی نسبت به پیشآزمون همچنان معنیدار باقی ماند.</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 style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin"">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:11.5pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""> مطالعه حاضر نشان داد توانبخشی شناختی در بهبود تصویر بدنی و عملکردهای توجهی زنان مبتلا به سرطان پستان مؤثر است؛ با این حال، به دلیل حجم نمونه محدود، تعمیم یافتهها باید با احتیاط انجام شود. بهکارگیری این مداخله در برنامههای حمایتی مراکز انکولوژی پیشنهاد میشود.</span></span></span></span></span></span></span></span><br>
<b><span dir="RTL" lang="AR-SA" style="font-size:11.5pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">واژههای کلیدی:</span></span></span></b><span dir="RTL" lang="AR-SA" style="font-size:11.5pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""> توانبخشی شناختی، تصویر بدنی، </span></span></span><span dir="RTL" lang="FA" style="font-size:11.5pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">اختلالات </span></span></span><span dir="RTL" lang="AR-SA" style="font-size:11.5pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">توجه، تومورهای پستان</span></span></span>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:150%">Background and Objectives:</span></span></b></a> <span style="font-size:9.0pt"><span style="line-height:150%">Breast cancer is the most prevalent malignancy among women, and is associated with significant psychological and cognitive consequences. The present study aimed to determine the effectiveness of cognitive rehabilitation therapy on body image and attention in women with breast cancer.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Materials and Methods:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> This quasi-experimental study employed a pretest–posttest design with a control group and a three-month follow-up. Thirty women with breast cancer were purposively selected and randomly assigned to a cognitive rehabilitation therapy (CRT) group (n=15) and a control group (n=15). The intervention group received 12 group-based CRT sessions and the control group received no intervention. Data were collected using the Multidimensional Body-Self Relations Questionnaire (MBSRQ) and the Continuous Performance Test (CPT). Data were analyzed using two-way repeated measures analysis of variance (ANOVA).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Results:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The results indicated significant main effects of time and group, as well as a significant time and group interaction on body image (F=44.414, p<0.001, η²=0.613). Moreover, cognitive rehabilitation therapy led to a significant reduction in commission errors, omission errors, and reaction time (p<0.001). Follow-up findings demonstrated that although some intervention effects diminished over time, improvements in body image and attentional performance remained statistically significant compared to the pretest scores.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Conclusion:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The current study suggested that cognitive rehabilitation therapy is effective in improving body image and attentional functions in women with breast cancer. However, due to the small sample size, caution is warranted in generalizing the results. Incorporating this intervention into supportive programs within oncology centers is recommended.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Keywords:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Cognitive rehabilitation, Body image, Attention disorders, Breast neoplasms</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:150%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Funding:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> This study did not have any funds.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Conflict of interest:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Ethical considerations:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The Ethics Committee of Mohaghegh Ardabili University approved the study (IR.UMA.REC.1403.013).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Authors’ contributions:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Conceptualization:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Seyyede Mahsa Mousavi, Akbar Atadokht</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Methodology:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Seyyede Mahsa Mousavi, Sajjad Basharpoor</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Data collection:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Seyyede Mahsa Mousavi, Yousef Roosta</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Formal analysis:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Seyyede Mahsa Mousavi, Sajjad Basharpoor</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Supervision:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Nader Hajloo, Akbar Atadokht</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Project administration:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Akbar Atadokht, Nader Hajloo</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Writing – original draft:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Seyyede Mahsa Mousavi</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">- Writing – review & editing:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Seyyede Mahsa Mousavi, Nader Hajloo, Akbar Atadokht, Sajjad Basharpoor, Yousef Roosta</span></span><span style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
توانبخشی شناختی, تصویر بدنی, اختلالات توجه, تومورهای پستان
Cognitive rehabilitation, Body image, Attention disorders, Breast neoplasms
1086
1102
http://journal.rums.ac.ir/browse.php?a_code=A-10-5736-2&slc_lang=fa&sid=1
Seyyedeh Mahsa
Mousavi
سیده مهسا
موسوی
m.mousavi@uma.ac.ir
6900319475328460062554
6900319475328460062554
No
University of Mohaghegh Ardabili, Faculty of Educational Sciences and Psychology, Ardabil, Iran
دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران
Nader
Hajlou
نادر
حاجلو
hajloo53@uma.ac.ir
6900319475328460062555
6900319475328460062555
Yes
University of Mohaghegh Ardabili, Faculty of Educational Sciences and Psychology, Ardabil, Iran
دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران
Akbar
Atadokht
اکبر
عطادخت
atadokht@uma.ac.ir
6900319475328460062556
6900319475328460062556
No
University of Mohaghegh Ardabili, Faculty of Educational Sciences and Psychology, Ardabil, Iran
دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران
Sajjad
Basharpour
سجاد
بشرپور
basharpoor_sajjad@uma.ac.ir
6900319475328460062557
6900319475328460062557
No
University of Mohaghegh Ardabili, Faculty of Educational Sciences and Psychology, Ardabil, Iran
دانشکده علوم تربیتی و روانشناسی، دانشگاه محقق اردبیلی، اردبیل، ایران
Yousef
Roosta
یوسف
روستا
Roosta.y@umsu.ac.ir
6900319475328460062558
6900319475328460062558
No
Department of Oncology and Hematology, Urmia University of Medical Sciences, Urmia, Iran
دانشگاه علوم پزشکی ارومیه، ارومیه، ایران