Volume 20, Issue 2 (5-2021)
JRUMS 2021, 20(2): 163-186 |
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Bashiri Nejadian A, Bayazi M H, Johari Fard R, Rajaei A R. The Relationship between Ambivalence over Emotional Expression and Health-Related Quality of Life and Adherence to Treatment in Cancer Patients: The Mediating Role of Depression and Social Support: A Descriptive Study. JRUMS 2021; 20 (2) :163-186
URL: http://journal.rums.ac.ir/article-1-5813-en.html
URL: http://journal.rums.ac.ir/article-1-5813-en.html
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The Relationship between Ambivalence over Emotional Expression and Health-Related Quality of Life and Adherence to Treatment in Cancer Patients: The Mediating Role of Depression and Social Support: A Descriptive Study
A. Bashiri Nejadian[1], M. H. Bayazi[2], R. Johari Fard[3], A. R. Rajaei[4]
Received: 31/01/21 Sent for Revision: 21/02/21 Received Revised Manuscript: 15/03/21 Accepted: 17/03/21
Background and Objectives: Ambivalence over emotional expression plays an important role in quality of life and adherence to treatment in cancer patients. The aim of this study was to determine the mediating role of depression and social support in the relationship between ambivalence and quality of life and adherence to treatment in cancer patients.
Materials and Methods: The present study was descriptive and based on structural equation modeling. For this purpose, 206 cancer patients referred to Dezful medical centers in 2020 were selected by convenience sampling method and completed questionnaires of ambivalence over emotional expression, quality of life, adherence to treatment, depression, and social support. Data were analyzed using statistical methods of structural equation modeling and Pearson’s correlation.
Results: The results showed that there was a negative and significant relationship between ambivalence and quality of life (β=-0.183), depression and adherence (β=-0.178) (p<0.05), ambivalence and social support (β=-0.411), between depression and quality of life (β=-0.288) (p<0.01) and a positive and significant relationship between ambivalence and depression (β=0.441), social support and quality of life (β=0.221), social support and adherence to treatment (β=0.249) (p<0.01). The mediating role of depression and social support variables was confirmed.
Conclusion: Considering the mediating role of depression and social support in the relationship between ambivalence and quality of life and adherence to treatment, it is recommended in psychological therapies, in the first place, the variable of ambivalence to be examined and evaluated and the important role of mediating variables to be considered.
Key words: Ambivalence, Quality of life, Treatment adherence, Depression, Social support, Cancer
Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical approval: The Ethics Committee of Islamic Azad University of Torbat-e-Jam approved the study (IR.IAU.TJ.REC.1399.004).
How to cite this article: Bashiri Nejadian A, Bayazi M H, Johari Fard R, Rajaei A R. The Relationship between Ambivalence over Emotional Expression and Health-Related Quality of Life and Adherence to Treatment in Cancer Patients: The Mediating Role of Depression and Social Support: A Descriptive Study. J Rafsanjan Univ Med Sci 2021; 20 (2): 163-86. [Farsi]
[1]- PhD Student in Health Psychology, Dept. of Psychology, Torbat Jam Branch, Islamic Azad University, Torbat Jam, Iran, ORCID: 0000-0001-5248-5132
A. Bashiri Nejadian[1], M. H. Bayazi[2], R. Johari Fard[3], A. R. Rajaei[4]
Received: 31/01/21 Sent for Revision: 21/02/21 Received Revised Manuscript: 15/03/21 Accepted: 17/03/21
Background and Objectives: Ambivalence over emotional expression plays an important role in quality of life and adherence to treatment in cancer patients. The aim of this study was to determine the mediating role of depression and social support in the relationship between ambivalence and quality of life and adherence to treatment in cancer patients.
Materials and Methods: The present study was descriptive and based on structural equation modeling. For this purpose, 206 cancer patients referred to Dezful medical centers in 2020 were selected by convenience sampling method and completed questionnaires of ambivalence over emotional expression, quality of life, adherence to treatment, depression, and social support. Data were analyzed using statistical methods of structural equation modeling and Pearson’s correlation.
Results: The results showed that there was a negative and significant relationship between ambivalence and quality of life (β=-0.183), depression and adherence (β=-0.178) (p<0.05), ambivalence and social support (β=-0.411), between depression and quality of life (β=-0.288) (p<0.01) and a positive and significant relationship between ambivalence and depression (β=0.441), social support and quality of life (β=0.221), social support and adherence to treatment (β=0.249) (p<0.01). The mediating role of depression and social support variables was confirmed.
Conclusion: Considering the mediating role of depression and social support in the relationship between ambivalence and quality of life and adherence to treatment, it is recommended in psychological therapies, in the first place, the variable of ambivalence to be examined and evaluated and the important role of mediating variables to be considered.
Key words: Ambivalence, Quality of life, Treatment adherence, Depression, Social support, Cancer
Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical approval: The Ethics Committee of Islamic Azad University of Torbat-e-Jam approved the study (IR.IAU.TJ.REC.1399.004).
How to cite this article: Bashiri Nejadian A, Bayazi M H, Johari Fard R, Rajaei A R. The Relationship between Ambivalence over Emotional Expression and Health-Related Quality of Life and Adherence to Treatment in Cancer Patients: The Mediating Role of Depression and Social Support: A Descriptive Study. J Rafsanjan Univ Med Sci 2021; 20 (2): 163-86. [Farsi]
[2]- Assistant Prof., Dept. of Psychology, Torbat Jam Branch, Islamic Azad University, Torbat Jam, Iran, ORCID: 0000-002-3081-9282
(Corresponding Author) Tel: (051) 52510222, Fax: (051) 52510080, E-mail: bayazi123@gmail.com
(Corresponding Author) Tel: (051) 52510222, Fax: (051) 52510080, E-mail: bayazi123@gmail.com
[3]- Assistant Prof., Dept. of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran, ORCID: 0000-0003-0505-0501
[4]- Associate Prof., Dept. of Psychology, Torbat Jam Branch, Islamic Azad University, Torbat Jam, Iran, ORCID: 0000-0002-3806-1875
Type of Study: Research |
Subject:
روانپزشكي
Received: 2021/01/30 | Accepted: 2021/03/17 | Published: 2021/05/20
Received: 2021/01/30 | Accepted: 2021/03/17 | Published: 2021/05/20
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