fa مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و شناخت درمانی هستی نگر بر انعطاف‌پذیری روان‌شناختی زنان مبتلا به سرطان پستان تغذیه، روانشناسی، ورزش Nutrition, psychology, sport كاربردي Applicable <div style="text-align: justify;"><span style="font-family:nasimYW;"><strong><span lang="FA" style="font-size:12.5pt">مقدمه:</span></strong><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal"> بهبود کیفیت زندگی زنان مبتلا به سرطان پستان، نیازمند مداخلات روان</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">شناختی است. این مطالعه با هدف مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و شناخت</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">درمانی هستی</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">نگر بر انعطاف‌پذیری روان</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">شناختی زنان مبتلا به سرطان پستان شهر اهواز انجام شد. </span></span><br> <strong><span lang="FA" style="font-size:12.5pt">روش بررسی:</span></strong><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal"><strong> </strong>روش پژوهش حاضر مداخله و از نوع پیش</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">آزمون-پس</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">آزمون با گروه کنترل و مرحله پیگیری سه‌ماهه بود. جامعه</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">آماری شامل کلیه زنان مبتلا به سرطان پستان شهر اهواز در سال ۱۴۰۲ بودند و نمونه پژوهش نیز شامل 45 نفر از این گروه بودند که به روش دردسترس انتخاب و در سه گروه 15 نفره،(دو گروه آزمایش و یک گروه کنترل) گمارش شدند. سن آزمودنی&shy; ها بین 18 الی 45 سال بود و دارو استفاده می&shy;کردند. برای گروه آزمایش اول پروتکل روان</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">درمانی مبتنی بر پذیرش و تعهد (ایزدی و عابدی، 1395) و گروه آزمایش دوم شناخت</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">درمانی هستی</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">نگر کیسان (نقل از بهمنی، 2010) اجرا شد ولی گروه کنترل تحت هیچ مداخله روان</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">شناختی قرار نگرفت. ابزار پژوهش شامل پرسشنامه انعطاف</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">پذیری روان</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">شناختی </span></span><span lang="AR-SA" style="font-size:12.5pt"><span style="font-weight:normal">دنیس و واندروال (۲۰۱۰) </span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">بود. برای تجزیه‌وتحلیل داده</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">ها از آزمون </span></span><span lang="AR-SA" style="font-size:12.5pt"><span style="font-weight:normal">تحلیل </span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">واریانس با اندازه&shy;گیری مکرر</span></span> <span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">استفاده شد. </span></span><br> <strong><span lang="FA" style="font-size:12.5pt">یافته</span><span dir="LTR">&shy;</span><span lang="FA" style="font-size:12.5pt">ها:</span></strong><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal"> نتایج نشان داد هر دو روش درمان مبتنی بر پذیرش و تعهد و شناخت</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">درمانی هستی</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">نگر بر انعطاف</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">پذیری روان</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">شناختی زنان مبتلا به سرطان پستان به‌صورت معنی‌دار اثربخش بودند (01/0 ></span></span><span dir="LTR"><span style="font-weight:normal">p</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">). همچنین بین اثربخشی درمان مبتنی بر پذیرش و تعهد و شناخت</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">درمانی هستی</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">نگر بر انعطاف</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">پذیری روان</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">شناختی، تفاوت معنی</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">داری دیده نشد. </span></span><br> <strong><span lang="FA" style="font-size:12.5pt">نتیجه</span><span dir="LTR">&shy;</span><span lang="FA" style="font-size:12.5pt">گیری:</span></strong><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal"> باتوجه</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">به نتایج پژوهش هر دو روش درمان مبتنی بر پذیرش و تعهد و شناخت</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span><span lang="FA" style="font-size:12.5pt"><span style="font-weight:normal">درمانی هستی</span></span><span dir="LTR"><span style="font-weight:normal">&shy;</span></span></span><span lang="FA" style="font-size:12.5pt"><span b="" nazanin="" style="font-family:"><span style="font-weight:normal"><span style="font-family:nasimYW;">نگر جهت بهبود انعطاف&shy; پذیری روان&shy;شناختی زنان مبتلا به سرطان پستان توصیه می‌شود.&nbsp;&nbsp;</span> </span></span></span></div> <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Introduction:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> Improving the quality of life of women with breast cancer requires psychological interventions. The purpose of this research was to compare the effectiveness of acceptance and commitment therapy and cognitive-existential therapy<i> </i>on psychological flexibility in women with breast cancer in Ahvaz. </span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Methods</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">: The current research employed a pre-test-post-test design that included a control group and a three-month follow-up phase. The statistical population consisted of all women diagnosed with breast cancer in Ahvaz city in 2024. From this population, a sample of 45 participants was selected using a convenience sampling method. These participants were subsequently assigned to three groups, each comprising 15 individuals: two experimental groups and one control group. </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Their age was between 18 to 45 years old, and all of them were under medication treatment. </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">For the first experimental group, psychotherapy protocol based on acceptance and commitment (Izadi & Abedi, 2015) and the second experimental group, Kissan cognitive-existential therapy (Bahmani, 2010), but the control group was not subjected to any psychological intervention. The research tool included the psychological flexibility questionnaire of Dennis and Vanderwaal (2010). Analysis of variance with repeated measures was used to analyze the data.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> The results showed that both treatments, treatment based on acceptance and commitment and cognitive-existential therapy<i> </i>are significantly effective on the psychological flexibility of women with breast cancer (p<0.01). Also, no significant difference was seen between the effectiveness of acceptance and commitment therapy and cognitive-existential therapy<i> </i>on psychological flexibility. </span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> The findings of this study indicated that both acceptance and commitment therapy (ACT) and cognitive-existential therapy (CET) effectively enhance psychological flexibility in women with breast cancer. </span></span></span></span></span></div> درمان مبتنی بر پذیرش و تعهد, شناخت‌درمانی, انعطاف‌پذیری, سرطان پستان Acceptance and Commitment Therapy, Cognition Therapy, Flexibility, Breast Cancer 151 170 http://ijbd.ir/browse.php?a_code=A-10-1701-1&slc_lang=fa&sid=1 Fatemeh Jalalpour فاطمه جلال پور jalalporfatemh76@gmail.com 1742520626 000319475328460011879 No Department of Clinical Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran گروه روان شناسی بالینی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران Sahar Safarzadeh سحر صفرزاده safarzadeh1152@yahoo.com 1753677297 000319475328460011880 Yes Department of Clinical Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran گروه روان شناسی، واحد اهواز، دانشگاه آزاد اسلامی، اهواز، ایران