اثر ساختاری فرایندهای پذیرش و تعهد بر تضعیف روحیه در بیماران مبتلا به سرطان: نقش‌های میانجی رشد و افت پس از سانحه

مقالات آماده انتشار

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد روانشناسی بالینی، گروه روانشناسی بالینی، دانشکده روانشناسی و علوم تربیتی، دانشگاه سمنان، سمنان، ایران

2 دانشیار روانشناسی سلامت، گروه روانشناسی بالینی، دانشکده روانشناسی و علوم تربیتی، دانشگاه سمنان، سمنان، ایران

10.48308/apsy.2026.242663.1944

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

موضوعات

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-Dehkordi 1
  • Isaac Rahimian-Boogar 2
1 MSc student in Clinical Psychology, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran.
2 Associate Professor of Health Psychology, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran.
چکیده [English]

Aim: The present study aimed to examine the structural impact of acceptance and commitment processes on demoralization in cancer patients, with a focus on the mediating roles of post-traumatic growth and post-traumatic depreciation.
 
Method: This correlational study was conducted with 260 cancer patients who attended Omid Hospital in Isfahan during the spring and summer of 2024. Participants were selected using convenience sampling. Data collection instruments included the Acceptance and Commitment Therapy Process Scale (Francis et al., 2016), the Demoralization Scale (Robson et al., 2016), and the Expanded Post-traumatic Growth and Depreciation Questionnaire (Tako et al., 2021). Data were analyzed using Pearson correlation and structural equation modeling (SEM) with Amos-26 software.
 
Results: The analysis revealed a significant negative correlation between acceptance and commitment processes and demoralization (P<0.001). Post-traumatic growth and post-traumatic depreciation significantly mediate the relationship between acceptance and commitment processes and demoralization (P<0.001). The final model demonstrated an adequate fit to the data (P<0.05).
 
Conclusion: The acceptance and commitment processes play a role in demoralization, both directly and through post-traumatic growth and depreciation. It is recommended that interventions targeting acceptance and commitment processes, as well as fostering post-traumatic growth and reducing post-traumatic depreciation, be developed to alleviate demoralization in cancer patients.

کلیدواژه‌ها [English]

  • Acceptance and Commitment
  • Demoralization
  • Post-Traumatic Growth
  • Post-Traumatic Depreciation
  • Cancer

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مقالات آماده انتشار، پذیرفته شده
انتشار آنلاین از تاریخ 11 بهمن 1404

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