چکیده:
The aim of this research was to determine the effects of cognitive behavioral stress management on improving the quality of life and coping style of patients with cancer. A quasi-experimental design with pretest-posttest and control group was used. Participants were 30 patients with cancer who were selected from among patients referred to oncology centers and oncology clinics in Shiraz. They were placed randomly into two groups of 15 participants. The experimental group received 10 sessions of cognitive behavior stress management therapy. The control group did not receive any psychological intervention. The research instruments were the Quality of Life Questionnaire published by the European Research Organization (Aronson, 1987); and Coping Style Questionnaire as well. The results suggested an improvement and a statistically significant difference in the quality of life and coping style in the experimental group compared with the control group. A two- month follow up study confirmed the results. Cognitive behavior stress management resulted in the improvement of quality of life and coping style.
خلاصه ماشینی:
Cognitive-behavioral stress management intervention has been successfully used to improve the quality of life in individuals with asthma (Rezaei, Neshatdoost, Molavi, and Amra, 2009), hypertension (Jabal Ameli, Neshatdoost, and Molavi, 2010), alopecia areata (Neshatdoost, Nilforoushzadeh, Deghani, and Molavi, 2009), controlling depression in diabetic patients (Davazdah Emami, Roshan, Mehrabi, and Attari, 2009), and reducing depression, anxiety, emotional stress, and improving quality of life and psychological well-being in cancer patients (Penedo 2, Dahn 3, Molton 4 et al.
Generally, cancer diagnosis imposes acute stress on the individual, and it is quite clear that the prolongation of cancer treatments (because they occupy a large part of the individual's life) converts acute stress into chronic stress and ultimately, neuropsychological disruption and distress, leads to a decrease in quality of life 4 in those affected (Hoffman 5, Zevon 6 and D'Arrigo 7 and Cecchini 2004, 8; Carlson, 9 Angen 10 and Cullum 2004, 11; Faul 12, Jim 13, Williams 14 and Jacobsen 2011, 15, as cited in Stafford, Foley, Jude et al.
Some of the reasons for the emergence of these problems include the implicit meanings of this diagnosis in the patient's mind, such as the possibility of physical disfigurement, pain, financial and social losses, loss of feminine identity and sexual desire, reduction in social activity, disintegration of family structure, dependence on others, recurrence of the disease, anxiety about an uncertain future, death, and the process of dying; some of these phenomena occur in the life of the patient (Kennard 14, Smith 15 and Olvera 16, 2004; Skarstein 17, Aass 18, Fossa and 19 Dahl 2000, 20; Wan Sin 1, Larsson 2, Oberg 2002, 3, as cited in Benedict and Penedo, 2013).
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