Middle Eastern Journal of Disability Studies

fa اثربخشی درمان مبتنی بر پذیرش و تعهد بر تحمل ابهام و تنظیم هیجانی بیماران مبتلا به سرطان ریه The effectiveness of treatment based on acceptance and commitment on ambiguity tolerance and emotional regulation of patients with lung cancer روانشناسی Psychology مقاله پژوهشی اصیل Original Research Article زمینه و هدف: سرطان بیماری است که علاوه بر جسم بر روان افراد مبتلا به آن هم تاثیر میگذارد. پژوهش حاضر با هدف بررسی اثربخشی درمان مبتنی بر پذیرش و تعهد بر تحمل ابهام و تنظیم هیجانی بیماران مبتلا به سرطان ریه انجام شد. روش بررسی: این پژوهش به روش نیمه آزمایشی و از نوع پیش و پسآزمون با گروه گواه بود. جامعه آماری شامل کلیه بیماران مراجعه کننده به انجمن حمایت از بیماران مبتلا به سرطان ریه اسرا در شهر تهران در سال 1402بود. از میان آنها تعداد 30 نفر به صورت هدفمند انتخاب شده و به صورت تصادفی در دو گروه آزمایش (15 نفر) و گواه (15 نفر) جایگزین شدند. گروه آزمایش درمان مبتنی بر پذیرش و تعهد را در 8 جلسه هفتگی به مدت 90 دقیقه دریافت کردند و گروه گواه هیچگونه درمان روانشناختی دریافت نکردند. دادهها از طریق دو پرسشنامه تحمل ابهام (مک لین، 1993) و تنظیم هیجان (گراس و جان، 2003) در دو مرحله قبل و بعد از مداخله درمانی در دو گروه گردآوری شد. تحلیل دادههای پژوهش با استفاده از آزمون تحلیل کوواریانس تک متغیری در سطح معناداری 05/0 به کمک نرمافزار SPSS-27 صورت گرفت.  یافتهها: نتایج نشان داد، تاثیر درمان مبتنی بر پذیرش و تعهد بر تحمل ابهام و تنظیم هیجانی در بیماران مبتلا بر سرطان ریه معنادار بود (001/0˂p).  بحث و نتیجهگیری: براساس یافته ها درمان مبتنی بر پذیرش و تعهد در افزایش تحمل ابهام و تنظیم هیجانی بیماران مبتلا به سرطان ریه موثر بوده است. بنابراین میتوان از این روش درمانی در مراکز درمانی در جهت کاهش مشکلات روانشناختی بیماران مبتلا به سرطان ریه استفاده کرد.   Introduction and purpose: Cancer is a disease characterized by the uncontrolled growth of abnormal cells. In 2020, there were 10 million cancer-related deaths, with lung cancer having the highest incidence and mortality rates, especially among men. This type of cancer typically presents no symptoms in its early stages, which often leads patients to seek medical attention only after the disease has progressed. Cancer not only poses chronic physical risks but also presents significant psychological challenges, increasing the need for psychological support among these patients. Many patients experience concerns about survival, which can negatively impact their mental health and emotional regulation, often resulting in anxiety and depression. The relationship between changes in the mindset of cancer patients and their health-promoting behaviors has gained global importance. Given that cancer has numerous causes and treatment methods, psychological and behavioral factors are as crucial as physical factors. Alongside drug treatments, psychological interventions can effectively address mental health issues. Two key psychological constructs related to the mental health of cancer patients are emotional regulation and tolerance of ambiguity. This study aims to evaluate the effectiveness of acceptance and commitment therapy on emotional regulation and ambiguity tolerance in patients with lung cancer. Materials and methods: This research was semi-experimental and pre- and post-test with a control group. The statistical population included all patients with lung cancer who referred to the Association for the Support of Patiants of Lung Cancer in Tehran. According to the records, 132 men had Among them, 30 people were selected purposefully and randomly replaced in two experimental (15 people) and control (15 people) groups. Research entry criteria: 1. Diagnosed with lung cancer, 2. Completed chemotherapy, 3. Provided consent to participate, 4. Aged 20 to 50 years, 5. No mental disorders. Exclusion criteria: 1. Withdrawal from therapy, 2. Over two absences from therapy sessions, 3. Concurrent involvement in psychotherapy. The experimental group received treatment based on acceptance and commitment in 8 weekly sessions for 90 minutes, and the control group did not undergo any psychological treatment during this period. The data were collected through two questionnaires of ambiguity tolerance (McLean, 1993) and emotion regulation (Gross and John, 2003) in two stages before and after the therapeutic intervention in two groups. After the research concluded, the treatment program was also implemented for the control group to uphold ethical standards. Data analysis consisted of two parts; descriptive statistics and inferential statistics. Descriptive statistics included frequency, percentage, mean, and standard deviation, while inferential statistics involved univariate analysis of covariance. The analysis was conducted using SPSS software version 27, with a significance level set at 0.05. Results: Data analysis indicated that the scores of emotional regulation and ambiguity tolerance in lung cancer patients in the intervention group significantly improved after treatment compared to the control group (p<0.001). The results from the univariate covariance analysis indicate that treatment based on acceptance and commitment is effective. According to the obtained value of the eta coefficient for emotional regulation and tolerance of ambiguity, it can be said that 0.491 of the variance of suppression and 0.481 of the variance of re-evaluation was related to the effect of acceptance and commitment therapy. Additionally, 0.708 of the variance in tolerance of ambiguity is also attributed to the impact of the acceptance and commitment treatment. respectively, indicating the considerable effect of the acceptance and commitment treatment on increasing tolerance of ambiguity and emotional regulation in patients with Lung Cancer. Conclusion: The treatment based on acceptance and commitment has been effective in increasing ambiguity tolerance and emotional regulation of lung cancer patients. Therefore, this treatment method can be used in medical centers to reduce the psychological problems of patients with lung cancer.   سرطان ریه؛ درمان مبتنی بر پذیرش و تعهد؛ تحمل ابهام؛ تنظیم هیجان lung cancer, Acceptance and Commitment Therapy, tolerance of ambiguity, emotional regulation 0 0 http://jdisabilstud.org/browse.php?a_code=A-11-3832-1&slc_lang=fa&sid=1 Samane Khalili سمانه خلیلی samane_khalili@atu.ac.ir 100319475328460066748 100319475328460066748 Yes Allameh Tabatabaei University دانشگاه علامه طباطبایی mahnaz abdolahzade مهناز عبدالله زاده اقبلاغ abdomahnaz@gmail.com 100319475328460066749 100319475328460066749 No Islamic Azad university دانشگاه آزاد اسلامی zeynab ghiasi زینب غیاثی z.ghiasi668@eyc.ac.ir 100319475328460066750 100319475328460066750 No Non-profit university دانشگاه غیرانتفاعی parasto aghaee پرستو آقایی p.aghaee668@eyc.ac.ir 100319475328460066751 100319475328460066751 No Non-profit university دانشگاه غرانتفاعی