رابطه علّی ویژگیهای شخصیتی با تبعیت از درمان با میانجیگری حمایت اجتماعی درکشده در بیماران زن مبتلا به سرطان

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کاندیدای دکتری تخصصی روان‌شناسی سلامت، گروه روان‌شناسی، دانشکده روان‌شناسی و علوم‌تربیتی، دانشگاه تهران، تهران، ایران.

2 دانشیار گروه روان‌شناسی، دانشکده روان‌شناسی و علو تربیتی، دانشگاه تهران، تهران، ایران.

3 استادیار گروه داخلی، فوق‌تخصص خون و سرطان بالغین، دانشکده پزشکی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

چکیده

مقدمه: تبعیت از درمان، موضوعی مهم در حوزة سلامت جسم و روان است که جان افراد زیادی را حفظ می­کند. پژوهش حاضر با هدف بررسی رابطه علّی ویژگی­‌های شخصیتی با تبعیت از درمان یا میانجی­‌گری حمایت اجتماعی در بیماران زن مبتلا به سرطان انجام شد.
روش: روش پژوهش توصیفی و طرح پژوهش همبستگی از نوع مدل معادلات ساختاری (SEM) بود. 310 زن مبتلا به سرطان در شهر اهواز در زمستان 1402 به شیوه نمونه‌­گیری در دسترس انتخاب شدند. ابزارهای مورد استفاده پرسش‌نامه­‌های تبعیت از درمان (سیدفاطمی و همکاران، 1397)، شخصیت نئو (کاستا و مک­کری، 1992م) و حمایت اجتماعی ادراک‌شده (زیمت و همکاران، 1988م) بود. برای تحلیل داده­‌ها از نرم‌افزار اس‌پی‌اِس‌اِس (SPSS) جهت اطلاعات توصیفی و نرم افزار اِیموس (AMOS) جهت ارزیابی مدل استفاده شد. روابط مستقیم با نرم‌افزار اِیموس و روابط غیرمستقیم با روش بوت استراپ نرم افزار اِیموس محاسبه شد و شاخص­‌های برازش مطلق، برازش نسبی یا افزایشی و برازش ایجازی یا تعدیل‌یافته گزارش شد.
نتایج: تحلیل­‌های الگویابی معادلات ساختاری تأکید کرد که برازندگی مدل پیشنهادی مناسب است. همچنین نتایج حاکی از آن بود که ویژگی‌­های شخصیتی و خرده‌مقیاس‌­های آن (روان‌رنجورخویی، برون­گرایی، گشودگی به تجربه، توافق‌پذیری و وظیفه­‌شناسی) از طریق میانجی‌گری حمایت اجتماعی بر تبعیت از درمان تأثیرگذار بوده است.
بحث و نتیجه‌گیری: با توجه به بحث مهم تبعیت از درمان، به نظر مهم می‌­رسد که در جهت ارتقای این متغیر، متغیرهای مرتبط و تأثیرگذار بر آن چون ویژگی­‌های شخصیتی و حمایت اجتماعی، موردتوجه بیشتری از جانب مسئولین و سیاست­‌گذاران بهداشت و سلامت روان قرار بگیرند.
 

کلیدواژه‌ها

عنوان مقاله [English]

The Causal Relationship of the Feature Personality Traits Following Mediation Therapy Perceived Social Support in Female Cancer Patients

نویسندگان [English]

  • Maryam Mardani 1
  • Manijeh Firoozi 2
  • Tina Vosoughi 3
1 PhD Candidate in Health Psychology, Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran.
2 Associate Professor, Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran.
3 . Assistant Professor of Internal Medicine Department, Hematologist and medical oncologist, Faculty of Medicine, Ahvaz Jundishapur university of medical sciences, Ahvaz, Iran.
چکیده [English]

Introduction: Treatment adherence is a critical issue in both physical and mental health, as it plays a vital role in saving the lives of many individuals. The present study aimed to investigate the causal relationship between personality traits and treatment adherence, as well as the mediating role of social support in female cancer patients.
Method: The research method employed was descriptive, and the research design utilized correlational structural equation modeling (SEM). A total of 310 women with cancer in Ahvaz were selected during the winter of 2023 using convenience sampling. The instruments utilized in this study included the Treatment Adherence Questionnaires (Seyedfatemi et al., 2018), the NEO Personality Inventory (Costa and McCrae, 1992), and the Perceived Social Support Scale (Zimt et al., 1988). SPSS software was utilized for descriptive data analysis, while AMOS software was employed to assess the model. Direct relationships were calculated using AMOS software, while indirect relationships were assessed through the bootstrap method in AMOS. The analysis reported absolute fit, relative or incremental fit, and adjusted fit indices. Structural equation modeling analyses confirmed that the proposed model was appropriate.
Results: The results also indicated that personality traits and their subscales—neuroticism, extraversion, openness to experience, agreeableness, and conscientiousness—affected treatment adherence through the mediation of social support.
Discussion and Conclusion: Given the critical issue of treatment adherence, it is essential to focus on related and influential factors, such as personality traits and social support. Health and mental health officials, as well as policymakers, should prioritize these variables to enhance treatment adherence.
 

کلیدواژه‌ها [English]

  • Adherence to treatment
  • Characteristic Personality traits
  • Social support

مراجع

  1.  

     

    1. Mattiuzzi C, Lippi G. Current cancer epidemiology. J Epidemiol Glob Health. 2019; 9: 217–22. https://doi.org/10.2991/jegh.k.191008.001
    2. Lu X, Wu C, Bai D, You Q, Cai M, Wang W, et al. Relationship between social support and fear of cancer recurrence among Chinese cancer patients: A systematic review and meta-analysis. Front. Psychiatry. 2023; 14: 1136013. https://doi.org/10.3389/fpsyt.2023.1136013
    3. Cho YU, Lee BG, Kim SH. Coping style at diagnosis and its association with subsequent health-related quality of life in women with breast cancer: A 3-year follow-up study. European Journal of Oncology Nursing. 2020; 45: 101726. https://doi.org/10.1016/j.ejon.2020.101726
    4. Götze H, Friedrich M, Taubenheim S, Dietz A, Lordick F, Mehnert A. Depression and anxiety in long-term survivors 5 and 10 years after cancer diagnosis. Supportive Care in Cancer. 2020; 28: 211-20. https://doi.org/10.1007/s00520-019-04805-1
    5. Lu D, Andersson TM, Fall K, Hultman CM, Czene K, Valdimarsdóttir U, et al. Clinical diagnosis of mental disorders immediately before and after cancer diagnosis: A nationwide matched cohort study in Sweden. JAMA Oncology. 2016; 2(9): 1188-96. https://doi.org/10.1001/jamaoncol.2016.0483
    6. Vehling S, Kissane DW, Lo C, Glaesmer H, Hartung TJ, Rodin G, et al. The association of demoralization with mental disorders and suicidal ideation in patients with cancer. Cancer. 2017; 123(17): 3394-401. https://doi.org/10.1002/cncr.30749
    7. Ng CG, Mohamed S, Kaur K, Sulaiman AH, Zainal NZ, Taib NA, et al. Perceived distress and its association with depression and anxiety in breast cancer patients. PLoS One. 2017; 12(3): e0172975. https://doi.org/10.1371/journal.pone.0172975
    8. The Global Cancer Observatory. Islamic Republic of Iran. 2021; International Agency for Research on Cancer: WHO; Routledge. https://doi.org/https://gco.iarc.fr/today/data/factsheets/populations/
    9. Drageset S, Austrheim G, Ellingsen S. Quality of life of women living with metastatic breast cancer and receiving palliative care: A systematic review. Health Care for Women International. 2021; 42(7-9): 1044-65. https://doi.org/10.1080/07399332.2021.1876063
    10. Ribi K, Luo W, Colleoni M, Karlsson P, Chirgwin J, Aebi S, et al. Abstract P5-18-01, Extended continuous vs intermittent adjuvant letrozole in postmenopausal women with lymph node-positive, early breast cancer (IBCSG 37-05/BIG 1-07 SOLE), Impact on patient-reported symptoms and quality of life. Cancer Research. 2018; 78(4): P5-18-01-P5-18-01. https://doi.org/10.1158/1538-7445.SABCS17-P5-18-01
    11. Stagl JM, Antoni MH, Lechner SC, Bouchard LC, Blomberg BB, Glück S, et al. Randomized controlled trial of cognitive behavioral stress management in breast cancer: A brief report of effects on 5-year depressive symptoms. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association. 2015; 34(2): 176-80. https://doi.org/10.1037/hea0000125
    12. Isfahani P, Arefy M, Shamsaii M. Prevalence of severe depression in Iranian women with breast cancer: A meta-analysis. Depress Res Treat. 2020; 2020: 5871402. https://doi.org/10.1155/2020/5871402
    13. Roshandel G, Ferlay J, Ghanbari-Motlagh A, et al. Cancer in Iran 2008 to 2025: Recentincidence trends and short-term predictions of the futureburden.Int. J. Cancer. 2021; 149: 594-605. https://doi.org/10.1002/ijc.33574
    14. Prell T. Adherence to medication in neurogeriatric patients: an observational cross-sectional study. BMC Public Health. 2019; 19, 1012. https://doi.org/10.1186/s12889-019-7353-5
    15. Carvalho AS, Santos P. Medication Adherence In Patients With Arterial Hypertension: The Relationship With Healthcare Systems' Organizational Factors. Patient Prefer Adherence. 2019 Oct 17; 13:1761-1774. https://doi.org/ 10.2147/PPA.S216091.
    16. Walburn J, Sainsbury K, Foster L, Weinman J, Morgan M, Norton S, Canfield M, Chadwick, P., Sarkany R., & Araujo-Soares, V. Why? What? How? Using an intervention mapping approach to develop a personalised intervention to improve adherence to photoprotection in patients with Xeroderma Pigmentosum. Health Psychology and Behavioral Medicine. 2020; 8(1):475–500. 10.1080/21642850.2020.1819287
    17. Nonogaki A, Heang H, Yi S, van Pelt M, Yamashina H, Taniguchi C, Nishida T, Sakakibara H. Factors associated with medication adherence among people with diabetes mellitus in poor urban areas of Cambodia: A cross-sectional study. PLoS One. 2019;14(11): e0225000. https://doi.org/10.1371/journal.pone.0225000.
    18. Ko JH, Joo EJ, Park SJ, Baek JY, Kim WD, Jee J. Neutralizing antibody production in asymptomatic and mild COVID-19 patients, in comparison with pneumonic COVID-19 patients. J Clin. Med. 2020; 9: 2268. https://doi.org/10.3390/jcm9072268
    19. Yangöz ŞT, Özer Z, & Boz İ. Comparison of the effect of educational and self‐management interventions on adherence to treatment in hemodialysis patients: A systematic review and meta‐analysis of randomized controlled trials. Int JClin Pract. 2021; 75(5):e13842.‏ https://doi.org/10.1111/ijcp.13842
    20. Noble LM. Doctor-patient communication and adherence to treatment. In adherance to treatment in medical conditions (pp. 51-82). CRC Press; 2020.‏ https://doi.org/10.1201/9781003072348-5
    21. Rea F, Savaré L, Franchi M, Corrao G, Mancia G. Adherence to treatment by initial antihypertensive mono and combination therapies. Am J Hypertens. 2021; 34(10):1083-91. https://doi.org/10.1093/ajh/hpab083
    22. Turan B, Hatcher AM, Weiser SD, Johnson MO, Rice WS, Turan JM. Framing mechanisms linking HIV-related stigma, adherence to treatment, and health outcomes. Am J Public Health. 2017; 107(6): 863-9. https://doi.org/10.2105/AJPH.2017.303744 2
    23. Kozak AT, Hawkins MA, Dibble TL. Personality and dispositional factors in relation to chronic disease management and adherence to treatment. Encyclopedia of Personality and Individual Differences. 2020; 1(2): 3600-7. https://doi.org/10.1007/978 - 3 -319 -24612-3_2276
    24. Greco A, Steca P, Pozzi R, Monzani D, D’Addario M, Villani A, et al. Predicting depression from illness severity in cardiovascular disease patients: Self-efficacy beliefs, illness perception, and perceived social support as mediators. Int J Behav Med. 2014; 21(2): 221-9. https://doi.org/10.1007/s12529 -013 -9290–5
    25. World Health Organization. Rapid сommunication: Key changes to treatment of multidrug -and rifampicin-resistant tuberculosis (MDR/RR-TB); 2018. https://apps.who.int/iris/bitstream/handle/10665/275383/
    26. World Health Organization. Global action plan on physical activity 2018-2030: More active people for a healthier world; 2019. 4.
    27. Ivanovska V, Hek K, Mantel Teeuwisse AK, Leufkens HGM, Nielen MMJ, Van Dijk L. Antibiotic prescribing for children in primary care and adherence to treatment guidelines. J Antimicrob Chemother. 2016; 71(6): 1707–14. https://doi.org/10.1093/jac/dkw0305
    28. Hedayati A, Mani A, Hamidizadeh N, Chohedri E, Moradi Khalaj H, Moshfeghinia R, et al. Association of personality traits with treatment adherence in vitiligo. J Iran Med Counc. 2023; 6(3): 535-41. https://doi.org/10.18502/jimc.v6i3.12858
    29. Kheirabadi G, Akashe Z, Maracy MR, Bagherian-Sararoudi R. The relationship between personality traits and adherence among patients with hypertension. International Archives of Health Sciences. 2020; 7(1): 43-52. https://doi.org/10.4103/iahs.iahs_61_19
    30. Nguyen TA, Pham MT, Nguyen TL, Nguyen VN, Pham DC, Nguyen BH, et al. Video directly observed therapy to support adherence with treatment for tuberculosis in Vietnam: A prospective cohort study. Int J Infect Dis. 2017; 65: 85-9. https://doi.org/10.1016/j.ijid.2017.09.029
    31. Costedoat-Chalumeau N, Houssiau F, Izmirly P, Le Guern V, Navarra S, Jolly M, et al. A prospective international study on adherence to treatment in 305 patients with flaring sle: Assessment by drug levels and self-administered questionnaires. Clin Pharmacol Ther. 2018; 103(6): 1074-82. https://doi.org/10.1002/cpt.885
    32. Demirci K, Demirci S, Taşkıran E, Kutluhan S. The effects of temperament and character traits on perceived social support and quality of life in patients with epilepsy. Epilepsy Behav. 2017; 74: 22-6. https://doi.org/10.1016/j.yebeh.2017.05.039
    33. Akçay BD, Gül VO, Özer S. Temperament and character traits in patients with anorectal disorder. Journal of Surgery and Medicine. 2018; 2(1): 17‌–22. https://doi.org/10.28982/josam.370190
    34. Aker D, Kose S, Solmaz M, Bal Z, Akin E. Temperament and character dimensions of personality in patients with chronic pain disorders. Journal of Mood Disorders. 2017; 7(1): 11-23. https://doi.org/10.5455/jmood.20170214015231
    35. Giulietti MV, Vespa A, Ottaviani M, Berardi R, Balercia G, Arnaldi G, Gattafoni P, Fabbietti P, Rosa MD, Spatuzzi R. Personality (at Intrapsychic and Interpersonal Level) Associated with Quality of Life in Patients with Cancer (Lung and Colon). Cancer control. Journal of the Moffitt Cancer Center. 2019; 26(1): 1073274819880560. https://doi.org/10.1177/1073274819880560
    36. Tamura S, Suzuki K, Ito Y, Fukawa, A. Factors related to the resilience and mental health of adult cancer patients: A systematic review. Supportive Care in Cancer. 2021; 29(7): 3471-86. https://doi.org/10.1007/s00520-020-05943-7
    37. Nielsen MB, Christensen JO, Finne LB, Knardahl, S. Workplace bullying, mental distress, and sickness absence: The protective role of social support. International Archives of Occupational and Environmental Health. 2020; 93(1): 43-53. https://doi.org/10.1007/s00420-019-01463-y
    38. رستمی لیدا، گودرزی محمود. مقایسه ویژگی‌های شخصیتی و نحوه نگرش به انتخاب همسر در دانشجویان متأهل دارای رابطه و فاقد رابطه قبل از ازدواج. روان‌شناسی بالینی و شخصیت. 1401؛ 20(1): 31-44. https://doi. rg/10.22070/cpap.2022.15104.1141
    39. 39. ابراهیمی لقمان، الماسی مجید. نقش ویژگی‌های شخصیتی، ناگویی هیجانی و اجتناب‌شناختی در پیش‌بینی عاطفه مثبت و منفی. روان‌شناسی بالینی و شخصیت. 1402؛ 21(1): 43-56. https://doi.org/10.22070/cpap.2023.15081.1137
    40. 40. İzci F, Erdogan Zİ, İlgün AS, Çelebi E, Alço G, Kocaman N, et al. Impact of personality traits, anxiety, depression and hopelessness levels on quality of life in the patients with breast cancer. European Journal of Breast Health. 2018; 14(2): 105-11. https://doi.org/10.5152/ejbh.2018.3724
    41. Eadie T, Kapsner-Smith M, Bolt S, Sauder C, Yorkston K, Baylor C. Relationship between perceived social support and patient -reported communication outcomes across communication disorders: A systematic review. Int J Lang Commun Disord. 2018; 53(6): 1059-77. https://doi.org/10.1111/1460 -6984.12417
    42. Kelly EL, Fenwick KM, Brekke JS, Novaco RW. Sources of social support after patient assault as related to staff well-being. J Interpers Violence. 2017: 1; 886260517738779. https://doi.org/10.1177/0886260517738779
    43. توجهی مطهره‌، تمنایی‌فر محمدرضا. رابطه راهبردهای مقابله‌ای و حمایت اجتماعی با اضطراب امتحان دانش‌آموزان در پاندمی کووید19: نقش واسطه‌ای تاب‌آوری تحصیلی. روان‌شناسی بالینی و شخصیت. 1401؛ 20(2): 149-163. https://doi. org/10.22070/cpap.2023.16237.1228
    44. Nambisan P, Gustafson DH, Hawkins R, Pingree S. Social support and responsiveness in online patient communities: Impact on service quality perceptions. Health Expect. 2016; 19(1): 87-97. https://doi.org/10.1111/hex.12332
    45. Attaran Khorasani A, Aldaghi M, Darbanbashi Khamesi N, Maleki M, Jahani Z, Razavi R. Structural pattern of personality traits in cancer patients on treatment adherence and self-efficacy mediated by social support. Iranian Journal of Health Psychology. 2023; 6(1): 27-54. https://doi.org/10.30473/ijohp.2023.64171.1253
    46. Kadambi S, Soto-Perez-De-Celis E, Garg T, Loh K, Krok-Schoen Jl, et al. social support for older adults with cancer: Young international society of geriatric oncology review paper. J Geriatr Oncol. 2020; 11(2): 217–24. https://doi.org/10.1016/j.jgo.2019.09.005
    47. Kim B, Kim J. Influence of uncertainty, depression, and social support on self-care compliance in hemodialysis patients. Ther Clin Risk Manag. 2019; 15: 1243. https://doi.org/10.2147/TCRM.S218934
    48. Nguyen PT, Hernández A, Costet N, Patural H, Pichot V, Carrault G, et al. Improving methodology in heart rate variability analysis for the premature infants: Impact of the time length. Plos one. 2019; 14(8): e0220692. https://doi.org/10.1371/journal.pone.0220692
    49. Razavi R, Yaghubi H, Ganji K, Khajevand Khoshli A. Modeling the relationships between cancer self-efficacy and role treatment adherence in women with breast cancer: The mediating role of social support. Nursing and Midwifery Journal. 2021; 19(2): 158-68. http://unmf.umsu.ac.ir/article-1-4277-en.html
    50. Beshlideh K. (2014). Research methods and statistical analysis of research examples with SPSS and AMOS. Ahvaz: Shahid Chamran University of Ahvaz Publications. [In Persian] https://scholar.google.com/scholar
    51. سیدفاطمی نعیمه، رفیعی فروغ، حاجی‌زاده ابراهیم، مدانلو مهناز. طراحی و روان‌سنجی پرسش‌نامه تبعیت از درمان در بیماران مبتلا به بیماری مزمن: یک مطالعه ترکیبی. کومش. ۱۳۹۷؛ ۲۰‌(۲): 179-191. http://koomeshjournal. emums.ac.ir/
    52. رامک ناهید، قاسم‌نژاد کیانا، قاسم‌پور الهه، صادق‌خانی زینب، سام‌خانیان اسحاق، بی‌باک فرشید و همکاران. بررسی تأثیر روان‌درمانی تحلیلی کارکردی بر تبعیت درمانی و رفتارهای خودمراقبتی در زنان مبتلا به انفارکتوس حاد میوکارد. نشریه پرستاری قلب و عروق. ۱۴۰۰؛ ۱۰‌(۱): ۲0-۲7. http://journal.icns.org.ir/article-1-700-fa.html
    53. Costa PT, Mccrae RR. The five-factor model of personality and its relevance to personalily disorders. Journal of Personality Disorders. 1992; (4)6: 343-59. https://doi.org/10.1521/pedi.1992.6.4.343
    54. Muris P, Meesters C, Diederen R. Psychometric properties of the big five questionnaires for children (BFQ-C) in a dutch sample of young adolescents. Pers Individ Dif. 2005; 38(8): 1757-69. https://doi.org/10.1016/j.paid.2004.11.018
    55. Nikoogoftar M, Jazayeri F. Five-factor traits of personality are a predictor of mothers’ aggression. Knowledge & Research in Applied Psychology. 2019; 20(2): 58-68. https://doi.org/10.30486/JSRP.2019.665275
    56. احمدی عزت‌اله، بافنده حسن، محکی محمد. نقش صفات شخصیت در پیش‌بینی سندرم رودة تحریک‌پذیر با واسطه‌گری حساسیت اضطرابی. روان‌شناسی بالینی و شخصیت. 1402؛ 21(2): 73-86. https://doi. org/10.22070/cpap.2023.14645.1104
    57. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment. 1988; 52: 30-41. https://doi.org/10.1207/s15327752jpa5201_2
    58. Stanley MA, Beck JG, Zebb BJ. Psychometric properties of the MSPSS in older adults. Aging and Mental Health. 1998; 2: 186-93. https://doi.org/10.1080/13607869856669
    59. Bruwer B, Emsley R, Kidd M, Lochner C, Seedat S. Psychometric properties of the Multidimensional Scale of Perceived Social Support in youth. Comprehensive Psychiatry. 2008; 49: 195-201. https://doi.org/10.1016/j.comppsych.2007.09.002
    60. Canty-Mitchell, J., & Zimet, G. D. Psychometric properties of the Multidimensional Scale of Perceived Social Support in urban adolescents. American journal of community psychology, 2000; 28(3), 391-400.‏
    61. Dhalem NW, Zimet GD, Walker, RR. The multidimensional scale of perceived social support: A confirmation study. Journal of Clinical Psychology. 1991; 47(6): 756-61. https://doi.org/10.1002/1097-4679(199111)47:6<756::AID-JCLP2270470605>3.0.CO;2-L
    62. بشارت محمدعلی (1385). پایایی و اعتبار مقیاس سلامت روانی (MHI). دانش و رفتار. 1385؛ 16: 11-16.. https://ensani.ir/fa/article/journal-number/13521/
    63. Berglund E, Lytsy P, Westerling R. Living environment, social support, and informal caregiving are associated with healthcare seeking behaviour and adherence to medication treatment: A cross-sectional population study. Health Soc Care Community. 2019; 27(5): 1260-70. https://doi.org/10.1111/hsc.12758
    64. Berner C, Erlacher L, Fenzl KH, Dorner TE. Medication adherence and coping strategies in patients with rheumatoid arthritis: A cross-sectional study. Int J Rheumatol. 2019; 4709645. https://doi.org/10.1155/2019/4709645
    65. Ceranic J, Kisic Tepavcevic D, Petronijevic M, Milic M, Ceranic M, Rancic N, Ristic G. Assessment and prediction of adherence to methotrexate using three self-report questionnaires in patients with rheumatoid arthritis. Medicina (Kaunas). 2023; 59(8): 1446. https://doi.org/10.3390/medicina59081446

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