بررسی رابطه‌ی افسردگی با سازگاری مذهبی و حمایت اجتماعی در زنان مبتلا به سرطان پستان

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 روان‌پزشک، گروه روان‌پزشکی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی شیراز، شیراز، ایران.

2 استاد، گروه روان‌پزشکی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی شیراز، شیراز، ایران.

3 استاد، گروه جراحی عمومی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی شیراز، شیراز، ایران.

4 استادیار، گروه روان‌پزشکی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی شیراز، شیراز، ایران.

5 دانشجوی پزشکی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

چکیده

مقدمه: گرچه بیماری‌های مزمن، مانند سرطان و پیامدهای آن، مانند افسردگی، به عنوان شرایط فشارزا تلقی می‌شوند ولی این واکنش‌ها پیامد گریز ناپذیر ضایعه نیستند و بروز آن‌ها بستگی به عوامل خنثی کننده‌ی فشار روانی مانند حمایت اجتماعی و کارآمدی روش‌های مقابله با استرس، مانند سازگاری مذهبی، دارد. هدف از این پژوهش، بررسی رابطه‌ی افسردگی با سازگاری مذهبی و حمایت اجتماعی در زنان مبتلا به سرطان پستان بود.روش‌ها: تعداد 240 بیمار مبتلا به سرطان پستان به صورت تصادفی ساده (بدون در نظر گرفتن مرحله‌ی بیماری) انتخاب شده، توسط آزمون‌های خود گزارشگر افسردگی Beck، سازگاری مذهبی و حمایت اجتماعی مورد ارزیابی قرار گرفتند.یافته‌ها: بین افسردگی با سازگاری مذهبی همبستگی منفی و معنی‌دار (61/0 -) مشاهده شد (01/0 > P). بین افسردگی و حمایت اجتماعی نیز همبستگی منفی و معنی‌دار (84/0-) وجود داشت (01/0 > P). همبستگی بین سازگاری مذهبی و حمایت اجتماعی مثبت و معنی‌دار (62/0+) بود (001/0 > P). نتایج نشان می‌دهد که با کم شدن نمره‌ی سازگاری مذهبی و حمایت اجتماعی، افزایش در نمره‌ی افسردگی مشاهده می‌شود. بر اساس تست افسردگی Beck، 2/34 درصد از بیماران افسردگی در حد متوسط و شدید داشتند.نتیجه‌گیری: این پژوهش نشان دهنده‌ی نقش مؤثر حمایت اجتماعی و سازگاری مذهبی در کاهش نشانه‌های افسردگی در زنان مبتلا به سرطان پستان بود که در مشاوره‌ی روان‌شناختی و درمان افسردگی در این بیماران بایستی مد نظر قرار گیرد. ضمن این که شیوع بالای افسردگی در این بیماران لزوم توجه بیشتر مسؤولین بهداشتی- درمانی را طلب می‌کند.

کلیدواژه‌ها


عنوان مقاله [English]

Investigating the Relation of Depression and Religious Coping and So-cial Support in Women with Breast Cancer

نویسندگان [English]

  • Mahsa Taghavi 1
  • Euones Kalafi 2
  • Abdorrasoul Talei 3
  • Gholamreza Dehbozorgi 4
  • Seyed Mohammad Taghavi 5
1 Psychiatrist, Department of Psychiatry, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
2 Professor, Department of Psychiatry, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
3 Professor, Department of General Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
4 Assistant Professor, Department of Psychiatry, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
5 Student of Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
چکیده [English]

Background: Some chronic diseases like cancer, and its side effects such as depression, are considered as stressful life events. But, these reactions are not the real results of the mentioned disease and depend on the pressure compensatory factors, like social support, and the performance of confront methods with stress, such as religious coping. The purpose of this research was to investigate the relation of depression, religious coping, and social support in the women with breast cancer.Methods: In our research, 240 patients with breast cancer were selected randomly (without considering of the disease stage) and were assisted with self report questionnaires (Beck depression test, religious coping, and social support).Finding: The correlation between religious coping and depression was significant and negative (-0.61; P < 0.01). Also, the correlation between depression and social support was significant and negative (-0.84; P < 0.01). But the correlation between social support and religious coping was significant and positive (0.62; P < 0.001). The results showed that as the score of religious coping and social support decrease, an increase in the depression score is observed and vice versa. Corresponding to the Beck depression test, 34.2% of the patients had moderate and severe depression.Conclusion: This research showed the effective role of social support and religious coping in decreasing depression score in the women with breast cancer which should be considered in therapeutic counseling services. Incidentally, the high rate of depression prevalence in these patients should be highlighted for the people in charged.

کلیدواژه‌ها [English]

  • Depression
  • Religious coping
  • Social support
  • Breast Cancer
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