نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روانشناسی، واحد گرگان، دانشگاه آزاد اسلامی، گرگان، ایران

2 دانشیار گروه روانشناسی، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران

چکیده

مقدمه: هدف این پژوهش تعیین سهم عوامل روانشناختی موثر بر تسهیل فرآیند سوگ در والدین دارای کودک مبتلا به سرطان بود.

روش: پژوهش حاضر یک پژوهش آمیخته بود. جامعه مورد نظر را مادرانی که کودکان آنها بر اثر بیماری سرطان فوت شده بودند، تشکیل دادند. از این جامعه 54 نفر به صورت نمونه هدفمند انتخاب شدند. جهت تجزیه و تحلیل داده های کیفی از استخراج مفاهیم از مصاحبه های انفرادی بود. جهت تجزیه و تحلیل داده های کمی از روش اجرای معادلات ساختاری اکتشافی مبتنی بر مولفه ها استفاده شد.

یافته ها: متغیرهای خودکارآمدی، مقابله های غیر هیجانی، راهبرد کنار آمدن متمرکز بر معنی، دریافت خدمات مشاوره ای و روان شناختی،حمایت اجتماعی و حمایت خانوادگی، کیفیت روابط بین فردی، ویژگیهای شخصیتی (سر سختی)، خشم از خدا/ دنیا/ طبیعت،عدم اعتماد به استمرار زندگی پس از مرگ، احساس تنهایی، اجتناب، انزوا، مقابله های هیجانی، سرعت از دست دادن فرزند، تعارضات زناشویی، بی اعتمادی به کیفیت خدمات درمانی، احساس گناه، سابقه مراقبت از بیمار در حال مرگ و تحریف که در تسهیل فرایند سوگ در والدینی که کودک خود را با بیماری سرطان از دست داده اند، موثراند.

نتیجه گیری: با توجه به یافته های پژوهش ، می توان از متغیرهای خودکارآمدی، مقابله های غیرهیجانی، راهبرد کنارآمدن متمرکز بر معنی، کیفیت روابط بین فردی، ویژگی های شخصیتی (سرسختی)، مقابله های هیجانی و نشانه های جسمانی در تسهیل فرایند سوگ در والدینی که کودک خود را با بیماری سرطان از دست داده اند ، استفاده کرد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The contribution of psychological factors affecting the process of facilitating parental grief of a child with cancer: Mixed method

نویسندگان [English]

  • Saeideh Eslah-kar 1
  • Shahram Vaziri 2
  • Farah Lotfi kashani 2

1 Department of psychology, Gorgan Branch, Islamic Azad University, Gorgan,Iran

2 Associate Professor, Department of psychology, Roudehen Branch , Islamic Azad University,Roudehen,Iran

چکیده [English]

The aim of this study was to determine the level of psychological factors which effectively contribute to the facilitation of the bereaving process of mothers who had lost their children to cancer.

Methods: The current research was a purposive descriptive study with the statistical universe of mothers whose children had lost their lives in the battle with cancer. Out of this statistical universe, 54 people were chosen using snowball sampling.

Results: The results of the study reveal that self-efficiency, unemotional coping, meaning-centered coping approach, Get counseling and psychological services, Spouse support, Social support and family support, quality of interpersonal relationships, personal characteristics (hardiness), Being involved with a child's memory, Anger at God / the world / nature, Lack of confidence in the continuation of life after death, Release by the health system, Feeling lonely, avoid, Isolation, emotional coping, speed of losing a child, Seeing children of their child's age, marital conflicts, Lack of confidence in the quality of healthcare, feel guilty, A record of dying patient care, Distortion were variables which contributed to the facilitation of the bereavement of parents whose children had died of cancer.

Conclusion: In light of the results of this study, the utilization of the following variables of self-efficiency, unemotional coping, meaning-centered coping approach, quality of interpersonal relationships, personal characteristics (hardiness), emotional coping and physical symptoms to facilitate the bereaving process of those mothers who lost their children due to cancer can be suggested

کلیدواژه‌ها [English]

  • Psychological factors
  • Bereavement
  • Family care giver
  1. Djelantik AAAMJ, Smid GE, Mroz A, Kleber RJ, Boelen PA. The prevalence of prolonged grief disorder in bereaved individuals following unnatural losses: Systematic review and meta regression analysis. J Affect Disord. 2020;265:146–56.
  2. Applebaum AJ, Panjwani AA, Buda K, O’Toole MS, Hoyt MA, Garcia A, et al. Emotion regulation therapy for cancer caregivers—an open trial of a mechanism-targeted approach to addressing caregiver distress. Transl Behav Med. 2020;10(2):413–22.
  3. Maciejewski PK, Prigerson HG. Prolonged, but not complicated, grief is a mental disorder. Br J Psychiatry. 2017;211(4):189–91.
  4. De Stefano R, Muscatello MRA, Bruno A, Cedro C, Mento C, Zoccali RA, et al. Complicated grief: A systematic review of the last 20 years. Int J Soc Psychiatry. 2020;0020764020960202.
  5. Youlden DR, Baade PD, Green AC, Valery PC, Moore AS, Aitken JF. Second primary cancers in people who had cancer as children: an Australian Childhood Cancer Registry population‐based study. Med J Aust. 2020;212(3):121–
  6. Afifi T, Elessi K, Baraka O, Omar M, Ahmad I, Al-Attar H, et al. Assessment of Quality of life Among Children with Cancer, Children Undergoing Hemodialysis and Children with Thalassemia: A Comparative Study. 2020;
  7. Rice SM, Kealy D, Ogrodniczuk JS, Seidler ZE, Denehy L, Oliffe JL. The Cost of Bottling It Up: Emotion Suppression as a Mediator in the Relationship Between Anger and Depression Among Men with Prostate Cancer. Cancer Manag Res. 2020;12:1039.
  8. Robbins R, Jean‐Louis G, Chanko N, Combs P, Byrne N, Loeb S. Using data from an online health community to examine the impact of prostate cancer on sleep. BJU Int. 2020;
  9. Gerrish NJ, Bailey S. Maternal Grief: A Qualitative Investigation of Mothers’ Responses to the Death of a Child From Cancer. OMEGA-Journal of Death and Dying. 2020;81(2):197–241.
  10. Morris S, Fletcher K, Goldstein R. The grief of parents after the death of a young child. J Clin Psychol Med Settings. 2019;26(3):321–38.
  11. Nazari B, Bakhshi S, Kaboudi M, Dehghan F, Ziapour A, Montazeri N. A comparison of quality of life, anxiety and depression in children with cancer and healthy children, Kermanshah-Iran. Int J Pediatr. 2017;5(7):5305–14.
  12. Donovan LA, Wakefield CE, Russell V, Fardell J, Mallitt K-A, Hetherington K, et al. Variables associated with grief and personal growth following the death of a child from cancer: A mixed method analysis. Death Stud. 2019;1–12.
  13. Torres C. A Mixed-Methods Examination of the Relationship between Parent-Professional Interactions and Parental Grief after Their Child Dies of Cancer. The University of Memphis; 2018.
  14. Swanson PB, Pearsall-Jones JG, Hay DA. How mothers cope with the death of a twin or higher multiple. Twin Res Hum Genet. 2002;5(3):156–64.
  15. Gerrish NJ, Steed LG, Neimeyer RA. Meaning reconstruction in bereaved mothers: A pilot study using the biographical grid method. J Constr Psychol. 2010;23(2):118–42.
  16. Bartel BT. Families grieving together: Integrating the loss of a child through ongoing relational connections. Death Stud. 2020;44(8):498–509.
  17. Duggleby W, Williams A, Holstlander L, Cooper D, Ghosh S, Hallstrom LK, et al. Evaluation of the living with hope program for rural women caregivers of persons with advanced cancer. BMC Palliat Care. 2013;12(1):36.
  18. Breen LJ, Aoun SM, O’Connor M, Howting D, Halkett GKB. Family caregivers’ preparations for death: a qualitative analysis. J Pain Symptom Manage. 2018;55(6):1473–9.
  19. Barrera M, O’connor K, D’Agostino NM, Spencer L, Nicholas D, Jovcevska V, et al. Early parental adjustment and bereavement after childhood cancer death. Death Stud. 2009;33(6):497–520.
  20. Madsen R, Birkelund R, Uhrenfeldt L. Transition experiences during courses of incurable cancer from the perspective of bereaved spouses. Eur J Oncol Nurs. 2019;38:28–35.
  21. Pakseresht M, Baraz S, Rasouli M, Reje N, Rostami S. A comparative study of the situation of bereavement care for children with cancer in Iran with selected countries. Int J Pediatr. 2018;6(2):7253–63.
  22. Lichtenthal WG, Roberts KE, Catarozoli C, Schofield E, Holland JM, Fogarty JJ, et al. Regret and unfinished business in parents bereaved by cancer: A mixed methods study. Palliat Med. 2020;34(3):367–77.
  23. Waldrop DP. Caregiver grief in terminal illness and bereavement: A mixed-methods study. Health Soc Work. 2007;32(3):197–206.
  24. Kissane DW, Lethborg C, Brooker J, Hempton C, Burney S, Michael N, et al. Meaning and Purpose (MaP) therapy II: Feasibility and acceptability from a pilot study in advanced cancer. Palliat Support Care. 2019;17(1):21–8.