Document Type : Original Article

Authors

1 Ph.D. Student in Health psychology, Faculty of psychology Azad Tonekabon, Mazandaran, Iran

2 Associate Prof., Faculty of psychology Azad Tonekabon,Mazandaran, Iran

3 Cognitive and Neuroscience Research Center (CNRC), Faculty of Medical Sciences, Islamic Azad University, Tehran, Iran

4 Hematology, Oncology and Stem Cell Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Introduction: This study examines the impact of group emotional schema therapy on resilience and self-efficacy among cancer patients.
Materials and Methods: The research employed a quasi-experimental design with a pre-test and post-test follow-up alongside a control group. The statistical population comprised all cancer patients visiting Shariati Hospital in Tehran in 2020 (year 1399). Forty volunteer participants who met the inclusion criteria were selected through convenience sampling. After final screening, 20 individuals were randomly assigned to two experimental groups (emotion-focused schema therapy) and one control group. Participants were assessed before and after the intervention using Sherer's General Self-Efficacy Scale (GSE-17) (1982) and the Connor-Davidson Resilience Scale (2003). The intervention consisted of 12 online group sessions (via Skype), each lasting two and a half hours. Data analysis was performed using SPSS software version 24, employing covariance analysis methods. This study is part of a doctoral thesis in health psychology, approved on 29/09/1399 (IR.IAU.TON.REC.1399.074) at the Islamic Azad University, Tonkabon Branch.
Results: The findings revealed that emotional schema therapy significantly improved resilience and self-efficacy in cancer patients (p < 0.01)..
Conclusion: Emotional schema-based therapy can serve as an effective psychological intervention to enhance resilience and self-efficacy in individuals with cancer.

Keywords

Main Subjects

  1. Annelieke, D, Natasja J.H, Janneke, van, Anja, Visser, Eveline, Kuip, Hanneke, W.M, Lobke, Annemieke, Tineke J. Smilde,Carlo, Leget, Spiritual Well-Being and Associated Factors in Dutch Patients With Advanced Cancer. Journal of Pain and Symptom Management. 2022;63 (3):404-414. https://doi.org/10.1016/j.jpainsymman.2021.10.004
  2. Talebi G, Rezaei, Jamaloui H, Bagherian, Sararodi R, Oreyzi H.The Effectiveness of Emotional Schema Therapy on the Quality of Life and the Sense of Agency of Breast Cancer Patients. Journal of Research in Behavioral Sciences.2023; 21 (2) :215-227 . [in Persian] http://rbs.mui.ac.ir/article-1-1517-en.html
  3. World Health Organization Constitution of the World Health Organization: WHO.2021
  4. Harris P, Mann L, Philips P, Bolger-Harris H, Webster C.Diabetes Management in General Practice: Guidelines for Type 2 Diabetes: Diabetes Australia and Royal Australian College of General Practitioners. 2021. Available from:http://www.diabetesaustralia.com.
  5. Bandura A.Self-efficacy toward a unifying theory of behavioral change. Psychological review 1997.84(2):191. https://doi.org/10.1037//0033-295X.84.2.191
  6. Komeili Sany H, Dashtbozorgi B, Haghighizadeh M H, Kord G. The Effect Of Communication Skills Training On The Quality Of Care And Self-Efficacy Of Nurses Working In The Emergency Department. IJPN 2024; 12 (1) :40-49. http://ijpn.ir/article-1-2347-en.html
  7. Shojaeyan , Maryam, Abolmaali, Khadijeh. Effectiveness of Cognitive Therapy-Based Mindfulness on Increasing the Psychological Capital of Veterans. Journal of War and Public Health.2016:8(4),195-201 [in Persian]
  8. De Santis JP, Florom-Smith A, Vermeesch A, Barroso S, DeLeon DA. Motivation, management, and mastery: a theory of resilience in the context of HIV infection: Journal Am Psychiatr Nurses Assoc.2013: 19(1):36-46. https://doi.org/10.1177/1078390312474096
  9. BissessarC S. An Exploration of the Relationship between Teachers’ Psychological Capital and Their Collective Self-Esteem: Teach Educ;2015:39(9)34-52. https://doi.org/10.14221/ajte.2014v39n9.4
  10. Ogden,j. Health Psychology, Translated by Kachooei, M, Arjmand. Tehran .2022:515-529
  11. Tugade MM, Fredrickson BL. Resilient individuals use positive emotions to bounce back from negative emotional experiences. Journal Pers Soc Psychol ;2004: 86(2): 320-33. https://doi.org/10.1037/0022-3514.86.2.320
  12. Newman MG, Castonguay LG, Borkovec TD, Fisher AJ, Boswell JF, Szkodny LE, et al.A randomized controlled trial of cognitive-behavioral therapy for generalized anxiety disorder with integrated techniques from emotion-focused and interpersonal therapies. Journal Consult Clin Psychol ;2011: 79(2): 171-81. https://doi.org/10.1037/a0022489
  13. Leahy, R. L. Emotional Schema Therapy. Translated by zirak,H, Azadi, R. Arjmand.Tehran.2022:20-45
  14. Leahy, R. L. Introduction: Emotional schemas and emotional schema therapy . International Journal of Cognitive Therapy,2019: 12(1), 1–4. https://doi.org/10.1007/s41811-018-0038-5
  15. K. M. & Davidson, J. R. T. Development of a New Resilience Scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety,2003: 18, 76-82. https://doi.org/10.1002/da.10113
  16. Drakhshanrad .S. A. Piven. E. Rassafiani. M. Hosseini. S. A .& Mohammadi Shahboulaghi. F.Standardization of Conner- Davidson resilience scale in Iranian subjects with cerebrovascular accident. Journal of Rehabilitation Sciences and Research.2014:1(4):73-77.[in Persian]
  17. Sherer, M., Maddux, J. E., Mercandante, B., Prentice-dunn, S., Jacobs, B., & Rogers, R. W. (1982). The Self-efficacy Scale: Construction and validation. Psychological Reports,51(2), 663–671. https://doi.org/10.2466/pr0.1982.51.2.663
  18. Asgharnejad T., Ahmadi Dehghotboddini M., Farzad Vall Elah, Khodapanahi Mohammad Karim. psychometric properties of sherer's General Self-efficacy Scale. Journal of Psychology. 2006;10(3 (39)):262-274
  19. Tanbakouchian, R, Zanganeh, F, Bayat ,M, R. Compare the Effectiveness of Emotion-Focused and Schema Therapy Approaches on Ambiguity Resilience, and Self-Control of Women with Marital Burnout. Journal of Research in Behavioral Sciences .2021:19 (1):1-12.[in Persian] https://doi.org/10.52547/rbs.19.1.1
  20. Nedaei, A, Qamari Gavi, H, Sheykholeslami, A, Sadri Damirchi, E. The effectiveness of emotional schema therapy on the intolerance of uncertainty and the difficulty of emotion regulation in people suffering from comorbid depression and anxiety. Shenakht. Journal of Psychology and Psychiatry ;2023: 10 (1) :103-115.https://doi.org/10.32598/shenakht.10.1.103
  21. Mohammadkhani ,S, Soleimani, H, Seyd Ali Naghei, S. The Role of Emotional Schemas in Resilience of People living with HIV. Journal of Knowledge & Health.2014:9(3),1-10.[in Persian] https://doi.org/10.22100/jkh.v9i3.391
  22. Luthans, F. and Youssef-Morgan, C.M. Psychological Capital: An Evidence-Based Positive Approach. Annual Review of Organizational Psychology and Organizational Behavior.2017: 4, 339-366. https://doi.org/10.1146/annurev-orgpsych-032516-113324
  23. Carmona-Halty, M., Salanova, M., Llorens, S., & Schaufeli, W. B. Linking positive emotions and academic performance: The mediated role of academic psychological capital and academic engagement. Current Psychology: A Journal for Diverse Perspectives on Diverse Psychological Issues.2021:40(6), 2938–2947.https://doi.org/10.1007/s12144-019-00227-8
  24. Di Giuseppe K, Taylor AJ. (2021). Investigating how intolerance of uncertainty and emotion regulation predict experiential avoidance in non-clinical participants. Psychological Studies, 66(2), 181 -190. https://doi.org/10.1007/s12646-021-00602-1
  25. S.R , khaleghi .L , Fathi.M. The Effectiveness of Emotional Regulation Training on Negative Affect and Resilience of Mothers with Disabled Children. Iranian Journal of Psychiatric Nursing (IJPN)2018:.6(5),25-32. .[in Persian]. https://doi.org/10.21859/ijpn-05025
  26. Gross JJ. Emotion regulation in adulthood: Timing is everything. Curr Dir Psychol Sci.2001:10(6):214-9. https://doi.org/10.1111/1467-8721.00152
  27. Mariah Hosseini, Ahadi Hassan, Jamhari Farhad, Karaskian Mojambari Addis, Ahadi Marwarid. The effect of group emotional therapy schema on self-efficacy and pain in patients with rheumatism. Journal of the Faculty of Medicine, Mashhad University of Medical Sciences. 2024.64(5):4145-4159. doi: 10.22038/mjms.2021.20197
  28. Rahbar Karbasdehi, Fatemeh, Hossein Khanzadeh, Abbas Ali, and Shakrinia, Iraj. The effectiveness of schema therapy on the cognitive regulation of emotion and social self-efficacy of adolescents with epilepsy. Shafai Khatam Neurosciences,2021. 9(3), 64-72. https://doi.org/10.52547/shefa.9.3.64
  29. Farumandi, Sahar. The role of emotional schema and self-efficacy in dealing with problems in the emergence of obsessive symptoms in elementary teachers of Urmia city, Psychological Studies and Educational Sciences,2022. 8, 1(14), 528-515. doi:10.52547/JPS.20.107.2095
  30. Pai Pozan, Sahar. The effectiveness of cognitive-emotional therapy on self-efficacy and cognitive-emotional regulation in obese women. Journal of Psychology New Ideas ,2019. 4(8):1-13. URL: http://jnip.ir/article-1-492-en.html
  31. Abdurrahimi Naushad, Leila . Effectiveness of treatment based on acceptance and commitment in self-regulation and self-efficacy of women with drug addiction, new developments in behavioral sciences,2019. 5(49)1-12. magiran.com/p2219207
  32. Dolan, S. L., Martin, R.A., & Rohsenow, D. J. Self-efficacy for cocaine abstinence : Pretreatment correlates and relationship to outcomes. Addictive Behaviors ,2018.33(5).675-688. https://doi.org/10.1016/j.addbeh.2007.12.001
  33. Li, Y. C., Joshi, D., King-Dowling, S., Hay, J., Faught, B. E., & Cairney, J. The longitudinal relationship between generalized self-efficacy and physical activity in schoolaged children. European journal of sport science,2018. 18(4), 569-578. https://doi.org/10.1080/17461391.2018.1430852
  34. Kern, M. L. Williams, P. Spong, C. Colla, R. Sharma, K. Downie, A. Oades, L. G. Systems informed positive psychology. The Journal of Positive Psychology,2020. 15(6), 705-7151.  https://doi.org/10.1080/17439760.2019.1639799
  35. Barjali, Mahmoud, Asgari Rad, Zahra, Naserinia, Sajjad. The effectiveness of Schwanker's encouragement method training based on Adler's theory on self-efficacy, life satisfaction and emotional regulation of conflicted couples. Culture of Counseling and Psychotherapy,2021. 12(45), 161-184. doi: 10.22054/qccpc.2020.51732.2379
  36. Ranjbar Nosher, Farzaneh, Mohaddisi, Hamidah, Asadi Majreh, Samereh, Hashemi, Sayedah Soghari. Psychological correlates of cancer: worry, lifestyle, self-efficacy. Urmia College of Nursing and Midwifery Journal,2012. 11, 9(50). 705-698. URL: http://unmf.umsu.ac.ir/article-1-1556-en.html
  37. Massoui, Behnam, Khatiban, Mahnaz, Varshoui, Mohammadreza, Soltanian, Alireza. Factors related to self-efficacy of self-care of cancer patients undergoing chemotherapy. Cancer Care Journal.2019. 1, 1. https://doi.org/10.29252/ijca.1.1.40
  38. varaee P, poordad S, Darabi R. The Effect of Emotional Schema Therapy on Depression and Loneliness in Girl’s Dormitory Students. Rooyesh 2019; 8 (2) :95-104. URL: http://frooyesh.ir/article-1-929-en.html
  39. Leahy, R. L., Tirch, D., & Napolitano, L. A. Emotion Regulation in Psychotherapy. A Practitioner's Guide. New York: Guilford press.2011.
  40. Yalom ID, Leszcz M. The theory and practice of group psychotherapy. Hachette UK World Health Organization.Cancer .2021