fa نقش میانجی سازگاری روانی در رابطه بین پردازش شناختی با علائم استرس پس از سانحه و ترس از عود در بیماران مبتلابه سرطان علوم رفتاری و روانی(روانشناسی، مددکاری و...) behavioral sciences پیراپزشکی Paramedical <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">مقدمه</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">: هدف پژوهش حاضر بررسی نقش میانجی سازگاری روانی در رابطه بین پردازش شناخت</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">با علائم استرس پس از سانحه و ترس از عود در بیماران مبتلابه سرطان بود.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">روش کار</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">: در قالب یک طرح همبستگی از بین بیماران 18 تا 60 سال مبتلابه یکی از انواع سرطان‌های (پستان، خون و دستگاه گوارش) مراجعه کننده به بیمارستان‌ها و مراکز خدمات درمانی شهر تهران در شش‌ماهه دوم سال 1400 با استفاده از روش نمونه‌گیری در دسترس 200 نفر انتخاب و به مقیاس پردازش شناختی تروما، چک لیست </span></span></span><span dir="LTR" style="line-height:107%"><span new="" roman="" style="font-family:" times="">PCL-5</span></span><span lang="FA" style="line-height:107%"><span new="" roman="" style="font-family:" times="">،</span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:">مقیاس ترس از عود سرطان و مقیاس سازگاری با سرطان پاسخ دادند. یافته‌ها در چارچوب مدل‌سازی معادلات ساختاری و با استفاده از نرم‌افزارهای </span></span></span><span dir="LTR" style="line-height:107%"><span new="" roman="" style="font-family:" times="">SPSS26</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> و </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">4</span></span></span> <span dir="LTR" style="line-height:107%"><span new="" roman="" style="font-family:" times="">SmartPLS</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"> مورد تجزیه‌وتحلیل قرار گرفت.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">یافته‌ها</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">: </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج به‌دست‌آمده از مدل‌سازی معادلات ساختاری حاکی از رابطه منفی معنادار بین </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">پردازش شناختی</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> با </span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">PTSD</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">(001/0></span></span><span dir="LTR" style="font-size:12.0pt">P=</span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">؛ 84/11=</span></span><span dir="LTR" style="font-size:12.0pt">T</span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">؛</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">473/-0=</span></span><span lang="FA" style="font-size:12.0pt"><span cambria="" style="font-family:">&beta;</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">)، پردازش شناختی </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">با ترس از عود</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> (001/0></span></span><span dir="LTR" style="font-size:12.0pt">P=</span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">؛ 52/10=</span></span><span dir="LTR" style="font-size:12.0pt">T</span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">؛</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">462/-0=</span></span><span lang="FA" style="font-size:12.0pt"><span cambria="" style="font-family:">&beta;</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">)، سازگاری </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">با </span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">PTSD</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">(001/0></span></span><span dir="LTR" style="font-size:12.0pt">P=</span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">؛ 84/11=</span></span><span dir="LTR" style="font-size:12.0pt">T</span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">؛</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">496/-0=</span></span><span lang="FA" style="font-size:12.0pt"><span cambria="" style="font-family:">&beta;</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">) و سازگاری با ترس از عود (001/0></span></span><span dir="LTR" style="font-size:12.0pt">P=</span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">؛ 12/11=</span></span><span dir="LTR" style="font-size:12.0pt">T</span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">؛</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">493/0-=</span></span><span lang="FA" style="font-size:12.0pt"><span cambria="" style="font-family:">&beta;</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">) بود. همچنین رابطه بین پردازش شناختی </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">با سازگاری </span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">(001/0></span></span><span dir="LTR" style="font-size:12.0pt">P=</span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">؛ 52/34=</span></span><span dir="LTR" style="font-size:12.0pt">T</span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">؛</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">753/0-=</span></span><span lang="FA" style="font-size:12.0pt"><span cambria="" style="font-family:">&beta;</span></span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">) مثبت و معنادار بود. افزون بر این، متغیر سازگاری با سرطان در رابطه بین پردازش شناختی با </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">PTSD</span><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:"> و پردازش شناختی با ترس از عود نقش میانجی جزئی داشت.<span style="background:yellow"></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span lang="FA" style="font-size:12.0pt"><span b="" mitra="" style="font-family:">نتیجه‌گیری: با توجه به نتایج به‌دست‌آمده می‌توان چنین عنوان کرد که بیماری سرطان چندعاملی است و نقش آسیب‌های شناختی و پیامدهای ناشی از آن باید به‌صورت ویژه موردتوجه تیم سلامت روان بیماران مبتلابه سرطان قرار گیرد.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Introduction</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">: The purpose of this study was to investigate the mediating role of mental adjustment in the relationship between cognitive processing with post-traumatic stress symptoms and fear of recurrence in patients with cancer.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Method</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">:</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> This is a cross-sectional study with a convenience sampling method. A total of 200 women and man with </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">one of the types of cancer (breast, blood and gastrointestinal) </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">in Tehran, Iran participated in this study and completed five questionnaires, namely the PTSD checklist,</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> fear of cancer recurrence scale, and mental adjustment to cancer scale.</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> The findings were analyzed through the advanced statistical method of structural equation modeling and using SPSS26 and SmartPLS 4 software</span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:red"></span></span></span></span></span></span><br> <span style="font-size:14pt"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Findings</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">:</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> Structural Equation Modelling demonstrated that cognitive processing was negatively&nbsp;</span></span>associated with PTSD (&beta;= -.473; T=11.84; P<.001) and fear of recurrence (&beta;= -.462; T=10.52; P<.001), also mental adjustment was negatively&nbsp;associated with PTSD (&beta;= -.496; T=11.84; P<.001), and fear of recurrence (&beta;= -.462; T=10.52; P<.001), and cognitive processing were positively associated with mental adjustment (&beta;=.753; T=34.52; P<.001).<span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Bootstrapping analysis showed that mental adjustment acted as a mediator between cognitive processing and PTSD, and cognitive processing and fear of recurrence.</span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">: </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">In general, the findings emphasized the important role of cancer-related cognitive impairment in the possible consequences of this disease.</span></span><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span><br> &nbsp; پردازش شناختی, ترس از عود, سازگاری با سرطان, سرطان. cognitive processing, fear of recurrence, post-traumatic growth, Mental Adjustment to Cancer. 1 13 http://ijnr.ir/browse.php?a_code=A-10-5556-1&slc_lang=fa&sid=1 shahin bahrayni شهین بحرینی bahrayni.shahin48@gmail.com 13700319475328460022205 13700319475328460022205 No Islamic Azad University Branch of Urmia, Iran. دانشگاه آزاد اسلامی، قم، ایران. Alireza Moradi علیرضا مرادی moradi90@yahoo.com 13700319475328460022206 13700319475328460022206 Yes دانشکده روان شناسی Hadi parhoon هادی پرهون hadi.parhon43@gmail.com 13700319475328460022207 13700319475328460022207 No گروه روان شناسی