Volume 10, Issue 3 (Summer 2021)
aumj 2021, 10(3): 305-316 |
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Omidbeygi M, Hatami M, Hassanabadi H, Vaezi A. Modeling of Post Traumatic Growth Based on Acceptance and Commitment Therapy: Mediating Role of Resilience and Adjustment. aumj 2021; 10 (3) :305-316
URL: http://aums.abzums.ac.ir/article-1-1365-en.html
URL: http://aums.abzums.ac.ir/article-1-1365-en.html
1- PhD student of health psychology at Kharazmi university, Tehran, Iran
2- Associate professor of Kharazmi university, Tehran, Iran ,Hatami513@gmail.com
3- Associate professor of Kharazmi university, Tehran, Iran
4- Assistant professor of Alborz university of medical science
2- Associate professor of Kharazmi university, Tehran, Iran ,
3- Associate professor of Kharazmi university, Tehran, Iran
4- Assistant professor of Alborz university of medical science
Abstract: (2490 Views)
Background and Aims:The purpose of this research was to investigate the structural relationship between post-traumatic growth, resilience, adjustment, psychological flexibility and quality of life in patients with cancer in a causal model.
Method: 350 cancer patients from Alborz province were selected based on study inclusion criteria. Data were collected using Tedeschi and Calhoun PTG scales, Conner-Dodson's Resilience Scale, Mini-Mc Cancer Adjustment Scale, Functional Assessment of Cancer Therapy General (FACT-G) Scale, and psychological flexibility and psychological Inflexibility Scale.
Results: Data analysis using path analysis method indicated that the proposed model is well-fitted with data. Based on the findings, PTG predicted the quality of life in patients with cancer. Also, psychological flexibility also directly predicted PTG through resiliency and adjustment. Furthermore, adjustment predicted patients' quality of life both directly and indirectly through post-traumatic growth. In this regard, the direct path of resilience to adjustment, and adjustment to PTG was statistically significant. The results of this study indicate that psychological flexibility predicts PTG not only directly but also indirectly through resilience and adjustment, while PTG itself can predict the quality of life in patients with cancer. Resilience can indirectly improve PTG in patients with cancer through adjustment.
Conclusion: This study was the first structural equation modeling of Post Traumatic Growth based on Psychological flexibility
The model showed that in addition positive effect of psychological flexibility on post traumatic growth, it can improve adjustment in cancer patients and both of them can improve quality of life in them. So, the Acceptance and Commitment Therapy (ACT), that improve Psychological flexibility can use for improving
the Post Traumatic Growth, adjustment and quality of life in cancer patients and can provide a supportive care for them.
Method: 350 cancer patients from Alborz province were selected based on study inclusion criteria. Data were collected using Tedeschi and Calhoun PTG scales, Conner-Dodson's Resilience Scale, Mini-Mc Cancer Adjustment Scale, Functional Assessment of Cancer Therapy General (FACT-G) Scale, and psychological flexibility and psychological Inflexibility Scale.
Results: Data analysis using path analysis method indicated that the proposed model is well-fitted with data. Based on the findings, PTG predicted the quality of life in patients with cancer. Also, psychological flexibility also directly predicted PTG through resiliency and adjustment. Furthermore, adjustment predicted patients' quality of life both directly and indirectly through post-traumatic growth. In this regard, the direct path of resilience to adjustment, and adjustment to PTG was statistically significant. The results of this study indicate that psychological flexibility predicts PTG not only directly but also indirectly through resilience and adjustment, while PTG itself can predict the quality of life in patients with cancer. Resilience can indirectly improve PTG in patients with cancer through adjustment.
Conclusion: This study was the first structural equation modeling of Post Traumatic Growth based on Psychological flexibility
The model showed that in addition positive effect of psychological flexibility on post traumatic growth, it can improve adjustment in cancer patients and both of them can improve quality of life in them. So, the Acceptance and Commitment Therapy (ACT), that improve Psychological flexibility can use for improving
the Post Traumatic Growth, adjustment and quality of life in cancer patients and can provide a supportive care for them.
Keywords: Post Traumatic Growth, Acceptance and Commitment Therapy, Cancer, Quality of Life, Adjustment, Resilience
Type of Study: Research |
Subject:
Special
Received: 2021/08/27 | Accepted: 2021/09/01 | Published: 2021/09/01
Received: 2021/08/27 | Accepted: 2021/09/01 | Published: 2021/09/01
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