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:: Volume 21, Issue 1 (spring 2019) ::
JHC 2019, 21(1): 66-76 Back to browse issues page
The Effectiveness of Gottman Group Cognitive-Systemic Educational based Intervention on Quality of Life and Relationship Patterns in Patients with Breast Cancer and Their Partners
A Heidarian , F Mohsenzadeh , I Asadpour , K Zahrakar
Department of Counseling, Faculty of Psychology and Education sciences, kharazmi University, Tehran, Iran
Abstract:   (1044 Views)
Background & objectives: Breast cancer diagnosis presents significant distress for both patients and their partners. Decrease in quality of life and disruption of marital communication patterns are among the problems experienced by patients and their spouses following breast cancer diagnosis. Psychological interventions can be effective in reducing the problems related to cancer. Therefore, the aim of this study was to determine the effectiveness of Gottman cognitive-systemic based intervention training on quality of life and relationship patterns in women with breast cancer and in their partners.
Methods: This was a semi-experimental study with pre-test, post-test and control group. The subjects who entered the study were randomly divided into two experimental and control groups. Both groups responded to quality of life questionnaires of cancer patients and world health organization and also Gottman’s distance and isolation Questionnaire. Then, the experimental group participated in Gottman cognitive-systemic intervention training for eight sessions of two hours. After ending the training, post-test was performed and after three months, follow up test was performed on both experimental and control groups. Data were analysed using independent t-test and covariance.
Results: Data analysis indicated that mean and standard deviation of relationship pattern (21.20±6.6) and quality of life (67.22±11.79) in the experimental group after training were significantly different compared to the mean and standard deviation for relationship pattern (45.20±8.85) and quality of life (50.89±12.08) in control group.
Conclusion: The results showed that cognitive-systemic intervention could be useful in improving cancer-related problems for patients and their partners. Also, this finding can helpful for health and family professionals who are in touch with patients and their families.
Keywords: : Gottman Cognitive- Systemic Therapy, Communication Pattern, Breast Cancer, Life Guality
Full-Text [PDF 151 kb]   (358 Downloads)    
Type of Study: quasi-experimental |
Received: 2018/09/30 | Accepted: 2019/03/13 | Published: 2019/03/29
1. Alizadeh O, Hossein M, Tizmaghz A, Shaestanipour Gh, Noori HA. Review on metastatic breast cancer in Iran. Asian Pacific Journal of Tropical Biomedicine. 2015;5(6):429-33. [DOI:10.1016/j.apjtb.2015.02.001]
2. Esmi Z. The effectiveness of acceptance and commitment therapy on quality of life, mental health and self-care behaviours of cancer patient. A Thesis for Master Degree in Clinical Psychology. Al-Zahra University; 2016 [Persian].
3. Greer S, Moorey S, Baruch DR, Watson M, Robertson BM, Manson A, et al. Adjuvant psychological therapy for patients with cancer: a prospective randomized trial. British Medical Journal. 1992;304:675-80. [DOI:10.1136/bmj.304.6828.675] [PMID] [PMCID]
4. Kahrazyi F, Danesh E, Heidarzadegan AR. The effectiveness of cognitive behaviour therapy in reducing psychological symptoms in cancer patients. Journal of Research in Medical Sciences. 2010;14(2):112-16 [Persian].
5. Distefano M, Riccardi S, Capelli G, Costantini B, Petrillo M, Ricci C. Quality of life and psychological distress in locally advanced cervical cancer patients administered pre-operative chemo radiotherapy. Journal of Gynaecologic Oncology. 2008;111(1):144 -50. [DOI:10.1016/j.ygyno.2008.06.034] [PMID]
6. Spiegel D, Riba MB. Managing anxiety and depression during treatment. The Breast Journal. 2015;21(1):97-103. [DOI:10.1111/tbj.12355] [PMID]
7. Long A. The relationship among marital quality, sexual frequency, sexual disagreement, depression, and married women's sexual satisfaction. University of Georgia; 2005.
8. Anderson M, Trudel S, Bounader L, Boyer A, Villeneuve F. Effects of a marital and sexual enhancement intervention for retired couples: the marital life and aging well program. Journal of Sexology. 2010;17:265-76.
9. Moorey S, Greer S. CBT for people with cancer. New York: Oxford University Press; 2012. [DOI:10.1093/med:psych/9780199605804.001.0001] [PMID] [PMCID]
10. Hayes SC, Pistorello J, Levin ME. Acceptance and commitment therapy as a unified model of behaviour change. The Counselling Psychologist Journal. 2012;40(7):976-1002. [DOI:10.1177/0011000012460836]
11. Curtis AJ. Health Psychology. Translated by Faramarz Sohrabi. Tehran:Tolue Danesh Publications. Third edition; 2005 [Persian].
12. Yalcin M B. Effects of a couple communication program on marital adjustment. Journal of American Board of Family. 2007;20(1):36-44. [DOI:10.3122/jabfm.2007.01.060053] [PMID]
13. Riesch SK, Henriques J, Chanchong W. Effect of communication skills training on parents and young adolescents from extreme family types. Journal of Child and Adolescents Psychiatric Nursing. 2003;16(4):162-75. [DOI:10.1111/j.1744-6171.2003.00162.x]
14. Kazemi P, Sherbaf-AghaMohammadian H, Modaresgharavi M, Mehram B. Effectiveness of the program of improving the quality of life of couples on marital satisfaction and mental health. Clinical Psychology and Counselling Researches. 2011;1(2):71-86 [Persian].
15. Goldzweig G, Merims S, Ganon R, Peretz T, Altman A, Baider L. Informal caregiving to older cancer patients: preliminary research outcomes and implications. Annals of Oncology. 2013;24(10):2635-40. [DOI:10.1093/annonc/mdt250] [PMID]
16. Gottman J. The Relationship Cure: A 5 step guide for building better connection with wife, lovers and friends. 1th edition. Crown; 2001.
17. Davoudvandi M, Navobeinezhad SH, Waliol F. Comparison of the effect of Gottman's couple therapy approaches and emotion-focused on couples' compatibility in family. Journal of Women and Family. 2017;13(43):117-32.
18. Long A. The relationship among marital quality, sexual frequency, sexual disagreement, depression, and married women's sexual satisfaction. Department of Human Development and Family Studies. University of Georgia; 2005.
19. Saracho-Rotaeche R. Coping mechanisms as a predictor for quality of life in patients on dialysis: a longitudinal and multi-cancer study. Revista Nefrología. 2013;33(2):342-54.
20. Manganiello A, Hoga LAK, Rebete LM, Miranda CM, Rocha CAM. Sexuality and of breast cancer patients post mastectomy. European Journal of Oncology Nursing. 2011;15(2):167-72. [DOI:10.1016/j.ejon.2010.07.008] [PMID]
21. Johns SA, Von AD, Browno LF, Beck-Coon K, Talip TL, Alyea M, et al. Randomized controlled pilot trial of mindfulness-based stress reduction for breast and colorectal cancer survivors: effects on cancer-related cognitive impairment. Journal of Cancer Survive. 2016;10(3):437-48. [DOI:10.1007/s11764-015-0494-3] [PMID] [PMCID]
22. Arman S, Zahid Gh, Shakibae F, Bina M, Bagherian R, Rohafza H. The impact of couple conversation method on their relationships and the behaviour of their children. Arak Medical Journal. 2008;11(3):9-19 [Persian]
23. Safaee A, Moghimi-Dehkordi B. Validation study of a quality of life (QOL) questionnaire for use in Iran. Asian Pacific Journal of Cancer Prevention. 2007;8(4):543-46.
24. Montazeri A, Harirchi I, Vahdani M, Khaleghi F, Jarvandi S, Ebrahimi M, et al. The EORTC breast cancer- specific quality of life questionnaire (EORTC-BR23): translation and validation study of the Iranian version. International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation. 2000;9(2):177-84. [DOI:10.1023/A:1008918310251]
25. Nejat S, Montazeri A, Halakooie N, Majdzadeh S. Standardization of the world health organization quality of life questionnaire translation and psychometric Iranian species. Faculty of Health and Medical Research Institute. 2006;4:1-12 [Persian].
26. Mahroumi F. The investigation of the effectiveness of couple therapy based on Gottman approach on the relational patterns and beliefs of the students with conflictual couples. The thesis submitted for MA degree in family counselling. The Faculty of Educational Sciences and Psychology. The Ferdowsi University of Mashhad; 2013 [Persian].
27. Rajaei A. The investigation of the effectiveness of the couple therapy based on Gottman' s approach on emotional divorce, the improvement of verbal and non-verbal relationship and interpersonal cognition distortions of conflict couples. The thesis submitted for MA degree in clinical psychology. The Faculty of Educational Sciences and Psychology. The Ferdowsi University of Mashhad; 2015 [Persian].
28. Eisazaheh S. The effectiveness of the Gottman' cognitive systemic couple therapy on couples' sexual satisfaction, forgiveness, happiness and maladjusted schemas. The thesis submitted for MA degree. The Faculty of Humanity Sciences. Payamenour University; 2014 [Persian].
29. Boeding SE, Pukay-Martin ND, Baucom DH, Porter LS, Kirby JS, Gremore TM, et al. Couples and breast cancer: women's mood and partners' marital satisfaction predicting support perception. Journal of Family Psychology. 2014;28(5):675-83. [DOI:10.1037/fam0000019] [PMID]
30. Deylami N, Hassan SA, Baba MB, Kadir RA. Effectiveness of Gottman's psycho educational intervention on constructive communication among married women. International Journal of Humanities and Social Science. 2015;5(9):93-97.
31. Spiegler MD, Government DC. Contemporary Behaviour Therapy. Guliford Press; 2016.
32. Bairami M, Zeinali SH, Hosseinzadeh S, Isfahani A, Imanzadeh V. The effectiveness of couple therapy on the adjustment of the patients' quality of life with breast cancer and their wives. Journal of Counselling and Psychology. 2014;3(12):66-79 [Persian].
33. Blomberg B, Alvarez A, Carver C, Diaz A, Romero M, Lechnner S, et al. Psychosocial adaptation and cellular immunity in breast cancer patients in the weeks after surgery: an exploratory study. Journal of Psychosomatic Research. 20l2;67(5):396-70. [DOI:10.1016/j.jpsychores.2009.05.016] [PMID] [PMCID]
34. Feyzabadi S, Zahrakar K, Nazari AM. Effectiveness of counselling based on improving quality of life on marital boredom. Urmia Medical Journal. 2016;27(9):782-90 [Persian].
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Heidarian A, Mohsenzadeh F, Asadpour I, Zahrakar K. The Effectiveness of Gottman Group Cognitive-Systemic Educational based Intervention on Quality of Life and Relationship Patterns in Patients with Breast Cancer and Their Partners. JHC. 2019; 21 (1) :66-76
URL: http://hcjournal.arums.ac.ir/article-1-1000-en.html

Volume 21, Issue 1 (spring 2019) Back to browse issues page
مجله سلامت و مراقبت Journal of Health and Care
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