The effectiveness of positive treatment on rumination and coping strategies of women with uterine cancer

Document Type : Original Article

Authors

1 PhD Student in Health Psychology, Department of Psychology, UAE Branch, Islamic Azad University, Dubai, United Arab Emirates

2 Assistant Professor, Department of Psychology, Islamic Azad University, Roudehen Branch, Roudehen, Iran

3 2. Professor, Department of Psychology, UAE Branch, Islamic Azad University, Dubai, United Arab Emirates

10.22034/aftj.2024.382562.1911

Abstract

Aim: The present study was conducted with the aim of determining the effectiveness of positive treatment on rumination and coping strategies of women with uterine cancer. Methods: The present study was a quasi-experimental study with a pre-test-post-test design with a control group and a follow-up period. The research population included all female patients with uterine cancer who referred to Al-Zahra Medical Center in Isfahan city in the first six months of 2021, 30 of the eligible volunteers were randomly selected into two experimental and control groups (each group) 15 people and answered Nolen-Hoeksma and Morrow (1991) rumination questionnaires and Endler and Parker (1990) stress coping strategies. The experimental group participated in 8 positive treatment sessions as a group, but the control group did not receive any intervention. SPSS version 22 software and analysis of variance test with repeated measurement between groups were used in data analysis. Results: The results showed that positive treatment was effective in improving rumination, problem-oriented coping, and emotion-oriented coping in uterine cancer patients, and the results continued in the follow-up period (p<0.01). Conclusion: Based on the results, counselors and therapists can use the positive treatment method to intervene in improving rumination and coping strategies of women with uterine cancer.

Highlights

Ameri, Z., Asgari, P., Heidarei, A., & Bakhtiyarpour, S. (2021). Comparison of the Effectiveness of Spiritual Therapy and Positive Psychology on Optimism in Patients with Leukemia [Research(Original)]. Journal of health research in community, 7(2), 61-71. http://jhc.mazums.ac.ir/article-1-575-en.html

Azizi, F., Hatami, H., & Janghorbani, M. (2013). Epidemiology and control of common diseases in Iran. Tehran: Eshtiagh Publications, 602-616.

Boatemaa Benson, R., Cobbold, B., Opoku Boamah, E., Akuoko, C. P., & Boateng, D. (2020). Challenges, coping strategies, and social support among breast cancer patients in Ghana. Advances in Public Health, 2020.

Borawski, D. (2021). Authenticity and rumination mediate the relationship between loneliness and well-being. Current Psychology, 40(9), 4663-4672.

Bozkurt, G., Uysal, G., & Düzkaya, D. S. (2019). Examination of care burden and stress coping styles of parents of children with Autism Spectrum Disorder. Journal of pediatric nursing, 47, 142-147.

Cao, W., Chen, H.-D., Yu, Y.-W., Li, N., & Chen, W.-Q. (2021). Changing profiles of cancer burden worldwide and in China: a secondary analysis of the global cancer statistics 2020. Chinese Medical Journal, 134(07), 783-791.

Compas, B. E., Jaser, S. S., Bettis, A. H., Watson, K. H., Gruhn, M. A., Dunbar, J. P., Williams, E., & Thigpen, J. C. (2017). Coping, emotion regulation, and psychopathology in childhood and adolescence: A meta-analysis and narrative review. Psychological bulletin, 143(9), 939.

Edalat, A., & Makvandi, B. (2019). Effectiveness of Positive Thinking Training on Stress, Rumination and Body Image Concern in Mastectomized Women [Research]. Iranian Journal of Rehabilitation Research in Nursing, 6(1), 69-76. http://ijrn.ir/article-1-434-en.html

Endler, N. S., & Parker, J. D. (1990). Multidimensional assessment of coping: a critical evaluation. Journal of personality and social psychology, 58(5), 844.

Falsafi, A., & DashtBozorgi, Z. (2019). The Effect of Positivism Training on Rumination, Body Image and Sexual Satisfaction in Women with Recurrent Pregnancy Loss [Research]. Iranian Journal of Health Education and Health Promotion, 7(2), 202-210. https://doi.org/10.30699/ijhehp.7.2.202

Farokhi H, Seyedzadeh I, Mostafapoor V. Investigating Reliability, Validity and Factor Structure of the Persian Version of the Positive and Negative Belief Rumination Scale and Rumination Response Scale The Journal Of New Advances In Behavioral Sciences. 2017; 2(14):21-37..

Fathi, K., Shahbazi, M., Koraei, A., & Malekzadeh, M. (2021). The Effectiveness of Positive Psychology on Pain Acceptance and Control of Emotions in Cancer Patients: A Randomized Clinical Trial Study [Quantitative-Research]. 2 Journal of Nursing Education, 10(4), 73-84. http://jne.ir/article-1-1179-en.html

Fooladi, F., & Pourehsan, S. (2022). Adolescent girls, coping strategy, distress tolerance, positive group training. Positive Psychology Research, 8(2), 65-82. https://doi.org/10.22108/ppls.2022.130535.2184

Gadow, K. D. (2018). Children on medication Volume I: Hyperactivity, learning disabilities, and mental retardation. Routledge.

Gall, M. (1996). Gall; Borg Walter RB, Gall JP. Educational recherché: an introdution. In: New York: Longman Publishers.

Ghalavandi, S., Zarei, F., Heidarnia, A., & Tavousi, M. (2022). Translation and psychometric properties of the cervical cancer screening self-efficacy scale [Research]. Iranian Journal of Health Education and Health Promotion, 10(1), 31-42. https://doi.org/10.52547/ijhehp.10.1.31

Ghoreyshi Rad, F. (2010). Validation of Endler & Parker coping scale of stressful situations. International Journal of Behavioral Sciences, 4(1), 1-7.

Görges, F., Oehler, C., von Hirschhausen, E., Hegerl, U., & Rummel-Kluge, C. (2018). GET. HAPPY-Acceptance of an internet-based self-management positive psychology intervention for adult primary care patients with mild and moderate depression or dysthymia: A pilot study. Internet interventions, 12, 26-35.

javanmard, j., Rajaee, A., & Khosrowpour, F. (2019). The Effectiveness of Group-Based Positive Psychotherapy on Efficient & inefficient & Styles of referrals to other coping strategies. Research in Clinical Psychology and Counseling, 9(1), 51-68. https://doi.org/10.22067/ijap.v9i1.75130

Ji, L.-J., Vaughan-Johnston, T. I., Zhang, Z., Jacobson, J. A., Zhang, N., & Huang, X. (2021). Contextual and cultural differences in positive thinking. Journal of Cross-Cultural Psychology, 52(5), 449-467.

Khodabakhash, R., Khosravi, Z., & Shahangian, S. (2015). Effect of Positive Psychotherapy in Depression Symptoms and Character Strengths in Cancer Affected Patients. Positive Psychology Research, 1(1), 35-50. https://ppls.ui.ac.ir/article_18993_289f0d097c2110536b0d84ec468c78e6.pdf

Kim, H.-S., Yeom, H.-A., Seo, Y.-S., Kim, N.-C., & Yoo, Y.-S. (2002). Stress and coping strategies of patients with cancer: A Korean study. Cancer Nursing, 25(6), 425-431.

Macía, P., Barranco, M., Gorbeña, S., & Iraurgi, I. (2020). Expression of resilience, coping and quality of life in people with cancer. PLoS One, 15(7), e0236572.

Martin, L. L., & Tesser, A. (2017). Toward a motivational and structural theory of ruminative thought. Guilford Press.

Mboumba Bouassa, R.-S., Nodjikouambaye, Z. A., Sadjoli, D., Adawaye, C., Péré, H., Veyer, D., Matta, M., Robin, L., Tonen-Wolyec, S., & Moussa, A. M. (2019). High prevalence of cervical high-risk human papillomavirus infection mostly covered by Gardasil-9 prophylactic vaccine in adult women living in N’Djamena, Chad. PLoS One, 14(6), e0217486.

Mehraban, S., Khalilzadeh, N., Ahmadbookani, S., & Asmari Bardezard, Y. (2019). Positive group psychotherapy Based on Religious teachings on Rumination in Infertile Women [Original Research Article]. Middle Eastern Journal of Disability Studies, 9(1), 1-7. http://jdisabilstud.org/article-1-1362-en.html

Mordai, z., & Sadeghi, M. (2020). Comparison of the effectiveness of acceptance and commitment therapy and positive psychology on rumination in women with rheumatoid arthritis [Research]. Razi Journal of Medical Sciences, 27(6), 75-89. http://rjms.iums.ac.ir/article-1-6182-en.html

Newman, D. B., & Nezlek, J. B. (2019). Private self-consciousness in daily life: Relationships between rumination and reflection and well-being, and meaning in daily life. Personality and individual differences, 136, 184-189.

Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta Earthquake. Journal of personality and social psychology, 61(1), 115.

Pascoe, L., & Edvardsson, D. (2014). Benefit finding in adult cancer populations: Psychometric properties and performance of existing instruments. European Journal of Oncology Nursing, 18(5), 484-491.

Patton, K. A., Ware, R., McPherson, L., Emerson, E., & Lennox, N. (2018). Parent‐related stress of male and female carers of adolescents with intellectual disabilities and carers of children within the general population: A cross‐sectional comparison. Journal of Applied Research in Intellectual Disabilities, 31(1), 51-61.

Pouresmaeel Niyazi, M., Farshbaf Mani Sefat, F., Khademi, A., & Meshgi, S. (2022). The Mediating Role of Coping Strategies in Relationship Between Illness Perception and Perceived Social Support with Treatment Adherence in Cardiovascular Patients [Research]. Journal of Nursing Education, 9(6), 98-108. http://ijpn.ir/article-1-1915-en.html

Rashid, T. (2015). Positive psychotherapy: A strength-based approach. The Journal of Positive Psychology, 10(1), 25-40.

Rashid, T. (2020). Positive psychotherapy. In Encyclopedia of Quality of Life and Well-Being Research (pp. 1-8). Springer.

Roshandel, G., Ghanbari-Motlagh, A., Partovipour, E., Salavati, F., Hasanpour-Heidari, S., Mohammadi, G., Khoshaabi, M., Sadjadi, A., Davanlou, M., & Tavangar, S.-M. (2019). Cancer incidence in Iran in 2014: results of the Iranian National Population-based Cancer Registry. Cancer epidemiology, 61, 50-58.

Seddiq, S., Khalili, F., Abdoli, A., Azarkish, F., & Abdolmohammadi, K. (2022). Human papilloma virus (HPV) vaccine, prevention ofcervical cancer: a review article [Review Article]. Tehran University Medical Journal, 80(3), 161-167. http://tumj.tums.ac.ir/article-1-11717-en.html

Seligman, M. E. (2019). Positive psychology: A personal history. Annual review of clinical psychology, 15(1), 1-23.

Seligman, M. E., Steen, T. A., Park, N., & Peterson, C. (2005). Positive psychology progress: empirical validation of interventions. American psychologist, 60(5), 410.

Shahvaroughi Farahani, N., Eskandari, H., & Borjali, A. (2018). Investigating the Personality subtypes of women with advanced breast and endometrial cancers and breast and endometrial cancers survivors: A qualitative study [Research]. Razi Journal of Medical Sciences, 25(6), 52-62. http://rjms.iums.ac.ir/article-1-5079-en.html

Sharifi, M., Mohammadi, Z., Makvandi, Z., Rostami, P., & Moradi, A. (2018). Assessment of cervical cancer screening and its barriers in 18-50 year old women referring to Asad Abad comprehensive health centers [Research Article]. Pajouhan Scientific Journal, 16(2), 35-45. https://doi.org/10.21859/psj.16.2.35

Shirani, M., & Manshaei, G. (2019). Effectiveness of Positive Psychology Interventions on Pain Catastrophizing and Life Expectancy of Women with Breast Cancer [Research]. Journal of Research in Behavioural Sciences, 16(3), 400-407. https://doi.org/10.52547/rbs.16.3.400

Zali, H., Fakhar, H., Rezaee tavirani, M., & Akbari, A. (2013). Proteomic Study of Cervical Cancer [Research]. journal of ilam university of medical sciences, 20(4), 182-191. http://sjimu.medilam.ac.ir/article-1-908-en.html

Keywords

Main Subjects


Ameri, Z., Asgari, P., Heidarei, A., & Bakhtiyarpour, S. (2021). Comparison of the Effectiveness of Spiritual Therapy and Positive Psychology on Optimism in Patients with Leukemia [Research(Original)]. Journal of health research in community, 7(2), 61-71. http://jhc.mazums.ac.ir/article-1-575-en.html
Azizi, F., Hatami, H., & Janghorbani, M. (2013). Epidemiology and control of common diseases in Iran. Tehran: Eshtiagh Publications, 602-616.
Boatemaa Benson, R., Cobbold, B., Opoku Boamah, E., Akuoko, C. P., & Boateng, D. (2020). Challenges, coping strategies, and social support among breast cancer patients in Ghana. Advances in Public Health, 2020.
Borawski, D. (2021). Authenticity and rumination mediate the relationship between loneliness and well-being. Current Psychology, 40(9), 4663-4672.
Bozkurt, G., Uysal, G., & Düzkaya, D. S. (2019). Examination of care burden and stress coping styles of parents of children with Autism Spectrum Disorder. Journal of pediatric nursing, 47, 142-147.
Cao, W., Chen, H.-D., Yu, Y.-W., Li, N., & Chen, W.-Q. (2021). Changing profiles of cancer burden worldwide and in China: a secondary analysis of the global cancer statistics 2020. Chinese Medical Journal, 134(07), 783-791.
Compas, B. E., Jaser, S. S., Bettis, A. H., Watson, K. H., Gruhn, M. A., Dunbar, J. P., Williams, E., & Thigpen, J. C. (2017). Coping, emotion regulation, and psychopathology in childhood and adolescence: A meta-analysis and narrative review. Psychological bulletin, 143(9), 939.
Edalat, A., & Makvandi, B. (2019). Effectiveness of Positive Thinking Training on Stress, Rumination and Body Image Concern in Mastectomized Women [Research]. Iranian Journal of Rehabilitation Research in Nursing, 6(1), 69-76. http://ijrn.ir/article-1-434-en.html
Endler, N. S., & Parker, J. D. (1990). Multidimensional assessment of coping: a critical evaluation. Journal of personality and social psychology, 58(5), 844.
Falsafi, A., & DashtBozorgi, Z. (2019). The Effect of Positivism Training on Rumination, Body Image and Sexual Satisfaction in Women with Recurrent Pregnancy Loss [Research]. Iranian Journal of Health Education and Health Promotion, 7(2), 202-210. https://doi.org/10.30699/ijhehp.7.2.202
Farokhi H, Seyedzadeh I, Mostafapoor V. Investigating Reliability, Validity and Factor Structure of the Persian Version of the Positive and Negative Belief Rumination Scale and Rumination Response Scale The Journal Of New Advances In Behavioral Sciences. 2017; 2(14):21-37..
Fathi, K., Shahbazi, M., Koraei, A., & Malekzadeh, M. (2021). The Effectiveness of Positive Psychology on Pain Acceptance and Control of Emotions in Cancer Patients: A Randomized Clinical Trial Study [Quantitative-Research]. 2 Journal of Nursing Education, 10(4), 73-84. http://jne.ir/article-1-1179-en.html
Fooladi, F., & Pourehsan, S. (2022). Adolescent girls, coping strategy, distress tolerance, positive group training. Positive Psychology Research, 8(2), 65-82. https://doi.org/10.22108/ppls.2022.130535.2184
Gadow, K. D. (2018). Children on medication Volume I: Hyperactivity, learning disabilities, and mental retardation. Routledge.
Gall, M. (1996). Gall; Borg Walter RB, Gall JP. Educational recherché: an introdution. In: New York: Longman Publishers.
Ghalavandi, S., Zarei, F., Heidarnia, A., & Tavousi, M. (2022). Translation and psychometric properties of the cervical cancer screening self-efficacy scale [Research]. Iranian Journal of Health Education and Health Promotion, 10(1), 31-42. https://doi.org/10.52547/ijhehp.10.1.31
Ghoreyshi Rad, F. (2010). Validation of Endler & Parker coping scale of stressful situations. International Journal of Behavioral Sciences, 4(1), 1-7.
Görges, F., Oehler, C., von Hirschhausen, E., Hegerl, U., & Rummel-Kluge, C. (2018). GET. HAPPY-Acceptance of an internet-based self-management positive psychology intervention for adult primary care patients with mild and moderate depression or dysthymia: A pilot study. Internet interventions, 12, 26-35.
javanmard, j., Rajaee, A., & Khosrowpour, F. (2019). The Effectiveness of Group-Based Positive Psychotherapy on Efficient & inefficient & Styles of referrals to other coping strategies. Research in Clinical Psychology and Counseling, 9(1), 51-68. https://doi.org/10.22067/ijap.v9i1.75130
Ji, L.-J., Vaughan-Johnston, T. I., Zhang, Z., Jacobson, J. A., Zhang, N., & Huang, X. (2021). Contextual and cultural differences in positive thinking. Journal of Cross-Cultural Psychology, 52(5), 449-467.
Khodabakhash, R., Khosravi, Z., & Shahangian, S. (2015). Effect of Positive Psychotherapy in Depression Symptoms and Character Strengths in Cancer Affected Patients. Positive Psychology Research, 1(1), 35-50. https://ppls.ui.ac.ir/article_18993_289f0d097c2110536b0d84ec468c78e6.pdf
Kim, H.-S., Yeom, H.-A., Seo, Y.-S., Kim, N.-C., & Yoo, Y.-S. (2002). Stress and coping strategies of patients with cancer: A Korean study. Cancer Nursing, 25(6), 425-431.
Macía, P., Barranco, M., Gorbeña, S., & Iraurgi, I. (2020). Expression of resilience, coping and quality of life in people with cancer. PLoS One, 15(7), e0236572.
Martin, L. L., & Tesser, A. (2017). Toward a motivational and structural theory of ruminative thought. Guilford Press.
Mboumba Bouassa, R.-S., Nodjikouambaye, Z. A., Sadjoli, D., Adawaye, C., Péré, H., Veyer, D., Matta, M., Robin, L., Tonen-Wolyec, S., & Moussa, A. M. (2019). High prevalence of cervical high-risk human papillomavirus infection mostly covered by Gardasil-9 prophylactic vaccine in adult women living in N’Djamena, Chad. PLoS One, 14(6), e0217486.
Mehraban, S., Khalilzadeh, N., Ahmadbookani, S., & Asmari Bardezard, Y. (2019). Positive group psychotherapy Based on Religious teachings on Rumination in Infertile Women [Original Research Article]. Middle Eastern Journal of Disability Studies, 9(1), 1-7. http://jdisabilstud.org/article-1-1362-en.html
Mordai, z., & Sadeghi, M. (2020). Comparison of the effectiveness of acceptance and commitment therapy and positive psychology on rumination in women with rheumatoid arthritis [Research]. Razi Journal of Medical Sciences, 27(6), 75-89. http://rjms.iums.ac.ir/article-1-6182-en.html
Newman, D. B., & Nezlek, J. B. (2019). Private self-consciousness in daily life: Relationships between rumination and reflection and well-being, and meaning in daily life. Personality and individual differences, 136, 184-189.
Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta Earthquake. Journal of personality and social psychology, 61(1), 115.
Pascoe, L., & Edvardsson, D. (2014). Benefit finding in adult cancer populations: Psychometric properties and performance of existing instruments. European Journal of Oncology Nursing, 18(5), 484-491.
Patton, K. A., Ware, R., McPherson, L., Emerson, E., & Lennox, N. (2018). Parent‐related stress of male and female carers of adolescents with intellectual disabilities and carers of children within the general population: A cross‐sectional comparison. Journal of Applied Research in Intellectual Disabilities, 31(1), 51-61.
Pouresmaeel Niyazi, M., Farshbaf Mani Sefat, F., Khademi, A., & Meshgi, S. (2022). The Mediating Role of Coping Strategies in Relationship Between Illness Perception and Perceived Social Support with Treatment Adherence in Cardiovascular Patients [Research]. Journal of Nursing Education, 9(6), 98-108. http://ijpn.ir/article-1-1915-en.html
Rashid, T. (2015). Positive psychotherapy: A strength-based approach. The Journal of Positive Psychology, 10(1), 25-40.
Rashid, T. (2020). Positive psychotherapy. In Encyclopedia of Quality of Life and Well-Being Research (pp. 1-8). Springer.
Roshandel, G., Ghanbari-Motlagh, A., Partovipour, E., Salavati, F., Hasanpour-Heidari, S., Mohammadi, G., Khoshaabi, M., Sadjadi, A., Davanlou, M., & Tavangar, S.-M. (2019). Cancer incidence in Iran in 2014: results of the Iranian National Population-based Cancer Registry. Cancer epidemiology, 61, 50-58.
Seddiq, S., Khalili, F., Abdoli, A., Azarkish, F., & Abdolmohammadi, K. (2022). Human papilloma virus (HPV) vaccine, prevention ofcervical cancer: a review article [Review Article]. Tehran University Medical Journal, 80(3), 161-167. http://tumj.tums.ac.ir/article-1-11717-en.html
Seligman, M. E. (2019). Positive psychology: A personal history. Annual review of clinical psychology, 15(1), 1-23.
Seligman, M. E., Steen, T. A., Park, N., & Peterson, C. (2005). Positive psychology progress: empirical validation of interventions. American psychologist, 60(5), 410.
Shahvaroughi Farahani, N., Eskandari, H., & Borjali, A. (2018). Investigating the Personality subtypes of women with advanced breast and endometrial cancers and breast and endometrial cancers survivors: A qualitative study [Research]. Razi Journal of Medical Sciences, 25(6), 52-62. http://rjms.iums.ac.ir/article-1-5079-en.html
Sharifi, M., Mohammadi, Z., Makvandi, Z., Rostami, P., & Moradi, A. (2018). Assessment of cervical cancer screening and its barriers in 18-50 year old women referring to Asad Abad comprehensive health centers [Research Article]. Pajouhan Scientific Journal, 16(2), 35-45. https://doi.org/10.21859/psj.16.2.35
Shirani, M., & Manshaei, G. (2019). Effectiveness of Positive Psychology Interventions on Pain Catastrophizing and Life Expectancy of Women with Breast Cancer [Research]. Journal of Research in Behavioural Sciences, 16(3), 400-407. https://doi.org/10.52547/rbs.16.3.400
Zali, H., Fakhar, H., Rezaee tavirani, M., & Akbari, A. (2013). Proteomic Study of Cervical Cancer [Research]. journal of ilam university of medical sciences, 20(4), 182-191. http://sjimu.medilam.ac.ir/article-1-908-en.html