نشانگان افت روحیه در بیماران مبتلا به ویروس نقص ایمنی انسان

نویسندگان
چکیده
زمینه و هدف

نشانگان افت روحیه، باعث ناتوانی فرد برای مقابله مؤثر با یک رویداد پرفشار می شود و به دنبال آن فقدان احساس تسلط بر امور و معنای زندگی می تواند در فرد احساس بی کفایتی ذهنی ایجاد کند که ممکن است مبتلایان به بیماری های بالقوه مهلک، آن را تجربه کنند. هدف پژوهش حاضر مقایسه نشانگان افت روحیه بیماران مبتلا به ویروس نقص ایمنی انسان با جمعیت عادی بود.

مواد و روش ها

در مطالعه توصیفی- مقایسه ای حاضر، تعداد پنجاه بیمار ( 20 تا 50 سال) مبتلا به ویروس نقص ایمنی انسان، تحت درمان در بخش عفونی بیمارستان امام خمینی (ره) و مراکز بهداشتی درمانی تهران با روش نمونه گیری غیرتصادفی در دسترس انتخاب و با 50 نفر از جمعیت طبیعی که از لحاظ جنسیت، سن و سطح تحصیلات همتاسازی شده بودند مقایسه و پرسشنامه نشانگان افت روحیه کیسان ( ٢٠٠٤) را تکمیل نمودند. داده ها با استفاده از نرم افزار SPSS v.20 برای محاسبه آزمون T مستقل پردازش شدند.

یافته ها

نتایج مؤید وجود تفاوت معنی دار ( 0001 / P < 0 ) بین میانگین نشانگان افت روحیه بیماران مبتلا به ویروس نقص ایمنی انسان و جمعیت عادی بود.

نتیجه گیری

با توجه به بالاتر بودن میانگین نشانگان افت روحیه در این دسته از بیماران، به نظر می رسد پرداختن به نیازهای وجودی آنها در پیشگیری از آزردگی های روانی شدیدتر حائز اهمیت باشد.



* نویسنده مسئول: دانشگاه علوم بهزیستی و توانبخشی تهران، گروه مشاوره.

پست الکترونیک: Sh.farmani.shahreza@gmail.com
کلیدواژه‌ها

عنوان مقاله English

Demoralization Syndrome in Patients with Human Immunodeficiency Virus

نویسندگان English

Bahman Bahmani
Shiva Farmani Shahreza
Masumeh Amin Esmaeili
Maedeh Naghiay
Ali Ghaedniay Jahromi
چکیده English

Introduction and Aims

Demoralization syndrome is characterized by individual’s inability to cope with the stressful event and losing sense of mastery and meaning of life which could result in feelings of subjective incompetency and people can experience it after potentially fatal diseases. In this regard, demoralization syndrome in patient with human immunodeficiency virus (HIV) were compared to the general population.

Materials and Methods

In a descriptive-comparative study, 50 patients (aged 20 to 50 years) with HIV referring to infectious department of Imam Khomeini hospital, and the Tehran health centers with nonrandomized available choice, and with 50 people of general population (aged 20 to 50 years) in terms of gender, age and education level were matched for comparison and were selected to answer the Demoralization Scale (Kissane 2004). Data were processed by SPSS v.20 to calculate independent T test.

Results

Findings indicate significant deference (P < 0.0001) between demoralization syndrome of patients with human immunodeficiency virus (HIV) and general population.

Conclusion

Regarding to high level of demoralization syndrome in these patients, paying attention to their existential needs seems to be necessary in prevention of intensification of psychological problems.



* Corresponding Author: Tehran University of Welfare and Rehabilitation Sciences, Consulting Group.

E-mail: Sh.farmani.shahreza@gmail.com

کلیدواژه‌ها English

Existential Distress
Demoralization Syndrome
HIV
American Cancer Society. Breast Cancer Facts & Figures: 2011-2012. Available from: URL: http://www.cancer.org/research/cancerfactsfigures/breastcancerfactsfigures/breast-cancer-facts-and-figures-2011-2012/, (Accessed: 5 February 2013).

Hubley J. The AIDS Handbook: A Guide to the Understanding of AIDS and HIV. London: Macmillan Publishers Ltd; 1990.

Kaut K. Religion, Spirituality, and Existentialism near the End of Life: Implications for Assessment and Application. Am Behav Sci. 2002; 46(2): 220-34.

Chochinov H, Cann B. Interventions to Enhance the Spiritual Aspects of Dying. J Palliat Med. 2005; 8(1): 103-15.

Stevens J, Michael A. Predictors of Existential Openness. J Res Pers. 1992; 26(1): 32-43.

Yalom ID. Existential Psychotherapy. USA; 1980. [In Persian].

Prochaska JO, Norcross JC. Systems of Psychotherapy: A Transtheoretical Analysis. 8th ed. Cengage Learning; 2013.

Cherny NI, Blinderman CD. Existential Issues Do Not Necessarily Result in Existential Suffering: Lesson from Cancer Patients in Israel. Palliat Med. 2005; 19(5): 371-80.

Leung D, Esplan MJ. Alleviating Existential Distress of Cancer Patients: Can Relational Ethics Guide Clinicians?. Eu‌ro J Cancer Care. 2010; 19(1): 30-8.

Kissane DW. Psychospritual and Existential Distress. Aust Fam Physician. 2000; 29(11): 1022-25.

Kissane DW, Clark DM, Street AF. Demoralization Syndrome. A Relevant Psychiatric Diagnosis for Palliative Care. J Palliate care. 2001; 17(1): 12-21.

Naghiay M. Effectiveness of an Eclectic Method to Couple Therapy Based on Existential Approach with Olson's Model an Marital Satisfaction and Family Function of Mastectomy Women and Their Husbands. (Dissertation for the degree of MSc).University of Welfare and Rehabilitation Sciences. 2013. [In Persian].

Bahmani B. Comparison the Effectiveness of Two Methods of "Cognitive Therapy-Based Teaching Style Michael Ferry" and "Group Therapy Cognitive / Existential" the Hope, Self-Esteem and Quality of Life in Women after Treatment for Breast Cancer, Non-Reported Symptoms of Depression Have Demonstrated. (Dissertation for the degree of PhD). University of Allameh Tabatabai; 2010. [In Persian].

Kissane DW, Maj M, Sartorius N. Depression and Cancer. John Wiley & Sons; 2011.

Kissane DW, Clark DM. Demoralization: Its Phenomenology and Importance. Aust N Z J Psychiatry. 2002; 36(6): 733-42.

Vehling S, Lehmann C, Oechsle K, Bokemeyer C, Krull A, Koch U, et al. Is Advanced Cancer Associated with Demoralization and Lower Global Meaning? The Role of Tumor Stage and Physical Problems in Explaining Existential Distress in Cancer Patients. Psychooncology. 2012; 21(1); 54-63.

Morita T, Tsunoda J, Inoue S, Chihara S. An Exploratory Factor Analysis of Existential Suffering in Japanese Terminaly Ill Cancer Patients. Psychooncology. 2000; 9(2): 164-8.

Naghiay M, Bahmani B, Alimohammadi F, Dehkhoda A. Demoralization in Women with Breast Cancer: A Comparative Study. Proceedings of the Third National Congress of Psychology. Marvdasht. 2013. [In Persian].

Schreiber R, Bruce A, Boston P. Existential Suffering in the Palliative Care Setting: An Integrated Literature Review. J Pain Symptom Manage. 2011; 41(3): 604-18.

Mullane M, Dooley B, Tiernan E, Bates U. Validation of the Demoralization Scale in an Irish Advanced Cancer Sample. Palliat Support Care. 2009; 7(3): 323-30.

Lee CY, Fang CK, Yang YC, Liu CL, Leu YSh, Wang TE, et al. Demoralization Syndrome Among Cancer Outpatients in Taiwan. Support Care Cancer. 2012; 20(10): 2259-67.

Kissane DW, Wein S, Love A, Lee XQ, Kee PL, Clarke DM. The Demoralization Scale: A Report of Its Development and Preliminary Validation. J Palliat Care. 2004; 20(4): 269-76.

Strang P. Existential Consequences of Unrelieved Cancer Pain. Palliat Med. 1997; 11(4): 299-305.

Rahmati F, Niknami SH, Shokravi FA, Ravari A. HIV/AIDS Patients’ Experiences about Stigma: A Qualitative Study. J Qual Res Health Sci. 2012; 1(2): 71-80. [In Persian].

Scoili A, MacNei S, Partridge V, Tinker E, Hawkin E. Hope, HIV and Health: Aprospective Study. AIDS care. 2012; 24(2):149-56.

McGrath P. Creating a Language for “Spiritual Pain” Through Research: A Beginning. Support Care Cancer. 2002; 10(8): 637-46.

Boscaglia N, Clarke DM. Sense of Coherence as a Protective Factor for Demoralization in Women with a Recent Diagnosis of Gynaecological Cancer. Psychooncology. 2007; 16(3): 189-95.

Lethborg C, Aranda S, Shelley C, Kissane D. To What Extent Does Meaning Mediate Adaptation to Cancer? The Relationship between Physical Sufferings, Meaning in Life, and Connection to Others in Adjustment to Cancer. Palliat Support Care. 2007; 5(4): 377-88.