Iranian Journal of Breast Diseases
بیماریهای پستان ایران
ijbd
Medical Sciences
http://ijbd.ir
0
user
1735-9406
2645-7482
10.61186/ijbd
fa
jalali
1401
6
1
gregorian
2022
9
1
15
3
online
1
fulltext
fa
پیشبینی وضعیت سیستم ایمنی بر اساس تیپ شخصیتی D با میانجیگری مکانیسمهای دفاعی در بیماران مبتلا به سرطان پستان
Predicting the status of the immune system based on personality type D mediated by defense mechanisms in patients with breast cancer
پژوهشي
Research
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">چکیده</span></span></span></b></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> سرطان پستان، به عنوان شایع­ترین سرطان، علت مرگ و</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">میر میلیون­ها نفر در سراسر جهان است. با توجه به اینکه وضعیت روان شناختی می تواند با تحت تاثیر قرار دادن سیستم ایمنی در پاسخ دهی فرد مبتلا به درمان موثر باشد، </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">پژوهش حاضر با هدف ارائه مدل جهت پیش بینی وضعیت سیستم ایمنی بر اساس تیپ شخصیتی</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">D</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> با میانجی­ گری مکانیسم­های دفاعی در بیماران مبتلا به سرطان پستان انجام شد. </span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">روش بررسی:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> جامعه آماری پژوهش حاضر شامل تمامی زنان مبتلا به سرطان پستان در شهر تهران و گیلان در سال 1398 بودند که از بین آنها</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> تعداد 250 نفر با روش نمونه­ گیری هدفمند انتخاب شدند. </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">داده­ها با استفاده از فهرست وارسی علایم هشدار دهنده نقص سیستم ایمنی، پرسشنامه مکانیسم­ های دفاعی و پرسشنامه </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">تیپ شخصیتی </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">D</span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">جمع­ آوری شد.</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">برای تحلیل داده­ ها</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">از روش­ های ضریب همبستگی پیرسون و مدل معادلات ساختاری با بهره ­گیری از نرم افزار </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">AMOS</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> و</span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">SPSS</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> نسخه </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">22</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">استفاده شد</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">.</span></span></span><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">یافته­ها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> یافته­ ها نشان داد، بین</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">وضعیت سیستم ایمنی </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">و مکانیسم دفاعی روان رنجور، مکانیسم دفاعی رشد نیافته و </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">تیپ شخصیتی </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">D</span></span><span style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> همبستگی</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">معنادار و مستقیم و</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">بین</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">وضعیت سیستم ایمنی </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">و مکانیسم دفاعی رشد­ یافته</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> همبستگی معنادار و معکوس وجود دارد</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">. </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">همچنین </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">مکانیسم­های دفاعی</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">در رابطه بین </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">تیپ شخصیتی </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">D</span></span><span style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> و </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">وضعیت سیستم ایمنی</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">در بیماران مبتلا به سرطان پستان</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">دارای نقش میانجی دارد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">نتیجه­ گیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> بر این اساس، در بیماران مبتلا به سرطان پستان،</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> وضعیت سیستم ایمنی از طریق</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> مکانیسم­ های دفاعی و</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">تیپ شخصیتی </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">D</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">قابل پیش بینی است. بدین صورت که هر چقدر فرد از مکانیسم دفاعی رشد­نیافته تر استفاده می­ کند سیستم ایمنی ضعیف­تر داشته و استفاده از مکانیسم دفاعی رشد یافته با سیستم ایمنی قوی ­تر همراه است. بر اساس یافته ­های به دست آمده می­ توان گفت طراحی مداخلات روان شناختی مبتنی بر اصلاح </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">مکانیسم­های دفاعی</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> و تغییر </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">تیپ شخصیتی </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">D</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">، می</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">­</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">تواند به بیمار مبتلا به سرطان پستان جهت مدیریت و درمان بیماری کمک نماید. </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">واژگان کلیدی: </span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">سیستم ایمنی، تیپ شخصیتی </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%">D</span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">، مکانیسم ­های دفاعی، سرطان پستان</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Abstract</span></span></span></b></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Introduction: </span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Breast cancer, as the most common cancer, is the cause of death of millions of people around the world. Given that psychological status can be effective in responding to treatment by affecting the immune system, the aim of this study was to present a model for predicting the status of the immune system through personality type D mediated by defense mechanisms in patients with breast cancer.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Methods:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""> The statistical population of the present study included all women with breast cancer in Tehran and Gilan in 1398, from which 250 were selected by purposive sampling. Data were collected using a Type D personality, Questionnaire Defense Style Questionnaire and Warning Signs of Immunodeficiency. Pearson correlation coefficient and structural equation modeling were used to analyze the data using AMOS and SPSS software version 22.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Results:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""> The results showed that there was a significant and direct correlation between the status of the immune system and the neurotic defense mechanism, undeveloped defense mechanism and personality type D and a significant and inverse correlation between the status of the immune system and the developed defense mechanism. Also, defense mechanisms played a mediating role in the relationship between personality type D and immune system status in breast cancer patients.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""> Accordingly, in patients with breast cancer, the status of the immune system can be predicted through defense mechanisms and personality type D. Therefore, therapists and health professionals can help these people overcome their disease by designing interventions based on modifying defense mechanisms and personality type D.</span></span></span> <span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Thus, the more an individual uses the immature defense mechanism, the weaker the immune system is, and the use of the developed defense mechanism is associated with a stronger immune system. Based on the findings, it can be said that designing psychological interventions based on modifying defense mechanisms and changing personality type D, can help a patient with breast cancer to manage and treat the disease.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Keywords: </span></span></span></b><span style="font-size:12.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Immune system, Personality type D, Defense mechanisms, Breast cancer</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b> </b><span dir="LTR" style="font-size:12.0pt"><span style="line-height:115%"></span></span></span></span></span></span></span><br>
سیستم ایمنی, تیپ شخصیتی D, مکانیسمهای دفاعی, سرطان پستان
Immune system, Personality type D, Defense mechanisms, Breast cancer
67
83
http://ijbd.ir/browse.php?a_code=A-10-1105-2&slc_lang=fa&sid=1
Saghi
Kousha
ساقی
کوشا
cp.kousha@gmail.com
00031947532846009015
00031947532846009015
No
department of Psychology, Rudehen Branch, Islamic Azad University, Rudehen, Iran
گروه روان شناسی، دانشگاه آزاد اسلامی واحد رودهن، رودهن،ایران
Farah
Lotfi Kashani
فرح
لطفی کاشانی
lotfi.kashani@gmail.com
00031947532846009016
00031947532846009016
Yes
Department of psychology, Medical Sciences Branch, Islamic Azad University, Tehran, Iran
گروه روانشناسی، واحد علوم پزشکی، دانشگاه آزاد اسلامی، تهران، ایران
Shahram
Vaziri
شهرام
وزیری
shahra.vaziri@gmail.com
00031947532846009017
00031947532846009017
No
Department of Psychology, Rudehen Branch, Islamic Azad University, Rudehen, Iran.
گروه روانشناسی، واحد رودهن، دانشگاه آزاد اسلامی، رودهن، ایران
Nahid
Nafisi
ناهید
نفیسی
nahid.nafissi@gmail.com
00031947532846009018
00031947532846009018
No
Department of General Surgery, Rasool Akram Medical Complex Clinical Research Development Center (RCRDC), Iran University of Medical Sciences, Tehran, Iran
جراحی پستان، گروه جراح عمومی مرکز تحقیقات بالینی تحقیقاتی جامع تحقیقاتی، دانشگاه علوم پزشکی ایران، تهران، ایران.