بررسی ویژگی های روانسنجی مقیاس تاب آوری در زنان مبتلا به سرطان پستان

نویسندگان
فاطمه عبدی 1
شکوه السادات بنی جمالی 2
حسن احدی 3
شیرین کوشکی 4
1 دانشگاه آزاد اسلامی، واحد علوم و تحقیقات
2 دانشگاه الزهرا
3 دانشگاه علامه طباطبایی
4 دانشگاه آزاد اسلامی، واحد تهران مرکز
10.52547/rph.13.2.81
چکیده
باتوجه به اهمیت بررسی روان شناختی زنان مبتلا به سرطان پستان، وازآنجایی که تاب آوری می تواند مبتلایان به سرطان را از آشفتگی های هیجانی حفظ کند، اعتبارسنجی ابزارتاب آوری کانر دیویدسون ( CD-RISC)در این پژوهش انجام گرفته است. در این پژوهش ۲۰۲ نفر از مبتلایان به سرطان پستان که در مراکز درمانی شهر تهران تحت معالجه بوده اند، پرسشنامه ۲۵ سوالی کانر را پاسخ داده اند. برای بررسی روایی سازه از تحلیل عامل تاییدی و تحلیل عامل اکتشافی استفاده شده است. در نحلیل عامل تاییدی تمامی شاخص های برازش در حد مطلوب به دست آمده است .در تحلیل عامل اکتشافی، ماتریس عاملی بر اساس ۲عامل محاسبه شد. این ۲عامل بر روی هم 34/48 درصد کل واریانس متغیرها است. عامل اول با ارزش ویژه75/10، به تنهایی025/43 درصد واریانس کل متغیر ها را بعد از چرخش عوامل توجیه می کند و عامل اول نسبت به عامل دوم ( با ارزش ویژه33/1، و319/5درصد واریانس ) سهم بیشتری در تبیین واریانس دارد. بیشترین ضریب آلفای کرونباخ مربوط به عامل اول ( 935 /0 )و کمترین مربوط به عامل دوم ( 792 /0 )و برای کل مقیاس (942 /0 ) است که نشان دهنده هماهنگی درونی بالا است. بر اساس نتایج پژوهش ابزارتاب آوری کانر دیویدسون از روایی واعتبار قابل قبول درزنان مبتلا به سرطان پستان، برخورداراست.
کلیدواژه‌ها
تاب آوری
اعتبارسنجی
سرطان پستان
تحلیل اکتشافی

عنوان مقاله English

Psychometric properties of of Resilience scale (CD-RISC) among women’s with breast cancer

نویسندگان English

Fatemeh Abdi 1
Shokoohsadat Banijamli 2
Hassan Ahadi 3
shirin Koushki 4
1 Islamic Azad University،Science And Research Branch
2 Alzahra University
3 allameh tabataba'i university
4 Islamic Azad University, Central Tehran Branch
چکیده English

According to the prevalence of cancer in Iran and the importance of women’ s suffering from breast cancer psychological survey, credit scoring of Resilience instrument has been used in this research. The questionnaire of Connor-Davidson (CD-RISC) - including 25 questions-was answered by 202 breast cancers women who had been under treatment all over Tehran’s hospitals. Confirmatory Factor Analysis(CFA) and Exploratory Factor Analysis (EFA) has been used for validity consideration.In the confirmatory factor analysis, all fitting indices have been found to be optimal and factor matrix has been calculated based on 2 factors. These two factors had totally 48/37% of total variance. The First Value was 10/75 that was 43/025% of total variance and the ratio of the first value to the second was 1/33 that it was 5/319 %of total variance. According to the results, in general the highest Cronbach’s Coefficient Alpha was related to the first factor (α=0/935) and the least was relevant to the second factor (α=0/792) and for the whole factors, (α=0/942) is calculated which shows the high internal coordination. In conclusion, results have proved the accessibility of Connor-Davidson (CD-RISC) instrument in women with breast cancer.

کلیدواژه‌ها English

Resilience
breast cancer
Validity
Reliability
1- Padilla-Ruiz M, Ruiz-Román C, Pérez-Ruiz E, Rueda A, Redondo M, Rivas-Ruiz F.Clinical and sociodemographic factors that may influence the resilience of women surviving breast cancer: cross-sectional study. Support Care Cancer.2019;27(4):1279-1286.
2- Markovitz SE, Schrooten W, Arntz A, Peters ML. Resilience as a predictor for emotional response to the diagnosis and surgery in breast cancer patients. Psychooncolog.2015;24(12):1639-1645.
3- Connor K M, Davidson J R. Development of a -NewResilience Scale: The Connor- Davidson Resilience Scale (CD-RISC). Depress. Anxiety. (2003); 18: 76- 82.
4- Sadeghi F, Hassani F, Emamipour S, Mirzaei H. Effect of Acceptance and Commitment Group Therapy on Quality of Life and Resilience of Women With Breast Cancer. Archives of breast cancer. 2018; 5(3): 111-117. [Persian].
5- Seiler A, Jenewein J. Resilience in Cancer Patients. Front. Psychiatry.2019;10(208): 1-35.
6- Dooley LN, Slavich GM, Moreno PI, Bower JE. Strength through adversity: Moderate lifetime stress exposure is associated with psychological resilience in breast cancer survivors. Stress Health. 2017; 33(5): 549-557.
7- Lam W. W. T, Yoon S. W, Sze W. K, Ng A. W. Y, Soong I, Kwong A, Suen D, Tsang J, Yeo W, Wong K. Y, Fielding R. Comparing the meanings of living with advanced breast cancer between women resilient to distress and women with persistent distress: a qualitative study. Psycho-Oncology. 2016; 26(2): 255-261.
8- Axelsson U, Rydén L, Johnsson P, Edén P, Månsson J, Hallberg I.R, Borrebaeck C.A.K. A multicenter study investigating the molecular fingerprint of psychological resilience in breast cancer patients: study protocol of the SCAN-B resilience study.BMC cancer. 2018; 18: 789.
9- Safarzadeh A, Roshan R, Shams J. The Effectiveness of Stress Management and Relaxation Training on Reducing Negative Emotions and Increasing the Quality of Life in Women with Breast Cancer. Journal of Research in Psychological Health. 2012; 6(4): 21-35.[Persian].
10- Molina Y, Yi JC, Martinez-Gutierrez J, Reding KW, Yi-Frazier JP, Rosenberg. AR. Resilience Among Patients Across the Cancer Continuum: Diverse Perspectives. Clin J Oncol Nurs. 2014 ; 18(1): 93–101.
11- Bazzi AR, Clark MA, Winter MR, Ozonof AL, Boehmer U. Resilience Among Breast Cancer Survivors of Different Sexual Orientations. Lgbt Health.2018; 5(5): 295-302.
12- Alipour A, Aliakbari Dehkordi M, Amini F, Hashemi Jashni A. The relationship between perceived social support and compliance Treatment in patients with type 2 diabetes: the mediating role of resilience and hope. Journal of Research in Psychological Health. . 2016; 10(2): 53-67. [Persian].
13- Jiang X, Li H, Zhang T, Shen Q, Ding X, Xiao T, Zhang M. Optimism and resilience in patients with breast cancer: chain mediating effect of mastery and self-efficacy. Chinese Journal of Behavioral Medicine and Brain Science. 2018;27(3):256-260.
14- Gallagher MW, Long LJ, Richardson A, D’Souza JM. Resilience and Coping in Cancer Survivors: The Unique Effects of Optimism and Mastery. Int J Cogn Ther. 2019; 43(1): 32-44.
15- Ranieri DDG, Perilli E, Cannita K, Passafiume D, Ficorella C. Psychological impact of clinical treatment after breast cancer diagnosis in younger patients (38–50 age range): An explorative 3-year observationalstudy. Neurol Psychiat Br.2019; 32: 85-90.
16- Min J-AH, Yoon S, Lee CH-UK, Chae J-HO, Lee C, Song K-Y, Kim T-S. Psychological resilience contributes to low emotional distress in cancer patients. Support Care Cancer. 2013; 21(9): 2469-2476.
17- Karen-leigh Edward, Mitchell Chipman, Jo-Ann Giandinoto , Kayte Robinson. Quality of life and personal resilience in the first two years after breast cancer diagnosis: Systematic integrative review. Br J Nurs. 2019; 28(10):4-14.
18- Evangelos C Fradelos,1,* Ioanna V Papathanasiou,2 Aikaterini Veneti,3 Aristides Daglas,4 Eleni Christodoulou,5Sofia Zyga,1 and Michael Kourakos. Psychological Distress and Resilience in Women Diagnosed with Breast Cancer in Greece. Asian Pac J Cancer Prev. 2017; 18(9): 2545–2550.
19- Giacomo D. Di, Cannita K, Ranieri J, Cocciolone V, Passafium D, Ficorella C. Breast cancer and psychological resilience among young women. Psychopathology. 2016; 22: 191-195.
20- Dimitrovska G R, RajchanovskaIFD, Stefanovski P, Dejanova B. Resilience and Quality of Life in Breast Cancer Patients. Maced J Med Sci. 2015 ; 3(4): 727-731.
21- Dubey C J. Maria D e, Hoeppli C, Betticher D C, Eicher M. Resilience and unmet supportive care needs in patients with cancer during early treatment: A descriptive study. Eur J Oncol Nurs.2015;19: 582-588.
22- Gillespie C, Phifer J, Bradley B, Ressler K. Risk and resilience: genetic and environmental influences on development of the stress response. Depress. Anxiety. 2009;26(11):984-92.
23- Sharifi Bastan F, Yazdi M, Zahraee Sh. The Relationship between Cognitive Emotion Regulation Strategies and Positive and Negative Emotions with Resilience in Women with Breast Cancer. Iranian Journal of Psychiatric Nursing. 2016; 4(2): 38-49. [Persian].
24- Gholipour Z, Marashi S A, Mehrabizade Honarmand M, Arshadi N. Resilience as a mediator of the relationship of the five great factors of personality and happiness. Educational Psychology. 2016; 12(39):135-155. [Persian].
25- Lam WWT, Fielding R, Yoon SW, Tsang J, Soong I. Living with advanced breast cancer in women resilient to distress versus women with persistent distress: a qualitative study. Hong Kong Med J. 2018; 24(4): 38-41.
26- Huang Y, Huang Y, Bao M, Zheng SH, Du T, Wu K. Psychological resilience of women after breast cancer surgery: a cross-sectional study of associated influencing factors. Psychol Health Med. 2019; 24(7): 866-878.
27- Oliva A, García-Cebrián JM, Calatayud EF, Serrano-García I, Herraiz MA, Pluvio J. Coronado PJ. A comparison of quality of life and resilience in menopausal women with and without a history of gynaecological cancer. Maturitas. 2019; 120: 35-39.
28- Liewellyn A, Howard C, McCable C. An exploration of the experiences of women treated with radiotherapy for breast cancer: Learning from recent and historical cohorts to identify enduring needs. Eur J Oncol Nurs. 2019; 39: 47-54.
29- Li Y, Qiao Y, Luan X, Li SH, Wang K. Family resilience and psychological well‐being among Chinese breast cancer survivors and their caregivers. Eur J Cancer Care. 2019; 28(2): e12984.
30- Liu Y, Li Y, Chen L, Li Y, Qi W, Yu Li. Relationships between family resilience and posttraumatic growth in breast cancer survivors and caregiver burden. Psycho Oncology. 2018; 27(4): 1284-1290.
31- Dehghani Arani F, Adili D. Relationship between caregiver burden of patient caregivers and quality of life in women with breast cancer. Journal of Research in Psychological Health. 2018; 12(2): 30-39. [Persian].
32- Asghari Nekah S M, Jansooz F, Kamali F, Taherinia S. The status of resilience and emotional injuries in mothers of children with cancer. journal of Clinical Psychology. 2015;25(1):15-26 . [Persian].
33- Rahimian Boger E, Asgharnejad F, Asghar A. The Relationship between Psychological Hardiness and Self- resilience with Mental Health in Youth and Adult Survivors of Bam city Earthquake. Iranian Journal of Psychiatry and Clinical Psychology. 2008; 14(1): 62-70. [Persian].
34- Keihani M, Taghvaei D, Rajabi A, Amirpour B. Internal Conformity and Confirmatory Factor Analysis of Connor-Davidson Resilience Scale in Nursing Female Students. Iranian Journal of Medical Education. 2014; 14(10): 857-864. [Persian].
35- Scali J, Gandubert C, Ritchie K, Soulier M, Ancelin M-L, Chaudieu I. measuring resilience in adult women using the 10-items Connor-Davidson Resilience Scale (CD-RISC). role of trauma exposure and anxiety disorders. PLoS One.2012; 7(6): e39879.
36- Karaırmak O. Establishing the psychometric qualities of the Connor-Davidson Resilience Scale (CD-RISC) using exploratory and confirmatory factor analysis in a trauma survivor sample. Psychiatry Res. 2010;179(3):350-6.
37- Nejati F, Mahdiyar M. Validation of Resiliency Questionnaire in Suicide. Health Psychology. 2015; 16: 5-16. [Persian].
38- Bigdeli E, Najafi M, Rostami M.The relationship between attachment styles, emotional regulation, and resilience with psychological well-being in medical students.Iranian Journal of Medical Education. 2012; 13(9):721- 729. [Persian].
39- Houman H. Analysis of Multivariate Data in Behavioral Research. Peyk Farhang Publication, Tehran. 2011. [Persian].
40- Cerny BA, Kaiser HF. A Study Of A Measure Of Sampling Adequacy For Factor-Analytic Correlation Matrices. Multivariate Behav Res .1977 ;12(1): 43-7.
41- Bartlett M S. Test of significance in faactor analysis. Br. J. Math. Stat. Psychol. (1950); 3(2): 77–85.
42- Ye Z, Zang Z, Tang Y, Liang J, Sun Z, Zang X Y, Liang M Z, Yu Y L. Development and psychometric analysis of the 10-item resilience scale specific to cancer: A multidimensional item response theory analysis. Eur J Oncol Nurs. 2019 ;41:64–71 .