چکیده:
Objectives: Mastectomy as a treatment for breast cancer can disturb marital satisfaction of many couples. In this way, existential anxieties stemming from this potentially deleterious event, and inefficient responses to them, could be mediating. The purpose of this study is to investigate the effectiveness of a rehabilitation method based on existential approach and Olson's marital enrichment model on marital satisfaction of women who had undergone mastectomy and their husbands . Methods: In this study, a single subject research design is used. The study population comprised couples who had referred to Radiotherapy department of Imam Hussein hospital in Tehran, that among them three couples whose average age was 20 to 50 years old, wife's had undergone mastectomy, tumor has not spread to other parts of the body, and had no prior history of psychiatric disorders before cancer, were selected through purposeful sampling and Intervention in 12 sessions of 90 minutes once a week, has been designed to suit their specific needs. The level of couple's marital satisfaction was evaluated using Dyadic Adjustment Scale. Results: Comparing couple's scores on the diagram during 9 time measurement (3 times baseline, 4 times during intervention, and 2 times follow up assessment) and calculating recovery percentage, represent increasing in score of marital adjustment scale . Discussion: So it seems that, this kind of an eclectic couple therapy, by considering couples existential anxiety, has been promoted their marital satisfaction. Explanations are given in discussion part .
خلاصه ماشینی:
Iranian Rehabilitation Journal, Vol. 12, No. 21, September 2014 Original Article The effect of rehabilitation method based on Existential Approach and Olson's model on Marital Satisfaction1 Maedeh Naghiyaee; Bahman Bahmani, PhD.
Although these existential anxieties are normal consequences of facing with life threatening events in short time (14) in a case of inability to finding and giving meaning effectively, can lead to demoralization (15-17), which could disturb couples relationship and their marital satisfaction (18,19).
Therefore the aim of this study is to evaluate the effectiveness of an eclectic rehabilitation method to couple therapy based on an existential approach with Olson's marital enrichment model on marital satisfaction of mastectomy women and their husband.
The statistical population was chosen from couples who had referred to radiotherapy department of Imam Hussein hospital in Tehran that among them three couples whose average age was 20 to 50 year, wife's had undergone mastectomy, tumor has not spread to other parts of the body, and had no prior history of psychiatric disorders before cancer, had lower score in DAS scale, and the women that had high score in Demoralization Scale, were selected through purposive sampling and Intervention in 12 sessions of 90 minutes once a week, has been designed to suit their specific needs.
Discussion Increasing the trend of marital satisfaction scores can be perceived as the effectiveness of eclectic couple therapy based on existential approach and Olson's model on mastectomy women and their husband.