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Yıl:2020; Cilt: 21; Sayı: 2>> Özet
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Anadolu Psikiyatri Dergisi; 2020;21(2):173-179
Meme kanseri hastalarında psikodrama gruplarının özşefkat ve distres üzerine etkisi
Dİ Akbıyık, B Arapaslan, Y Yardımcı
SBÜ Dışkapı Yıldırım Beyazıt Eğitim Araştırma Hastanesi, Ankara
Giriş: Bu çalışma Kasım 2016 Ekim-2018 tarihleri arasında, Ankara Mamak Belediyesi, Meme Kanseri Hastalarına Psikososyal Destek Programı kapsamında ileriye dönük bir müdahale çalışması olarak planlanmıştır. Çalışmanın amacı, meme kanseri hastalarında psikodramanın özşefkat ve distres yaşama durumları üzerine etkisini belirlemektir. Yöntem: Tanımlayıcı kesitsel tipte yapılan çalışmanın örneklemini Ankara Mamak Belediyesi sınırları içinde kalan sağlık merkezlerine duyuru yapılarak davet edilen, en az bir yıl önce meme kanseri tanısı konmuş kadın hastalar oluşturdu. Hastalar 21 hafta boyunca haftada 3 saat, amaca yönelik olarak yarı yapılandırılmış bir program üzerinden sürdürülen psikodrama grup terapisi oturumlarına katıldılar. Gruplara başlamadan hemen önce, grupların bittiği gün ve bitiminden 18 ay sonra üç ölçüm olacak şekilde Özşefkat Ölçeği ve Distres Termometresi uygulandı. Sonuç: Psikodrama gruplarından sonra hastaların Distres Termometresi sonuçları belirgin olarak azalmış ve çalışmadan 18 ay sonra da (yeni stresör olmayan hastalarda) bu durum korunmuştur. Özşefkat Ölçeği puanlarında da benzer sonuçlara ulaşılmış, özellikle kendine karşı nezaket puanları dikkat çekici şekilde artmış ve sosyal izolasyon hissi azalmıştır. Tartışma: Bu çalışma psikodramanın meme kanseri hastalarında stresi düşürme ve özşefkati güçlendirme yönünde destekleyici bir etkisi olduğunu göstermiştir. (Anadolu Psikiyatri Derg 2019; 20(6):635-641)
The effect of psychodrama groups on self-compassion and distress in breast cancer patients
Objective:This prospective intervention study is conducted in between November 2016 and October 2018 as a part of Psychosocial Support Program for Breast Cancer Patients by Ankara Mamak Municipality. The aim of the study is to evaluate the effect of psychodrama groups on self-compassion and distress in breast cancer patients. Methods: The study group was created among breast cancer patients diagnosed at least one year ago, by the announcement at primary care health centers of Mamak Municipality. The patients were participated at psychodrama therapy groups 3 hours a day and once in a week for 21 weeks. Self-Compassion Scale and Distress Thermometer were applied for three measurements; first at the beginning, second at the end of the group sessions and third at the 18th month after the sessions were completed. Results: Following the psychodrama groups, the levels of Distress Thermometer obviously decreased and the low levels were protected until the 18 months after the end of the intervention at the patients without any additional stressor. Self-compassion scale results were about the same success. Especially the levels of self-kindness subscale increased when the social isolation feelings decrease. Discussion: This study shows that psychodrama has a supportive positive effect on self-compassion and on decreasing distress levels in breast cancer patients. (Anatolian Journal of Psychiatry 2019; 20(6):635-641)

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