A Structural Model of Relationship between Posttraumatic Growth and Death Attitudes in People with Cancer with Mediating Role of Cognitive Flexibility
International Journal of Applied Behavioral Sciences,
Vol. 10 No. 1 (2023),
26 July 2023
,
Page 37-44
https://doi.org/10.22037/ijabs.v10i1.39884
Abstract
Background and Aim: Cancer is a fatal disease that can affect various aspects of life, including personal, family and social life, and can destroy a person's performance. The present study was conducted with the aim of investigating the mediating role of cognitive flexibility in the relationship between post-traumatic growth and attitude towards death in people with cancer.
Materials and Methods: The present study was descriptive-correlational and structural equation modeling. The statistical population of the present study includes cancer patients in Tehran in 1401. Among these patients, 120 people were selected as a sample and they were asked to answer the post-traumatic growth questionnaire, death attitude scale and cognitive flexibility questionnaire.
Results: The research results showed that the correlation coefficient between death attitude with cognitive flexibility (0.38) and post-traumatic growth (0.27) is significant at 0.01. Also, cognitive flexibility had a mediating role in the relationship between post-traumatic growth and death attitude in people with cancer.
Conclusion: Based on this, in the relationship between post-traumatic growth and death attitude in people with cancer, cognitive flexibility had a mediating role. Therefore, post-traumatic growth through increasing the level of cognitive flexibility can help to improve the attitude towards death in people with cancer.
- Post-traumatic growth, Death attitude, Cancer, Cognitive flexibility
How to Cite
References
2. Ameri Z, Asgari P, Heidari A, Bakhtiarpour S, Comparing the effectiveness of spiritual therapy and positive psychology on optimism in patients with leukemia. J. Health Res. 2021; 7(2): 61-71.
3. Marziliano, A., Tuman, M., Moyer, A, The relationship between post‐traumatic stress and post‐traumatic growth in cancer patients and survivors. A systematic review and meta‐analysis. Psycho-Oncol. (2020); 29(4): 604-616.
4. Parikh, D., Ieso, P. D., Garvey, G., Thachil, T., Ramamoorthi, R., Penniment, M., &Jayaraj, R. Post-traumatic stress disorder and post-traumatic growth in breast cancer patients-a systematic review. APJCP, (2015); 16(2): 641-646.
5. Tedeschi, R. G. Assessment of posttraumatic growth. In Posttraumatic growth. Routledge. 1998; 31-50.
6. Jayawickreme, E. Infurna, F. J. Alajak, K. Blackie, L. E. Chopik, W. J. Chung J. M. Zonneveld, R. Post‐traumatic growth as positive personality change: Challenges, opportunities, and recommendations. J Pers. (2021); 89(1): 145-165.
7. Tedeschi, R. G., Shakespeare-Finch, J., Taku, K., Calhoun, L. G. Posttraumatic growth: Theory, research, and applications. Routledge. (2018).
8. Mark, K. M., Stevelink, S. A., Choi, J., & Fear, N. T. Post-traumatic growth in the military: a systematic review. Occup Environ Med. (2018); 75(12): 904-915.
9. Greup, S. R., Kaal, S. E., Jansen, R., Manten-Horst, E., Thong, M. S., van der Graaf, W. T., &Husson, O. Post-traumatic growth and resilience in adolescent and young adult cancer patients: An overview. JAYAO. (2018); 7(1): 1-14.
10. Ruini, C., &Vescovelli, F. The role of gratitude in breast cancer: Its relationships with post-traumatic growth, psychological well-being and distress. J Happiness Stud. (2013); 14(1): 263-274.
11. Toraman, Ç. Özdemir, H. F., Kosan, A. M. A., Orakci, S. Relationships between cognitive flexibility, perceived quality of faculty life, learning approaches, and academic achievement. Int. J. Instr. (2020); 13(1): 85-100.
12. Arici-Ozcan, N., Cekici, F., &Arslan, R. The relationship between resilience and distress tolerance in college students: The mediator role of cognitive flexibility and difficulties in emotion regulation. Int. J. Educ. Res.(2019); 5(4): 525-533.
13. Edwards, C. G., Walk, A. M., Thompson, S. V., Mullen, S. P., Holscher, H. D., Khan, N. A. Disordered eating attitudes and behavioral and neuroelectric indices of cognitive flexibility in individuals with overweight and obesity. Nutrients. (2018); 10(12): 1902.
14. RostamiCh, Jahangirlou A, Ahmadian H, Sohrabi A, The role of cognitive flexibility and mindfulness in predicting student procrastination. Zanco J Med Sci. (2016); 17 (53): 50-61.
15. Ghiasabadifarahani E, Jafariharandi R, Prediction of cognitive flexibility based on social adaptation and responsibility of female students. Soc. Psychol. (2019); 9(3): 55-69.
16. Basińska, M. A., &Sołtys, M. Personal resources and flexibility in coping with stress depending on perceived stress in a group of cancer patients. Health Psychol. Rep. (2020); 8(2): 107-119.
17. Khoshsorour S, Mickaeali N, The role of social comparison, interpersonal sensitivity and cognitive flexibility in predicting disordered eating attitudes in female students. Soc. Psychol. (2021); 11(43): 141-166.
18. Ahmadifarsani M, Heshmati R, Nosratabad T, Structural model of death attitude based on attachment styles in adolescents with cancer: the mediating role of repression and anxiety sensitivity. Iran. J. Psychiatry. (2019); 25 (3): 327-308.
19. Edo‐Gual, M., Monforte‐Royo, C., Aradilla‐Herrero, A., &Tomás‐Sábado, J. Death attitudes and positive coping in Spanish nursing undergraduates: a cross‐sectional and correlational study. J. Clin. Nurs. (2015); 24(17-18): 2429-2438.
20. Basharpour S, Hosseinikiasari T, Soleimani E, Massah O, The role of attitude towards death and irrational beliefs in the quality of life of the elderly. Salmand. (2019); 12(3): 77-89.
21. Jansen, J., Schulz-Quach, C., Eisenbeck, N., Carreno, D. F., Schmitz, A., Fountain, R., Fetz, K. German version of the Death Attitudes Profile-Revised (DAP-GR)–translation and validation of a multidimensional measurement of attitudes towards death. BMC psychology. (2019); 7(1): 1-11.
22. NasiriKh, Habibi A, Aghamohammadi V, Savadpour M. T, Jafari M, Investigating the relationship between attachment to God and attitude towards death in the elderly of Ardabil city in 2018. Cogn. Behav. Ther. (2020); 22 (2): 175-168.
23. Bassett, J. F. Disgust sensitivity accounts for some but not all gender differences in death attitudes. OMEGA. (2017); 75(1): 26-46.
24. Dennis JP, Vander Wal JS. The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cogn. Behav. Ther. 2010;34(3):241-53.
25. Shareh H, Farmani A, Soltani E. Investigating the reliability and validity of the Cognitive Flexibility Inventory (CFI-I) among Iranian university students. PractClin Psychol. 2014; 2 (1): 43-50.
26. Wong, P. T., Reker, G. T., &Gesser, G. Death Attitude Profile-Revised: A multidimensional measure of attitudes toward death. Death anxiety handbook: Research, instrumentation, and application. (1994); 121: 121-148.
27. Tedeschi, R. G., Calhoun, L. G. The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. J Trauma Stress. (1996); 9(3): 455-471.
28. Rahimi R, Heidarzadeh M, Hasanzadeh R, Post-traumatic growth in myocardial infarction patients. J CardiovascNurs. (2015); 8(1): 119-104.
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