Document Type : Original Article
Authors
1 Instructor of Medical-Surgical Nursing, Department of Operating Room, Faculty of Paramedical Sciences, Qazvin University of Medical Sciences
2 Instructor of Biostatistics, Health Products Safety Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
Abstract
BACKGROUND AND AIM: Posttraumatic growth following traumas such as chronic illnesses can
occur in some people. The psychological factors, such as cognitive emotion regulation (CER), can
influence its formation. CER is a type of coping strategy that helps to efficiently deal with trauma.
Due to the importance of the topic and the lack of sufficient studies on posttraumatic growth and
CER in hemodialysis patients, this study aims to investigate the relationship between posttraumatic
growth and CER in hemodialysis patients.
METHODS: This is a descriptive study performed on hemodialysis patients in Bou Ali and Velayat
hospitals in Qazvin. One hundred and sixty-two patients were selected by the convenience sampling
method, and Garnefski Cognitive Emotion Regulation Questionnaire (α =0.92) and Tedeschi
Posttraumatic Growth Questionnaire (α =0.96) were used. Data were analyzed using Pearson
correlation and ANOVA tests.
RESULTS: The results showed that the majority of the hemodialysis patients experienced some
degree of posttraumatic growth. The participants achieved high scores in the domains of spiritual
development and communication with others. Moreover, posttraumatic growth was positively and
significantly correlated with CER (r = 0.67, P < 0.001).
CONCLUSIONS: Hemodialysis provides the basis for the positive mental reactions known as
posttraumatic growth in hemodialysis patients. Nurses and other authorities can use this phenomenon
to adapt to illness and care planning.
Keywords
of the relationship between cognitive emotional regulation and
posttraumatic growth in men and women with hepatitis B. J Res
Behav Sci 2015;13:602-8.
2. Yazdani R, Zamani-Alavijeh F, Kheiriat M. Factors associated
with preventive behaviors of hepatitis B among high school girls
using the health belief model. Daneshvar Med 2013;20:1-11.
3. Nezamipour E, Ahadi H. The effect of cognitive emotion
regulation strategies on the relationship between personality
traits and quality of life in dialysis patients. Qom Univ Med Sci
J 2016;10:70-81.
4. Henrich WL. Principles and Practice of Dialysis. Philadelphia:
Lippincott Williams & Wilkins; 2016.
5. Azemi Zeinal A, Ghaffari O. The effectiveness of acceptance
and commitment therapy on depression, physical health and
mental health of patients hemodialysis. Fundam Mental Health
2016;18:412-8.
6. Hinkle J, Cheever K. Brunner and Suddarth’s Textbook of Medicalsurgical Nursing: Kidney and Urinary Tract. Tehran: Jamee Negar
Publication; 2014.
7. Shinde M, Mane S. Stressors and the coping strategies among
patients undergoing hemodialysis. Int J Sci Res 2014;3:266-76.
8. Salehitali S, Ahmadi F, Zarea K, Fereidoni Moghadam M. The
role of heath team in coping process of family caregivers with
patients under hemodialysis: A qualitative study. Jundishapur J
Chron Dis Care. 2018; 7(1):e63304.
9. Nasiri M, Kheirkhah F, Rahimiyan B, Ahmadzadeh B. Stressful
factors, coping mechanisms and quality of life inhemodialysis
patients. Iran J Crit Care Nurs 2013;6:119-26.
10. Shahrokhi Z, Rayyani M, Sabzevari S, Haghdoost A. Stressors
and coping strategies of dialysis patients. J Crit Care Nurs
2014;6:184-93.
11. Mafi M, Moghaddam Zeabadi S, Mafi M, Hosseini Golafshani S.
Relationship between stressors and coping strategies in Iranian
patients undergoing hemodialysis. Jundishapur J Chronic Dis
Care 2018;8:e84508.
12. Zebrack B, Kwak M, Salsman J, Cousino M, Meeske K,
Aguilar C, et al.. The relationship between posttraumatic stress
and posttraumatic growth among adolescent and young adult
(AYA) cancer patients. Psychooncology 2015;24:162-8.
13. Philips LH, Henry JD, Nouzova E, Cooper C. Diffculties with
emotion regulation in multiple sclerosis: Links to executive
function, mood, and quality of life. J Clin Neuropsychol
2014;36:831-42.
14. Mousavi V, Vatankhah M. Prediction of posttraumatic growth
through religion, meaning of life and social support in female
breast cancer. J Psychol Achiev 2015;1:33-48.
15. Nikmanesh Z, Mirabdollahi N. Prediction of posttraumatic
growth base on of spirituality and social support in patients with
breast cancer. Iran Q J Breast Dis 2013;2:35-42.
16. Aflakseir A, Manafi F. Posttraumatic growth and its relationship
with cognitive emotion regulation strategies in patients with
multiple sclerosis in Shiraz, Iran. Pract Clin Psychol 2018;6:57-62.
17. Heidarzadeh M, Rassouli M, Shahbolaghi F, Alavi Majd H,
Mirzaei H, Tahmasebi M. Assessing dimensions of posttraumatic
growth of cancer in survived patients. J Holistic Nurs Midwifery
2015;25:33-41.
18. Sabzali Gol M, Kazemi A. Comparison of cognitive-emotional
ordering between two groups of men; individuals with cancer
and non-infected people. J Islamic Azad Univ 2016;26:256-63.
19. Basak B, Irem E. Relationship between posttraumatic growth and
demographic and clinical factors among Turkish Cypriot breast
cancer survivors. Proc Soc Behav Sci 2015;205:709-16.
20. Heidarzadeh M, Rassouli M, Shahbolaghi F, Majd H, Karam AM,
Ghanavati A, et al.. The relationship of posttraumatic growth with
quality of life in cancer patients. Bull Environ Pharmacol Life Sci
2014;3:98-102.
21. Rahimi R, Heidarzadeh M, Hassanzadeh R. Post-traumatic growth
among patients with myocardial infarction. Cardiovasc Nurs J
2015;4:44-52.
22. Zarin S, Khanjani M, Foroughan M, Hosseini M, Bakhshi E,
Kamali M. Relationship between locus of control with posttraumatic
growth among individuals with spinal cord injury. J Mod Rehabil
2017;11:109-18.
23. Ackroyd K, Fortune DG, Price S, Howell S, Sharrack B, Isaac CL.
Adversarial growth in patients with multiple sclerosis and their
partners: Relationships with illness perceptions, disability and
distress. J Clin Psychol Med Settings 2011;18:372-9.
24. Dursun P, Saracli S, Konuk O. The roles of meaningful life and
posttraumatic stress in posttraumatic growth in a sample of
Turkish university students. Proc Soc Behav Sci 2014;159:702-6.
25. Leung YW, Gravely-Witte S, Macpherson A, Irvine J, Stewart
DE, Grace SL. Post-traumatic growth among cardiac outpatients:
Degree comparison with other chronic illness samples and
correlates. J Health Psychol 2010;15:1049-63.
26. Teodorescu DS, Siqveland J, Heir T, Hauff E, Wentzel-Larsen T,
Lien L. Posttraumatic growth, depressive symptoms, posttraumatic
stress symptoms, post-migration stressors and quality of life
in multi-traumatized psychiatric outpatients with a refugee background in Norway. Health Qual Life Outcomes 2012;10:84.
27. Bellizzi KM, Smith AW, Reeve BB, Alfano CM, Bernstein L,
Meeske K, et al.. Posttraumatic growth and health-related quality
of life in a racially diverse cohort of breast cancer survivors.
J Health Psychol 2010;15:615-26.
28. Lee JA, Luxton DD, Reger GM, Gahm GA. Confirmatory factor
analysis of the Posttraumatic Growth Inventory with a sample
of soldiers previously deployed in support of the Iraq and
Afghanistan wars. J Clin Psychol 2010;66:813-9.
29. Morris BA, Shakespeare-Finch J, Scott JL. Posttraumatic
growth after cancer: The importance of health-related benefits
and newfound compassion for others. Support Care Cancer
2012;20:749-56.
30. Domaradzka E, Fajkowska M. Cognitive emotion regulation
strategies in anxiety and depression understood as types of
personality. Front Psychol 2018;9:856.
31. Moghaddam Zeabadi S, Hosseinigolafshani S, Hasandoost F.
Cognitive emotion regulation strategies used by critical care
nurses: A descriptive-analytic study. Nurs Healthc Int J 2018;2:150.
32. Mohammadkhani S, Haddadi Kuhsar A, Soleimani H,
Eatemadi E. A prediction of resilience from cognitive emotion
regulation in individuals with HIV infection. Health Psychol
2017;6:104-15.
33. Losiak W, Nikiel J. Posttraumatic growth in patients after
myocardial infarction: The role of cognitive coping and experience
of life threat. Health Psychol Rep 2014;2:256-62.