مهناز مغانلو

Objective: Psychological hardiness, death anxiety, and coping strategies may differ between the two groups of patients with cardiovascular disease and breast cancer.  Method : This study employs a descriptive, causal-comparative design. Subjects of this study included two groups of women with breast cancer and cardiovascular disease: 60 patients (30 cardiovascular and 30 breast cancer).  Ahvaz Psychological Hardiness Scale, Collet-Lester Fear of Death Scale, and Lazarus Coping Strategies Questionnaire were used to assess the study's three variables. Results: MANOVA results showed a significant difference in psychological hardiness and death anxiety between the two patient groups. Women with cardiovascular disease had higher hardness (F=4/84, P=0.3) and lower death anxiety (F=4/71, P=0.3) than women with breast cancer. Women with breast cancer used emotion-focused strategies more than those with cardiovascular disease, while women with cardiovascular disease used problem-focused coping strategies (F=4/42, P=0.4).   Conclusion : The type of chronic disease can affect the role of positive psychological factors in chronic diseases. Women with breast cancer have more stress and anxiety about death. They use ineffective strategies to cope with the stress.

Objective: Some factors, such as personality type, coping styles, and psychological capital, have an effect on the resilience of women with breast cancer. The purpose of the study is to investigate the structural relationship of these factors with each other. Method : The subjects of this study were 231 women (20-55 years old) diagnosed with breast cancer and treated at the breast cancer department of Imam Khomeini Hospital in Tehran in 2022-2023. The Tebachnik and Fidel's formula (2007) was used to estimate the sample size. Psychological resilience (Connor & Davidson, 2003), NEO-PI personality questionnaire (Costa & McCrae, 1992), and coping strategies questionnaire (Endler & Parker, 1990) were used to measure the research variables. Results Therefore, five personality factors can lead to an increase in resilience through coping strategies and psychological capital. In addition, the path coefficients of the two-way relationship of the variables showed that 44% of the changes in resilience were influenced by personality, 97% of the changes in coping strategies were influenced by personality, 91% of the changes in psychological capital were influenced by personality and 20% of the changes in resilience were influenced by personality. The effect of coping strategies and 36% of the changes in resilience showed the effect of psychological capital.   Conclusion : One of the determining factors of resilience in a chronic disease such as breast cancer is the role of personality traits, which is influenced by positive psychological variables such as coping strategies and psychological capital of the patient