Main Article Content
Abstract
Background: Worldwide, cervical cancer is the second highest cause of death after breast cancer. In Indonesia, cervical cancer is ranked second among all types of cancer. Psychological distress negatively affects the mortality rate of cancer patients, and there is no stress management treatment of standard integrative psychotherapy to be carried out in the process of individual therapy in cervical cancer.
Objective: To treat psychological distress in cases of cervical cancer using an integrative psychotherapy approach, create a model of factors that influence psychopathology related to psychological distress, and an integrative psychotherapy model as the basis for making modules and standard operation procedures of stress management in cervical cancer patients.
Methods: This is an integrated case study with descriptive, exploratory, and exploratory qualitative approaches in two women with cervical cancer who were given integrative psychotherapy (integrative psychoeducation combined with integrative guided imagery and music), data analysis using the constant comparative method. Presentation of data using tables and graphs.
Results: Two models were illustrated, a model of factors that influence psychopathology related to psychological distress and an integrative psychotherapy model in stress management of cervical cancer patients. Evaluation of decreased distress and improved related physical symptoms (pain and sleep quality).
Conclusion: A model of factors that influence psychopathology related to psychological distress and an integrative psychotherapy model that can be implemented in stress management of cervical cancer patients were obtained, with sessions and types tailored to the patient’s needs.
Keywords
Article Details
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References
- International Agency for Research on Cancer (IARC). Indonesia - Global Cancer Observatory. Globocan 2020; 858: 1–2.
- Ferlay J, Colombet M, Soerjomataram I, et al. GLOBOCAN 2020 annexes.
- Beharee N, Shi Z, Wu D, et al. Diagnosis and treatment of cervical cancer in pregnant women. Cancer Medicine 2019; 8: 5425–5430.
- Pangribowo S. Beban Kanker di Indonesia. Pusat data dan informasi kemetrian kesehatan RI 2019; 8–9.
- Milanti A, Metsala E, Hannula L. Reducing Psychological Distress in Patients Undergoing Chemotherapy. British Journal of Nursing 2016; 25: S25–S30.
- Lang-rollin I, Berberich G. Psycho-oncology. 2018; 20: 13–22.
- Feixas G, Botella L. Psychotherapy integration: Reflections and contributions from a constructivist epistemology. Journal of Psychotherapy Integration 2004; 14: 192–222.
- Tasca GA, Sylvestre J, Balfour L, et al. What clinicians want: Findings from a psychotherapy practice research network survey. Psychotherapy 2015; 52: 1–11.
- Glaser BG. The Constant Comparative Method of Qualitative Analysis. Social Problems 1965; 12: 436–445.
- Moleong, J. Lexy. Metodologi Penelitian Kualitatif. Edisi revisi. Cetakan ke-3. Bandung: PT. Remaja Rosdakarya, 2018.
- Afifuddin dan Saebani A. Beni. Metodologi Penelitian Kualitatif. Cetakan ke-2. Bandung: CV. Pustaka Setia, 2012.
- Alzaanin EIM. Combining case study design and constructivist grounded theory to theorize language teacher cognition. Qualitative Report 2020; 25: 1361–1376.
- Oei TPS, Sawang S, Goh YW, et al. Using the Depression Anxiety Stress Scale 21 (DASS-21) across cultures. International Journal of Psychology 2013; 48: 1018–1029.
- Damanik, E. D. Pengujian reliabilitas, validitas, analisis item dan pembuatan norma Depression Anxiety Stress Scale (DASS): Berdasarkan penelitian pada kelompok sampel Yogyakarta dan Bantul yang mengalami gempa bumi dan kelompok sampel Jakarta dan sekitarnya yang tidak mengalami gempa bumi (Tesis). Jakarta: Universitas Indonesia, 2006.
- Alim Z. Ikbal., Elvira D. Sylvia., Amir, N., dan Noorhana. Uji validitas dan reliabilitas instrumen pittsburgh sleep quality index versi Bahasa Indonesia (Tesis). Jakarta: Universitas Indonesia, 2015.
- Bodog A, Bacalbasa N, Balescu I, et al. Management of cervical cancer during pregnancy – Literature review. Archives of the Balkan Medical Union 2018; 53: 580–584.
- Ramadhaningtyas A, Tenggara A. Hubungan Seksual Usia Dini Dapat Meningkatkan Risiko Kanker Serviks. Departmen Biostatistika dan Ilmu Kependudukan Fakultas Kesehatan Masyarakat Universitas Indonesia 2020; 1: 46–56.
- Lu D, Andrae B, Valdimarsdóttir U, et al. Psychologic distress is associated with cancer-specific mortality among patients with cervical cancer. Cancer Research 2019; 79: 3965–3972.
- Barre PV, Padmaja G, Rana S, et al. Stress and Quality of Life in Cancer Patients: Medical and Psychological Intervention. Indian Journal of Psychological Medicine 2018; 40: 232–238.
- Satija A, Bhatnagar S. Complementary therapies for symptom management in cancer patients. Indian Journal of Palliative Care 2017; 23: 468–479.
- Mahdizadeh MJ, Tirgari B, Abadi OSRR, et al. Guided imagery: Reducing anxiety, depression, and selected side effects associated with chemotherapy. Clinical Journal of Oncology Nursing 2019; 23: E87–E92.
References
International Agency for Research on Cancer (IARC). Indonesia - Global Cancer Observatory. Globocan 2020; 858: 1–2.
Ferlay J, Colombet M, Soerjomataram I, et al. GLOBOCAN 2020 annexes.
Beharee N, Shi Z, Wu D, et al. Diagnosis and treatment of cervical cancer in pregnant women. Cancer Medicine 2019; 8: 5425–5430.
Pangribowo S. Beban Kanker di Indonesia. Pusat data dan informasi kemetrian kesehatan RI 2019; 8–9.
Milanti A, Metsala E, Hannula L. Reducing Psychological Distress in Patients Undergoing Chemotherapy. British Journal of Nursing 2016; 25: S25–S30.
Lang-rollin I, Berberich G. Psycho-oncology. 2018; 20: 13–22.
Feixas G, Botella L. Psychotherapy integration: Reflections and contributions from a constructivist epistemology. Journal of Psychotherapy Integration 2004; 14: 192–222.
Tasca GA, Sylvestre J, Balfour L, et al. What clinicians want: Findings from a psychotherapy practice research network survey. Psychotherapy 2015; 52: 1–11.
Glaser BG. The Constant Comparative Method of Qualitative Analysis. Social Problems 1965; 12: 436–445.
Moleong, J. Lexy. Metodologi Penelitian Kualitatif. Edisi revisi. Cetakan ke-3. Bandung: PT. Remaja Rosdakarya, 2018.
Afifuddin dan Saebani A. Beni. Metodologi Penelitian Kualitatif. Cetakan ke-2. Bandung: CV. Pustaka Setia, 2012.
Alzaanin EIM. Combining case study design and constructivist grounded theory to theorize language teacher cognition. Qualitative Report 2020; 25: 1361–1376.
Oei TPS, Sawang S, Goh YW, et al. Using the Depression Anxiety Stress Scale 21 (DASS-21) across cultures. International Journal of Psychology 2013; 48: 1018–1029.
Damanik, E. D. Pengujian reliabilitas, validitas, analisis item dan pembuatan norma Depression Anxiety Stress Scale (DASS): Berdasarkan penelitian pada kelompok sampel Yogyakarta dan Bantul yang mengalami gempa bumi dan kelompok sampel Jakarta dan sekitarnya yang tidak mengalami gempa bumi (Tesis). Jakarta: Universitas Indonesia, 2006.
Alim Z. Ikbal., Elvira D. Sylvia., Amir, N., dan Noorhana. Uji validitas dan reliabilitas instrumen pittsburgh sleep quality index versi Bahasa Indonesia (Tesis). Jakarta: Universitas Indonesia, 2015.
Bodog A, Bacalbasa N, Balescu I, et al. Management of cervical cancer during pregnancy – Literature review. Archives of the Balkan Medical Union 2018; 53: 580–584.
Ramadhaningtyas A, Tenggara A. Hubungan Seksual Usia Dini Dapat Meningkatkan Risiko Kanker Serviks. Departmen Biostatistika dan Ilmu Kependudukan Fakultas Kesehatan Masyarakat Universitas Indonesia 2020; 1: 46–56.
Lu D, Andrae B, Valdimarsdóttir U, et al. Psychologic distress is associated with cancer-specific mortality among patients with cervical cancer. Cancer Research 2019; 79: 3965–3972.
Barre PV, Padmaja G, Rana S, et al. Stress and Quality of Life in Cancer Patients: Medical and Psychological Intervention. Indian Journal of Psychological Medicine 2018; 40: 232–238.
Satija A, Bhatnagar S. Complementary therapies for symptom management in cancer patients. Indian Journal of Palliative Care 2017; 23: 468–479.
Mahdizadeh MJ, Tirgari B, Abadi OSRR, et al. Guided imagery: Reducing anxiety, depression, and selected side effects associated with chemotherapy. Clinical Journal of Oncology Nursing 2019; 23: E87–E92.