Volume 24, Issue 5 (7-2026)
TB 2026, 24(5): 91-107 |
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Bagheri Sheykhangafshe F, Rezaei N, Azarian Ghurtlar M, Panahi M, Fathi Ashtiani A. The Effectiveness of Group Reality Therapy on Spiritual Health, Perceived Social Support and Mental Toughness in Colon Cancer Patients. TB 2026; 24 (5) :91-107
URL: http://tbj.ssu.ac.ir/article-1-3869-en.html
URL: http://tbj.ssu.ac.ir/article-1-3869-en.html
Farzin Bagheri Sheykhangafshe * 
, Nahid Rezaei , Mina Azarian Ghurtlar , Maryam Panahi , Ali Fathi Ashtiani
, Nahid Rezaei , Mina Azarian Ghurtlar , Maryam Panahi , Ali Fathi Ashtiani
Ph.D., Department of Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran , farzinbagheri73@gmail.com
Abstract: (2 Views)
Introduction: Colorectal cancer is a life-threatening disease that affects not only physical health but also the psychological and social well-being of patients. This study aimed to investigate the effectiveness of group reality therapy on spiritual health, perceived social support, and mental toughness in patients with colorectal cancer.
Methods: This study employed a quasi‑experimental design with a pretest–posttest and a control group. The statistical population consisted of patients who referred to cancer treatment and support centers in Tehran in 2024. A total of 36 patients who had received a confirmed diagnosis of colorectal cancer from a specialist were selected through convenience sampling and randomly assigned to the experimental group (n=18) and the control group (n=18). Data collection instruments included the Spiritual Health Scale, the Multidimensional Scale of Perceived Social Support, and the Mental Toughness Scale. The experimental group received 10 sessions of 60minute group reality therapy. Data were analyzed using multivariate analysis of covariance.
Results: Findings indicated that group reality therapy significantly improved religious health (F= 42/73), existential health (F=61/44), family support (F=45/98), friends’ support (F=53/77), support from other important people(F= 43/88), and mental toughness (F=48/01) in patients with colorectal cancer (p< 0/001).
Conclusion: Group reality therapy may be effective in enhancing psychological capacities, strengthening social support resources, and increasing resilience in patients facing life-threatening illnesses. This approach, by emphasizing personal responsibility and improving interpersonal relationships, may help patients better adapt to the disease and the treatment process.
Methods: This study employed a quasi‑experimental design with a pretest–posttest and a control group. The statistical population consisted of patients who referred to cancer treatment and support centers in Tehran in 2024. A total of 36 patients who had received a confirmed diagnosis of colorectal cancer from a specialist were selected through convenience sampling and randomly assigned to the experimental group (n=18) and the control group (n=18). Data collection instruments included the Spiritual Health Scale, the Multidimensional Scale of Perceived Social Support, and the Mental Toughness Scale. The experimental group received 10 sessions of 60minute group reality therapy. Data were analyzed using multivariate analysis of covariance.
Results: Findings indicated that group reality therapy significantly improved religious health (F= 42/73), existential health (F=61/44), family support (F=45/98), friends’ support (F=53/77), support from other important people(F= 43/88), and mental toughness (F=48/01) in patients with colorectal cancer (p< 0/001).
Conclusion: Group reality therapy may be effective in enhancing psychological capacities, strengthening social support resources, and increasing resilience in patients facing life-threatening illnesses. This approach, by emphasizing personal responsibility and improving interpersonal relationships, may help patients better adapt to the disease and the treatment process.
Type of Study: Research |
Subject:
Psychology
Received: 2025/07/8 | Accepted: 2025/09/16 | Published: 2025/11/19
Received: 2025/07/8 | Accepted: 2025/09/16 | Published: 2025/11/19
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