Write your message
Volume 17, Issue 3 (Iranian Journal of Breast Diseases 2024)                   ijbd 2024, 17(3): 111-124 | Back to browse issues page

Research code: (IR.SBMU.CRC.REC.1400.006)
Ethics code: (IR.SBMU.CRC.REC.1400.006)
Clinical trials code: (IR.SBMU.CRC.REC.1400.006)


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mozafari H, Lotfi Kashani F, vaziri S, Akbari M I. Effectiveness of mindfulness-based stress in catastrophizing cancer pain and tolerance of helplessness caused by the treatment among breast cancer patients. ijbd 2024; 17 (3) :111-124
URL: http://ijbd.ir/article-1-1115-en.html
1- Department of Health Psychology, Islamic Azad University, Roudhen branch, Roudhen, Iran
2- Department of Psychology, Islamic Azad University, Rodhan Branch , rahnmo.70sh@gmail.com
3- Department of Psychology, Islamic Azad University, Rodhan Branch
4- Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract:   (334 Views)
Introduction: Interventions based on mindfulness are considered to be one of the cognitive-behavioral treatments, the inclusion of which in patients reduces the psychological stress resulting from such diseases as breast cancer in patients. Therefore, the present study aimed to assess the effectiveness of mindfulness-based stress reduction training on the catastrophizing of cancer pain and the tolerance of helplessness caused by the treatment of breast cancer patients.
Methods: The present research was an interventional study. The statistical population included all patients with breast cancer treated at Shahada Tajrish Hospital Cancer Center in 2023. A total of 30 patients were selected based on the inclusion criteria and randomly assigned to two groups: experimental (n=15) and control (n=15). Based on Ashrafi's training package, the experimental group received eight 120-minute sessions of stress reduction training based on mindfulness; nonetheless, the control group did not receive any intervention. The standard questionnaires on pain catastrophizing by Sullivan, Bishop, and Pewick and tolerance of helplessness by Simmons and Gaher were used to collect data. Data were analyzed using multivariate covariance analysis in SPSS software (version 26).
Results: The mean age scores of subjects in the experimental and control groups were 36.26±6.04 and 47.5±7.59 years, respectively, and there was no significant relationship between the two groups in terms of age (P=0.689). The findings pointed out that a mindfulness-based stress reduction program was effective in reducing pain catastrophizing and tolerance of helplessness among women with breast cancer (P<0.05). Therefore,  mindfulness-based stress reduction training reduced pain catastrophizing and increased tolerance of helplessness in women with breast cancer in the experimental group.
Conclusion: As evidenced by the results of this study, the use of cognitive behavioral therapy integrated with mindfulness can be an effective treatment in reducing perceived pain and catastrophizing and increasing pain self-efficacy. Therefore, it is suggested that this treatment method be taught to psychologists by experts in different hospital centers.
Full-Text [PDF 1700 kb]   (119 Downloads)    
Type of Study: Research | Subject: Diagnosis, treatment, rehabilitation
Received: 2024/06/16 | Accepted: 2024/07/25 | Published: 2024/10/6

References
1. Allahqoli L, Mazidimoradi A, Momenimovahed Z, Rahmani A, Hakimi S, Tiznobaik A, Gharacheh M, Salehiniya H, Babaey F, Alkatout I. The global incidence, mortality, and burden of breast cancer in 2019: correlation with smoking, drinking, and drug use. Frontiers in oncology. 2022 Jul 27;12:921015.. [DOI:10.3389/fonc.2022.921015]
2. Westhoff, C.L., Pike, M.C. Hormonal contraception and breast cancer. American Journal of Obstetrics and Gynecology; 2018, 98(3): 171-3. [DOI:10.1016/j.contraception.2018.05.002]
3. Chalasani, P. Breast cancer. https://emedicine.medscape.com/article/1947145-print.2019.
4. Jamshidifar Z, Mortezaei Shemirani S, Ahramian A, Ahmadi A, Shamsedini Lory S, Moradi-Joo M. The effectiveness of positive psychotherapy on the psychological well-being of breast cancer patients. Ciência eNatura, Santa Maria,2015. 37 Part 1, p. 432−6. [DOI:10.5902/2179460X20874]
5. Cheng S-T, Leung CM, Chan KL, Chen PP, Chow YF, Chung JW, et al. The relationship of self-efficacy to catastrophizing and depressive symptoms in community-dwelling older adults with chronic pain: A moderated mediation model. PloS one. 2018; 13(9):e0203964. [DOI:10.1371/journal.pone.0203964]
6. Dehghani M, Assarzadegan F, Habibi M. Prayer and pain catastrophizing coping strategies on headache intensity prediction in patients with headache. International Journal of Applied Behavioral Sciences. 2016;3(2):1-8.
7. Costa WA, Monteiro MN, Queiroz JF, Gonçalves AK. Pain and quality of life in breast cancer patients. Clinics. 2017;72:758-63. [DOI:10.6061/clinics/2017(12)07]
8. Xu X, Ou M, Xie C, Cheng Q, Chen Y. Pain acceptance and its associated factors among cancer patients in mainland China: a cross-sectional study. Pain Research and Management;2019. [DOI:10.1155/2019/9458683]
9. Elahi N, Imanian M. The effects of the continuous care model on sleep quality, pain, fatigue and nausea among breast cancer patients receiving chemotherapy: A clinical trial. Nursing and Midwifery Studies. 2018;7(4):145-50. [DOI:10.4103/nms.nms_34_17]
10. Bergman AL, Christopher MS, Bowen S. Changes in facets of mindfulness predict stress and anger outcomes for police officers. Mindfulness. 2016;7:851-8. [DOI:10.1007/s12671-016-0522-z]
11. Bernstein A, Zvolensky MJ, Vujanovic AA, Moos R. (2008). Integrating anxiety sensitivity, distress tolerance, and discomfort intolerance: a hierarchical model of affect sensitivity and tolerance. Behavior Therapy. 2008;40(3):291-301. [DOI:10.1016/j.beth.2008.08.001]
12. Leyro TM, Zvolensky MJ, Bernstein A. Distress tolerance and psychopathological symptoms and disorders: a review of the empirical literature among adults. Psychological Bulletin. 2011;136(4):576. [DOI:10.1037/a0019712]
13. Onyedibe MCC, Ibeagha PN, Onyishi I. Distress tolerance moderates the relationship between anger experience and elevated blood pressure. South African Journal of Psychology. 2020;50(1):39-53. [DOI:10.1177/0081246319832540]
14. Footman K, Roberts B, Tumanov S, McKee M. The comorbidity of hypertension and psychological distress: a study of nine countries in the former Soviet :union:. Journal of Public Health. 2013;35: 548-57. [DOI:10.1093/pubmed/fdt019]
15. Alipour Sh, Heidari A. Comparison of perceived stress and failure tolerance between hypertensive patients and normal people in Ahvaz. World Conference on New Horizons in Humanities: Futurology and Empowerment; 2016.
16. Battigalli P, Dufwenberg M, Smith A. Frustration, aggression, and anger in leader-follower games. Games and Economic Behavior. 2019;117:15-39. [DOI:10.1016/j.geb.2019.06.001]
17. Loya JM, Mccauley KL, Chronis-Tuscano A, Chen SZ, Gad A, MacPherson L, A, et al. An experimental paradigm examining the influence of frustration on risk-taking behavior. Behavioural Processes. 2019;158: 155-62. [DOI:10.1016/j.beproc.2018.10.013]
18. Baer RA, Lykins EL, Peters JR. Mindfulness and self- compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators. The Journal of Positive Psychology. 2012;7(3):230-8. [DOI:10.1080/17439760.2012.674548]
19. Santarnecchi E, Egiziano E, D'Arista S, Gardi C, Romanella SM, Mencarelli L, et al. Mindfulness‐based stress reduction training modulates striatal and cerebellar connectivity. Journal of Neuroscience Research. 2021;99(5):1236-52. [DOI:10.1002/jnr.24798]
20. Accoto A, Chiarella SG, Raffone A, Montano A, de Marco A, Mainiero F, et al. Beneficial effects of mindfulness-based stress reduction training on the well-being of a female sample during the first total lockdown due to Covid-19 pandemic in Italy. International Journal of Environmental Research and Public Health. 2021;18(11):5512. [DOI:10.3390/ijerph18115512]
21. Bagherzadeh R, Sohrabineghad R, Gharibi T, Mehboodi F, Vahedparast H. Effect of mindfulness-based stress reduction training on revealing sexual function in Iranian women with breast cancer. Sexuality and Disability. 2021;39(1):67-83. [DOI:10.1007/s11195-020-09660-1]
22. Simons JS, Gaher RM. The distress tolerance scale: development and validation of a self report measure. Motivation and Emotion. 2005;20(9): 83-102. [DOI:10.1007/s11031-005-7955-3]
23. Ashrafi M. Comparison of the effectiveness of cognitive reconstruction training and mindfulness-based stress reduction therapy on the center of health control and self-care in women with hypertension. Ph.D Thesis: Department of Health Psychology, Islamic Azad University, Kish Branch; 2016.
24. Heydari S, Salehi A. Effectiveness of mindfulness-based instruction based on MBSR stress reduction on emotional well-being (depression, anxiety, distress tolerance and insecurity sense) of women quitting drugs in Isfahan. 6th National Conference of Psychology and Educational Science. Shirvan; 2020.
25. Nila K, Daniel V, Holt B, Ditzen C. Mindfulness-based stress reduction (MBSR) enhances distress tolerance and resilience through changes in mindfulness. Mental Health & Prevention. 2016; 4(1): 36-41. [DOI:10.1016/j.mhp.2016.01.001]
26. Carpenter JK, Sanford J, Hofmann SG. The effect of a brief mindfulness training on distress tolerance and stress reactivity. Behavior therapy. 2019;50(3):630-45. [DOI:10.1016/j.beth.2018.10.003]
27. Banth S, Ardebil MD. Effectiveness of mindfulness meditation on pain and quality of life of patients with chronic low back pain. International journal of yoga. 2015; 8(2):128-33. [DOI:10.4103/0973-6131.158476]
28. Heidarian A, Zahrakar K, Mohsenzade F. The Effectiveness of Mindfulness Training on Reducing Rumination and Enhancing Resilience in Female Patients with Breast Cancer: a Randomized Trial. Iranian Quarterly Journal of Breast Diseases. 2016; 9(2):52-9.
29. Mesgarian F AM, Shaeri MR, Broumand A, Marufi N, Ebrahimi TI, Nayeb AH. The relation between acceptance of pain and reduced pain intensity and disability among chronic pain patients. PCJI. 2012;10:13-20. (Persian).
30. Maryam D. Effectiveness of cognitive behavioural therapy and mindfulness based stress reduction on low back pain India: Panjab University 2014.

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Iranian Journal of Breast Diseases

Designed & Developed by: Yektaweb