Showing 13 results for khani
Sepideh Kadkhoda, Atiyeh Zorrie Zahra , Farkhondeh Behjati, Hosein Najmabadi, Fatemeh Aghakhani Moghaddam , Azadeh Badiee, Fereidon Sirati, Hosein Afshin Alavi, Morteza Atri, Elahe Keyhani,
Volume 8, Issue 2 (Iranian Quarterly of Breast Diseases 2015)
Abstract
Mahnaz Ranjkesh, Fariba Fathi Azar, Fatemeh Ghatreh Samani , Mohammad Kazem Tarzamni, Ebrahim Vali Khani ,
Volume 10, Issue 1 (Iranian Quarterly Journal of Breast Diseases 2017)
Abstract
Introduction: Dense breasts are considered as limitation for the sensitivity of mammography. This study evaluates the role of adjunctive breast ultrasound screening in women with dense mammograms.
Methods: A cross-sectional study was performed in Tabriz AL Zahra hospital during a year (1394-1395). Asymptomatic women who referred for screening which shows dense breasts (ACR III OR IV) underwent ultrasonography screening for breast cancer. Mammography and sonography assessment were performed and categorized based on as BIRADS CATEGORY system. The final results of mammography BIRADS CATEGORY and sonography BIRADS CATEGORY were compared.
Results: Three hundred and thirty women with mean age of 47.6 years were enrolled into the study. According to the report of mammography, 65, 161, 102 and 2 reports were categorized in BIRADS CATEGORY 0, 1, 2 and 4, respectively. The sonography reports were similar to mammography in BIRADS CATEGORY 1 and 2. Among 65 lesions with BIRADS CATEGORY 0, 10 were suspected as malignant with sonography. The biopsy of the suspicious lesions showed the malignancy in 30% of them.
Conclusion: This study reveals the values of sonography screening in detecting early stage of breast cancer in mammograms with BIRADS category 0 lesions in women with dense breasts. A larger long-term study is, however, needed to assess its feasibility and impact on breast cancer prognosis.
Asiie Olfatbakhsh, Shahpar Haghighat, Mansoureh Khani, Toktam Beheshtian, Nasrin Alavi, Fatemeh Sari, Parisa Hosseinpour,
Volume 10, Issue 2 (Iranian Quarterly Journal of Breast Diseases 2017)
Abstract
Introduction: The status of the axillary lymph node is the most important factor in determining the prognosis of breast cancer. The aim of this study was to evaluate the sensitivity and specificity of Axillary Ultrasound (AUS) in the diagnosis of lymph node involvement in breast cancer patients referred to the Breast Cancer Research Center (BCRC) between March 2015 and Aug 2016.
Methods: Through a cross sectional study, all patients with a diagnosis of non-metastatic breast cancer with Stage I, II, IIIA and no chemotherapy before surgery were evaluated. The results of AUS and pathology after surgery were collected and analyzed using SPSS based on sensitivity and specificity formula.
Results: Of a total of 140 patients, the average age was 48.87 and the mean size of masses was 2.31 cm (0.4 -10 cm). Physical examination was positive in %14.6 of patients, positive AUS in %28.6 and pathologic axillary involvement in %39.2 of the patients. Sensitivity, specificity, PPV and NPV of AUS in diagnosing lymph node involvement were %55.5, %88.3, %75 and %76 respectively. Sensitivity, specificity, PPV and NPV of clinical examination were %31.48, %97.67, %89.4 and 69.4. The combination of positive AUS and physical examination were along with pathologic axillary involvement in %92.3 of patients. False positivity and false negativity of AUS were %11.6 and %17.1 in all.
Conclusions: The sensitivity and specificity of AUS in our patients is the same as the results of other countries. Clinical examination alone has a high false negative and low sensitivity, however AUS in addition to physical examination has higher sensitivity which could predict axillary involvement and lead to axillary dissection without sentinel node biopsy. Negative AUS has about %24 false negativity and SLNB could not be omitted until the results of trials would be published.
Fardin Moradi Manesh, Khadijeh Babakhani,
Volume 10, Issue 4 (Iranian Quarterly Journal of Breast Disease 2018)
Abstract
Abstract
Introduction: Breast cancer is one of the most common cancers among women. Breast cancer can predispose people to psychological problems and reduce their self-efficacy and quality of life. The purpose of this study was to investigate the effectiveness of cognitive behavioral group therapy on self-efficacy and quality of life in women with breast cancer.
Methods: This research utilized a pre-test and post-test semi-experimental design with a control group. A total of 32 subjects were selected from women with breast cancer presenting to Imam Khomeini Hospital in Tehran. They were then randomly assigned to experimental and control groups (n=16 for each group). The experimental group received a cognitive-behavioral group therapy for eight sessions of two hours, but the control group did not receive any intervention. The research instruments were Sherer Self-efficacy Questionnaire and Short Form of Ware and Sherbourne Quality of Life Questionnaire (SF-36). Data were analyzed by multivariate analysis of covariance.
Results: The results showed that the experimental group and the control group had a significant difference in terms of self-efficacy and quality of life (P<0.001). Therefore, the quality of life and self-efficacy of women with cancer in the experimental group, who underwent cognitive-behavioral group therapy, was significantly higher than those of the control group (P<0.001).
Conclusion: The results of this study showed that cognitive-behavioral group therapy can affect the self-efficacy and quality of life in women with breast cancer.
Hamideh Naderi, Saeed Karimkhani Zandi , Mohsen Hasani, Sepideh Saadatmand, Dariush Hamrahi,
Volume 11, Issue 1 (Iranian Quarterly Journal of Breast Disease 2018)
Abstract
Introduction: some cardio-pulmonary complications, such as lung pneumonia in the radiotherapy treatment of breast cancer are associated with several factors including the amount of irradiated lung volume. Therefore in this study, the determining factors in irradiated lung volume have been investigated.
Methods: In this study, 48 patients with early breast cancer treated with 3D CRT radiation, were chosen. All ORS and PTV were contoured based on the RTOG atlas. CLD, MLD and GPD parameters were measured and their relationship with irradiated lung volume percentage was studied by DVH curves.
Results: The correlation between CLD and GPD with a percentage of irradiated lung volume in the tangential fields was linear. For example, CLD of right lung CLD equal to 15, 25 and 35 mm accounted for 10%, 17% and 24% of lung volume in Tangential fields, respectively.
Conclusion: The correlation between CLD and lung volume in tangential fields for the left and right lung was significant. With an increase of one unit in the CLD, on average we expect that left and right lungs volume is increased 2% and 3.2%, respectively.
Hadi Smkhani Akbarinejhad, Mohammad Ghamari, Jafar Pouyamanesh, Ghorban Fathi Agdam,
Volume 12, Issue 4 (Iranian Quarterly Journal of Breast Disease 2020)
Abstract
Introduction: The purpose of this study was to compare the effectiveness of narrative therapy and rational emotive behavior therapy on Resilience in women with breast surgery experience.
Methods: This was a semi-experimental study with a pretest-posttest, controlled design with follow-up. The study population consisted of all women with breast cancer who were undergoing postmastectomy radiotherapy in Tabriz in 2018. In total, 30 women were selected by a purposive sampling method, and divided into three groups of narrative therapy, rational emotive behavior therapy, and control. The intervention groups received their respective treatments over 8 sessions of 1.5 hours. The groups were assessed using the Connor-Davidson Resilience Scale before, after, and four months after the treatment.
Results: The mean postintervention resilience scores for the narrative therapy and rational emotive behavior therapy groups (66.4 and 79.9, respectively) were significantly greater compared with the control group (51.9) (P < 0.001). Similar results were observed at the 4-mont follow-up indicating a lasting effect. Also, the effect of rational emotive behavior therapy on resilience was greater than that of narrative therapy both after the intervention and at 4-month follow-up (P < 0.001).
Conclusion: Narrative therapy and rational emotive behavior therapy increased resiliency in women with breast surgery experience.
Fatemeh Hajiabadi, Hadi Bagheri, Nasrin Tonokaboni, Maryam Zamanian, Zahra Hosseinkhani,
Volume 14, Issue 1 (Iranian Journal of Breast Disease 2021)
Abstract
Introduction: Breast cancer is the most common cancer and the second leading cause of death in women worldwide. The aim of this study was to analyze the trend and predict the incidence of breast cancer using time series analysis.
Methods: In this study, data on breast cancer incidence in Qazvin province between 2007 and 2016 were analyzed using time series analysis with autoregressive integrated moving average (ARIMA) modeling to forecast the future pattern. The Box-Jenkins time series model and its diagnosis and evaluation methods were used to show the trend and forecasting the next year new cancers. To describe and fit the appropriate models, R statistical software version 3.6.3 was used.
Results: Between 2007 and 2016, a total number of 1229 new patients had been registered (monthly mean [SD]: 10.24 [1.03]). Although the overall trend in the raw number of new breast cancer cases has been increasing over time, the change in observations over time has been increasing and decreasing. According to Bartlett test results, the variances of the data were not constant. Also, according to the results of Kolmogorov-Smirnov test, breast cancer series data were not normal. Among the studied models, ARIMA (1, 1, 1) was selected due to lower AIC criteria than other models, and this model was selected as the final model for predicting breast cancer for the next year. The confidence interval of the predicted values was relatively narrow, which indicates the appropriateness of the final model in the prediction.
Conclusion: Time series analysis is an efficient tool to model the past and future data on the raw number of new cancer cases, and the goodness-of-fit indicators of the model showed that the Box-Jenkins model is a reliable model for fitting similar data.
Hamid Aboutalebi, Nafiseh Yazdchi, Smkhani Akbarinejhad,
Volume 14, Issue 3 (Iranian Journal of Breast Diseases 2021)
Abstract
Introduction: Mastectomy causes psychological problems for women. Reducing their happiness and quality of life. The aim of this study was to determine the effect of narrative therapy on happiness and quality of life in women with breast surgery experience.
Methods: The study was semi-experimental with a pre-test-post-test and follow-up with the control group design. The study population included all mastectomized women in Esfahan who were undergoing radiation therapy in 2019. Thirty persons meeting the inclusion criteria were selected by cluster sampling. The subjects were randomly divided into the intervention (n=15) and control (n=15) groups. The intervention group received narrative therapy over 8 sessions of 1.5 hours (2 months, one session per week) as a group, according to the White and Epston treatment program. The control group did not receive any intervention. Members in both groups responded to the 29-item Oxford Happiness Questionnaire and the sf-36 before, after and 4 months after the intervention. Data were analyzed with repeated-measures analysis of variance.
Results: The baseline mean ± SD scores for happiness and quality of life for the experimental group were 36.3±3.1 and 39.5±4.7 4.7, respectively, and those for the control group were 36.0±3.2 and 41.1±3.8 (P>0.05). Narrative therapy significantly increased happiness (44.2±2.4) and quality of life (50.2±5.3) of women with breast surgery experience compared with the control group (happiness: 37.8±4.3 and quality of life 41.2±3.8) (P<0.001). In the follow-up phase, the effect of narrative therapy on happiness (44.3±2.2) and quality of life (50.2±5.0) was lasting (P<0.001).
Conclusion: Based on the findings of this study, it can be concluded that narrative therapy has increased happiness and quality of life in women with breast surgery experience.
Nasim Bozorgi, Soghra Khani, Zolaykha Karamelahi, Forouzan Elyasi,
Volume 16, Issue 2 (Iranian Journal of Breast Diseases 2023)
Abstract
Introduction: New changes in the health care system have made cancer care in home settings rather than in-patient situation. The diagnosis of breast cancer in a woman affects all family members and accordingly changes the duties of family members. Family involvement in this patient’s care may consequence better outcomes. Family caregivers can be unpaid family members who help the patient with physical care and the disease process, and they should know their roles to do it better. This study aimed to review family caregivers’ roles in the life of women with breast cancer.
Methods: Database search was done in google scholar, PubMed, science direct, Magiran, and SID. The keywords were Family Caregivers, Breast Cancer, and Role. Research articles published from 1990 till 2017 with the relevant topic were selected for this study. Overall 80 articles were searched and 42 were used.
Results: After reviewing these articles family caregivers’ roles were organized in three dimensions. 1) medical-instrumental roles such as screening, diagnosis, treatment, Physical care of the patient, and pain relieve 2) psychosocial roles such as decision making, encouraging and giving hope, emotional and spiritual support, and Strengthen relationships and 3) Roles related to finance such as life cost, providing treatment and care cost and following insurance claims.
Conclusion: Family caregivers of patients with breast cancer can learn specific roles to care for their family members or friends to have fewer side effects during caregiving.
Sara Zolfali Pormaleki, Hadi Smkhani Akbarinejhad,
Volume 16, Issue 4 (Iranian Journal of Breast Diseases 2024)
Abstract
Introduction: Breast cancer has a destructive effect on the couple relationship. The aim of this study is to investigate the effectiveness of emotion- focused couple therapy (EFCT) on marital burnout and sexual intimacy in couples with a wife suffering from breast cancer.
Methods: The research method was interventional. The statistical population of the study consisted of all women suffering from breast cancer in Tabriz and their spouses who visited Al-Zahra Hospital in Tabriz in the period of four months from June to the end of 2023, i.e. 711 people. After administering the 21-question questionnaire on marital burnout by Pines (2003) and the 30-question questionnaire on sexual intimacy by Bagaroozi (2001) to 220 couples who were willing to participate in the present study, 140 couples were one standard deviation above or below the average score in these questionnaires, 16 couples were selected according to the criteria for participation in the study and using the available sampling method and were randomly divided into two intervention groups (8 couples) and control groups (8 couples). The intervention group received EFCT in 10 sessions of 1.5 hours (two and a half months, one session per week) as a group, according to Johnson's treatment plan; however, the control group received no intervention. Data were analyzed using repeated-measures analysis of variance.
Results: The mean ± SD scores for marital burnout and sexual intimacy were 106.06±5.68 and 72.81±4.41 in the experimental group and 108.25±4.92 and 73.81±4.30 in the control group, respectively (P>0.05). EFCT significantly reduced marital burnout (101.19±5.54) and increased sexual intimacy (78.56±4.08) in couples with spouses with breast cancer compared to the control group (marital burnout: 108.75±4.02 & sexual intimacy: 73.50±4.29) (p<0.001). In the follow-up phase, the effect of EFCT on marital burnout (101.38±5.63) and sexual intimacy (78.44±4.94) was lasting (p<0.001).
Conclusion: The results of this study suggest that emotion- focused couples therapy reduced marital boredom and increased sexual intimacy in couples with a spouse suffering from breast cancer.
Shafagh Mobaraki, Hadi Smkhani Akbarinejhad,
Volume 17, Issue 2 (Iranian Journal of Breast Diseases 2024)
Abstract
Introduction: Breast cancer in women has a detrimental impact on marital relationships. The present study aimed to assess the effectiveness of emotion-focused couple therapy (EFCT) in marital commitment and interpersonal emotion regulation in couples where one partner suffers from breast cancer.
Methods: The study followed a pretest-posttest control group quasi-experimental design with a follow-up. The statistical population of the study consisted of all women with breast cancer in Tabriz and their spouses who visited Al-Zahra Hospital in Tabriz during a four-month period from June to the end of November 2023, totaling 711 people. In total, 16 couples who met the inclusion criteria were selected via the available sampling method. They were then randomly assigned to two intervention groups (n=8 each) and two control groups (n=8 each). The intervention group received EFCT in 10 sessions of 1.5 hours each (over two and a half months, with one session per week) as a group, following Johnson's treatment plan. Nonetheless, the control group did not receive any intervention. Both groups responded to Adams and Jones's (1997) 44-item Marital Commitment and Hoffman et al.'s (2016) 20-item Interpersonal Emotion Regulation questionnaires before, after, and four months after the intervention. Data were analyzed using repeated-measures analysis of variance.
Results: The results of the data analysis of the present study demonstrated that after the implementation of emotion-oriented couple therapy, there was a significant difference between the values related to marital commitment and interpersonal emotion regulation in the experimental and control groups. These values increased in the experimental group. The results of the follow-up phase also displayed that the changes were permanent.
Conclusion: According to the results of the present research and the important role of couples in the health of children, families, and society, it is suggested that EFCT be implemented in breast cancer associations, psychological clinics of hospitals, as well as public and private sectors. This therapy aims to enhance marital commitment and regulate the interpersonal emotions of couples.
Fatemeh Sarbazi, Masoumeh Ghavvasi Heris, Hadi Smkhani Akbarinejhad,
Volume 17, Issue 3 (Iranian Journal of Breast Diseases 2024)
Abstract
Introduction: Breast cancer has adverse effects on marital relationships. The present study aimed to assess the effectiveness of compassion-based couple therapy (CBCT) on family functioning and marital life quality in couples with spouses suffering from breast cancer.
Methods: The research method was interventional. The statistical population of the study was made up of all women with breast cancer and their spouses who visited Al-Zahra Hospital in Tabriz for four months, from June to the end of 2023 (n=844). In total, 16 couples who met the inclusion criteria were selected via the available sampling method and were randomly assigned to two intervention groups (eight couples) and control groups (eight couples). The intervention group received CBCT in 8 sessions of 1.5 hours (two months, one session per week) as a group, according to the treatment plan proposed by Kazemi & et al.; nonetheless, the control group did not receive any intervention. Both groups responded to The McMaster Family Assessment Device (FAD) (Epstein et al., 1983) and Marital Quality Scale (Zhang et al., 2013) before, after, and five months after the intervention. Data were analyzed in SPSS software (version 24) using repeated-measures analysis of variance.
Results: In the pre-test, the mean scores of family functioning were 106.88±4.01 and 109.25±2.41 for women and their spouses, respectively. Moreover, mean marital life quality scores were 77.38±2.51 and 70.75±3.16 for women and their spouses. In the control group, family functioning mean scores were 102.38±3.58 and 106.75±2.97 for women and men. Mean scores of marital life quality were 70.88±3.08 and 73.50±2.63 for women and men (P<0.05). CBCT increased family functioning and marital life quality of couples with spouses suffering from breast cancer in the post-test (family functioning of women 113.62±3.40 and men 115.38±2.07 and marital life quality of women 83.38±2.38 and men 76.62±3.09) compared to the control group (family functioning of women 102.38±3.51 and men 105.75±2.93 and marital life quality of women 70.38±3.04 and men 73.25±2.52) (P<0.001). In the follow-up stage, CBCT had a persistent effect on the family functioning of women (113.38±3.45) and men (114.75±2.09) and marital life quality of women (83.38±2.38) and their spouses (76.50±3.04) (P<0.001).
Conclusion: As evidenced by the results of this study, it can be concluded that CBT increased family functioning and marital life quality in couples with spouses suffering from breast cancer.
Nastaran Badri Benam, Hadi Smkhani Akbarinejhad ,
Volume 18, Issue 3 (Iranian Journal of Breast Diseases 2025)
Abstract
Introduction: Breast cancer is one of the most common types of cancer among women. This complication can negatively affect the physical health, psychological health, and marital relationship of women with their husbands, leading to serious problems. The present study aimed to determine the effectiveness of compassion-focused couples therapy (CFCT) on marital conflicts and emotional intimacy in couples with a spouse suffering from breast cancer.
Methods: This quasi-experimental study was conducted using a pretest/posttest design and follow-up, with a control group. The statistical population consisted of all women with breast cancer in Tabriz and their spouses who had been referred to Al-Zahra Hospital, Tabriz, Iran, during five months from May to the end of September 2024. In total, 16 couples were selected using a convenience sampling method and randomly divided into two intervention and control groups. The intervention group received eight 1.5-hour CFCT sessions (two months, one session per week), according to the treatment plan of Kazemi et al. On the other hand, the control group did not receive any treatment. Both groups responded to the 54-item revised Marital Conflict Questionnaire of Bustanipour and Sanaei Zakir (2016) and the 36-item Intimacy in Relationships Questionnaire of Schaefer and Olson (1981) before, after, and at a 4-month follow-up. Findings were analyzed through repeated measures analysis of variance using SPSS software (version 24).
Results: At the pretest, there was no significant difference between the groups in terms of marital conflicts and emotional intimacy (P>0.05). According to the results, the experimental group showed a significant decrease in marital conflicts (mean difference = -8.25) and a significant increase in emotional intimacy (mean difference = +8.50) (P < 0.001) after implementing CFCT. At the 4-month follow-up phase, the effect of CFCT on marital conflicts and emotional intimacy of couples was permanent (P<0.001).
Conclusion: Based on the findings of this study, it can be concluded that CFCT can reduce marital conflicts and increase emotional intimacy among couples with a spouse suffering from breast cancer. These results support the integration of CFCT into psycho-oncology care programs to enhance relational resilience and overall family well-being during the cancer treatment process.
