1- Islamic Azad University, Sari, Iran.
Abstract: (211 Views)
Background and purpose: Cancer is one of the most important diseases of the last century and the third cause of death after cardiovascular diseases. The World Health Organization has estimated that more than 10 million people are diagnosed with various types of cancer every year. Meanwhile, breast cancer is one of the most common and dangerous and emotionally and psychologically impressive cancer among women. Breast cancer is a disease that occurs as a result of a tumor that is produced due to the uncontrolled change and proliferation of one of the cell groups that make up the breast tissue. The present study aims to investigate the effectiveness of mindfulness-based stress reduction on cognitive regulation of emotion and distress tolerance in women with breast cancer.
Research method: The research method was semi-experimental with a pre-test-post-test design and a control group and a three-month follow-up period. The statistical population was made up of women with breast cancer who visited a private clinic located in Tehran in 2022 and met the conditions to be included in the study. Among them, 30 people entered the study in a targeted and voluntary way and were randomly assigned in two groups of 15 people (experimental and control).Then the subjects of the experimental group received 8 sessions of mindfulness-based stress reduction therapy (according to the protocol of Segal et al., 2002). Cognitive regulation of emotion questionnaire (Garnefsky and Karaij, 2006) and distress tolerance (Simmons and Gaher, 2005) as research tools were implemented in two stages before and after training in both groups. Three months after the training, the participants of the experimental and control groups answered the questions of the questionnaires. The data were analyzed using the analysis of variance test with repeated measurements in the statistical software SPSS version 26. The significance level of the tests was considered 0.05.
Findings: The findings showed that before the intervention, there was a difference between the average scores of the compromised strategies of the two experimental groups (16.93+4.65) and the control group (17.73+5.02) and between the average scores of the uncompromised strategies of the two experimental groups (28.33+3.63) and control (27.4+4.08) no significant difference was observed (P<005). Also, before the intervention, no significant difference was observed between the average distress tolerance scores of the two experimental groups (38.73+4.36) and the control group (36.66+4.85) (P<005). But after the intervention, between the average scores of compromised strategies in the intervention group (18.13+4.76) and control group (16.86+5.3) and the average scores of uncompromised strategies in the intervention group (3.49+06/ 27) and the control group (29.73+3.93) and the mean distress tolerance scores in the intervention group (40.06+5.05) and the control group (32.93+3.97) showed a significant difference (p >0.005). In other words, the average of compromised strategies in the experimental group increased from 16.93 to 18.13, and the average of non-compromised strategies in the experimental group decreased from 28.33 to 27.06. Also, the average distress tolerance in the experimental group increased from 38.73 to 40.06. in other words; The results of analysis of variance with repeated measurement showed that the effect of mindfulness-based stress reduction on both components of cognitive emotion regulation (compromised strategies p < 0.001 and non-compromised strategies p < 0.001) and distress tolerance (p < 0.001) is significant. Also, in the three-month follow-up period, the stress reduction training based on mindfulness in the participants of the experimental group maintained its effect.
Conclusion: According to the results of the research, the application of non-pharmacological stress reduction intervention based on mindfulness is effective in cognitive regulation of emotion and distress tolerance in breast cancer patients, and it improves psychological problems, including cognitive regulation of emotion and increasing distress tolerance; Therefore, it is recommended to use a stress reduction program based on mindfulness in treatment centers for breast cancer patients.
Research method: The research method was semi-experimental with a pre-test-post-test design and a control group and a three-month follow-up period. The statistical population was made up of women with breast cancer who visited a private clinic located in Tehran in 2022 and met the conditions to be included in the study. Among them, 30 people entered the study in a targeted and voluntary way and were randomly assigned in two groups of 15 people (experimental and control).Then the subjects of the experimental group received 8 sessions of mindfulness-based stress reduction therapy (according to the protocol of Segal et al., 2002). Cognitive regulation of emotion questionnaire (Garnefsky and Karaij, 2006) and distress tolerance (Simmons and Gaher, 2005) as research tools were implemented in two stages before and after training in both groups. Three months after the training, the participants of the experimental and control groups answered the questions of the questionnaires. The data were analyzed using the analysis of variance test with repeated measurements in the statistical software SPSS version 26. The significance level of the tests was considered 0.05.
Findings: The findings showed that before the intervention, there was a difference between the average scores of the compromised strategies of the two experimental groups (16.93+4.65) and the control group (17.73+5.02) and between the average scores of the uncompromised strategies of the two experimental groups (28.33+3.63) and control (27.4+4.08) no significant difference was observed (P<005). Also, before the intervention, no significant difference was observed between the average distress tolerance scores of the two experimental groups (38.73+4.36) and the control group (36.66+4.85) (P<005). But after the intervention, between the average scores of compromised strategies in the intervention group (18.13+4.76) and control group (16.86+5.3) and the average scores of uncompromised strategies in the intervention group (3.49+06/ 27) and the control group (29.73+3.93) and the mean distress tolerance scores in the intervention group (40.06+5.05) and the control group (32.93+3.97) showed a significant difference (p >0.005). In other words, the average of compromised strategies in the experimental group increased from 16.93 to 18.13, and the average of non-compromised strategies in the experimental group decreased from 28.33 to 27.06. Also, the average distress tolerance in the experimental group increased from 38.73 to 40.06. in other words; The results of analysis of variance with repeated measurement showed that the effect of mindfulness-based stress reduction on both components of cognitive emotion regulation (compromised strategies p < 0.001 and non-compromised strategies p < 0.001) and distress tolerance (p < 0.001) is significant. Also, in the three-month follow-up period, the stress reduction training based on mindfulness in the participants of the experimental group maintained its effect.
Conclusion: According to the results of the research, the application of non-pharmacological stress reduction intervention based on mindfulness is effective in cognitive regulation of emotion and distress tolerance in breast cancer patients, and it improves psychological problems, including cognitive regulation of emotion and increasing distress tolerance; Therefore, it is recommended to use a stress reduction program based on mindfulness in treatment centers for breast cancer patients.
Keywords: stress reduction based on mindfulness, cognitive emotion regulation, distress tolerance, breast cancer.
Type of Study: Original Research Article |
Subject:
Psychology
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