Volume 14 - Articles-1403                   MEJDS (2024) 14: 112 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Khatibi N, Mirzaian B, Abbasi G. Determining the Effectiveness of Mindfulness-Based Stress Reduction on Cognitive Regulation of Emotion and Distress Tolerance in Women with Breast Cancer. MEJDS 2024; 14 :112-112
URL: http://jdisabilstud.org/article-1-3194-en.html
Determining the Effectiveness of Mindfulness-Based Stress Reduction on Cognitive Regulation of Emotion and Distress Tolerance in Women with Breast Cancer
Nadereh Khatibi1 , Bahram Mirzaian *2 , GHodratollah Abbasi3
1- PhD Student, Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran
2- Assistant Professor, Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran
3- Associate Professor, Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran
Abstract:   (884 Views)

Abstract
Background & Objectives: Breast cancer is one of the most common, dangerous, and emotionally and psychologically impressive cancers among women. Cognitive emotion regulation is a conscious way of managing emotional arousal and feelings in an individual. Distress tolerance is a perceived capacity to resist negative emotional states or other aversive states, including physical discomfort and the behavioral act of resisting distressing psychological states caused by stressors. Non–pharmacological interventions include mindfulness–based stress reduction. The mindfulness–based stress reduction program is a short–term, structured program introduced in the latest developments in cognitive therapies by Tazedale et al. in 1995. The limitations caused by breast cancer in an individual create psychological problems, including cognitive emotion regulation and reduced distress tolerance. So, 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.
Methods: The research method was quasi–experimental with a pretest–posttest and a three–month follow–up design with a control group. The statistical population comprised women with breast cancer who visited a private clinic located in Tehran City, Iran, in 2022. They 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 to two groups of 15 women (experimental and control). The inclusion criteria for patients in the study were as follows: age range of 30–50 years, not taking neuropsychiatric medication in the past three months, not suffering from a serious psychiatric illness like psychosis, and not receiving other psychological interventions. Also, in terms of observing ethical considerations regarding data collection, the researchers closely monitored the completion of the questionnaires and provided the participants with necessary explanations. These explanations included the right to choose to participate in the research, confidentiality of personal information, the importance of participating in the study, and information related to the research topic. The subjects of the experimental group received 8 sessions of mindfulness–based stress reduction therapy (according to the protocol of Segal et al., 2002). The Cognitive Emotion Regulation Questionnaire (CERQ) (Garnefski and Karaij, 2006) and Distress Tolerance Scale (Simmons & Gaher, 2005) as research tools were implemented in two stages before and after training in both groups. Three months after the training, the experimental and control group participants answered the questionnaire's questions. The data were analyzed using the analysis of variance test with repeated measurements and the Bonferroni post hoc test in SPSS version 26. The significance level of the tests was considered 0.05.
Results: The effect of time on the three variables of adaptive strategies, non–adaptive strategies, and distress tolerance (p<0.001) and the effect of group on the three variables of adaptive strategies (p<0.001), non–adaptive strategies (p<0.001), and distress tolerance (p=0.033) was significant. Regarding the three variables in the experimental group, the difference between the mean scores of pretest, posttest, and follow–up was significant (p<0.001). However, the difference between the mean scores of the posttest and follow–up in the variables of adaptive strategies (p=0.088) and non–adaptive strategies (p=0.125) and distress tolerance (p=0.090) was not significant, showing that their effect was maintained during the three–month follow–up period.
Conclusion: According to the results of the research, the application of non–pharmacological stress reduction intervention based on mindfulness is effective in improving cognitive regulation of emotion and distress tolerance in breast cancer patients. 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
Full-Text [PDF 240 kb]   (193 Downloads)    
Type of Study: Original Research Article | Subject: Psychology
References
1. Sharma A, Dulta K, Nagraik R, Dua K, Singh SK, Chellappan DK, et al. Potentialities of aptasensors in cancer diagnosis. Materials Letters. 2022;308:131240. [DOI]
2. Carlsson L, Thain E, Gillies B, Metcalfe K. Psychological and health behaviour outcomes following multi-gene panel testing for hereditary breast and ovarian cancer risk: a mini-review of the literature. Hered Cancer Clin Pract. 2022;20(1):25. [DOI]
3. Alam MS, Rahaman MM, Sultana A, Wang G, Mollah MNH. Statistics and network-based approaches to identify molecular mechanisms that drive the progression of breast cancer. Comput Biol Med. 2022;145:105508. [DOI]
4. Casini E, Glemser C, Premoli M, Preti E, Richetin J. The mediating role of emotion regulation strategies on the association between rejection sensitivity, aggression, withdrawal, and prosociality. Emotion. 2022;22(7):1505–16. [DOI]
5. Aghbolaghi N, Aghdasi A, Rostami H, Ahangar A. Examining the effectiveness of mindfulness based stress reduction on mental fatigue, perceived stress, and emotion regulation in nurses. Journal of Health and Care. 2023;24(4):368–79. [Persian] [DOI]
6. Gholami R, Zomorody S, Abdi S. Effectiveness of stress management on cognitive emotion regulation and general health of patients with dyspepsia. Research in Medicine 2021;45(3):60–6. [Persian] [Article]
7. Babaei Nadinluye K, Mikaeli Manee F, Pezeshki H, Bafande H, Abdi H. Relationship between mindfulness and meta-emotion on predicting emotional adjustment of novice nurses. Iran Journal of Nursing. 2017;30(105):11–22. [Persian] [DOI]
8. Hasan Nejad N, Agahheris M, Arab Sheibani K, Zare H, Gholizadeh Pasha AR. The effectiveness of "progressive relaxation training" on anxiety tolerance and sexual function in women with a history of mastectomy. Journal of Health Promotion Management. 2022;11(5):29–41. [Persian] [DOI]
9. Zerach G. "He ain't heavy, he's my brother": distress tolerance moderates the association between secondary posttraumatic symptoms and secondary posttraumatic growth among siblings of combat veterans. Psychol Trauma. 2020;12(7):687–97. [DOI]
10. Segal ZV, Williams JMG, Teasadal JD. Mindfulness-based congitive therapy for depression: a new approach to preventing relapse. New York: Guilford Press; 2002.
11. Aghdam L, Rezaei Jamalouei H, Taheri M. The effectiveness of mindfulness-based stress reduction on post-traumatic growth and death anxiety in breast cancer patients. Medical Journal of Mashhad University of Medical Sciences. 2022;65(3):1111–24.[Persian] [Article]
12. Amani E, Ghaffari Nouran A, Hashemi T, Narimani M, Beyrami M. Comparison of the effectiveness of mindfulness-based stress reduction and self-regulated learning on the mental vitality of female students. Journal of School Psychology & Institutions. 2022;11(1):6–16. [Persian] [Article]
13. Mehdikhani M, Hassanzadeh R, Ghanadzadegan H. Comparison of the effectiveness of mindfulness-based stress reduction and relaxation on distress tolerance in females with multiple sclerosis (MS). Rooyesh. 2021;10(4):13–24.[Persian] [Article]
14. Dakani M, Fakhri M, Hasanzadeh R. The effectiveness of mindfulness-based cognitive therapy on anxiety tolerance and cognitive flexibility in patients with type 2 diabetes. Iranian Journal of Diabetes and Metabolism. 2021;21(3):186–97.[Persian] [Article]
15. Soltanizadeh M, Kazemi H, Darabi N, Ghodratipour S. The effectiveness of mindfulness-based cognitive therapy (MBCT) on emotion regulation and distress tolerance among firefighters in Isfahan. Journal of Applied Psychological Research. 2021;12(2):83–100. [Persian] [Article]
16. Shabani M, Khalatbari J. The effectiveness of mindfulness-based stress reduction training on emotion regulation difficulties and psychological well-being in premenstrual syndrome. Health Psychology. 2019;8(29):134–52.[Persian] [Article]
17. Garnefski N, Kraaij V. Cognitive Emotion Regulation Questionnaire – development of a short 18-item version (CERQ-short). Pers Individ Dif. 2006;41(6):1045–53. [DOI]
18. Besharat MA, Bazzazian S. Psychometri properties of the Cognitive Emotion Regulation Questionnaire in a sample of Iranian population. Advances in Nursing & Midwifery. 2014;24(84):61–70. [Persian]
19. Simons JS, Gaher RM. The Distress Tolerance Scale: development and validation of a self-report measure. Motiv Emot. 2005;29(2):83–102. [DOI]
20. Azizi AR. Reliability and validity of the persian version of Distress Tolerance Scale. Iran J Psychiatry. 2010;5(4):154–8. [Article]
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.

© 2025 CC BY-NC 4.0 | Middle Eastern Journal of Disability Studies

Designed & Developed by : Yektaweb