1- Phd Student, Department of Health Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran.
2- Associate Professor, Department of Clinical Psychology, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
2- Associate Professor, Department of Clinical Psychology, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Abstract: (25 Views)
Background and Objective: Women constitute half of the population, and their health is of particular importance as the heart of the family and society. Breast cancer, as the most common cancer in women, can cause serious psychological complications such as anxiety and depression. This disease requires attention to the mental health of patients, especially after treatment. Cognitive-behavioral therapy is known as an effective approach in managing these psychological problems and can help reduce worries and improve the quality of life of patients. Ultimately, research in this field helps to better understand the psychological needs of these patients and provide effective support solutions. The aim of the present study was to determine the effectiveness of cognitive-behavioral therapy on worry about the disease and fear of recurrence in women recovered from breast cancer.
Methodology: The present study was a quasi-experimental study with a pretest-posttest design with two control and experimental groups. The statistical population included adult women who referred to hospitals in Tehran for annual check-ups in 1403 and received a diagnosis of recovery from breast cancer from a specialist physician within the past 1 to 4 years. According to Stevens' table, two groups were examined and compared with the probability of failure and with the necessary test power (80%) (Sarmad et al., 2016). 30 people were considered for two experimental groups (15 people) and control group (15 people) in a non-randomized method, available and confirmed the inclusion criteria, and assignment to the experimental and control groups was done randomly. The inclusion criteria for the study included no history of psychiatric disorders based on case records, an average age of over 20 years and a minimum education of a high school diploma, recovery from breast cancer between 1 and 4 years before the start of the study, no drug therapy or other psychological treatment at the time of diagnosis, and informed and voluntary consent to participate in the study. And the exclusion criteria from the study also included absence of more than three sessions, unexpected incidents such as serious physical injury that may occur in the study, and lack of full cooperation in the study such as failure to complete the questionnaires correctly and accurately and their distortion. The implementation process was as follows: after selecting the sample group and before starting the treatment program, the Molina and Borkovic (1994) worry questionnaires and Simard and Savard (2009) fear of cancer recurrence questionnaires were distributed to both groups. After that, cognitive behavioral therapy was implemented on the experimental group (in the form of 8 90-minute sessions, each session once a week), and the control group was not subjected to any treatment program. After the end of the sessions, the participants of both groups answered the aforementioned questionnaires again. The data from the study were analyzed using SPSS version 27 software and the multivariate analysis of covariance statistical method.
Findings: The results showed that, after controlling for the pre-test effect, there was a significant difference (p<0.01) between the post-test of the experimental and control groups in worry about illness and fear of recurrence (triggers, confusion, dysfunction, insight, confidence, and coping in interaction).
Conclusion: Therefore, it can be concluded that cognitive-behavioral therapy reduces worry about illness and fear of recurrence in women recovered from breast cancer.
Methodology: The present study was a quasi-experimental study with a pretest-posttest design with two control and experimental groups. The statistical population included adult women who referred to hospitals in Tehran for annual check-ups in 1403 and received a diagnosis of recovery from breast cancer from a specialist physician within the past 1 to 4 years. According to Stevens' table, two groups were examined and compared with the probability of failure and with the necessary test power (80%) (Sarmad et al., 2016). 30 people were considered for two experimental groups (15 people) and control group (15 people) in a non-randomized method, available and confirmed the inclusion criteria, and assignment to the experimental and control groups was done randomly. The inclusion criteria for the study included no history of psychiatric disorders based on case records, an average age of over 20 years and a minimum education of a high school diploma, recovery from breast cancer between 1 and 4 years before the start of the study, no drug therapy or other psychological treatment at the time of diagnosis, and informed and voluntary consent to participate in the study. And the exclusion criteria from the study also included absence of more than three sessions, unexpected incidents such as serious physical injury that may occur in the study, and lack of full cooperation in the study such as failure to complete the questionnaires correctly and accurately and their distortion. The implementation process was as follows: after selecting the sample group and before starting the treatment program, the Molina and Borkovic (1994) worry questionnaires and Simard and Savard (2009) fear of cancer recurrence questionnaires were distributed to both groups. After that, cognitive behavioral therapy was implemented on the experimental group (in the form of 8 90-minute sessions, each session once a week), and the control group was not subjected to any treatment program. After the end of the sessions, the participants of both groups answered the aforementioned questionnaires again. The data from the study were analyzed using SPSS version 27 software and the multivariate analysis of covariance statistical method.
Findings: The results showed that, after controlling for the pre-test effect, there was a significant difference (p<0.01) between the post-test of the experimental and control groups in worry about illness and fear of recurrence (triggers, confusion, dysfunction, insight, confidence, and coping in interaction).
Conclusion: Therefore, it can be concluded that cognitive-behavioral therapy reduces worry about illness and fear of recurrence in women recovered from breast cancer.
Type of Study: Original Research Article |
Subject:
Psychology
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