Login Register Cart 0
Generic placeholder image

Current Women`s Health Reviews

Editor-in-Chief

ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

Back
Journal Home About Journal Editorial Board Journal Insight Current Issue Volumes/Issues
Subscribe
Clinical Trial

Investigating the Impact of Cognitive-behavioral Stress Management on Adjustment among Females with Breast Cancer

Author(s): Farkhondeh Jamshidi , Arezoo Shayan and Mahtab Sattari *

Volume 18, Issue 4, 2022

Published on: 19 January, 2022

Article ID: e201221199150 Pages: 10

DOI: 10.2174/1573404818666211220105207

Price: $65

Abstract

Background and aim: This study aimed to investigate the effect of cognitive-behavioral stress management (CBSM) on adjustment among females with breast cancer.

Materials and Methods: This randomized clinical trial study was conducted on 104 women with breast cancer who visited Hamedan Imam Khomeini Clinic between Feb 3 and Oct 26, 2016, and met the inclusion criteria. The inclusion criteria included being 20 to 60 years old, being married, and having grade 1-3 breast cancer with a history of recent surgery. The subjects were randomly assigned to two groups of 52 subjects, using a permuted block size of 4. The intervention group participated in 4 sessions of CBSM, each 90 minutes long, for a duration of 4 weeks. Data collection was done using a demographic information questionnaire and Bell adjustment questionnaire. The statistical analyst remained unaware of the intervention assignment. Data analysis was done using descriptive statistics, paired t-test, and repeated measures ANOVA.

Results: There was a significant difference in the mean scores of the total adjustment (P = 0,0001) between the two groups after the intervention. Each variable was calculated three times, prior to the intervention, immediately after and 2 weeks after the intervention. Regardless of the time of measurement, there was a significant difference in the mean score of total adjustment between the two groups (P = 0.0001).

Conclusion: The cognitive-behavioral stress management program improved the adjustment immediately and 2 weeks after the intervention was done among women with breast cancer. This method can be implemented as a complementary approach along with medical therapies provided by oncology centers.

Keywords: Cognitive behavioral, stress management, adjustment, breast cancer, clinical trial, questionnaire.

Graphical Abstract

[1]
Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin 2020; 70(1): 7-30.
[http://dx.doi.org/10.3322/caac.21590] [PMID: 31912902]
[2]
Babu GR, Samari G, Cohen SP, et al. Breast cancer screening among females in Iran and recommendations for improved practice: A review. Asian Pac J Cancer Prev 2011; 12(7): 1647-55.
[PMID: 22126539]
[3]
Fallahzadeh H, Momayyezi M, Akhundzardeini R, Zarezardeini S. Five year survival of women with breast cancer in Yazd. Asian Pac J Cancer Prev 2014; 15(16): 6597-601.
[http://dx.doi.org/10.7314/APJCP.2014.15.16.6597] [PMID: 25169494]
[4]
Haddad CsF. Radioterapia adjuvante no cancer de mama operavel. Femina 2011; 39: 295-302.
[5]
Classen CC, Kraemer HC, Blasey C, et al. Supportive-expressive group therapy for primary breast cancer patients: A randomized prospective multicenter trial. Psychooncology 2008; 17(5): 438-47.
[http://dx.doi.org/10.1002/pon.1280] [PMID: 17935144]
[6]
Jamshidi F, Tohidi S, Shayan A. Effect of community re-entry program on the mental state in chronic mental illnesses daily rehabilitation centers in Hamadan. J Rehabil Med 2017; 6(3): 60-7.
[7]
Costa DS, Mercieca-bebber R, Rutherford C, Gabb L, King MT. The impact of cancer on psychological and social outcomes. Aust Psychol 2016; 51(2): 89-99.
[http://dx.doi.org/10.1111/ap.12165]
[8]
Yanes T, Willis AM, Meiser B, Tucker KM, Best M. Psychosocial and behavioral outcomes of genomic testing in cancer: A systematic review. Eur J Hum Genet 2019; 27(1): 28-35.
[http://dx.doi.org/10.1038/s41431-018-0257-5] [PMID: 30206354]
[9]
Boehmke MM, Brown JK. Predictors of symptom distress in women with breast cancer during the first chemotherapy cycle. Can Oncol Nurs J 2005; 15(4): 215-27.
[http://dx.doi.org/10.5737/1181912x154215220] [PMID: 16405206]
[10]
Lazarus RS, Folkman S. Stress, Appraisal, and Coping. Springer Publishing Company: Springer Publishing Company 1984.
[11]
Andersen BL, Farrar WB, Golden-Kreutz DM, et al. Psychological, behavioral, and immune changes after a psychological intervention: A clinical trial. J Clin Oncol 2004; 22(17): 3570-80.
[http://dx.doi.org/10.1200/JCO.2004.06.030] [PMID: 15337807]
[12]
Yates P, Aranda S, Hargraves M, et al. Randomized controlled trial of an educational intervention for managing fatigue in women receiving adjuvant chemotherapy for early-stage breast cancer. J Clin Oncol 2005; 23(25): 6027-36.
[http://dx.doi.org/10.1200/JCO.2005.01.271] [PMID: 16135471]
[13]
Philip EJ, Merluzzi TV, Zhang Z, Heitzmann CA. Depression and cancer survivorship: Importance of coping self-efficacy in post-treatment survivors. Psychooncology 2013; 22(5): 987-94.
[http://dx.doi.org/10.1002/pon.3088] [PMID: 22573371]
[14]
Forouhari S, Hosseini Teshnizi S, Ehrampoush MH, et al. Relationship between religious orientation, anxiety, and depression among college students: A systematic review and meta-analysis. Iran J Public Health 2019; 48(1): 43-52.
[http://dx.doi.org/10.18502/ijph.v48i1.781] [PMID: 30847310]
[15]
Tatrow K, Montgomery GH. Cognitive behavioral therapy techniques for distress and pain in breast cancer patients: A meta-analysis. J Behav Med 2006; 29(1): 17-27.
[http://dx.doi.org/10.1007/s10865-005-9036-1] [PMID: 16400532]
[16]
Shoorvazi M, Dalir Z, Atefi N, Tohidi S, Forouhari S. The relationship between social wellbeing and job satisfaction in nurses. Pharm Lett 2016; 8(19): 410-6.
[17]
Stagl JM, Lechner SC, Carver CS, et al. A randomized controlled trial of cognitive-behavioral stress management in breast cancer: Survival and recurrence at 11-year follow-up. Breast Cancer Res Treat 2015; 154(2): 319-28.
[http://dx.doi.org/10.1007/s10549-015-3626-6] [PMID: 26518021]
[18]
Andersen BL, Yang HC, Farrar WB, et al. Psychologic intervention improves survival for breast cancer patients: A randomized clinical trial. Cancer 2008; 113(12): 3450-8.
[http://dx.doi.org/10.1002/cncr.23969] [PMID: 19016270]
[19]
Tang M, Liu X, Wu Q, Shi Y. The effects of cognitive-behavioral stress management for breast cancer patients: A systematic review and meta-analysis of randomized controlled trials. Cancer Nurs 2020; 43(3): 222-37.
[http://dx.doi.org/10.1097/NCC.0000000000000804] [PMID: 32195709]
[20]
Cuijpers P, van Straten A, Warmerdam L. Behavioral activation treatments of depression: A meta-analysis. Clin Psychol Rev 2007; 27(3): 318-26.
[http://dx.doi.org/10.1016/j.cpr.2006.11.001] [PMID: 17184887]
[21]
Ye M, Du K, Zhou J, et al. A meta-analysis of the efficacy of cognitive behavior therapy on quality of life and psychological health of breast cancer survivors and patients. Psychooncology 2018; 27(7): 1695-703.
[http://dx.doi.org/10.1002/pon.4687] [PMID: 29500842]
[22]
Stagl JM, Antoni MH, Lechner SC, et al. Randomized controlled trial of cognitive behavioral stress management in breast cancer: a brief report of effects on 5-year depressive symptoms. Health Psychol 2015; 34(2): 176-80.
[http://dx.doi.org/10.1037/hea0000125] [PMID: 25068452]
[23]
Karamozian M, Bagheri M, Darekordi A, Aminizadeh M. The effectiveness of cognitive-behavioral group therapy in stress management on mental health and pain coping strategies for patients with breast cancer. Iran Breast Dis 2014; 7(2): 56-66.
[24]
Aghamohamadian Sherbaf H. Review the effectiveness of group therapy and cognitive psychological analysis approach to increasing the level of compatibility issues. Tehran: Tarbiat Modarres University 1995.
[25]
Law M, Polatajko H, Pollock N, McColl MA, Carswell A, Baptiste S. Pilot testing of the Canadian Occupational Performance Measure: Clinical and measurement issues. Can J Occup Ther 1994; 61(4): 191-7.
[http://dx.doi.org/10.1177/000841749406100403] [PMID: 10137673]
[26]
McGregor BA, Dolan ED, Murphy KM, et al. Cognitive behavioral stress management for healthy women at risk for breast cancer: a novel application of a proven intervention. Ann Behav Med 2015; 49(6): 873-84.
[http://dx.doi.org/10.1007/s12160-015-9726-z] [PMID: 26290001]
[27]
Stagl JM, Bouchard LC, Lechner SC, et al. Long-term psychological benefits of cognitive-behavioral stress management for women with breast cancer: 11-Year follow-up of a randomized controlled trial. Cancer 2015; 121(11): 1873-81.
[http://dx.doi.org/10.1002/cncr.29076] [PMID: 25809235]
[28]
Gudenkauf LM, Antoni MH, Stagl JM, et al. Brief cognitive-behavioral and relaxation training interventions for breast cancer: A randomized controlled trial. J Consult Clin Psychol 2015; 83(4): 677-88.
[http://dx.doi.org/10.1037/ccp0000020] [PMID: 25939017]
[29]
Nápoles AM, Ortíz C, Santoyo-Olsson J, et al. Nuevo Amanecer: Results of a randomized controlled trial of a community-based, peer-delivered stress management intervention to improve quality of life in Latinas with breast cancer. Am J Public Health 2015; 105(S3)(Suppl. 3): e55-63.
[http://dx.doi.org/10.2105/AJPH.2015.302598] [PMID: 25905829]
[30]
Nápoles AM, Santoyo-Olsson J, Stewart AL, Ortiz C, García-Jímenez M. Evaluating the implementation of a translational peer-delivered stress management program for Spanish-speaking Latina breast cancer survivors. J Cancer Educ 2018; 33(4): 875-84.
[http://dx.doi.org/10.1007/s13187-017-1202-y] [PMID: 28275966]
[31]
Garssen B, Boomsma MF, Meezenbroek EdeJ, et al. Stress management training for breast cancer surgery patients. Psychooncology 2013; 22(3): 572-80.
[http://dx.doi.org/10.1002/pon.3034] [PMID: 22383279]
[32]
Qiu J, Chen W, Gao X, et al. A randomized controlled trial of group cognitive behavioral therapy for Chinese breast cancer patients with major depression. J Psychosom Obstet Gynaecol 2013; 34(2): 60-7.
[http://dx.doi.org/10.3109/0167482X.2013.766791] [PMID: 23646866]
[33]
Groarke A, Curtis R, Kerin M. Cognitive-behavioural stress management enhances adjustment in women with breast cancer. Br J Health Psychol 2013; 18(3): 623-41.
[http://dx.doi.org/10.1111/bjhp.12009] [PMID: 23210527]
[34]
Xiao F, Song X, Chen Q, et al. Effectiveness of psychological interventions on depression in patients after breast cancer surgery: A meta-analysis of randomized controlled trials. Clin Breast Cancer 2017; 17(3): 171-9.
[http://dx.doi.org/10.1016/j.clbc.2016.11.003] [PMID: 28040415]
[35]
Rezaei Ardani A, Farid Hoseini F, Borhani Moghani M, Seyfi H. Cognitive behavioral stress management effects on quality of life and negative emotions in women with breast cancer. IJOGI 2015; 18(154): 8-18.
[36]
Khatibian M, Shakerian A. The effectiveness of cognitive behavioral group therapy in reducing depression, anxiety and stress among women with breast cancer. SJKUMS 2014; 19(4): 91-9.
[37]
Hassanzade R, Janbabaei G, Salavati M, Sheikh Moonesi F, Khaleghi S, Siamian H. Evaluation of group-therapy efficacy by cognitive-behavioral therapy method for promoting general health among breast cancer patients. Health Med 2012; 6(5): 1541-6.
[38]
Kahrazei F, Danesh E, Hydarzadegan A. The effect of cognitive-behavioral therapy (CBT) on reduction of psychological symptoms among patients with cancer. Zahedan J Res Med Sci 2012; 14: 112-6.
[39]
Khodai S, Dastgerdi R, Haghighi F, Sadatjoo SA, Keramati A. The effect of cognitive–Behavioral group therapy on depression in patients with cancer. JMUMS 2011; 18(3): 183-90.
[40]
Hoffman CJ, Ersser SJ, Hopkinson JB, Nicholls PG, Harrington JE, Thomas PW. Effectiveness of mindfulness-based stress reduction in mood, breast- and endocrine-related quality of life, and well-being in stage 0 to III breast cancer: A randomized, controlled trial. J Clin Oncol 2012; 30(12): 1335-42.
[http://dx.doi.org/10.1200/JCO.2010.34.0331] [PMID: 22430268]

Rights & Permissions Print Cite
Article Metrics
29
1
© 2024 Bentham Science Publishers | Privacy Policy