The Effectiveness of Mindfulness-Based Stress Reduction Treatment on Depression and Optimism among Women with Breast Cancer during Chemotherapy
Authors
-
Shariat Homayoon 1
1. Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran.
http://orcid.org/0000-0002-8382-048X
-
Tanaz Dabiri 2
2. Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.
http://orcid.org/0000-0003-1868-5127
-
Maryam Ghorbani Nezhad 3
3. Department of Psychology, Marvdasht Branch, Islamic Azad University, Marvdasht, Iran.
http://orcid.org/0000-0002-4007-4405
-
Mohammad Reza Javedani 4
4. Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
http://orcid.org/0000-0002-6423-2754
-
Javad Seyed Jafari 5*
5. Department of Psychology, Allameh Tabataba'i University, Tehran, Iran.
http://orcid.org/0000-0002-0447-1075
-
Sara Mousavi 6
6. Department of Psychology, Payame Noor University, Tehran, Iran.
http://orcid.org/0000-0002-8551-2587
DOI:
https://doi.org/10.22100/ijhs.v7i2.856Keywords:
Mindfulness, Depression, Optimism, Women with breast cancer, ChemotherapyAbstract
Background: A breast cancer diagnosis can be a disturbing and stressful time for women. This study aimed to determine the effectiveness of mindfulness-based stress reduction treatment depression and optimism during chemotherapy among women with breast cancer.
Methods: This study was a quasi-experimental one with a group of pre-test, post-test, and controls. In this study, 26 women with breast cancer detection were identified from the referring patients to the Imam Hossein Hospital's oncology and radiotherapy division in Tehran, 2019-2020. Using the method of convenience sampling, the experimental (n=13) and control groups (n=13) were randomly allocated. The study group regularly engaged in mindfulness sessions for 8 weeks (each session lasting 90-120 minutes). In the BDI-II Beck Depression Inventory-II and happiness questionnaires, customers/clients in both the experimental and control groups completed. Data were analyzed by using a univariate covariance test in SPSS 23 software.
Results: According to the findings, there was a significant difference in depression and optimism among breast cancer patients, (Pvalue<0.05). Also, the mean overall depression score for women with breast cancer in the therapy session was considerably lower than the pre-test score, although optimism was significantly higher than the pre-test score (Pvalue<0.05).
Conclusion: The results of this study support the use of MBSR to minimize symptom burden in women with breast cancer. As a result, the effectiveness of MBSR in reducing depression symptoms and improving confidence has been approved.
Keywords: Mindfulness, Depression, Optimism, Women with breast cancer, Chemotherapy
References
2. Tojal C, Costa R. Depressive symptoms and mental adjustment in women with breast cancer. Psycho‐Oncology. 2015 Sep;24(9):1060-5.
3. Lewis S, Willis K, Yee J, Kilbreath S. Living well? Strategies used by women living with metastatic breast cancer. Qualitative health research. 2016 Jul;26(9):1167-79.
4. Zhang Q, Zhao H, Zheng Y. Effectiveness of mindfulness-based stress reduction (MBSR) on symptom variables and health-related quality of life in breast cancer patients—a systematic review and meta-analysis. Supportive Care in Cancer. 2019 Mar;27(3):771-81.
5. Al-Azri M, Al-Awisi H, Al-Rasbi S, El-Shafie K, Al-Hinai M, Al-Habsi H, Al-Moundhri M. Psychosocial impact of breast cancer diagnosis among Omani women. Oman medical journal. 2014 Nov;29(6):437.
6. Alagizy HA, Soltan MR, Soliman SS, Hegazy NN, Gohar SF. Anxiety, depression and perceived stress among breast cancer patients: single institute experience. Middle East Current Psychiatry. 2020 Dec;27(1):1-0.
7. Taber JM, Klein WM, Ferrer RA, Kent EE, Harris PR. Optimism and spontaneous self-affirmation are associated with lower likelihood of cognitive impairment and greater positive affect among cancer survivors. Ann Behav Med. 2016;50:198–209.]
8. Mohamadirizi SH, Khani B, Mohamadirizi S. Relationship between prenatal hardiness and optimism in primigravida women in 2014-2015. In press]
9. Guarino A, Polini C, Forte G, Favieri F, Boncompagni I, Casagrande M. The effectiveness of psychological treatments in women with breast cancer: A systematic review and meta-analysis. Journal of clinical medicine. 2020 Jan;9(1):209.).
10. Alacacioglu A, Ulger E, Varol U, Yildiz I, Salman T, Bayoglu V, Dirican A, Demir L, Akyol M, Yildiz Y, Kucukzeybek Y. Depression, anxiety and sexual satisfaction in breast cancer patients and their partners-izmir oncology group study. Asian Pacific Journal of Cancer Prevention. 2015;15(24):10631-6.
11. Lengacher CA, Reich RR, Paterson CL, Ramesar S, Park JY, Alinat C, Johnson-Mallard V, Moscoso M, Budhrani-Shani P, Miladinovic B, Jacobsen PB. Examination of broad symptom improvement resulting from mindfulness-based stress reduction in breast cancer survivors: a randomized controlled trial. Journal of clinical oncology. 2016 Aug 20;34(24):2827.
12. Haller H, Winkler MM, Klose P, Dobos G, Kuemmel S, Cramer H. Mindfulness-based interventions for women with breast cancer: an updated systematic review and meta-analysis. Acta oncologica. 2017 Dec 2;56(12):1665-76.
13. Thieme M, Einenkel J, Zenger M, Hinz A. Optimism, pessimism and self-efficacy in female cancer patients. Japanese Journal of Clinical Oncology. 2017 Sep 1;47(9):849-55.
14. Chaskalon M, Wiley J. The mindful workplace: developing resilient individuals and resonant organizations with MBSR. a. 2011:230–2.
15. Hsiao FH, Jow GM, Kuo WH, Yang PS, Lam HB, Chang KJ, Lee JJ, Huang CS, Lai YM, Chen YT, Liu YF. The long-term effects of mindfulness added to family resilience-oriented couples support group on psychological well-being and cortisol responses in breast cancer survivors and their partners. Mindfulness. 2016 Dec;7(6):1365-76
16. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. Journal of consulting and clinical psychology. 1988 Dec;56(6):893.
17. Beck AT, Clark DA. Anxiety and depression: An information processing perspective. Anxiety research. 1988 Jan 1;1(1):23-36.
18. Zemestani M, Davoodi I, Mehrabi-Zadeh Honarmand M, Zargar Y. Effectiveness of group behavioral activation on depression, anxiety and rumination in patients with depression and anxiety. J Clin Psychol. 2014; 5(4): 73-84. [Persian].
19. Scheier MF, Carver CS, Bridges MW. Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the Life Orientation Test. Journal of personality and social psychology. 1994 Dec;67(6):1063.
20. Bahrami M, Mohamadirizi S, Mohamadirizi S. Hardiness and optimism in women with breast cancer. Iranian journal of nursing and midwifery research. 2018 Mar;23(2):105.
21. Haji-Seyed-Sadeghi M, Zarani F, Mazaheri-Nejad-Fard G, Heidari M. Effectiveness of Training Mindfulness on Psychological Well-being, Coping Strategy and Family Function among Women Suffering from Breast Cancer. International Journal of Behavioral Sciences. 2020 Mar 1;13(4):153-8.
22. Huang J, Shi L. The effectiveness of mindfulness-based stress reduction (MBSR) for survivors of breast cancer: study protocol for a randomized controlled trial. Trials. 2016 Dec;17(1):1-9.
23. Johns SA, Brown LF, Beck-Coon K, Talib TL, Monahan PO, Giesler RB, Tong Y, Wilhelm L, Carpenter JS, Von Ah D, Wagner CD. Randomized controlled pilot trial of mindfulness-based stress reduction compared to psychoeducational support for persistently fatigued breast and colorectal cancer survivors. Supportive care in cancer. 2016 Oct;24(10):4085-96.
24. Tang YY, Hölzel BK, Posner MI. The neuroscience of mindfulness meditation. Nature Reviews Neuroscience. 2015 Apr;16(4):213-25.
25. Feldman G, Greeson J, Senville J. Differential effects of mindful breathing, progressive muscle relaxation, and loving-kindness meditation on decentering and negative reactions to repetitive thoughts. Behaviour research and therapy. 2010 Oct 1;48(10):1002-11.
26. Carlson LE, Speca M, Patel KD, Goodey E. Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress, and immune parameters in breast and prostate cancer outpatients. Psychosomatic medicine. 2003 Jul 1;65(4):571-81.
27. Lengacher CA, Reich RR, Kip KE, Barta M, Ramesar S, Paterson CL, Moscoso MS, Carranza I, Budhrani PH, Kim SJ, Park HY. Influence of mindfulness-based stress reduction (MBSR) on telomerase activity in women with breast cancer (BC). Biological research for nursing. 2014 Oct;16(4):438-47.
Downloads
Published
Issue
Section
License
The Copyright Form should be downloaded and signed by corresponding author in the fourth step "upload supplementary files" during submission process.
After acceptance, copyright form should be downloaded and signed by all authors one by one ( "summery --> supp. file" part and click on "add a supplementary file" link).
