Iranian Journal of Breast Diseases
Year:2013 | Volume:6 | Issue:2|Papers Count:6

Background: This study was designed to investigate the effectiveness of psychotherapy four factors (Awareness increasing, hope, Therapeutic relationship and Adjusting the client response) on improving coping strategies in women with breast cancer.Methods: This research was based on quasi-experimental method with a pretest- posttest and control group and follow-up for a month. This research is within the statistical community Breast cancer patients covered Beheshti University Cancer Center with The Purposive sampling of visitors to the center of the Azar Clinic were selected.30 women with breast cancer were randomly selected through voluntary accessible sampling and randomly assigned to experimental and control group (n=15).Experimental group was attended in an 8- sessions 1/5 hour, once a week under the psychotherapy intervention group received four form factors. After intervention and loss account remained in the experimental group 11 cases and in the control group 12 cases. The main question of this study was that, whether the four factor model of treatment based on the coping skills of women with breast cancer is effective? Research tool included CRI (Coping Responses Inventory) are Billings and moos.Data was analyzed by the dependent t-test and covariance analysis (ANCOVA & MANCOVA) with the use of SPSS17 software.Results: Indicated significant difference problem oriented coping responses; refocus on planning and positive reappraisal emotion regulation strategies. Follow-up after one month confirmed the results obtained in the two groups.Conclusion: Showed the importance of four factors Psychotherapy as one of Psychological supporting consolation in increasing mental health of women with Breast Cancer. Four factors Psychotherapy can have an important role in facing with illness and Improving Coping strategies of women with Breast Cancer.

Background: Breast Cancer as the most common women cancer in Iran can effect on physical, psychological, social and economical aspects of life in patients. This study presents the direct diagnostic and treatment costs of non-metastatic breast cancer in different stages of disease.Methods: In this secondary study, many databases of diagnostic, staging, treatment modalities in breast cancer in Iran were used. Approved international and national guidelines about diagnostic and therapeutic approach to non- metastatic breast cancer were reviewed. Some survey, expert panels and expert opinions were used to finalize the guideline. Iran Health Ministry approved costs for 2012-2013 were used for this purpose. Data were analysed in three steps: Diagnostic process of breast cancer diagnosis, disease staging, treatment modalities required for each stage of disease.Results: Results showed that total cost of breast cancer treatment in stage I was 4092 (3683-5737) US$ and in stages II and III, 8484 (7635-10740) and 9223 (8300-11667) US$ respectively. Total cost of diagnostic and treatment modalities for non-metastatic stages in 10, 000 Iranian breast cancer women was estimated 70, 871, 923US$. The largest cost component in stages II and III was chemotherapy (56%, 57%) and in stage I, Radiation therapy (34%).Conclusion: Small proportion of stage I costs compared to other stages and large proportion of chemotherapy cost in stages II and III of disease, insist on importance of establishing early diagnosis strategies for breast cancer in health care system. This study may be helpful for implementing more effective resource allocation in health system, promoting diagnosis and treatment services and providing higher quality of life for breast cancer patients.

Background: Today breast Cancer is among the most important global health problems.Diagnosis of breast cancer may cause different psychological problems including: sense of unbelief, anxiety, guilt, and many more. Feeling these awful emotions in one hand and inconvenient situation of patient in another hand causes disturbances in healthy life style of patient.Considering that cancer effect on psychological aspects of patient it is worthy to note that returning patient to healthy life style besides saving her life is paramount goal.Methods: This survey was quasi-experimental thereby 60 Breast cancer patients referring to cancer research center of Shahadaye Tajrish hospital were selected based on their score (£24 Snyder Adult Hope Scale as pretest). They were divided randomly in 2 experimental and a control group. (30 patients per each). Reality therapy was applied individually as counseling method. Each session lasted between 30 to 45 minutes for 8 sessions. After interventions, Snyder AHS as posttest were applied for each group.Results: The meaningful differences of scores before and after intervention revealed us that this technique has been efficient and effective in increasing hope among breast cancer patients.Conclusion: It is suggested to apply RT to increase Hope in breast cancer patients to return to their healthy life style and also to preserve fertility before cancer treatment.

Background: breast cancer is the most prevalence cancer in Iranian women. Acknowledge of cancer is a serious stressful factor. Therefore these patients show different levels of clinical distress such as posttraumatic stress, depression and anxiety. Posttraumatic growth is a positive personal experience of changing in encountering with tension and harmful event. Empirical investigations indicated relations among some variable as spirituality/religiosity and social support with mental health in different groups and populations.The purpose of this research is to investigate on roll of spirituality and social support in prediction of posttraumatic growth (PTG) in women with breast cancer.Methods: The research method is Correlation and prediction type. Participants were 106 female with breast cancer that hospitalized at 3 hospitals in Tehran, Iran from November to February, in 2011. They were selected by census. Research instruments were the Posttraumatic Growth Inventory (PGI), Spirituality Questionnaire (SQ) and Medical Outcomes Survey social support scale (MOS). Statistical analysis was conducted by using Pearson Correlation and Stepwise Regression.Results: The result showed that there is a positive and significant relationship between the Post Traumatic Growth with spirituality (r=.67) and social supports (r=.66). The results of Stepwise Regression Analysis indicated that spirituality alone predicted.45 and in the second step, spirituality along with social support predicted.53 of PTG variances.Conclusion: Accordingly it is inferred that spirituality and social support have effect on PTG in female with breast cancer and we can improve the PTG by teaching and interference for increasing of spirituality and social support.

Background: Breast Cancer is one of the most common cancers in women. Although common treatments in this type of cancer (surgery, radiotherapy, chemotherapy and hormonal therapy) can decrease the risk of mortality but psychosocial and physical problems have effect on activities of daily living like home maintenance. The goal of this research is studyingof the effect of Occupational Therapy program pamphlet on Quality of Life in women with Breast Cancer.Methods: This study was carried out on30 women with breast Cancer in oncology center of Golestan Hospital in Ahvaz. The sample was from available community. Women with breast cancer were tested with SF36 quality of life test (validity is between0.77 to 0.90 and reliability is 0.70 with Cranach’s alpha). Then Occupational Therapy program pamphlets were taken with verbal and practical explanations. All patients were visited monthly in oncology center to check and modify their programs. These patients were checked again with SF36 to evaluate changes in quality of life following pamphlet of Occupational Therapy programs. Results analyzed bySPSS16 software with using paired T Test.Results: Results shows that Occupational Therapy program pamphletwas effective statistically in 6 sections of quality of life, but not effective statistically in physical functioning and public health sections.Conclusions: Occupational Therapy programs through pamphlet have effect on most of sub items of Quality of life in women with breast cancer.

Background: depression and fatigue are complex and epidemic problem in cancer. This article review trait anxiety in prediction of depression and fatigue in breast cancer.Methods: The method of this study was descriptive-correlation. For this purpose 50 people with diagnosis breast cancer selected from Hematology and Oncology Center and completed (Spilberger trait-state inventory, fatigue scale, Beck inventory. Pearson correlation and stepwise multiple regression analysis were methods.Results: Pearson correlation revealed that there is positive significant relationship between trait anxiety, fatigue and depression. Multiple regression analysis showed that fatigue with 0.88. Beta (p<0.05) is power variable in predicting trait anxiety in breast cancer. In addition, depression with 0.69. Beta (p<0.05) is power variable in predicting trait anxiety in breast cancer.Conclusion: The result demonstrated that state anxiety can predict fatigue and depression.