Effectiveness of Mindfulness-Integrated Cognitive-Behavioral Therapy in Breast Cancer Pain Management

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Mozafari Motlagh m.r.; NEJAT H.; Tozandehjani h.; SAMARI A.A.

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Journal: Iranian Journal of Breast Diseases Year:2020 | Volume:13 | Issue:1 (48) Page(s): 35-45

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Title

Effectiveness of Mindfulness-Integrated Cognitive-Behavioral Therapy in Breast Cancer Pain Management

Author(s)

Mozafari Motlagh m.r. | NEJAT H. | Tozandehjani h. | SAMARI A.A. | Issue Writer Certificate

Keywords

MindfulnessQ1

Cognitive-Behavioral TherapyQ1

Perceived PainQ1

Pain CatastrophizingQ1

Breast CancerQ2

Abstract

Introduction: Given the high comorbidity of mental conditions and chronic pain in cancer, there is a need for development and administration of interventions for this population. This study aimed to investigate the effectiveness of Mindfulness-integrated Cognitive-Behavioral Therapy (MiCBT) in Breast Cancer pain management. Methods: In this clinical trial, 24 patients with Breast Cancer from Omid Hospital in Mashhad were selected via a purposive sampling method and randomly assigned to two groups of intervention (N = 12) and control (N = 12). The participants were assessed using the Short Cancer Pain Scale, Pain Self-Efficacy Questionnaire, and Pain Catastrophizing Scale before, immediately after, and one month after the intervention. The participants in the intervention group received MiCBT for 8 weeks. The control group did not receive any intervention from the research team during the research period. Descriptive statistics (percentage, frequency, mean and standard deviation), chi-square tests, t-tests, and multivariate analysis of covariance were used for data analysis. Results: After controlling for the pretest scores, there were significant differences between control and intervention groups in Perceived Pain, Pain Catastrophizing, and pain self-efficacy immediately and one month after the intervention (P > 0. 001). The Perceived Pain, Pain Catastrophizing decreased and pain self-efficacy increased immediately and one month after the intervention (P > 0. 001). Eta square showed 0. 85, 0. 78 and 0. 70 change in Perceived Pain, Pain Catastrophizing, and pain self-efficacy immediately and one month. In the follow-up phase, Eta squre were 0. 87, 0. 75 and 0. 79 for Perceived Pain, Pain Catastrophizing, and pain self-efficacy respectively. Conclusion: MiCBT is effective in improving pain, pain self-efficacy, and pain catastrophe in patients with Breast Cancer. Therefore, considering the cost-effectiveness and availability, this program is recommended as a complementary treatment for Breast Cancer patients.

Cites

Effectiveness of Transpersonal Therapy (Spiritual Therapy, Yoga-Meditation) in Reducing Fear of Cancer Recurrence in Breast Cancer Survivors: A Randomized Controlled Trial

References

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APA: Copy

Mozafari Motlagh, m.r., NEJAT, H., Tozandehjani, h., & SAMARI, A.A.. (2020). Effectiveness of Mindfulness-Integrated Cognitive-Behavioral Therapy in Breast Cancer Pain Management. IRANIAN QUARTERLY JOURNAL OF BREAST DISEASE, 13(1 (48) ), 35-45. SID. https://sid.ir/paper/144713/en

Vancouver: Copy

Mozafari Motlagh m.r., NEJAT H., Tozandehjani h., SAMARI A.A.. Effectiveness of Mindfulness-Integrated Cognitive-Behavioral Therapy in Breast Cancer Pain Management. IRANIAN QUARTERLY JOURNAL OF BREAST DISEASE[Internet]. 2020;13(1 (48) ):35-45. Available from: https://sid.ir/paper/144713/en

IEEE: Copy

m.r. Mozafari Motlagh, H. NEJAT, h. Tozandehjani, and A.A. SAMARI, “Effectiveness of Mindfulness-Integrated Cognitive-Behavioral Therapy in Breast Cancer Pain Management,” IRANIAN QUARTERLY JOURNAL OF BREAST DISEASE, vol. 13, no. 1 (48) , pp. 35–45, 2020, [Online]. Available: https://sid.ir/paper/144713/en

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