Medical Journal of Mashhad university of Medical Sciences

Medical Journal of Mashhad university of Medical Sciences

The effectiveness of mindfulness-based stress reduction on post-traumatic growth and death anxiety in breast cancer patients

Document Type : Research Paper

Authors
Leyla Aghdam 1
Hasan Rezaei Jamalouei 2
Mehdi Taheri 3
1 PhD Student in Health Psychology, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran
2 Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran(Corresponding Author)
3 Assistant Professor, Department of Psychology, Faculty of Humanities, Sadjad University, Mashhad, Iran
10.22038/mjms.2022.65156.3823
Abstract
Introduction: Breast cancer is one of the most common cancers in women and as a chronic disease has various psychological complications. The aim of this study was to determine the effectiveness of mindfulness-based stress reduction on post-traumatic growth and death anxiety in patients with breast cancer.
Methods: The research method was quasi-experimental with pre-test-post-test design with control group and two-month follow-up test. 30 research samples from the community of women with breast cancer in District 1 of Tehran in 2021 were selected by available methods and randomly assigned to experimental and control groups. The required findings were collected using post-traumatic growth and death anxiety questionnaires in three rounds of pre-test, post-test and follow-up test and were analyzed using repeated measures analysis of variance.
Results: The findings showed that the mean scores of post-test and post-traumatic stress test and death anxiety were different in the experimental group and the results of repeated measures analysis of variance showed that mindfulness-based stress reduction intervention Improving post-traumatic growth and death anxiety in patients with breast cancer is effective (p <0.001).
Conclusion: Therefore, mindfulness-based stress reduction intervention can be used to increase post-traumatic growth and reduce death anxiety in patients with breast cancer.
Keywords
Mindfulness-Based Stress Reduction
Post Traumatic Stress
Death Anxiety
Breast Cancer
  1. Shim EJ, Lee JW, Cho J, Jung HK, Kim NH, Lee JE, Min J, Noh WC, Park SH, Kim YS. Association
    of depression and anxiety disorder with the risk of mortality in breast cancer: a National Health Insurance
    Service study in Korea. Breast cancer research and treatment. 2020 Jan;179(2):491-8.
    2. Zeynalova N, Schimpf S, Setter C, Yahiaoui-Doktor M, Zeynalova S, Lordick F, Loeffler M, Hinz A.
    The association between an anxiety disorder and cancer in medical history. Journal of affective disorders.
    2019 Mar 1;246:640-2.
    3. Farsi Z, Nayeri ND, Negarandeh R. The coping process in adults with acute leukemia undergoing
    hematopoietic stem cell transplantation. Journal of Nursing Research. 2012 Jun 1;20(2):99-109.
    4. Knott V, Turnbull D, Olver I, Winefield A. A grounded theory approach to understand the cancer‐coping
    process. British journal of health psychology. 2012 Sep;17(3):551-64.
    5. Prasertsri N, Holden J, Keefe FJ, Wilkie DJ. Repressive coping style: Relationships with depression,
    pain, and pain coping strategies in lung cancer out patients. Lung cancer. 2011 Feb 1;71(2):235-40.
    6. Grotmol KS, Lie HC, Loge JH, Aass N, Haugen DF, Stone PC, Kaasa S, Hjermstad MJ. Patients with
    advanced cancer and depression report a significantly higher symptom burden than non-depressed
    patients. Palliative & supportive care. 2019 Apr;17(2):143-9.
    7. Rzeszutek M, Oniszczenko W, Kwiatkowska B. Stress coping strategies, spirituality, social support and
    posttraumatic growth in a Polish sample of rheumatoid arthritis patients. Psychology, health & medicine.
    2017 Oct 21;22(9):1082-8.
    8. Gul E, Karanci AN. What determines posttraumatic stress and growth following various traumatic
    events? A study in a Turkish community sample. Journal of traumatic stress. 2017 Feb;30(1):54-62.
    9. Calhoun L G, & Tedeschi R G. Trauma and transformation: Growing in the aftermath of suffering. First
    edition. California, USA: Sage Publication. 1995.
    10. Ochoa C, Casellas-Grau A, Vives J, Font A, Borràs JM. Positive psychotherapy for distressed cancer
    survivors: Posttraumatic growth facilitation reduces posttraumatic stress. International Journal of
    Clinical and Health Psychology. 2017 Jan 1;17(1):28-37.
    11. Fazel M, Salimi Bajestani H, Farahbakhsh K, Esmaeili M. Presenting a post-traumatic growth pattern in
    cancer patients: A grounded theory study. Culture of Counseling and Psychotherapy, 2018; 8 (29):79-
    105.
    12. Bolourchifard F, Rasouli M, Ramezani S. Correlation of Health Literacy with posttraumatic growth of
    patients with cancer- A cross-sectional study in Tehran.. IJCA. 2020; 1 (2) :22-30
    13. Taghavi Behbahani A, Nazari A M, Shahid Sales S, Khajevand A. Spiritual therapy on post-traumatic
    growth in women with breast cancer. MEJDS. 2019; 9 :84-84
    14. Postolică R, Enea V, Dafinoiu I, Petrov I, Azoicăi D. Association of sense of coherence and supernatural
    beliefs with death anxiety and death depression among Romanian cancer patients. Death studies. 2019
    Jan 2;43(1):9-19.
    15. Borjali M, Abbasi M, Asadian A, Ayadi N. The effectiveness of group meaning therapy on death anxiety
    and life expectancy in patients with gastric cancer. Jundishapur Medical Scientific Journal, 2017; 15 (6):
    635-464.
    16. Shinn EH, Taylor CL, Kilgore K, Valentine A, Bodurka DC, Kavanagh J, Sood A, Li Y, Basen-Engquist
    K. Associations with worry about dying and hopelessness in ambulatory ovarian cancer patients.
    Palliative & supportive care. 2009 Sep;7(3):299-306.
    17. Sherman DW, Norman R, McSherry CB. A comparison of death anxiety and quality of life of patients
    with advanced cancer or AIDS and their family caregivers. Journal of the Association of Nurses in AIDS
    Care. 2010 Mar 1;21(2):99-112.
    18. Ghamari kivi H, Zahed bablan A, Fathi D. Effectiveness of GroupCognitive-Behavioral Therapy on
    Death Anxiety among the Breavement ElderlyMan. jgn. 2015; 1 (4) :60-69
    19. Mitchell AJ, Ferguson DW, Gill J, Paul J, Symonds P. Depression and anxiety in long-term cancer
    survivors compared with spouses and healthy controls: a systematic review and meta-analysis. The lancet
    oncology. 2013 Jul 1;14(8):721-32.
    20. Ottu IF, Essien EA, Lawal AM. Death anxiety from quality of life and emotional impact of event: a case
    study of proximate earwitnesses of Dana air crash in Nigeria. OMEGA-Journal of Death and Dying.
    2019 Mar;78(4):421-40.
  2. 21. Kalli M, Minia A, Pliaka V, Fotis C, Alexopoulos LG, Stylianopoulos T. Solid stress-induced migration
    is mediated by GDF15 through Akt pathway activation in pancreatic cancer cells. Scientific reports. 2019
    Jan 30;9(1):1-2.
    22. Roemer L, Williston SK, Rollins LG. Mindfulness and emotion regulation. Current Opinion in
    Psychology. 2015 Jun 1;3:52-7.
    23. Öst LG. Efficacy of the third wave of behavioral therapies: A systematic review and meta-analysis.
    Behaviour research and therapy. 2008 Mar 1;46(3):296-321.
    24. Richard BA, Dodge KA. Social maladjustment and problem solving in school-aged children. Journal of
    Consulting and Clinical psychology. 1982 Apr;50(2):226.
    25. Gehart DR. Mindfulness and acceptance in couple and family therapy. Springer Science & Business
    Media; 2012 Mar 30.
    26. Keye MD, Pidgeon AM. Investigation of the relationship between resilience, mindfulness, and academic
    self-efficacy. Open Journal of Social Sciences. 2013 Dec 2;1(6):1-4.
    27. RakelD, Luke F, Victor SS, Mary JK. Mindfulness in medicine. EXPLORE March/April 2011; 7(2):124-
    6
    28. Oraki M, sami P. The Effect of Mindfulness Integrated BehaviorCognitive Therapy on psychological
    well-being and quality of life among multiple sclerosis patients. Health Psychology. 2017; 3 (5): 34-47.
    29. Stafford L, Foley E, Judd F, Gibson P, Kiropoulos L, Couper J. Mindfulness-based cognitive group
    therapy for women with breast and gynecologic cancer: a pilot study to determine effectiveness and
    feasibility. Supportive Care in Cancer. 2013 Nov;21(11):3009-19.
    30. Elimimian E, Elson L, Bilani N, Farrag SE, Dwivedi AK, Pasillas R, Nahleh ZA. Long-term effect of a
    nonrandomized psychosocial mindfulness-based intervention in Hispanic/Latina breast cancer survivors.
    Integrative Cancer Therapies. 2020 Jan;19:1534735419890682.
    31. Rahmani N, Mansouri A. The effectiveness of mindfulness-based cognitive therapy on rumination and
    post-traumatic growth in bereaved women. Clinical Psychology and Personality. 2020; 17 (1): 23-32
    32. 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 metaanalysis. Supportive Care in Cancer. 2019 Mar;27(3):771-81.
    33. Ahmadi A, Ghaemi F, Farrokhi N A. Effectiveness of mindfulness education and commitment and
    acceptance therapy on psychological distress and death anxiety in cancer patients in Isfahan.
    Psychological sciences. 2019; 17 (72): 951-956
    34. Tedeschi R, Park C, Calhoun L. Posttraumatic Growth: Positive Changes in the Aftermath of Cerise.
    Mahwah, NJ: Lawrence Erlbaum Associates. 2013.
    35. Seyyed Mahmoudi SJ, Rahimi Ch, Mohmmadi Jaber N, Hadian Fard H. Posttraumatic growth over time
    and its relationship with coping style and optimism in people with HIV-positive. Magazine psychological
    outcomes (educational and psychological). 2010; 2(4): 165-186.
    36. Sharif Nia H, Pahlevan Sharif S, Koocher GP, Yaghoobzadeh A, Haghdoost AA, Mar Win MT,
    Soleimani MA. Psychometric properties of the death anxiety scale-extended among patients with endstage renal disease. OMEGA-Journal of Death and Dying. 2020 Feb;80(3):380-96.
    37. Rajabi Gh, Bohrani M. Factor analysis of death anxiety scale questions. Journal of Psychology. 2004; 5,
    4:344-331.
    38. Kabat‐Zinn, J. Mindfulness‐based interventions in context: past, present, and future. Clinical psychology:
    Science and practice, 2003; 10(2): 144-156.
    39. Kriakous SA, Elliott KA, Lamers C, Owen R. The effectiveness of mindfulness-based stress reduction
    on the psychological functioning of healthcare professionals: A systematic review. Mindfulness. 2021
    Jan;12(1):1-28.
    40. Crovetto F, Crispi F, Casas R, Martín-Asuero A, Borràs R, Vieta E, Estruch R, Gratacós E, Paules C,
    Nakaki A, Vellvé K. Effects of Mediterranean Diet or Mindfulness-Based Stress Reduction on
    Prevention of Small-for-Gestational Age Birth Weights in Newborns Born to At-Risk Pregnant
    Individuals: The IMPACT BCN Randomized Clinical Trial. JAMA. 2021 Dec 7;326(21):2150-60.
    41. Pots WT, Meulenbeek PA, Veehof MM, Klungers J, Bohlmeijer ET. The efficacy of mindfulness-based
    cognitive therapy as a public mental health intervention for adults with mild to moderate depressive
    symptomatology: a randomized controlled trial. PloS one. 2014 Oct 15;9(10):e109789.
  3. 42. Chiesa A, Serretti A. Mindfulness based cognitive therapy for psychiatric disorders: a systematic review
    and meta-analysis. Psychiatry research. 2011 May 30;187(3):441-53.
    43. kahrizi S, Taghavi M, Ghasemi R, Goodarzi M. The effectiveness of mindfulness-based cognitive
    therapy (MBCT) on Depression, Anxiety and Somatic Symptoms in Asthma patients.. RJMS. 2017; 24
    (154) :27-36
    44. Rosenzweig S, Reibel DK, Greeson JM, Edman JS. Mindfulness-based stress reduction is associated
    with improved glycemic control in type 2 diabetes mellitus: a pilot study. Alternative therapies in health
    and medicine. 2007 Sep 1;13(5):36.
Medical Journal of Mashhad university of Medical Sciences
Volume 65, Issue 3
May and June 2022
Pages 1431-1441