Effect of cognitive-behavioral therapy and spiritual-religious intervention on improving coping responses and quality of life among women with breast cancer in Tehran

Ghahari, Shahrbanoo; Fallah, R; Rad, Mohammad Mazloumi; Farrokhi, Nazanin; Bolhari, Jafar; Mousavi, Mehdi; Razzaghi, Zahra; Akbari, Mohammad

doi:10.15562/bmj.v6i2.581

Cited by 14 publications

(36 citation statements)

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“…These coherent studies can be attributed to the protective role of religion and spirituality in the face of events that cause distress and anxiety. Ghahari et al found no significant relationship between spiritual counseling and stress and anxiety in women with breast cancer (36). The contradiction between the results of those studies and the present study can be attributed to the differences in physical conditions of individuals, underlying problems, lack of emotional support, treatment and related costs, or the difference in the role of spirituality and spiritual and religious experiences of individuals in the study populations.…”

Section: Discussioncontrasting

confidence: 95%

The Effect of Spiritual Counseling on Stress and Anxiety in Pregnancy: A Randomized Controlled Clinical Trial

Haghighat

Mirghafourvand

Mohammad‐Alizadeh‐Charandabi

et al. 2018

Iran Red Crescent Med J

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Background: Considering the undesirable consequences of stress and anxiety in pregnancy and the role of midwives in providing emotional support for pregnant women, it is important to utilize non-medical therapies, such as spiritual counseling. Objectives: The present study aimed to determine the effect of spiritual counseling on stress and anxiety in pregnant women. Methods: This randomized controlled clinical trial recruited 112 pregnant women presenting to the health centers in Maragheh, Iran, in 2016 -17. The participants were assigned to two 56-member groups of control and intervention with a randomized block design. A socio-demographic questionnaire, the perceived stress scale, and the Spielberger state-trait anxiety inventory (STAI) were completed before and four weeks after the intervention through interviews with participants. Results: 55 participants in the counseling group and 56 in the control group were followed up and analyzed until the end of the study. The mean (± SD) scores of stress, state anxiety, and trait anxiety were 35.4 (± 4.5), 48.5 (± 4.8), and 47.4 (± 4.6) in the counseling group and 34.8 (± 3.6), 47.8 (± 4.1), and 49.0 (± 4.1) in the control group before the intervention, respectively. The mean (± SD) scores of stress, state anxiety, and trait anxiety were 34.8 (± 3.5), 48.0 (± 4.5), and 44.7 (± 4.0) in the counseling group and 37.8 (± 3.7), 49.7 (± 4.2), and 46.0 (± 3.8) in the control group four weeks after the intervention, respectively. According to ANCOVA for controlling the baseline scores after the intervention, the mean scores of perceived stress (adjusted mean difference = -3.4; 95% confidence interval = -2.3 to -4.4; P < 0.001) and state anxiety (-2.1; -3.6 to -5.5; P < 0.001) were significantly lower in the counseling group, while the two groups had no significant difference in terms of the mean scores of trait anxiety after the intervention. Conclusions: Spiritual counseling can control perceived stress and state anxiety of pregnant women. Therefore, spiritual counseling is recommended as a complementary and effective intervention in controlling the psychological problems of pregnant mothers.

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Section: Discussioncontrasting

confidence: 95%

The Effect of Spiritual Counseling on Stress and Anxiety in Pregnancy: A Randomized Controlled Clinical Trial

Haghighat

Mirghafourvand

Mohammad‐Alizadeh‐Charandabi

et al. 2018

Iran Red Crescent Med J

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“…(SRI) (13), mindfulness (15), self-management (16), and acupuncture (17). However, these interventions have different effects on coping skills.…”

Section: Contextmentioning

confidence: 99%

“…In one study, patients were undergoing mastectomy (17). One study had investigated interventions in newly diagnosed patients (25), patients who had completed their treatment course had been observed in one study (13), and patients with at least 1 year since the date of diagnosis had been investigated in one study (26). Patients' age ranged from 18 -75 years; however, the age range had not been mentioned in one study (Table 1) (14).…”

Section: Description Of Studiesmentioning

confidence: 99%

“…Two studies had used the Ways of Coping questionnaire (11,15), and another two studies had used the Mental Adjustment to Cancer scale to measure coping skills (25,28). Two studies had used the Coping Responses Inventory to measure coping strategies (13,14). Also, other studies had employed the Cancer Coping questionnaire (24), Brief-COPE questionnaire (26), cancer behavior inventory (16), and rehabilitation survey of problem and coping to assess coping strategies (27).…”

Section: Risk Of Bias In Included Studiesmentioning

confidence: 99%

“…CBT is a combination of cognitive and behavioral therapies, mainly focusing on the role of thoughts, beliefs, and misconceptions to achieve adaptive thoughts and behaviors. Four studies had examined the effect of CBT on the coping skills of women with breast cancer (11,13,14). In three studies, an 8-10-session intervention had been held once per week for 1.5 -2 h (11,13,14), and one study involved a 2-hour workshop for women with breast cancer (27).…”

Section: Cognitive-behavioral Therapy (Cbt)mentioning

confidence: 99%

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Coping Strategies-Oriented Interventions in Breast Cancer Women: A Systematic Scoping Review of the Quantitative Evidence

Samami

Elyasi

Nasab

et al. 2020

Iran J Psychiatry Behav Sci

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Context: Coping strategies can predict breast cancer patients’ emotional well-being. Objectives: The aim of this systematic scoping review was to investigate the effect of coping strategies-oriented interventions on coping skills in breast cancer women. Data Sources: A systematic scoping review was conducted using a broad search across PubMed, Scopus, Springer, Elsevier, Cochrane Library, Science Direct, Web of Science, Magiran, Scientific Information Database, and Google scholar from 2009 - 2018. Study Selection: Clinical or quasi-experimental trials using interventions and control groups on the coping strategies-oriented interventions in breast cancer women in English or Persian were included. Data Extraction: Two independent researchers selected the final papers. In the case of a disagreement, the third researcher made the final decision. The quality of the included studies was assessed using the Jadad scale. Results: The coping strategies-oriented interventions were classified into four main categories: psychological interventions, such as cognitive-behavioral therapy, mindfulness, coping therapy, self-management, and psychoeducation; spiritual-religious interventions; social interventions, such as family therapy; and complementary interventions, such as acupuncture. Most interventions improved the coping skills of the studied women. Based on the Jadad scale, only two studies had good quality. Conclusions: Considering that most interventions improved the coping skills of breast cancer women, it is suggested that healthcare providers be proficient in examination techniques that maximize the patient’s coping skills. However, there remains a need for further culture-based research to adopt the best interventions and make changes in policy.

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The effect of a supportive program on coping strategies and stress in women diagnosed with breast cancer: A randomized controlled clinical trial

et al. 2020

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Aim To investigate the effect of a supportive program on coping strategies and stress in women with breast cancer. Design A randomized, two‐armed, controlled trial. Methods Sixty women were randomly allocated to intervention group (N = 30) and control group (N = 30). The interventions were held in six sessions, weekly from August 2018–March 2019 It was consisting of education regarding breast cancer; progressive muscle relaxation; stress management; emotional coping; and problem‐solving strategies. Results At baseline, there was no difference between the two groups regarding the mean score of coping strategies and stress. Supportive program group participants experienced a significantly higher increase on their problem‐oriented coping strategies score in comparison with the control group. At the same time, scores in emotion‐oriented coping strategies and stress decreased significantly in the intervention group compared with the control group. Result of this study can be used to develop relevant interventions targeting coping strategies to reduce stress among women with breast cancer.

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Effect of cognitive-behavioral therapy and spiritual-religious intervention on improving coping responses and quality of life among women with breast cancer in Tehran

Cited by 14 publications

References 0 publications

The Effect of Spiritual Counseling on Stress and Anxiety in Pregnancy: A Randomized Controlled Clinical Trial

The Effect of Spiritual Counseling on Stress and Anxiety in Pregnancy: A Randomized Controlled Clinical Trial

Coping Strategies-Oriented Interventions in Breast Cancer Women: A Systematic Scoping Review of the Quantitative Evidence

The effect of a supportive program on coping strategies and stress in women diagnosed with breast cancer: A randomized controlled clinical trial

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