Comparison the Effectiveness of Acceptance & Commitment Therapy with Logotherapy on Pain Catastrophizing & Quality of Life in Women with Breast Surgery Experience

Aims and background: The purpose of this study was to compare the effectiveness of acceptance & commitment therapy (ACT) with logotherapy (LT) on pain catastrophizing & quality of life in women with breast surgery experience. Materials and Methods: This was a semi-experimental study with a pretest-posttest, controlled design with follow-up. The study population consisted of all women with breast cancer who were undergoing postmastectomy radiotherapy in Tabriz in 2022. In total, 45 women were selected by a purposive sampling method, and divided into three groups, 15 each. The ntervention groups received their respective treatments over 8 sessions of 1.5 hours. The control group did not receive any intervention. The research tools were the 13-question questionnaires of pain catastrophizing by Sullivan et al and the 36-question quality of life questionnaires. Data were analyzed with repeated measures analysis of variance. Results: In the pretest, mean and standard deviation of ACT for pain catastrophizing was (40/00±4/97) & for quality of life was (39/93±4/72); in LT for for pain catastrophizing was (39/07±4/31) & for quality of life was (40/73±5/02); and in the control group for pain catastrophizing was (39/47±4/29) & for quality of life was (40/33±3/69). Both treatments compared to the control group, reduced pain catastrophizing and increased quality of life of patients after the test (p<0.001). In the follow-up phase, the effect of these two treatments on pain catastrophizing and quality of life was lasting (p<0.001). The effect of these two treatments on pain catastrophizing and quality of life at posttest and follow-up was not different (p>0.05). Conclusion: acceptance & commitment therapy & logotherapy  Reduces the pain catastrophizing and increases quality of life in women with breast surgery experience.