Comparing the Effectiveness of Mindfulness Based Schema Therapy and Transdiagnostic Intervention on Cognitive Fusion with Illness and Posttraumatic Avoidance in Women with Breast Cancer: A Semi-Experimental Study

نویسندگان

  • Ali Taghizadeh Kermani Associate Professor, Cancer Research Center, Omid Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
  • Elham Zarei Resident in Radiation Oncology, Department of Radiation Oncology, Mashhad University of Medical Sciences, Mashhad, Iran
  • Fatemeh Ghayour Kazemi PhD Student in Clinical Psychology, Department of Psychology, Birjand Branch, Islamic Azad university, Birjand, Iran
  • Fatemeh Shahabizadeh Associate Professor, Department of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran
  • Maryam Safara Assistant Professor, Department of Psychology, Women Research Center, Alzahra University, Tehran, Iran
  • Sareh Hosseini Associate Professor, Cancer Research Center, Omid Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
  • Seyed Amir Aledavood Professor, Cancer Research Center, Omid Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
  • Soudabeh Shahidsales Professor, Cancer Research Center, Omid Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده مقاله:

 Background and purpose: Cancer diagnosis is a threatening and traumatic experience. Confusion caused by distressing thoughts about cancer can lead to additional suffering and, along with avoidance, can be a key factor in maintenance of traumatic reactions. The current research aimed at comparing the effectiveness of Unified Protocol (UP) of transdiagnostic intervention and mindfulness based schema therapy (MBST) on posttraumatic avoidance (PA) and chronic illness-related cognitive fusion (CICF) in patients with breast cancer (BC). Materials and methods: A semi-experimental study with pretest-posttest design and a follow-up period of 45 days was performed. Statistical population included all female patients with BC in Mashhad, Iran 2018-2021. Cognitive Fusion Questionnaire-Chronic Illness (CFQ-CI) and Posttraumatic Avoidance Scale (PAS) were administered. Forty one patients were selected using purposive sampling and were randomly divided into two experimental groups and a control group. UP of transdiagnostic intervention and MBST were applied in intervention groups for 10 weekly sessions. The control group attended two educational sessions. Data analysis was done using multivariate covariance analysis and Bonferroni post hoc test. Results: The mean scores for CICF and PA were significantly different between the intervention groups and the control group at post-test and follow-up (P<0.001). Findings showed no significant difference between the effectiveness of UP and MBST at post-test and follow-up (P>0.05). Conclusion: MBST and UP are suggested to be applied in patients with BC to reduce their psychological problems.  (Clinical Trials Registry Number: IRCT20211012128050165N1)  

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عنوان ژورنال

دوره 33  شماره 220

صفحات  54- 65

تاریخ انتشار 2023-05

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