Volume 6, Issue 1 (Journal of Clinical and Basic Research (JCBR) 2022)                   jcbr 2022, 6(1): 1-10 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Namazi R, Bolook Sahragard S, Pourkaveh H, Homayoon S, Mirniyam S K, seyed jafari J. Effectiveness of Acceptance and Commitment Therapy on Psychological Hardiness, Social Isolation and Loneliness of Women with Breast Cancer. jcbr. 2022; 6 (1) :1-10
URL: http://jcbr.goums.ac.ir/article-1-343-en.html
1- Department of Psychology, Science and Research Branch, Islamic Azad University, Alborz, Iran
2- Department of Psychology, Faculty of Psychology, Islamic Azad University of Tehran Markaz, Tehran, Iran
3- Tehran Medical Branch, Islamic Azad University, Tehran, Iran
4- Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran
5- Department of Psychology, Khorasgan Branch, Islamic Azad University, Isfahan, Iran , mirniyamkamal@gmail.com
6- Allameh Tabataba'i University, Tehran, Iran
Abstract:   (532 Views)
Background and objectives: There are alternative and complementary approaches for general health issues and palliative care for women with breast cancer. This study aimed at evaluating the effectiveness of acceptance and commitment therapy (ACT) on psychological hardiness, social isolation, and loneliness of women with breast cancer.
Methods: This was a quasi-experimental study with a pretest-posttest design. The study population consisted of all women with breast cancer who had been referred to the oncology ward of Shohada Tajrish Hospital in Tehran (Iran) in 2020. Thirty subjects were enrolled via purposive sampling and then assigned to an experimental group (n=15) and a control group (n=15). The experimental group received eight sessions of ACT interventions (90 minutes a session), and the control group did not receive any intervention. The subjects were followed-up for eight weeks after the last ACT session. Data were collected using the Lang and Goulet Psychological Hardiness Scale, Social Isolation Questionnaire, and the UCLA Loneliness Scale. The collected data were analyzed using repeated measures ANOVA.
Results: The mean age of subjects and mean duration of marriage were 34.23±6.12 years and 8.46±5.14 years, respectively.  Based on the findings, the mean scores of psychological hardiness (p=0.005), social isolation (p=0.001), and loneliness (p=0.001) differed significantly between the study groups in the posttest stage.  
Conclusion: According to the results, it seems that ACT is effective in increasing psychological hardiness and reducing social isolation and loneliness of women with breast cancer.    
Full-Text [PDF 607 kb]   (154 Downloads) |   |   Full-Text (HTML)  (109 Views)  
Article Type: Research | Subject: psychology
Received: 2021/11/13 | Accepted: 2021/12/6 | Published: 2022/02/21

References
1. McCormack V, McKenzie F, Foerster M, Zietsman A, Galukande M, Adisa C, Anele A, Parham G, Pinder LF, Cubasch H, Joffe M. Breast cancer survival and survival gap apportionment in sub-Saharan Africa (ABC-DO): a prospective cohort study. The Lancet Global health. 2020 Sep 1;8(9):e1203-12. [View at Publisher] [DOI] [Google Scholar]
2. Ahmadnia Z, Hasavari F, Roushan ZA, Khalili M. Dietary patterns and risk of breast cancer in women in Guilan province, Iran. Asian Pacific Journal of Cancer Prevention. 2016;17(4):2035-40. [View at Publisher] [DOI] [PMID] [Google Scholar]
3. Rezaei M, Elyasi F, Hamzehgardeshi Z, Janbabai G, Moosazadeh M. Stress Management in Patients with Breast Cancer Using a Supportive Approach: A systematic Review. Archives of Breast Cancer. 2019:6-16. [View at Publisher] [DOI] [Google Scholar]
4. Sasaki J, Geletzke A, Kass RB, Klimberg VS, Copeland III EM, Bland KI. Etiology and management of benign breast disease. The Breast: Elsevier; 2018. p. 79-92. e5. [View at Publisher] [DOI] [PMID] [PMCID] [Google Scholar]
5. Piraux E, Caty G, Aboubakar Nana F, Reychler G. Effects of exercise therapy in cancer patients undergoing radiotherapy treatment: a narrative review. SAGE open medicine. 2020;8:2050312120922657. [View at Publisher] [DOI] [PMID] [PMCID] [Google Scholar]
6. Nader M, Ghanbari N, Gholipour S, Esmaeilzadeh N. Effectiveness of Short-term Group Logo-therapy on Life Expectancy and Resilience of Women With Breast Cancer. Archives of Breast Cancer. 2019:168-73. [View at Publisher] [DOI] [Google Scholar]
7. Farahbakhsh Beh S, Mehrinejad A, Moazedian A. Structural Model of Quality of Life in Patients with Breast Cancer: The Role of Psychological Hardiness, Religious Orientation, Perceived Social Protection and Self-Efficacy with Mediation of Resilience and Death Anxiety. The Neuroscience Journal of Shefaye Khatam. 2019;8(1):86-98. [View at Publisher] [DOI] [Google Scholar]
8. Jalali M, Rahimi M. The relationship between psychological hardiness and social support in women with breast cancer. Avicenna Journal of Neuro Psycho Physiology. 2019 Nov 10;6(4):159-64. [View at Publisher] [DOI] [Google Scholar]
9. Hoseini S, Nasrolahi B, Aghili M. Prediction of hope of life based on spiritual well-being and psychological hardiness in women with breast cancer. Archives of Breast Cancer. 2017:136-40. [View at Publisher] [Google Scholar]
10. Sarani A, Azhari S, Mazlom SR, Aghamohammadian Sherbaf H. The relationship between psychological hardiness and coping strategies during pregnancy. Journal of midwifery and reproductive health. 2015;3(3):408-17. [View at Publisher] [Google Scholar]
11. Bahrami M, Mohamadirizi S, Mohamadirizi S. Hardiness and optimism in women with breast cancer. Iranian journal of nursing and midwifery research. 2018;23(2):105. [DOI] [PMID] [PMCID] [Google Scholar]
12. Ettridge K, Bowden JA, Chambers SK, Smith DP, Murphy M, Evans SM, et al. "Prostate cancer is far more hidden…": Perceptions of stigma, social isolation and help‐seeking among men with prostate cancer. European journal of cancer care. 2018;27(2):e12790. [View at Publisher] [DOI] [PMID] [Google Scholar]
13. Fleisch Marcus A, Illescas AH, Hohl BC, Llanos AA. Relationships between social isolation, neighborhood poverty, and cancer mortality in a population-based study of US adults. PLoS One. 2017;12(3):e0173370. [View at Publisher] [DOI] [PMID] [PMCID] [Google Scholar]
14. Alcaraz KI, Eddens KS, Blase JL, Diver WR, Patel AV, Teras LR, et al. Social isolation and mortality in US black and white men and women. American journal of epidemiology. 2019;188(1):102-9. [View at Publisher] [DOI] [PMID] [PMCID] [Google Scholar]
15. Kraav S-L, Lehto SM, Kauhanen J, Hantunen S, Tolmunen T. Loneliness and social isolation increase cancer incidence in a cohort of Finnish middle-aged men. A longitudinal study. Psychiatry research. 2021;299:113868. [View at Publisher] [DOI] [PMID] [Google Scholar]
16. Elovainio M, Lumme S, Arffman M, Manderbacka K, Pukkala E, Hakulinen C. Living alone as a risk factor for cancer incidence, case-fatality and all-cause mortality: A nationwide registry study. SSM-Population Health. 2021:100826. [View at Publisher] [DOI] [PMID] [PMCID] [Google Scholar]
17. Abed M, Hossein J, Shahrbanoo S, Masoud GL, Hajhosseini M. Effectiveness of intensive short-term psychodynamic psychotherapy on reduced death anxiety, depression and feeling of loneliness among women with breast cancer. Journal of Advanced Pharmacy Education & Research| Jan-Mar. 2020;10(1):121. [Google Scholar]
18. Smith TB, Workman C, Andrews C, Barton B, Cook M, Layton R, et al. Effects of psychosocial support interventions on survival in inpatient and outpatient healthcare settings: A meta-analysis of 106 randomized controlled trials. PLoS medicine. 2021;18(5):e1003595. [DOI] [PMID] [PMCID] [Google Scholar]
19. Linehan M. Skills training manual for treating borderline personality disorder: Guilford press New York; 1993.
20. Segal ZV, Teasdale JD, Williams JMG. Mindfulness-Based Cognitive Therapy: Theoretical Rationale and Empirical Status. 2004. [View at Publisher] [DOI] [Google Scholar]
21. Hayes SC, Pistorello J, Levin ME. Acceptance and commitment therapy as a unified model of behavior change. The Counseling Psychologist. 2012;40(7):976-1002. [View at Publisher] [DOI] [Google Scholar]
22. Zettle RD, Gird SR, Webster BK, Carrasquillo-Richardson N, Swails JA, Burdsal CA. The Self-as-Context Scale: Development and preliminary psychometric properties. Journal of contextual behavioral science. 2018;10:64-74. [View at Publisher] [DOI] [Google Scholar]
23. A-Tjak JG, Morina N, Topper M, Emmelkamp PM. A randomized controlled trial in routine clinical practice comparing acceptance and commitment therapy with cognitive behavioral therapy for the treatment of major depressive disorder. Psychotherapy and Psychosomatics. 2018;87(3):154-63. [View at Publisher] [DOI:10.1159/000486807] [PMID] [Google Scholar]
24. Kyllönen HM, Muotka J, Puolakanaho A, Astikainen P, Keinonen K, Lappalainen R. A brief acceptance and commitment therapy intervention for depression: A randomized controlled trial with 3-year follow-up for the intervention group. Journal of contextual behavioral science. 2018;10:55-63. [View at Publisher] [DOI] [Google Scholar]
25. Ghorbani V, Zanjani Z, Omidi A, Sarvizadeh M. Efficacy of acceptance and commitment therapy (ACT) on depression, pain acceptance, and psychological flexibility in married women with breast cancer: a pre-and post-test clinical trial. Trends in psychiatry and psychotherapy. 2021;43:126-33. [DOI] [PMID] [PMCID] [Google Scholar]
26. Jabalameli S, Ghasemi L. Effect of Acceptance and Commitment Therapy on Sexual Desire in Women with Breast Cancer after Mastectomy. Iranian Quarterly Journal of Breast Disease. 2019;12(4):39-51. [View at Publisher] [DOI] [Google Scholar]
27. Moghadamfar N, Amraei R, Asadi F, Amani O. The efficacy of Acceptance and Commitment Therapy (ACT) on hope and psychological well-being in women with breast cancer under chemotherapy. Iranian Journal of Psychiatric Nursing. 2018;6(5):1-7. [Google Scholar]
28. Mahmoodi H, Karbalaee Bagheri Z. Effectiveness of Acceptance and Commitment Therapy on a Sense of Hope and Belief to the Just World in Patients with Breast Cancer. Quarterly Journal of Health Psychology. 2020 Sep 18;9(34):155-70. [View at Publisher] [Google Scholar]
29. Esfahani A, Zeinali S, Kiani R. Effect of Acceptance and Commitment Therapy On Pain-Related Anxiety and Cognitive Emotion Regulation in Breast Cancer Patients: A Clinical Trail. Journal of Arak University of Medical Sciences. 2020;23(2):138-49. [View at Publisher] [DOI] [Google Scholar]
30. Lang A, Goulet C, Amsel R. Lang and Goulet hardiness scale: Development and testing on bereaved parents following the death of their fetus/infant. Death Studies. 2003;27(10):851-80. [View at Publisher] [DOI] [PMID] [Google Scholar]
31. Darvishzadeh K, Bozorgi ZD. The relationship between resilience, psychological hardiness, spiritual intelligence, and development of the moral judgement of the female students. Asian Social Science. 2016;12(3):170-6. [DOI] [Google Scholar]
32. Russell D, Peplau LA, Cutrona CE. The revised UCLA Loneliness Scale: concurrent and discriminant validity evidence. Journal of personality and social psychology. 1980;39(3):472. [View at Publisher] [DOI] [PMID] [Google Scholar]
33. Dehshiri GR, Borjali A, SHEYKHI M, HABIBI AM. Development and validation of the loneliness scale among the university students. 2008. [View at Publisher] [Google Scholar]
34. Young K, editor Internet addiction: The emergence of a new clinical disorder. Toronto: Poster presentation. American Psychiatric Association Annual Congress; 1996.
35. Thatcher A, Goolam S. Development and psychometric properties of the Problematic Internet Use Questionnaire. South African Journal of Psychology. 2005;35(4):793-809. [View at Publisher] [DOI] [Google Scholar]
36. Bluth K, Mullarkey M, Lathren C. Self-compassion: A potential path to adolescent resilience and positive exploration. Journal of child and family studies. 2018;27(9):3037-47. [View at Publisher] [DOI] [PMID] [PMCID] [Google Scholar]
37. Kocovski NL, Fleming JE, Hawley LL, Ho M-HR, Antony MM. Mindfulness and acceptance-based group therapy and traditional cognitive behavioral group therapy for social anxiety disorder: Mechanisms of change. Behaviour research and therapy. 2015;70:11-22. [View at Publisher] [DOI] [PMID] [Google Scholar]
38. abosaidi moghadam n, Sanagouye Moharer g, Shirazi M. Effectiveness of Acceptance and Commitment Therapy (ACT) on feelings of loneliness, shame, and guilt in female applicants for divorce. Journal of Applied Psychology. 2020;14(1):35-54. [Google Scholar]
39. Samadi H, Doustkam M. Investigating the effectiveness of Acceptance and Commitment Therapy (ACT) on marital compatibility and life expectancy in infertile women. International Academic Journal of Social Sciences. 2014;1(1):16-27. [View at Publisher]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2022 CC BY-NC 4.0 | Journal of Clinical and Basic Research

Designed & Developed by : Yektaweb

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0).