Volume 23, Issue 5 (12-2024)
TB 2024, 23(5): 34-49 |
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Ethics code: IR.IAU.SRB.REC.1402.382
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Khalilnejad N, Asgari P, Ahmadian H, Eslami Shahrbabaki H. The Effectiveness of Quality of Life Therapy on Psychological Well-Being and Social Adjustment in Breast Cancer Patients. TB 2024; 23 (5) :34-49
URL: http://tbj.ssu.ac.ir/article-1-3663-en.html
URL: http://tbj.ssu.ac.ir/article-1-3663-en.html
Ahvaz, Iran , Askary47@yahoo.com
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The Effectiveness of Quality of Life Therapy on Psychological Well-Being and Social Adjustment in Breast Cancer Patients
Nahid Khalilnejad (Ph.D.s)1, Parviz Asgari (Ph.D.)2, Hamzeh Ahmadian (Ph.D.)3, Heydar Eslami Shahrbabaki (Ph.D.)4
1.Ph.D. student Health Psychology, Islamic Azad University, Dubai, United Arab Emirates.
2.Corresponding Author: Professor Department of Psychology, Islamic Azad University, Ahvaz, Iran.
Email: Askary47@yahoo.com Tel: 09161116182
3.Assistant Professor Department of Psychology, Islamic Azad University, Sanandaj, Iran.
4.Assistant Professor Department of Psychology, Islamic Azad University, Anar, Iran.
Abstract
Introduction: The present study aimed to determine the effectiveness of quality of life therapy (QoLT) on the psychological well-being and social adjustment of breast cancer patients.
Methods:This study was a semi-experimental intervention with a pre-test, post-test, and two-month follow-up in two groups: experimental and control. The study population consisted of all breast cancer patients who were present at Shohadaye Kargar Hospital in Yazd from September to February 2024. From this population, 31 patients were selected through purposive sampling and were randomly assigned to two groups: experimental (N=15) and control (N=16). The data collection tools included a demographic form, the Ryff’s scale of psychological well-being- Short Form (RSPWB-18), and the Social Adjustment Scale (SAS). The data were also analyzed using SPSS-21 software and Chi-square, one-way ANOVA, Kolmogorov-Smirnov test, and repeated measures analysis of variance.
Results:The results indicated that QoLT significantly increased psychological well-being (F=115/70) and social adjustment (F=45/78) in breast cancer patients (P<0/001). Additionally, the effect size of this therapy was high, with 80% for psychological well-being and 61% for social adjustment, and its effects persisted for up to two months after the treatment.
Conclusion:The QoLT has a positive impact on improving the psychological well-being and social adjustment of breast cancer patients. Therefore, it is recommended that alongside routine treatment, QoLT should be utilized to enhance the psychosocial health of breast cancer patients.
Keywords: Quality of Life, Psychological Well-Being, Social Adjustment, Breast Cancer
1-Giaquinto AN, Sung H, Miller KD & et al. Breast cancer statistics. CA: a cancer journal for clinicians. 2022;72(6):524-541.
2-Mussallem D. Lifestyle for breast cancer risk reduction. Menopause. 2022;29(8):979-81.
3-Arnold M, Morgan E, Rumgay H & et al. Current and future burden of breast cancer: Global statistics for 2020 and 2040. The Breast. 2022;66:15-23.
4-Siegel RL, Giaquinto AN, Jemal A. Cancer statistics. CA: a cancer journal for clinicians. 2024;74(1):1-5.
5-Seyedkanani E, Hosseinzadeh M, Mirghafourvand M & et al. Breast cancer screening patterns and associated factors in Iranian women over 40 years. Scientific Reports. 2024;14(1):1-9.
6-Shamshirian A, Heydari K, Shams Z & et al. Breast cancer risk factors in Iran: a systematic review & meta-analysis. Hormone molecular biology clinical investigation. 2020;41(4):20-30.
7-Akbari ME, Akbari A, Khayamzadeh M & et al. Ten-year survival of breast cancer in Iran: a national study (Retrospective cohort study). Breast Care. 2023;18(1):12-21.
8-Budisavljevic A, Dedic Plavetic N, Klaric K & et al. The Impact of Newly Diagnosed Early Breast Cancer on Psychological Resilience, Distress Levels, and the Perception of Health. International Journal of Environmental Research Public Health. 2024;21(6):677-683.
9-Seiler A, Jenewein J. Resilience in cancer patients. Frontiers in psychiatry. 2019;10(677):1-11.
10-Penberthy JK, Stewart AL, Centeno CF & et al. Psychological Aspects of Breast Cancer. Psychiatric Clinics. 2023;46(3):551-570.
11-Wong PT. A second-wave positive psychology in counselling psychology: A paradigm shift: Taylor & Francis; 2023.
12-Sorbi MH, Rahmanian M, Azizi R. The Effectiveness of Positive Psychotherapy on the Well-Being and Glycemic Control of Patients with Type 2 Diabetes: A Randomized Controlled Trial. Thrita. 2019;8(1):1-7.
13-Maor M, Zukerman G, Amit N & et al. Psychological well-being and adjustment among type 2 diabetes patients: the role of psychological flexibility. Psychology, Health Medicine. 2022;27(7):1456-1467.
14-Ryff CD. The Privilege of Well-Being in an Increasingly Unequal Society. Current Directions in Psychological Science. 2024;9:63-72.
15-Scharbert J, Humberg S, Kroencke L & et al. Psychological well-being in Europe after the outbreak of war in Ukraine. Nature Communications. 2024;15(1):1202-1210.
16-Benasi G, Gostoli S, Zhu B & et al. Well-Being Therapy and lifestyle intervention in type 2 diabetes: a pilot randomized controlled trial. Psychosomatic Medicine. 2022;84(9):1041-1049.
17-Ahmadi Forooshani S, Izadikhah Z, Renzaho AMN & et al. Effectiveness of psychological interventions on young refugees' social adjustment: A meta-analysis. Journal of Refugee Studies. 2021;34(1):976-992.
18-Cho S, Tromburg C, Forbes C & et al. Social adjustment across the lifespan in survivors of pediatric acute lymphoblastic leukemia (ALL): a systematic review. Journal of Cancer Survivorship. 2022;17(6):1221-1227.
19-Al-Srehan HS. The impact of social adjustment policy on Syrian refugees. Journal of International Studies. 2020;13(3):85-97.
20-Kim J, Jang M. Stress, social support, and sexual adjustment in married female patients with breast cancer in Korea. Asia-Pacific journal of oncology nursing. 2020;7(1):28-35.
21-Mokhatri-Hesari P, Montazeri A. Health-related quality of life in breast cancer patients: review of reviews from 2008 to 2018. Health quality of life outcomes. 2020;18(1):1-25.
22-Tommasi C, Balsano R, Corianò M & et al. Long-term effects of breast cancer therapy and care: calm after the storm? Journal of clinical medicine. 2022;11(23):72-83.
23-Villalona S, Castillo BS, Chavez Perez C & et al. Interventions to mitigate financial toxicity in adult patients with cancer in the United States: a scoping review. Current Oncology. 2024;31(2):918-932.
24-Veenhoven R. Quality of life (QOL), an overview. Encyclopedia of quality of life well-being research. 2024;1(2):5668-5671.
25-Boelhouwer J, Noll H-H. Objective quality of life. Encyclopedia of quality of life and well-being research: Springer; 2024. 4783-4785.
26-Jones P, Drummond P. Construction and evaluation of a mindfulness-based quality of life and well-being program (MQW) in a randomized trial. Current Psychology. 2023;42(17):782-803.
27-Moudjahid A, Abdarrazak B. Psychology of quality of life and its relation to psychology. International Journal of Inspiration Resilience Economy. 2019;3(2):58-63.
28-Carroll AJ, Christon LM, Rodrigue JR & et al. Implementation, feasibility, and acceptability of quality of life therapy to improve positive emotions among patients with implantable cardioverter defibrillators. Journal of behavioral medicine. 2020;43:968-978.
29-Hoseini F, Abedi MR, Gorgi Y. Effectiveness of Quality-of-Life Therapy on the Quality of Parent-Adolescent Interaction and Adolescent Adjustment. Journal of Applied Psychological Research. 2024;15(1):73-89.
30-Golant M, Altman T, Martin C. Managing cancer side effects to improve quality of life: a cancer psychoeducation program. Cancer nursing. 2003;26(1):37-44.
31-Casla S, Hojman P, Cubedo R & et al. Integrative exercise and lifestyle intervention increases leisure-time activity in breast cancer patients. Integrative Cancer Therapies. 2014;13(6):493-501.
32-D’egidio V, Sestili C, Mancino M & et al.. Counseling interventions delivered in women with breast cancer to improve health-related quality of life: a systematic review. Quality of Life Research. 2017;26:2573-2592.
33-Naghibi SH, Saeedi Z, Khazaei F. The Effectiveness of Group training Based on Improving Quality of Life on Hope and Happiness of People with Cancer; a three Months follow up. Journal of Counseling Research. 2018;17(65):4-29.
34-Jafari F. The effectiveness of quality of life therapy in self-compassion and future time perspective in menopausal women. Positive Psychology Research. 2017;3(2):37-50.
35-Van Dierendonck D, & Lam H. Interventions to enhance eudaemonic psychological well‐being: A meta‐analytic review with Ryff's Scales of Psychological Well‐being. Applied Psychology: Health and Well‐Being. 2023;15(2):594-610.
36-Heydari M, Nouri M, Niaei A. The effectiveness of group positive psychotherapy on psychological well-being and hope of cancer patients undergoing chemotherapy. Journal of social behavior community health. 2023;7(1):1042-1050.
37-Grera MY, Abdallah SS, & Hamed KA. Psychological well-being, social adjustment and social responsibility as predictors of achievement motivation among Arab postgraduate students in Malaysia. International Journal of Academic Research in Progressive Education and Development. 2022;11(1):373-386.
38-Carroll AJ, Christon LM, Rodrigue JR & et al. Implementation, feasibility, and acceptability of quality of life therapy to improve positive emotions among patients with implantable cardioverter defibrillators. Journal of behavioral medicine. 2020;43: 968-978.
39-Saeidi Z, Asgharnejad AA. The Effectiveness of Positivism Group Psychotherapy Based on Frisch's Theory in Promoting Happiness and Life Satisfaction of Breast Cancer Patients. American Scientific Research Journal for Engineering, Technology, and Sciences (ASRJETS). 2018;48(1):53-63.
40-Nikbakhsh N, Moudi S, Alvarzandi S & et al. Citalopram and group psychotherapy in breast cancer patients: A randomized clinical trial. Medical Journal of the Islamic Republic of Iran. 2018;32:68.
41-Fauser D, Rimalis-Vogt E, Mattes J & et al. Psychological interventions during breast cancer rehabilitation: a randomized controlled trial comparing structured short-term psychotherapy versus non-specific group discussion. BMC cancer. 2023;23(1):11-33.
42-Maeda T, Kurihara H, Morishima I & et al. The effect of psychological intervention on personality change, coping, and psychological distress of Japanese primary breast cancer patients. Cancer nursing. 2008;31(4):27-35.
43-Ghanbari H, Jani HT, Nejat H. Comparison of the effectiveness of Acceptance and Commitment-Based Therapy (ACT) and Quality of Life therapy (QOLT) on self-destructive behaviors and emotional cognitive regulation in substance abusers. Journal of Fundamentals of Mental Health. 2020;22(1):47-55.
Nahid Khalilnejad (Ph.D.s)1, Parviz Asgari (Ph.D.)2, Hamzeh Ahmadian (Ph.D.)3, Heydar Eslami Shahrbabaki (Ph.D.)4
1.Ph.D. student Health Psychology, Islamic Azad University, Dubai, United Arab Emirates.
2.Corresponding Author: Professor Department of Psychology, Islamic Azad University, Ahvaz, Iran.
Email: Askary47@yahoo.com Tel: 09161116182
3.Assistant Professor Department of Psychology, Islamic Azad University, Sanandaj, Iran.
4.Assistant Professor Department of Psychology, Islamic Azad University, Anar, Iran.
Abstract
Introduction: The present study aimed to determine the effectiveness of quality of life therapy (QoLT) on the psychological well-being and social adjustment of breast cancer patients.
Methods:This study was a semi-experimental intervention with a pre-test, post-test, and two-month follow-up in two groups: experimental and control. The study population consisted of all breast cancer patients who were present at Shohadaye Kargar Hospital in Yazd from September to February 2024. From this population, 31 patients were selected through purposive sampling and were randomly assigned to two groups: experimental (N=15) and control (N=16). The data collection tools included a demographic form, the Ryff’s scale of psychological well-being- Short Form (RSPWB-18), and the Social Adjustment Scale (SAS). The data were also analyzed using SPSS-21 software and Chi-square, one-way ANOVA, Kolmogorov-Smirnov test, and repeated measures analysis of variance.
Results:The results indicated that QoLT significantly increased psychological well-being (F=115/70) and social adjustment (F=45/78) in breast cancer patients (P<0/001). Additionally, the effect size of this therapy was high, with 80% for psychological well-being and 61% for social adjustment, and its effects persisted for up to two months after the treatment.
Conclusion:The QoLT has a positive impact on improving the psychological well-being and social adjustment of breast cancer patients. Therefore, it is recommended that alongside routine treatment, QoLT should be utilized to enhance the psychosocial health of breast cancer patients.
Keywords: Quality of Life, Psychological Well-Being, Social Adjustment, Breast Cancer
1-Giaquinto AN, Sung H, Miller KD & et al. Breast cancer statistics. CA: a cancer journal for clinicians. 2022;72(6):524-541.
2-Mussallem D. Lifestyle for breast cancer risk reduction. Menopause. 2022;29(8):979-81.
3-Arnold M, Morgan E, Rumgay H & et al. Current and future burden of breast cancer: Global statistics for 2020 and 2040. The Breast. 2022;66:15-23.
4-Siegel RL, Giaquinto AN, Jemal A. Cancer statistics. CA: a cancer journal for clinicians. 2024;74(1):1-5.
5-Seyedkanani E, Hosseinzadeh M, Mirghafourvand M & et al. Breast cancer screening patterns and associated factors in Iranian women over 40 years. Scientific Reports. 2024;14(1):1-9.
6-Shamshirian A, Heydari K, Shams Z & et al. Breast cancer risk factors in Iran: a systematic review & meta-analysis. Hormone molecular biology clinical investigation. 2020;41(4):20-30.
7-Akbari ME, Akbari A, Khayamzadeh M & et al. Ten-year survival of breast cancer in Iran: a national study (Retrospective cohort study). Breast Care. 2023;18(1):12-21.
8-Budisavljevic A, Dedic Plavetic N, Klaric K & et al. The Impact of Newly Diagnosed Early Breast Cancer on Psychological Resilience, Distress Levels, and the Perception of Health. International Journal of Environmental Research Public Health. 2024;21(6):677-683.
9-Seiler A, Jenewein J. Resilience in cancer patients. Frontiers in psychiatry. 2019;10(677):1-11.
10-Penberthy JK, Stewart AL, Centeno CF & et al. Psychological Aspects of Breast Cancer. Psychiatric Clinics. 2023;46(3):551-570.
11-Wong PT. A second-wave positive psychology in counselling psychology: A paradigm shift: Taylor & Francis; 2023.
12-Sorbi MH, Rahmanian M, Azizi R. The Effectiveness of Positive Psychotherapy on the Well-Being and Glycemic Control of Patients with Type 2 Diabetes: A Randomized Controlled Trial. Thrita. 2019;8(1):1-7.
13-Maor M, Zukerman G, Amit N & et al. Psychological well-being and adjustment among type 2 diabetes patients: the role of psychological flexibility. Psychology, Health Medicine. 2022;27(7):1456-1467.
14-Ryff CD. The Privilege of Well-Being in an Increasingly Unequal Society. Current Directions in Psychological Science. 2024;9:63-72.
15-Scharbert J, Humberg S, Kroencke L & et al. Psychological well-being in Europe after the outbreak of war in Ukraine. Nature Communications. 2024;15(1):1202-1210.
16-Benasi G, Gostoli S, Zhu B & et al. Well-Being Therapy and lifestyle intervention in type 2 diabetes: a pilot randomized controlled trial. Psychosomatic Medicine. 2022;84(9):1041-1049.
17-Ahmadi Forooshani S, Izadikhah Z, Renzaho AMN & et al. Effectiveness of psychological interventions on young refugees' social adjustment: A meta-analysis. Journal of Refugee Studies. 2021;34(1):976-992.
18-Cho S, Tromburg C, Forbes C & et al. Social adjustment across the lifespan in survivors of pediatric acute lymphoblastic leukemia (ALL): a systematic review. Journal of Cancer Survivorship. 2022;17(6):1221-1227.
19-Al-Srehan HS. The impact of social adjustment policy on Syrian refugees. Journal of International Studies. 2020;13(3):85-97.
20-Kim J, Jang M. Stress, social support, and sexual adjustment in married female patients with breast cancer in Korea. Asia-Pacific journal of oncology nursing. 2020;7(1):28-35.
21-Mokhatri-Hesari P, Montazeri A. Health-related quality of life in breast cancer patients: review of reviews from 2008 to 2018. Health quality of life outcomes. 2020;18(1):1-25.
22-Tommasi C, Balsano R, Corianò M & et al. Long-term effects of breast cancer therapy and care: calm after the storm? Journal of clinical medicine. 2022;11(23):72-83.
23-Villalona S, Castillo BS, Chavez Perez C & et al. Interventions to mitigate financial toxicity in adult patients with cancer in the United States: a scoping review. Current Oncology. 2024;31(2):918-932.
24-Veenhoven R. Quality of life (QOL), an overview. Encyclopedia of quality of life well-being research. 2024;1(2):5668-5671.
25-Boelhouwer J, Noll H-H. Objective quality of life. Encyclopedia of quality of life and well-being research: Springer; 2024. 4783-4785.
26-Jones P, Drummond P. Construction and evaluation of a mindfulness-based quality of life and well-being program (MQW) in a randomized trial. Current Psychology. 2023;42(17):782-803.
27-Moudjahid A, Abdarrazak B. Psychology of quality of life and its relation to psychology. International Journal of Inspiration Resilience Economy. 2019;3(2):58-63.
28-Carroll AJ, Christon LM, Rodrigue JR & et al. Implementation, feasibility, and acceptability of quality of life therapy to improve positive emotions among patients with implantable cardioverter defibrillators. Journal of behavioral medicine. 2020;43:968-978.
29-Hoseini F, Abedi MR, Gorgi Y. Effectiveness of Quality-of-Life Therapy on the Quality of Parent-Adolescent Interaction and Adolescent Adjustment. Journal of Applied Psychological Research. 2024;15(1):73-89.
30-Golant M, Altman T, Martin C. Managing cancer side effects to improve quality of life: a cancer psychoeducation program. Cancer nursing. 2003;26(1):37-44.
31-Casla S, Hojman P, Cubedo R & et al. Integrative exercise and lifestyle intervention increases leisure-time activity in breast cancer patients. Integrative Cancer Therapies. 2014;13(6):493-501.
32-D’egidio V, Sestili C, Mancino M & et al.. Counseling interventions delivered in women with breast cancer to improve health-related quality of life: a systematic review. Quality of Life Research. 2017;26:2573-2592.
33-Naghibi SH, Saeedi Z, Khazaei F. The Effectiveness of Group training Based on Improving Quality of Life on Hope and Happiness of People with Cancer; a three Months follow up. Journal of Counseling Research. 2018;17(65):4-29.
34-Jafari F. The effectiveness of quality of life therapy in self-compassion and future time perspective in menopausal women. Positive Psychology Research. 2017;3(2):37-50.
35-Van Dierendonck D, & Lam H. Interventions to enhance eudaemonic psychological well‐being: A meta‐analytic review with Ryff's Scales of Psychological Well‐being. Applied Psychology: Health and Well‐Being. 2023;15(2):594-610.
36-Heydari M, Nouri M, Niaei A. The effectiveness of group positive psychotherapy on psychological well-being and hope of cancer patients undergoing chemotherapy. Journal of social behavior community health. 2023;7(1):1042-1050.
37-Grera MY, Abdallah SS, & Hamed KA. Psychological well-being, social adjustment and social responsibility as predictors of achievement motivation among Arab postgraduate students in Malaysia. International Journal of Academic Research in Progressive Education and Development. 2022;11(1):373-386.
38-Carroll AJ, Christon LM, Rodrigue JR & et al. Implementation, feasibility, and acceptability of quality of life therapy to improve positive emotions among patients with implantable cardioverter defibrillators. Journal of behavioral medicine. 2020;43: 968-978.
39-Saeidi Z, Asgharnejad AA. The Effectiveness of Positivism Group Psychotherapy Based on Frisch's Theory in Promoting Happiness and Life Satisfaction of Breast Cancer Patients. American Scientific Research Journal for Engineering, Technology, and Sciences (ASRJETS). 2018;48(1):53-63.
40-Nikbakhsh N, Moudi S, Alvarzandi S & et al. Citalopram and group psychotherapy in breast cancer patients: A randomized clinical trial. Medical Journal of the Islamic Republic of Iran. 2018;32:68.
41-Fauser D, Rimalis-Vogt E, Mattes J & et al. Psychological interventions during breast cancer rehabilitation: a randomized controlled trial comparing structured short-term psychotherapy versus non-specific group discussion. BMC cancer. 2023;23(1):11-33.
42-Maeda T, Kurihara H, Morishima I & et al. The effect of psychological intervention on personality change, coping, and psychological distress of Japanese primary breast cancer patients. Cancer nursing. 2008;31(4):27-35.
43-Ghanbari H, Jani HT, Nejat H. Comparison of the effectiveness of Acceptance and Commitment-Based Therapy (ACT) and Quality of Life therapy (QOLT) on self-destructive behaviors and emotional cognitive regulation in substance abusers. Journal of Fundamentals of Mental Health. 2020;22(1):47-55.
Type of Study: Applicable |
Subject:
Psychology
Received: 2024/07/4 | Accepted: 2024/08/27 | Published: 2024/12/30
Received: 2024/07/4 | Accepted: 2024/08/27 | Published: 2024/12/30
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