Stress Management in Patients with Breast Cancer Using a Supportive Approach: A systematic Review

Main Article Content

Maedeh Rezaei
Forouzan Elyasi https://orcid.org/0000-0002-6872-481X
Zeinab Hamzehgardeshi
Ghasem Janbabai
Mahmood Moosazadeh

Keywords

Supportive program, stress management, relaxation, cognitive-behavioral therapy, mindfulness

Abstract

Background: Stress is a reaction to physical, psychological and emotional events. Respective to other chronic diseases, breast cancer (BC) is a dire stressful situation greatly disheartening the patients. Therefore, patients with BC need long lasting physical and emotional support to cope with the stress. The purpose of this study was to systematic studies concerning with supportive stress management interventions in patients with BC.


Methods: In this review, the literature search was performed in scientific databases including Google Scholar, Scientific Information Database (SID), Magiran, and Irandoc,  Web of Science, Science Direct, PubMed [including Medline], and Elsevier. The keywords were retrieved from Medical Subject Headings (Mesh). The articles published from 1997 to 2017 were included. Accordingly, 440 articles were initially retrieved. After reading titles and abstracts, 152 articles were selected for reading full-texts.  Finally, 54 articles including 3 books were used to structure the review.


Results: All the included studies had an interventional design focusing on stress management approaches and their related covariates in women with BC. The findings were assessed regarding two distinct approaches.   First, the studies assessing stress management interventions were scrutinized. Next, the impacts of the duration of the interventional sessions, the number of the participants and the contents of sessions were explored. Of the selected articles, 6 were about mindfulness, 2 about relaxation, and 7 about stress-related cognitive-behavioral therapy. In addition, one study was related to resilience training and 2 studies investigated problem-based approaches.


Conclusion: Stress management interventions can be helpful in reducing stress in BC patients. Therefore, it is advisable to incorporate stress management strategies along with  routine pharmaceutical therapies in these patients.

References

1. DeSantis C, Ma J, Bryan L, Jemal A. Breast cancer statistics, 2013. CA: a cancer journal for clinicians. 2014;64(1):52-62.
2. Langellier KM, Sullivan CF. Breast talk in breast cancer narratives. Qualitative Health Research. 1998;8(1):76-94.
3. Pakseresht S. Quality of life of women with breast cancer at the time of diagnosis in New Delhi. Journal of Cancer Science & Therapy. 2011;11(2):83-93.
4. Arndt V, Stegmaier C, Ziegler H, Brenner H. A population-based study of the impact of specific symptoms on quality of life in women with breast cancer 1 year after diagnosis. Cancer. 2006;107(10):2496-503.
5. Rufa’i AA, Sattar AKA, Joshi SC, Yankuzo HM. Predictors of Quality of Life among Female Breast Cancer Survivors at Hospital Kepala Batas, Penang: A Pilot Study. 2014.
6. Karamoozian M, Baghery M, Darekordi A, Aminizadeh M. Impact of Cognitive – Behavioral Group therapy Stress Management Intervention on mental health and pain coping strategies breast cancer patients. Iranian Quarterly Journal of Breast Diseases. 2014;7(2):56-66.
7. Hamzehgardeshi Z, Rezaei M, Elyasi F, Janbabai G, Moosazadeh M. Improveing the health of p breast cancer survivors: A clinical Guideline with an emphasis on sexual health (for the patients and families). Iran: Norozi; 2016. 1-102 p.
8. McGregor BA, Antoni MH, Boyers A, Alferi SM, Blomberg BB, et al. Cognitive–behavioral stress management increases benefit finding and immune function among women with early-stage breast cancer. Journal of psychosomatic research. 2004;56(1):1-8.
9. Antoni MH, Lechner SC, Kazi A, Wimberly SR, Sifre T, et al. How stress management improves quality of life after treatment for breast cancer. Journal of consulting and clinical psychology. 2006;74(6):1143.
10. Matthews H, Grunfeld EA, Turner A. The efficacy of interventions to improve psychosocial outcomes following surgical treatment for breast cancer: a systematic review and meta‐analysis. Psycho‐Oncology. 2017;26(5):593-607.
11. Hamzehgardeshi Z, Rezaei M, Elyasi F, Janbabai G, Mosazadeh M. Supportive Program Based on Midwifery Counselor on Body Image and Sexual Satisfaction among women with breast cancer (for therapists): Norozi; 2017.
12. Savard J, Simard S, Blanchet J, Ivers H, Morin CM. Prevalence, clinical characteristics, and risk factors for insomnia in the context of breast cancer. Sleep. 2001;24(5):583-90.
13. Shapiro SL, Bootzin RR, Figueredo AJ, Lopez AM, Schwartz GE. The efficacy of mindfulness-based stress reduction in the treatment of sleep disturbance in women with breast cancer: an exploratory study. Journal of psychosomatic research. 2003;54(1):85-91.
14. Palesh OG, Collie K, Batiuchok D, Tilston J, Koopman C, et al. A longitudinal study of depression, pain, and stress as predictors of sleep disturbance among women with metastatic breast cancer. Biological psychology. 2007;75(1):37-44.
15. Shapiro SL, Schwartz GE, Bonner G. Effects of mindfulness-based stress reduction on medical and premedical students. Journal of behavioral medicine. 1998;21(6):581-99.
16. Petrek JA, Naughton MJ, Case LD, Paskett ED, Naftalis EZ, et al. Incidence, Time Course, and Determinants of Menstrual Bleeding After Breast Cancer Treatment: A Prospective Study. Journal of Clinical Oncology. 2006;24(7):1045-51.
17. Otte JL, Rand KL, Carpenter JS, Russell KM, Champion VL. Factor analysis of the Pittsburgh Sleep Quality Index in breast cancer survivors. Journal of pain and symptom management. 2013;45(3):620-7.
18. Rosman LA. Body image and sexual functioning in breast cancer survivors. In: Psychology TFotDo, University EC, editors. 2013. p. 1-120.
19. Barni S, Mondin R. Sexual dysfunction in treated breast cancer patients. Annals of Oncology. 1997;8(2):149-53.
20. Bahrami M, Farzi S. The effect of a supportive educational program based on COPE model on caring burden and quality of life in family caregivers of women with breast cancer. Iranian journal of nursing and midwifery research. 2014;19(2):119.
21. Helgeson VS, Cohen S, Schulz R, Yasko J. Group support interventions for women with breast cancer: who benefits from what? Health psychology. 2000;19(2):107-14.
22. Heravi Karimoui M, Pourdehghan M, Jadid Milani M, Foroutan SK, Aieen F. Study of the effects of group counseling on quality of sexual life of patients with breast cancer under chemotherapy at Imam Khomeini Hospital. Journal of mazandaran university of medical sciences 2006;16(54):43-51.
23. Salonen P, Tarkka M-T, Kellokumpu-Lehtinen P-L, Åstedt-Kurki P, Luukkaala T, et al. Telephone intervention and quality of life in patients with breast cancer. Cancer nursing. 2009;32(3):177-90.
24. Schover LR, Jenkins R, Sui D, Adams JH, Marion MS, et al. Randomized trial of peer counseling on reproductive health in African American breast cancer survivors. Journal of clinical oncology. 2006;24(10):1620-6.
25. Schover LR, Rhodes MM, Baum G, Adams JH, Jenkins R, et al. SPIRIT: A peer counseling program to improve reproductive health among African American breast cancer survivors. Cancer. 2011;117(21):4983.
26. Shariati A, Salehi M, Ansari M, Latifi SM. Survey the effect of Benson relaxation intervention on quality of life (QOL) in breast cancer patients undergoing chemotherapy. Jundishapur Scientific Medical Journal. 2010;9(6):625-32.
27. Jun E-Y, Kim S, Chang S-B, Oh K, Kang HS, et al. The effect of a sexual life reframing program on marital intimacy, body image, and sexual function among breast cancer survivors. Cancer nursing. 2011;34(2):142-9.
28. Hamzehgardeshi Z, Moosazadeh M, Elyasi F, Janbabai G, Rezaei M, et al. Effect of Midwifery-Based Counseling Support Program on Body Image of Breast Cancer Women Survivors. Asian Pacific journal of cancer prevention : APJCP. 2017;18(5):1293-9.
29. Fobair P, Stewart SL, Chang S, D'Onofrio C, Banks PJ, et al. Body image and sexual problems in young women with breast cancer. Psycho-Oncology. 2006;15(7):579-94.
30. Kashani FL, Vaziri S, Akbari ME, Jamshidi Far Z, Smaeeli Far N. Sexual Skills, Sexual Satisfaction and Body Image in Women with Breast Cancer. Procedia-Social and Behavioral Sciences. 2014;159:206-13.
31. Rezaei M, Elyasi F, Janbabai G, Moosazadeh M, Hamzehgardeshi Z. Factors Influencing Body Image in Women with Breast Cancer: A Comprehensive Literature Review. Iran Red Crescent Med J. 2016;18(10):e39465.
32. Cramer H, Lauche R, Paul A, Dobos G. Mindfulness-based stress reduction for breast cancer—a systematic review and meta-analysis. Current Oncology. 2012;19(5):e343.
33. Lengacher CA, Reich RR, Post-White J, Moscoso M, Shelton MM, et al. Mindfulness based stress reduction in post-treatment breast cancer patients: an examination of symptoms and symptom clusters. J Behav Med. 2012;35(1):86-94.
34. Bisseling EM, Schellekens MPJ, Jansen ETM, van Laarhoven HWM, Prins JB, et al. Mindfulness-based stress reduction for breast cancer patients: a mixed method study on what patients experience as a suitable stage to participate. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 2017.
35. Huang J, Shi L. The effectiveness of mindfulness-based stress reduction (MBSR) for survivors of breast cancer: study protocol for a randomized controlled trial. Trials. 2016;17(1):209.
36. Sanaei H, Mousavi SAM, Moradi A, Parhoon H, Sanaei S. The effectiveness of mindfulness-based stress reduction on self-efficacy, perceived stress and life orientation of women with breast cancer. Thoughts and Behavior in Clinical Psychology. 2017;11(44):57-66.
37. Speca M, Carlson LE, Goodey E, Angen M. A randomized, wait-list controlled clinical trial: the effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosomatic medicine. 2000;62(5):613-22.
38. Agha barari M, Ahmadi F, Agha ali nezhad H, Mohamadi E, Haji zadeh E. Effect of designed exercise program on stress, anxiety and depression i-n women with breast cancer receiving chemotherapy. Journal of Shahrekord Uuniversity of Medical Sciences. 2008;9(4):26-35.
39. Lechner SC, Whitehead NE, Vargas S, Annane DW, Robertson BR, et al. Does a community-based stress management intervention affect psychological adaptation among underserved black breast cancer survivors? Journal of the National Cancer Institute Monographs. 2014;2014(50):315-22.
40. Cruess DG, Antoni MH, McGregor BA, Kilbourn KM, Boyers AE, et al. Cognitive-behavioral stress management reduces serum cortisol by enhancing benefit finding among women being treated for early stage breast cancer. Psychosomatic medicine. 2000;62(3):304-8.
41. Saffārzādeh A, Roshan R, Shams J. Effectiveness of Cognitive-Behavioral Stress Management in Reducing Anxiety, Stress and Depression of Women with Breast Cancer. Allameh Tabataba’i University 2012;2(6):1-23.
42. Rezaei Ardani A, Farid Hoseini F, Borhani Moghani M, Seyfi H. Cognitive behavioral stress management effects on quality of life and negative emotions in women with breast cancer. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2015;18(154):8-18.
43. Groarke A, Curtis R, Kerin M. Cognitive‐behavioural stress management enhances adjustment in women with breast cancer. British journal of health psychology. 2013;18(3):623-41.
44. Khatibian M, Shakerian A. The effectiveness of cognitive behavioral group therapy on decreasing depression, anxiety and stress in breast cancer women admitted to Ahwaz Medical Sciences Hospitals. Scientific Journal of Kurdistan University of Medical Sciences. 2014;19(4):91-9.
45. Antoni MH, Lechner S, Diaz A, Vargas S, Holley H, et al. Cognitive behavioral stress management effects on psychosocial and physiological adaptation in women undergoing treatment for breast cancer. Brain, behavior, and immunity. 2009;23(5):580-91.
46. McGregor BA, Dolan ED, Murphy KM, Sannes TS, Highland KB, et al. Cognitive behavioral stress management for healthy women at risk for breast cancer: a novel application of a proven intervention. Annals of Behavioral Medicine. 2015;49(6):873-84.
47. Stagl JM, Bouchard LC, Lechner SC, Blomberg BB, Gudenkauf LM, et al. Long‐term psychological benefits of cognitive‐behavioral stress management for women with breast cancer: 11‐year follow‐up of a randomized controlled trial. Cancer. 2015;121(11):1873-81.
48. Loprinzi CE, Prasad K, Schroeder DR, Sood A. Stress Management and Resilience Training (SMART) program to decrease stress and enhance resilience among breast cancer survivors: a pilot randomized clinical trial. Clinical breast cancer. 2011;11(6):364-8.
49. Kornblith AB, Herndon JE, 2nd, Zuckerman E, Viscoli CM, Horwitz RI, et al. Social support as a buffer to the psychological impact of stressful life events in women with breast cancer. Cancer. 2001;91(2):443-54.
50. Behzadipor S, Sepah mansor M, Keshavarzi arshad F, Farzad V, Naziri G, et al. Effectiveness of Stress Management Based on Cognitive-Behavioral Intervention on Guality of Life and Coping Styles for Female with Breast Cancer. Scientific Journal Management System. 2013;3( 12):29-46.
51. Allen SM, Shah AC, Nezu AM, Nezu CM, Ciambrone D, et al. A problem-solving approach to stress reduction among younger women with breast carcinoma: a randomized controlled trial. Cancer. 2002;94(12):3089-100.
52. Luecken LJ, Compas BE. Stress, coping, and immune function in breast cancer. Annals of Behavioral Medicine. 2002;24(4):336-44.
53. Antoni MH, Smith R. Stress Management Intervention for Women with Breast Cancer: American Psychological Association; 2003.
54.Antoni MH, Lechner S, Diaz A, Vargas S, Holley H, Phillips K, et al. Cognitive behavioral stress management effects on psychosocial and physiological adaptation in women undergoing treatment for breast cancer. Brain Behav Immun. 2009;23(5):580-9.