Effectiveness of Positive Thinking Training on Perceived Stress, Metacognitive Beliefs, and Death Anxiety in Women with Breast Cancer Perceived Stress in Women with Breast Cancer

Laleh Kianpour Barjoee (1), Naser Amini (2), Moloud Keykhosrovani (3), Abdollah Shafiabadi (4)
(1) Department of Psychology, Bushehr Branch, Islamic Azad University, Bushehr, Iran, Iran, Islamic Republic of,
(2) Department of Psychology, Bushehr Branch, Islamic Azad University, Bushehr, Iran, Iran, Islamic Republic of,
(3) Department of Psychology, Bushehr Branch, Islamic Azad University, Bushehr, Iran, Iran, Islamic Republic of,
(4) Department of Counseling, Allameh Tabataba'i University, Tehran, Iran; Department of Psychology, Bushehr Branch, Islamic Azad University, Bushehr, Iran, Iran, Islamic Republic of

Abstract

Background: Women with breast cancer suffer high levels of stress due to their disease-induced emotional, cognitive, behavioral and physical problems which increase their metacognitive beliefs, death anxiety, and rumination, disrupt the treatment process, and exert a negative impact. The present study aimed to investigate the effectiveness of positive thinking training on perceived stress, metacognitive beliefs, and death anxiety in women with breast cancer in Ahvaz in 2019.


Methods: This was a quasi-experimental study with pretest-posttest control group design. Statistical population consisted of all women with breast cancer visiting Shafa Health Center of Ahvaz in 2019, among whom 30 women were selected as the sample using convenience sampling. Cancer patients were randomly divided into intervention (n=15) and control (n=15) groups. The research instruments included the Perceived Stress Scale, the Metacognitions Questionnaire (MCQ-30), and the Scale of Death Anxiety (SDA). Univariate and multivariate analysis of covariance were used to analyze data.


Results: Results suggested that positive thinking training reduced perceived stress, metacognitive beliefs and death anxiety in women with breast cancer in the intervention group compared with those in the control group (P<0.001).


Conclusion: According to the results of the study, positive thinking training was effective in reducing perceived stress, metacognitive beliefs, and death anxiety in women with breast cancer.

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References

Azamjah N, Soltan-Zadeh Y, Zayeri F. Global Trend of Breast Cancer Mortality Rate: A 25-Year Study. Asian Pac J Cancer Prev. 2019;20(7):20-15-2020. doi:10.31557/APJCP.2019.20.7.2015.

Olfatbakhsh A, Haghighat S, Tabari M, Hashemi E, Sari F, Kaviani A. Patient Satisfaction and Body Image Following Mastectomy, Breast-Con-serving Therapy, and Mastectomy with Recons-truction: A Study in Iran. Arch Breast Cancer. 2018;5(4):173-82. doi:10.32768/abc.201854173-182.

Yeung NCY, Lu Q. Perceived Stress as a Medi-ator Between Social Support and Posttraumatic Growth Among Chinese American Breast Cancer Survivors. Cancer Nurs. 2018;41(1):53-61. doi:10.1097/NCC.0000000000000422.

Campbell-Enns H, Woodgate R. The psychosocial experiences of women with breast cancer across the lifespan: a systematic review protocol. JBI Database System Rev Implement Rep. 2015;13(1):112-121. doi:10.11124/jbisrir-2015-1795.

Bassak Nejad S, Kargar A, Hamid N, Razmjoo S. Metacognitive Beliefs, Positive States of Mind, and Emotional Approach Coping as the Predictors of Medical Compliance in Patients with Cancer, Int J Cancer Manag. 2020;13(7):e101608. doi:10.5812/ijcm.101608.

Alagizy HA, Soltan MR, Soliman SS, Hegazy NN, Gohar SF. Anxiety, depression and perceived stress among breast cancer patients: single institute experience. Middle East Current Psychiatry. 2020;27(1):29. doi:10.1186/s43045-020-00036-x.

Mahdavi A, Aghaei M, Aminnasab V, Tavakoli Z, Besharat M, Abedin M. The Effectiveness of Acceptance-Commitment Therapy (ACT) on Perceived Stress, Symptoms of Depression, and Marital Satisfaction in Women with Breast Cancer. Arch Breast Cancer. 2017;4(1):16-23. doi:10.19187/abc.20174116-23.

Sarveswaran G, Jayaseelan V, Krishnamoorthy Y, Sakthivel M, Arivarasan Y, Vijayakumar K, et al. Perceived Stress and Its Determinants among Postmenopausal Women in Urban Puducherry. J Midlife Health. 2021;12(1):33-8. doi:10.4103/jmh.JMH_127_20.

Moinvaziri M, Ehteshamzadeh P, Naderi F, Safarzadeh S. The Effectiveness of Positive Thinking Training on Perceived Stress, Meta-cognitive Beliefs and Death Anxiety in Women with Breast Cancer. Iranian Evolutionary and Educational Psychology. 2021;3(1):94-104. doi:10.52547/ieepj.3.1.94.

Saeedi B, Khoshnood Z, Dehghan M, Abazari F, Saeedi A. The Effect of Positive Psychotherapy on the Meaning of Life in Patients with Cancer: A Randomized Clinical Trial. Indian J Palliat Care. 2019;25(2):210-217. doi:10.4103/IJPC.IJPC_171_18.

Ranieri J, Guerra F, Di Giacomo D. Role of Metacognition Thinking and Psychological Traits in Breast Cancer Survivorship. Behav Sci (Basel). 2020;10(9):135. doi:10.3390/bs10090135.

Mahdavi A, Jenaabadi H, Mosavimoghadam SR, Shojaei Langari SS, Gholamali Lavasani M, Madani Y. Relationship Between Mental, Existential, and Religious Well-being and Death Anxiety in Women with Breast Cancer. Arch Breast Cancer. 2019;6(1):29-34. doi:10.32768/abc.20196129-34.

Greenblatt-Kimron L, Kestler-Peleg M, Even-Zohar A, Lavenda O. Death Anxiety and Loneliness among Older Adults: Role of Parental Self-Efficacy. Int J Environ Res Public Health. 2021;18(18):9857. doi:10.3390/ijerph18189857.

Chang B, Cheng J, Fang J, Dang J. The Indirect Effect of Death Anxiety on Experienced Meaning in Life via Search for Meaning and Prosocial Behavior. Front Psychol. 2021;12:673460. doi: 10.3389/fpsyg.2021.673460.

Refaee Saeedi N, Aghamohammadian Sharbaf H, Asghari Ebrahimabad MJ, Kareshki H. Psycholo-gical Consequences of Breast Cancer in Iran: A Meta-Analysis. Iran J Public Health. 2019;48(5)-:816-824. doi:10.18502/ijph.v48i5.1796.

Tsaras K, Papathanasiou IV, Mitsi D, Veneti A, Kelesi M, Zyga S, et al. Assessment of Depression and Anxiety in Breast Cancer Patients: Prevalence and Associated Factors. Asian Pac J Cancer Prev. 2018;19(6):1661-9. doi:10.22034/apjcp.2018.19.6.1661.

Wei D, Liu XY, Chen YY, Zhou X, Hu HP. Effectiveness of Physical, Psychological, Social, and Spiritual Intervention in Breast Cancer Survivors: An Integrative Review. Asia Pac J Oncol Nurs. 2016;3(3):226-232. doi:10.4103/2347-5625.189813.

Barre PV, Padmaja G, Rana S, Tiamongla. Stress and Quality of Life in Cancer Patients: Medical and Psychological Intervention. Indian J Psychol Med. 2018;40(3):232-238. doi:10.4103/IJPSYM.IJPSYM_512_17.

Mohammad-Najar N, Khoshnevis E, Banisi P. Effectiveness of Positive Thinking Skills Training on the Hope and Quality of Life of Drug-Dependent People. Addict Health. 2017;9(3):120-128. Available at: www.ahj.kmu.ac.ir/article_84719.html

Shokrpour N, Sheidaie S, Amirkhani M, Bazrafkan L, Modreki A. Effect of positive thinking training on stress, anxiety, depression, and quality of life among hemodialysis patients: A randomized controlled clinical trial. J Educ Health Promot. 2021;10:225. doi:10.4103/jehp.jehp_1120_20.

Andrade G. The ethics of positive thinking in healthcare. J Med Ethics Hist Med. 2019;12:18. doi:10.18502/jmehm.v12i18.2148.

Sadeghloo A, Shamsaee P, Hesari E, Akhondzadeh G, Hojjati H. The effect of positive thinking training on the quality of life of parents of adolescent with thalassemia. Int J Adolesc Med Health. 2019;10.1515. doi:10.1515/ijamh-2019-0159.

Motamed-Jahromi M, Fereidouni Z, Dehghan A. Effectiveness of Positive Thinking Training Program on Nurses' Quality of Work Life through Smartphone Applications. Int Sch Res Notices. 2017;2017:4965816. doi:10.1155/2017/4965816.

Monteiro-Guerra F, Signorelli GR, Rivera-Romero O, Dorronzoro-Zubiete E, Caulfield B. Breast Cancer Survivors' Perspectives on Motivational and Personalization Strategies in Mobile App-Based Physical Activity Coaching Interventions: Qualitative Study. JMIR Mhealth Uhealth. 2020;8(9):e18867. doi:10.2196/18867.

Saeedi B, Khoshnood Z, Dehghan M, Abazari F, Saeedi A. The Effect of Positive Psychotherapy on the Meaning of Life in Patients with Cancer: A Randomized Clinical Trial. Indian J Palliat Care. 2019;25(2):210-217. doi:10.4103/IJPC.IJPC_171_18.

Badie A, Makvandi B, Bakhtiarpour S, Pasha R. Association of Quit Addiction Self-Efficacy, Social Support, and Perceived Stress Through the Mediation of Self-Control among Addicts Treated with Methadone. J Hum Environ Health Promot. 2021;7(2):76-82. doi:10.52547/jhehp.7.2.76.

Shirinzadeh Dastgiri S, Goudarzi MA, Rahimi C, Naziri GH. Study of factor structure, validity and reliability of metacognition questionnaire-30. Journal of Psychology. 2009;12(1(48)):445-461. Available at: www.sid.ir/en/Journal/ViewPaper.-aspx?ID=152935

Salmanian K, Marashian FS. Association of Coping Strategies with Death Anxiety through Mediating Role of Disease Perception in Patients with Breast Cancer. Arch Breast Cancer. 2021;8(3):226-32. doi:10.32768/abc.202183226-232

Norman VP. The Power of Positive Thinking. Publisher: ‎ Touchstone; Reprint edition (March 12, 2003). 2003.

Chiriac VF, Baban A, Dumitrascu DL. Psycholo-gical stress and breast cancer incidence: a systematic review. Clujul Med. 2018;91(1):18-26. doi:10.15386/cjmed-924.

Ghodsbin F, Safaei M, Jahanbin I, Ostovan MA, Keshvarzi S. The effect of positive thinking training on the level of spiritual well-being among the patients with coronary artery diseases referred to Imam Reza specialty and subspecialty clinic in Shiraz, Iran: A randomized controlled clinical trial. ARYA Atheroscler. 2015;11(6):341-348. Available at: www.pubmed.ncbi.nlm.nih.gov/26862342/

Hamidi F, Otaghi M, M.Paz F. Effectiveness of Positive Thinking Training on Self-Assertiveness of Teenage Girls. Women’s Health Bulletin. 2020;7(1):11-7. doi:10.30476/whb.2020.83879.1013.

Authors

Laleh Kianpour Barjoee
Naser Amini
amiininaser@gmail.com (Primary Contact)
Moloud Keykhosrovani
Abdollah Shafiabadi
1.
Kianpour Barjoee L, Amini N, Keykhosrovani M, Shafiabadi A. Effectiveness of Positive Thinking Training on Perceived Stress, Metacognitive Beliefs, and Death Anxiety in Women with Breast Cancer: Perceived Stress in Women with Breast Cancer. Arch Breast Cancer [Internet]. 2022 Mar. 4 [cited 2024 Jul. 16];9(2):195-203. Available from: https://archbreastcancer.com/index.php/abc/article/view/498

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