Effect of cognitive behavior therapy integrated with mindfulness on perceived pain and pain self-efficacy in patients with breast cancer

authors:

avatar Mohammad-Rasul Mozafari-Motlagh 1 , avatar Hamid Nejat 2 , * , avatar Hasan Tozandehjani 1 , avatar Ali-Akbar Samari 3

Department of Psychology, Neyshabur Branch, Islamic Azad University, Neyshabur, Iran
Department of Psychology, Quchan Branch, Islamic Azad University, Quchan, Iran
Department of Psychology, Kashmar Branch, Islamic Azad University, Kashmar, Iran
Journal of Nursing and Midwifery Sciences: Vol.6, issue 2; 51-56
published online: May 31, 2019
article type: Research Article
received: December 20, 2018
accepted: January 27, 2019
DOI: https://doi.org/10.4103/jnms.jnms_60_18

how to cite: Mozafari-Motlagh M, Nejat H, Tozandehjani H, Samari A. Effect of cognitive behavior therapy integrated with mindfulness on perceived pain and pain self-efficacy in patients with breast cancer. J Nurs Midwifery Sci. 2019;6(2):e141124. https://doi.org/10.4103/jnms.jnms_60_18.

Abstract

Context: Cancer pain in a complicated situation for patients with breast cancer. Researchers suggested to use complementary and alternative method in order to reduction pain and side effects in these patients.
Aims: This study was aimed to investigate the effectiveness of mindfulness integrated with cognitive behavioral therapy (MiCBT) on perceived pain and pain self-efficacy in patients with breast cancer.
Settings and Design: In this clinical trial study, a semi-experimental method was used. Patients with breast cancer were recurred from cancer clinic of a hospital of Mashhad University of Medical Sciences.
Material and Methods: Twenty-four patients with breast cancer selected through purposive sampling method and randomly assigned with permutation blocks in two groups of intervention (n = 12) and control (n = 12). The groups were assessed by demographic questionnaire, Perceived Pain Scale, and Pain Self-efficacy Scale before, immediate, and 1 month after the intervention. Participants in the interventional group received MiCBT for 8 weeks.
Statistical Analysis Used: Data were analyzed using descriptive methods and multivariate analysis of covariance.
Results: The results showed that the interventional group had a significant decrease in perceived pain (P > 0.05). The pain self-efficacy of patients significantly increased in comparison to the control group in posttest and follow-up stage (P < 0.05).
Conclusion: According to the results, it can be concluded that using integrated therapy with mindfulness has been effective in reducing pain and enhancing pain self-efficacy in breast cancer patients. Therefore, it can be an adequate complementary therapy for patients with breast cancer.

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