The Effectiveness of Cognitive-Behavioral Stress Management Training on Pain Self-Efficacy in Women with Breast Cancer: A Short Report
Background and purpose: Breast cancer is one of the most common cancers among women and is frequently associated with chronic pain and psychological problems. A reduction in pain self-efficacy among these patients can negatively affect their quality of life. This study aimed to investigate the effec...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Mazandaran University of Medical Sciences
2025-07-01
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| Series: | Journal of Mazandaran University of Medical Sciences |
| Subjects: | |
| Online Access: | http://jmums.mazums.ac.ir/article-1-21453-en.pdf |
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| Summary: | Background and purpose: Breast cancer is one of the most common cancers among women and is frequently associated with chronic pain and psychological problems. A reduction in pain self-efficacy among these patients can negatively affect their quality of life. This study aimed to investigate the effectiveness of cognitive-behavioral stress management training on pain self-efficacy in women with breast cancer.
Materials and methods: This study was a randomized clinical trial with a pretest–posttest design and a one-month follow-up, conducted in Sari during the summer of 2023.Thirty women aged 30 to 50 years with stage I or II breast cancer were selected through available sampling and randomly assigned to intervention and control groups. The research instrument was the Nicholas Pain Self-Efficacy Questionnaire (1989), with a reported Cronbach's alpha of 0.92 and confirmed validity in Iran. The intervention group participated in 10 sessions of 120-minute stress management training. Finally, data from 25 participants (12 in the experimental group and 13 in the control group) were analyzed using mixed analysis of variance with repeated measures.
Results: The mean pain self-efficacy scores in the intervention group increased from 22.3 ± 9.3 in the pre-test to 64.75 ± 10.8 in the post-test, representing a significant increase (p < 0.001) that remained stable at the one-month follow-up. No significant change was observed in the control group (P > 0.05).
Conclusion: The results showed that stress management training using a cognitive-behavioral approach can lead to a sustained increase in pain self-efficacy in patients with breast cancer. It is recommended that this method be used as a complementary treatment in cancer centers.
(Clinical Trials Registry Number: IRCT20240712062397N1) |
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| ISSN: | 1735-9260 1735-9279 |