Comparing the Effectiveness of Mindfulness Based Schema Therapy and Transdiagnostic Intervention on Cognitive Fusion with Illness and Posttraumatic Avoidance in Women with Breast Cancer

Background and purpose: Cancer diagnosis is a threatening and traumatic experience. Confusion caused by distressing thoughts about cancer can lead to additional suffering and, along with avoidance, can be a key factor in maintenance of traumatic reactions. The current research aimed at comparing the...

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Main Authors: Fatemeh Ghayour Kazemi, Fatemeh Shahabizadeh, Maryam Safara, Soudabeh Shahidsales, Seyed Amir Aledavood, Sareh Hosseini, Ali Taghizadeh Kermani, Elham Zarei
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2023-05-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://jmums.mazums.ac.ir/article-1-18917-en.pdf
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author Fatemeh Ghayour Kazemi
Fatemeh Shahabizadeh
Maryam Safara
Soudabeh Shahidsales
Seyed Amir Aledavood
Sareh Hosseini
Ali Taghizadeh Kermani
Elham Zarei
author_facet Fatemeh Ghayour Kazemi
Fatemeh Shahabizadeh
Maryam Safara
Soudabeh Shahidsales
Seyed Amir Aledavood
Sareh Hosseini
Ali Taghizadeh Kermani
Elham Zarei
author_sort Fatemeh Ghayour Kazemi
collection DOAJ
description Background and purpose: Cancer diagnosis is a threatening and traumatic experience. Confusion caused by distressing thoughts about cancer can lead to additional suffering and, along with avoidance, can be a key factor in maintenance of traumatic reactions. The current research aimed at comparing the effectiveness of Unified Protocol (UP) of transdiagnostic intervention and mindfulness based schema therapy (MBST) on posttraumatic avoidance (PA) and chronic illness-related cognitive fusion (CICF) in patients with breast cancer (BC). Materials and methods: A semi-experimental study with pretest-posttest design and a follow-up period of 45 days was performed. Statistical population included all female patients with BC in Mashhad, Iran 2018-2021. Cognitive Fusion Questionnaire-Chronic Illness (CFQ-CI) and Posttraumatic Avoidance Scale (PAS) were administered. Forty one patients were selected using purposive sampling and were randomly divided into two experimental groups and a control group. UP of transdiagnostic intervention and MBST were applied in intervention groups for 10 weekly sessions. The control group attended two educational sessions. Data analysis was done using multivariate covariance analysis and Bonferroni post hoc test. Results: The mean scores for CICF and PA were significantly different between the intervention groups and the control group at post-test and follow-up (P<0.001). Findings showed no significant difference between the effectiveness of UP and MBST at post-test and follow-up (P>0.05). Conclusion: MBST and UP are suggested to be applied in patients with BC to reduce their psychological problems.  (Clinical Trials Registry Number: IRCT20211012128050165N1)
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spelling doaj.art-2340d2ba1b1d4a40a099d0a2baa5c6f82023-11-21T07:41:33ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792023-05-01332205465Comparing the Effectiveness of Mindfulness Based Schema Therapy and Transdiagnostic Intervention on Cognitive Fusion with Illness and Posttraumatic Avoidance in Women with Breast CancerFatemeh Ghayour Kazemi0Fatemeh Shahabizadeh1Maryam Safara2Soudabeh Shahidsales3Seyed Amir Aledavood4Sareh Hosseini5Ali Taghizadeh Kermani6Elham Zarei7 PhD Student in Clinical Psychology, Department of Psychology, Birjand Branch, Islamic Azad university, Birjand, Iran Associate Professor, Department of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran Assistant Professor, Department of Psychology, Women Research Center, Alzahra University, Tehran, Iran Professor, Cancer Research Center, Omid Hospital, Mashhad University of Medical Sciences, Mashhad, Iran Professor, Cancer Research Center, Omid Hospital, Mashhad University of Medical Sciences, Mashhad, Iran Associate Professor, Cancer Research Center, Omid Hospital, Mashhad University of Medical Sciences, Mashhad, Iran Associate Professor, Cancer Research Center, Omid Hospital, Mashhad University of Medical Sciences, Mashhad, Iran Resident in Radiation Oncology, Department of Radiation Oncology, Mashhad University of Medical Sciences, Mashhad, Iran Background and purpose: Cancer diagnosis is a threatening and traumatic experience. Confusion caused by distressing thoughts about cancer can lead to additional suffering and, along with avoidance, can be a key factor in maintenance of traumatic reactions. The current research aimed at comparing the effectiveness of Unified Protocol (UP) of transdiagnostic intervention and mindfulness based schema therapy (MBST) on posttraumatic avoidance (PA) and chronic illness-related cognitive fusion (CICF) in patients with breast cancer (BC). Materials and methods: A semi-experimental study with pretest-posttest design and a follow-up period of 45 days was performed. Statistical population included all female patients with BC in Mashhad, Iran 2018-2021. Cognitive Fusion Questionnaire-Chronic Illness (CFQ-CI) and Posttraumatic Avoidance Scale (PAS) were administered. Forty one patients were selected using purposive sampling and were randomly divided into two experimental groups and a control group. UP of transdiagnostic intervention and MBST were applied in intervention groups for 10 weekly sessions. The control group attended two educational sessions. Data analysis was done using multivariate covariance analysis and Bonferroni post hoc test. Results: The mean scores for CICF and PA were significantly different between the intervention groups and the control group at post-test and follow-up (P<0.001). Findings showed no significant difference between the effectiveness of UP and MBST at post-test and follow-up (P>0.05). Conclusion: MBST and UP are suggested to be applied in patients with BC to reduce their psychological problems.  (Clinical Trials Registry Number: IRCT20211012128050165N1)http://jmums.mazums.ac.ir/article-1-18917-en.pdfbreast cancerpsychotherapytraumamindfulnesstransdiagnostic therapycognitive fusion
spellingShingle Fatemeh Ghayour Kazemi
Fatemeh Shahabizadeh
Maryam Safara
Soudabeh Shahidsales
Seyed Amir Aledavood
Sareh Hosseini
Ali Taghizadeh Kermani
Elham Zarei
Comparing the Effectiveness of Mindfulness Based Schema Therapy and Transdiagnostic Intervention on Cognitive Fusion with Illness and Posttraumatic Avoidance in Women with Breast Cancer
Journal of Mazandaran University of Medical Sciences
breast cancer
psychotherapy
trauma
mindfulness
transdiagnostic therapy
cognitive fusion
title Comparing the Effectiveness of Mindfulness Based Schema Therapy and Transdiagnostic Intervention on Cognitive Fusion with Illness and Posttraumatic Avoidance in Women with Breast Cancer
title_full Comparing the Effectiveness of Mindfulness Based Schema Therapy and Transdiagnostic Intervention on Cognitive Fusion with Illness and Posttraumatic Avoidance in Women with Breast Cancer
title_fullStr Comparing the Effectiveness of Mindfulness Based Schema Therapy and Transdiagnostic Intervention on Cognitive Fusion with Illness and Posttraumatic Avoidance in Women with Breast Cancer
title_full_unstemmed Comparing the Effectiveness of Mindfulness Based Schema Therapy and Transdiagnostic Intervention on Cognitive Fusion with Illness and Posttraumatic Avoidance in Women with Breast Cancer
title_short Comparing the Effectiveness of Mindfulness Based Schema Therapy and Transdiagnostic Intervention on Cognitive Fusion with Illness and Posttraumatic Avoidance in Women with Breast Cancer
title_sort comparing the effectiveness of mindfulness based schema therapy and transdiagnostic intervention on cognitive fusion with illness and posttraumatic avoidance in women with breast cancer
topic breast cancer
psychotherapy
trauma
mindfulness
transdiagnostic therapy
cognitive fusion
url http://jmums.mazums.ac.ir/article-1-18917-en.pdf
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