ORIGINAL ARTICLE

Effect of cognitive-behavioral therapy and spiritual-religious intervention on improving coping responses and quality of life among women with breast cancer in Tehran

Shahrbanoo Ghahari , Rahele Fallah, Mohammad Mazloumi Rad, Nazanin Farrokhi, Jafar Bolhari, Mehdi Mousavi, Zahra Razzaghi, Mohammad Esmaeel Akbari

Shahrbanoo Ghahari
Assistant professor of clinical psychology,1- Department of Mental Health, Center of Excellence in psychiatry, School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences (IUMS). Tehran, Iran .2- Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari.. Email: ghahhari.sh@iums.ac.ir

Rahele Fallah
Cancer Research Centre, Shahid Beheshti University of Medical Sciences

Mohammad Mazloumi Rad
MA of Clinical Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran

Nazanin Farrokhi
MA of Clinical Psychology. Islamic Azad University Roudehen Branch, Roudehen, Iran

Jafar Bolhari
Professor of psychiatry, School of Behavioral Sciences and Mental Health ,Iran University of Medical Sciences (IUMS)

Mehdi Mousavi
Cancer Research Centre, Shahid Beheshti University of Medical Sciences

Zahra Razzaghi
Cancer Research Centre, Shahid Beheshti University of Medical Sciences

Mohammad Esmaeel Akbari
MD Surgery Professor, Cancer Research Centre, Shahid Beheshti University of Medical Sciences
Online First: May 31, 2017 | Cite this Article
Ghahari, S., Fallah, R., Rad, M., Farrokhi, N., Bolhari, J., Mousavi, M., Razzaghi, Z., Akbari, M. 2017. Effect of cognitive-behavioral therapy and spiritual-religious intervention on improving coping responses and quality of life among women with breast cancer in Tehran. Bali Medical Journal 6(2): 409-414. DOI:10.15562/bmj.v6i2.581


Objective: Coping and quality of life are important health issues in breast cancer survivors. The present study aims to evaluate the effectiveness of two of the most relevant interventions including cognitive behavioral therapy (CBT) and spiritual-religious intervention in improvement of coping responses and quality of life among women surviving from breast cancer.

Methods: This was a semi-experimental study. Forty-five breast cancer survivors referred to Cancer Research Center at Shahid Beheshti University of Medical Sciences in Tehran, Iran were assigned into three groups randomly (CBT group, Spiritual- religious group, and control group). The interventions were applied over eight sessions of cognitive-behavioral therapy or spiritual-religious intervention based on their group. The participants were evaluated through the Quality of Life questionnaire published by European Organization for Research and Treatment of Cancer (QLQ-30C-ver3) andBillings and Moss CopingResponses inventory (CRI). The data were analyzed usingcovariance.

Results: Although both interventiongroupsimproved in coping and quality of life, the results were notstatisticallysignificant.

Conclusion: The participants' survival problems, motivational fluctuation, and inefficacy of classic intervention protocols seem effective in this result. Hence, more research to assess the effectiveness of psychological interventions such as CBT and spiritual-religious intervention in this group is recommended. Additional studies will help us to identify the best interventional methods to alleviate breast cancer survivors’ sufferings and promote their mental strength.
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