Background: Problems stemming from individuals' reactions to the diagnosis and treatment of breast cancer have various effects on the different dimensions of individuals and families' lives such as deficient attitudes, hopelessness, and suicidal thoughts. The study aim was determining the effectiveness of self-talk technique and positive empathy in reducing symptoms and modifying deficient attitudes, hopelessness, and suicidal thoughts in women with breast cancer in Tehran.
Methods: The present study was semi-experimental with a pre-test post-test design along with a control group in Tehran from 2014 to 2015. The statistical population consisted of 20 women with breast cancer who were randomly divided into two groups: experiment group (10 individuals) and control group (10 individuals). The experiment group received 12 sessions (each session=90 minutes) with educational structures of self-talk and positive empathy techniques. Data collection tools included Wizeman and Beck's deficient Attitudes Scales, Beck's Hopelessness, and Beck's Suicidal Thoughts Measurement. Data were obtained using SPSS19 software in two sections: descriptive and inferential (variance analysis with repeated measurement and Post Hoc test LSD).
Results: The interactive effect of test time and group of each dependent variable was significant. The mean difference between pre-test and post-test in measuring all three dependent variables was significant. On the other hand, the mean difference between post-test and control test was not significant in any of the dependent variables. However, the mean difference between pre-test and control test was significant in all three variables.
Conclusion: Teaching self-talk and positive empathy techniques had positive effects on reducing deficient attitudes, hopelessness, and suicidal thoughts. In addition, results proved the sustainability of intervention effects on the size of dependent variables.
Oostindjer M, Alexander J, Amdam GV, Andersen G, Bryan N S, Chen D, et al. The role of red and processed meat in colorectal cancer development: a perspective. Meat Science. 2014;97(4):583-96.
Jemal A, Siegel R, Xu J, Ward E. Cancer statistics. CA: a cancer journal for clinicians. 2010;60(5):277-300.
Siegel R L, Miller K D, Jemal A. Cancer statistics. CA: a cancer journal for clinicians. 2015;65(1):5-29.
Baquet C R, Mishra S I, Commiskey P, Ellison G L, DeShields M. Breast cancer epidemiology in blacks and whites: disparities in incidence, mortality, survival rates and histology. Journal of the National Medical Association. 2008;100(5):480-9.
Jemal A, Bray F, Center M M, Ferlay J, Ward E, Forman D. Global cancer statistics. CA: a cancer journal for clinicians. 2011;61(2):69-90.
Assi H A, Khoury K E, Dbouk H, Khalil L E, Mouhieddine T H, El Saghir N S. Epidemiology and prognosis of breast cancer in young women. Journal of thoracic disease. 2013;5(1):2-8.
Kaklamani V, Gradishar W J. Axillary node metastases with occult primary breast cancer. 2013.
Shor V, Grinstein-Cohen O, Reinshtein J, Liberman O, Delbar V. Health-related quality of life and sense of coherence among partners of women with breast cancer in Israel. European Journal of Oncology Nursing. 2015;19(1):18-22.
Nikmanesh Z, Mirabdollahi N, Emamhadi MA. Prediction of posttraumatic growth base on of spirituality and social support in patients with breast cancer. 20137;6(2):35-42.
Jadoon N A, Munir W, Shahzad M A, Choudhry Z S. Assessment of depression and anxiety in adult cancer outpatients: a cross-sectional study. BMC cancer. 2010;10(1):1.
Moreira H, Silva S, Marques A, Canavarro M C. The Portuguese version of the Body Image Scale (BIS)–psychometric properties in a sample of breast cancer patients. European journal of oncology nursing. 2010;14(2):111-8.
Schover L R, Van Der Kaaij M, van Dorst, E, Creutzberg C, Huyghe E, Kiserud C E. Sexual dysfunction and infertility as late effects of cancer treatment. European Journal of Cancer Supplements. 2014;12(1):41-53.
Moreira H, Canavarro M C. A longitudinal study about the body image and psychosocial adjustment of breast cancer patients during the course of the disease. European Journal of Oncology Nursing. 2010;14(4):263-70.
Fafouti M, Paparrigopoulos T, Zervas Y, Rabavilas A, Malamos N, Liappas I, Tzavara C. Depression, anxiety and general psychopathology in breast cancer patients: a cross-sectional control study. In Vivo. 2010;24(5):803-10.
Brumand A, Asghari Moghadam MA, Shaeeri MR, Mesgarian F. Examination of the mediating role of pain intensification in the relationship between pain intensity and suicidal thoughts in patients with chronic diseases. Two scientific-research quarterlies in Shahed University. 2013;21(10):17-28.
Maris R, Berman A, Silverman M M. The theoretical component in suicidology. Comprehensive textbook of suicidology. 2000;26-61.
Tang N K, Crane C. Suicidality in chronic pain: a review of the prevalence, risk factors and psychological links. Psychological medicine. 20006;36(05):575-86.
Edwards R R, Smith M T, Kudel I, Haythornthwaite J. Pain-related catastrophizing as a risk factor for suicidal ideation in chronic pain. Pain. 2006;126(1):272-9.
Borumand, A. Examination of the simple and multifold relationship of anger, self-efficacy, and pain intensification with suicidal thoughts in Iranian samples with chronicle pain. MA thesis. Tehran: Shahed University. 2010.
Calati R, Bakhiyi C L, Artero S, Ilgen M, Courtet P. The impact of physical pain on suicidal thoughts and behaviors: meta-analyses. Journal of psychiatric research. 2015;71:16-32.
Stefanello S, Marín-Léon L, Fernandes P T, Min L L, Botega N J. Suicidal thoughts in epilepsy: a community-based study in Brazil.Epilepsy & Behavior. 2010;17(4):483-8.
MacLeod A K, Tata P, Tyrer P, Schmidt U, Davidson K, Thompson S. Hopelessness and positive and negative future thinking in parasuicide. British Journal of Clinical Psychology. 2005;44(4):495-504.
Williams J M G, Pollock L R. Psychological aspects of the suicidal process In K. van Heeringen. Understanding suicidal Behaviour. 2001;76-93.
Beck A T, Steer R A, Ranieri W F. Scale for suicide ideation: Psychometric properties of a self‐report version. Journal of clinical psychology. 1988;44(4):499-505.
Rigel D S. Cutaneous ultraviolet exposure and its relationship to the development of skin cancer. Journal of the American Academy of Dermatology. 2008;58(5):129-32.
Heravi K, Pourdehghan M, Jadid Milani M, Forutan SK, Ayeen F. Examination of the effect of group consultation on sexual quality in patients with breast cancer receiving chemotherapy in Tehran's Imam Khomeini hospital. Mazandaran medical sciences magazine. 2006;54:43-51.
Ho S S, So W K, Leung D Y, Lai E T, Chan C W. Anxiety, depression and quality of life in Chinese women with breast cancer during and after treatment: A comparative evaluation. European Journal of Oncology Nursing. 2013;17(6):877-82.
Zou Z, Hu J, McCoy T P. Quality of life among women with breast cancer living in Wuhan, China. International Journal of Nursing Sciences. 2014;1(1):79-88.
Biegler K A, Alejandro Chaoul M, Cohen L. Cancer, cognitive impairment, and meditation. Acta Oncologica. 2009;48(1):18-26.
Kovačič T, Kovačič M. Impact of relaxation training according to Yoga In Daily Life® system on self-esteem after breast cancer surgery. The Journal of Alternative and Complementary Medicine. 2011;17(12):1157-64.
Calvete E, Cardeñoso O. Self-talk in adolescents: Dimensions, states of mind, and psychological maladjustment. Cognitive Therapy and Research. 2002;26(4):473-85.
Mikenbam D. Teaching how to become immune to stress. Translation: Sirus Mobini. Tehran: Growth. 2007.
Hardy J, Hall C R, Gibbs C, Greenslade C. Self-talk and gross motor skill performance: An experimental approach. Athletic insight. 2005;7(2).
Calvete E, Connor-Smith J K. Automatic thoughts and psychological symptoms: A cross-cultural comparison of American and Spanish students. Cognitive Therapy and Research. 2005;29(2):201-7.
Dodge C S, Hope D A, Heimberg R G, Becker R E. Evaluation of the Social Interaction Self-Statement Test with a social phobic population. Cognitive Therapy and Research. 1988;12(2):211-22.
Hardy J, Hall C R, Hardy L. A note on athletes' use of self-talk. Journal of Applied Sport Psychology 2004;16(3):251-7.
Ingram R E, Slater M A, Atkinson J H, Scott W. Positive automatic cognition in major affective disorder. Psychological Assessment: A Journal of Consulting and Clinical Psychology. 2009;2(2):209.
Breitbart W, Rosenfeld B, Gibson C, Pessin, H, Poppito S, Nelson C, et al. Meaning‐centered group psychotherapy for patients with advanced cancer: a pilot randomized controlled trial. Psycho‐Oncology. 2010;19(1):21-8.
Russman M. Mind visualization. Translation: F=Gharacheh Daghi, Mahdi. Teehran: Naghsh and Negar. 2009.
Ganis TG. Mental imagery. Encholopedia of human Behavior (sicond Edition). 2012;2(6).601-7.
Mann E, Smith M J, Hellier J, Balabanovic J. A, Hamed H, Grunfeld E A, Hunter M S. Cognitive behavioural treatment for women who have menopausal symptoms after breast cancer treatment (MENOS 1): a randomised controlled trial. The lancet oncology. 2012;13(3):309-18.
Shariatmadari A. Psychology preface. Tehran: Mashal. 1987.
Fekri K., Shafeie Abadi A, Sanayi Zaker B, Harirchi I. Effect of navigated mind visualization method on anxiety and life expectancy in women with breast cancer; Science and research in psychology. 2007;31:1-16.
Darvishi H. Examination of the use of mind visualization and relaxation on reducing anxiety, depression, and on increasing life expectancy in women with breast cancer in Golestan hospital, Ahwaz. MA thesis, Islamic Azad university of Ahwaz unit. 2009.
Beltman M W, Voshaar R C O, Speckens A E. Cognitive–behavioural therapy for depression in people with a somatic disease: Meta-analysis of randomised controlled trials. The British journal of psychiatry. 2010;197(1):11-9.
Baqutayan S M S. Managing anxiety among breast cancer’s patients. Advances Psychol Study. 2012;1(1):4-7.
Tatrow K, Montgomery G H. Cognitive behavioral therapy techniques for distress and pain in breast cancer patients: a meta-analysis. Journal of behavioral medicine. 2006;29(1):17-27.
Najafizadeh K, Ghorbani F, Hamidinia S, Emamhadi MA, et al. Holy month of Ramadan and increase in organ donation willingness. 2010;21(3):443.
Vaziri S, Kashani F L, Jamshidifar Z, Vaziri Y, Jafari M. Group counseling efficiency based on choice theory on prisoners’ responsibility increase. Procedia-Social and Behavioral Sciences. 2014;128:311-5.
Richard S. Psychotherapy and consultation theories. Translation: Meghrdad Firuzbakht. Tehran: Rasa cultural services. 2014.
Atkinson R. Hilgard psychology. Translation: Hasan Rafeie, Tehran: Arjomand. 2013.
Álvarez R H. Present and future evolution of advanced breast cancer therapy. Breast Cancer Research. 2010. 12(2):1.