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Current Women`s Health Reviews


ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

Clinical Trial

Investigating the Effect of Cognitive-behavioral Stress Management on Occupational Performance among Women with Breast Cancer

Author(s): Arezoo Shayan, Mansoureh Refaei and Farkhondeh Jamshidi*

Volume 16, Issue 2, 2020

Page: [152 - 159] Pages: 8

DOI: 10.2174/1573404816666191220095123

Price: $65


Background: Treatment of breast cancer can be accompanied by long-term consequences affecting women’s participation in many tasks.

Objective: This study aimed to assess the effect of cognitive behavioral stress management (CBSM) program on occupational performance of women with breast cancer.

Methods: In this randomized clinical trial, conducted between Feb 3 and Oct 26, 2016, 104 women with breast cancer who had referred to Imam Khomeini clinic in Hamadan, and who fulfilled the inclusion criteria (20-60 years old, married, suffering from grade 1-3 breast cancer with a history of recent surgery) were enrolled. They were randomly divided into two groups of 52 using a permuted block size of four. The intervention group took part in four 60-minute sessions of CBSM over four weeks. The study data were collected using a demographic information form and the Canadian Occupational Performance Measure. The statistical analyst was masked to intervention allocation. The data were analyzed using descriptive statistics, paired t-test, and repeated measures ANOVA.

Results: A significant difference was observed between the two groups regarding the mean scores of occupational performance (p=0.02) and satisfaction (p=0.005) after the intervention. Each variable was measured at three time points (before the intervention, immediately and 2 weeks after intervention). A significant difference was observed in the two groups’ mean scores of performance (p=0.026) and satisfaction (p=0.01), irrespective of the time of assessment.

Conclusion: The CBSM program promoted the occupational performance immediately and two weeks after the intervention in women with breast cancer. This technique can be used as a complementary method alongside medical therapies in oncology centers.

Keywords: Cognitive behavioral stress management, occupational performance, Breast cancer, functional health, lower survival, clinical trial.

Graphical Abstract
Siegel RL, Miller KD, Jemal A. Cancer statistics, 2018. CA Cancer J Clin 2018; 68(1): 7-30.
[] [PMID: 29313949]
Farhood B, Geraily G, Alizadeh A. Incidence and mortality of various cancers in Iran and compare to other countries: A review article. Iran J Public Health 2018; 47(3): 309-16.
[PMID: 29845017]
Asgarian F, Mirzaei M, Asgarian S, Jazayeri M. Epidemiology of breast cancer and the age distribution of patients over a period of ten years. Iran J Breast Dis 2016; 9(1): 31-6.
Svalastog AL, Donev D, Jahren Kristoffersen N, Gajović S. Concepts and definitions of health and health-related values in the knowledge landscapes of the digital society. Croat Med J 2017; 58(6): 431-5.
[] [PMID: 29308835]
Jegatheeswaran A, Jacobs ML, Caldarone CA, et al. Self-reported functional health status following interrupted aortic arch repair: A Congenital Heart Surgeons’ Society Study. J Thorac Cardiovasc Surg 2019; 157(4): 1577-1587.e10.
[] [PMID: 30770109]
Jensen RE, Potosky AL, Moinpour CM, et al. United States population-based estimates of patient-reported outcomes measurement information system symptom and functional status reference values for individuals with cancer. J Clin Oncol 2017; 35(17): 1913-20.
[] [PMID: 28426375]
Katoh Y, Ota A, Yatsuya H, et al. Functional capacity, self-rated health status, and psychosocial characteristics of employed cancer survivors in Japan. Fujian Med J 2017; 3(3): 55-61.
Egan MY, McEwen S, Sikora L, Chasen M, Fitch M, Eldred S. Rehabilitation following cancer treatment. Disabil Rehabil 2013; 35(26): 2245-58.
[] [PMID: 23488617]
Post MWM. Definitions of quality of life: what has happened and how to move on. Top Spinal Cord Inj Rehabil 2014; 20(3): 167-80.
[] [PMID: 25484563]
Braithwaite D, Satariano WA, Sternfeld B, et al. Long-term prognostic role of functional limitations among women with breast cancer. J Natl Cancer Inst 2010; 102(19): 1468-77.
[] [PMID: 20861456]
DiSipio T, Hayes S, Battistutta D, Newman B, Janda M. Patterns, correlates, and prognostic significance of quality of life following breast cancer. Psychooncology 2011; 20(10): 1084-91.
[] [PMID: 20672245]
Lyons KD, Svensborn IA, Kornblith AB, Hegel MT. A content analysis of functional recovery strategies of breast cancer survivors. OTJR (Thorofare, NJ) 2015; 35(2): 73-80.
[] [PMID: 26460469]
Beckjord EB, Reynolds KA, van Londen GJ, et al. Population-level trends in posttreatment cancer survivors’ concerns and associated receipt of care: results from the 2006 and 2010 LIVESTRONG surveys. J Psychosoc Oncol 2014; 32(2): 125-51.
[] [PMID: 24364920]
Maher C, Mendonca RJ. Impact of an activity-based program on health, quality of life, and occupational performance of women diagnosed with cancer. Am J Occup Ther 2018; 72(2): 7202205040
Rezaei M, Elyasi F, Hamzehgardeshi Z, Janbabai G, Moosazadeh M. Stress management in patients with breast cancer using a supportive approach: A systematic study. Arch Breast Cancer 2019; 0: 6-16.
Stagl JM, Lechner SC, Carver CS, et al. A randomized controlled trial of cognitive-behavioral stress management in breast cancer: survival and recurrence at 11-year follow-up. Breast Cancer Res Treat 2015; 154(2): 319-28.
[] [PMID: 26518021]
Wang AWT, Bouchard LC, Gudenkauf LM, et al. Differential psychological effects of cognitive-behavioral stress management among breast cancer patients with high and low initial cancer-specific distress. J Psychosom Res 2018; 113: 52-7.
[] [PMID: 30190048]
Jassim GA, Whitford DL, Hickey A, Carter B. Psychological interventions for women with non-metastatic breast cancer. Cochrane Database Syst Rev 2015; (5): CD008729
[] [PMID: 26017383]
Stagl JM, Bouchard LC, Lechner SC, et al. Long-term psychological benefits of cognitive-behavioral stress management for women with breast cancer: 11-year follow-up of a randomized controlled trial. Cancer 2015; 121(11): 1873-81.
[] [PMID: 25809235]
Amiel CR, Fisher HM, Carver CS, Antoni MH. The importance of stress management among postresection breast cancer patients. Future Oncol 2016; 12(24): 2771-4.
[] [PMID: 27756150]
Stagl JM, Antoni MH, Lechner SC, et al. Randomized controlled trial of cognitive behavioral stress management in breast cancer: a brief report of effects on 5-year depressive symptoms. Health Psychol 2015; 34(2): 176-80.
[] [PMID: 25068452]
Karamozian M, Baghery M, Darekordi A, Aminizadeh M. The effectiveness of cognitive-behavioral group therapy in stress management on mental health and pain coping strategies for patients with breast cancer. Iran Breast Dis 2014; 7(2): 56-66.
Şahin S, Uyanık M. The impact of occupation-based problem-solving strategies training in women with breast cancer. Health Qual Life Outcomes 2019; 17(1): 104.
[] [PMID: 31208425]
Tuntland H, Aaslund MK, Langeland E, Espehaug B, Kjeken I. Psychometric properties of the Canadian Occupational Performance Measure in home-dwelling older adults. J Multidiscip Healthc 2016; 9: 411-23.
[] [PMID: 27621647]
Petruseviciene D, Surmaitiene Deive, Baltaduoniene D, Lendraitiene E. Effect of community-based occupational therapy on health-related quality of life and engagement in meaningful activities of women with breast cancer. Occup Ther Int 2018; 2018: 6798697
[] [PMID: 29849515]
Dehghan L, Dalvand H, Pourshahbaz A. Translation of Canadian occupational performance measure and testing Persian version validity and reliability among Iranian mothers of children with cerebral palsy. J Mod Rehabil 2015; 9(4): 25-31.
Lee J, Dibble SL, Pickett M, Luce J. Chemotherapy-induced nausea/vomiting and functional status in women treated for breast cancer. Cancer Nurs 2005; 28(4): 249-55.
[] [PMID: 16046885]
World Health Organization; Early detection of cancer Available from: . [Accessed on: Oct 15, 2018]
Moghtader L, Akbari B, Minayi H. Comparison of life expectancy, emotional intelligence and depression in women with breast cancer and healthy women in Rasht. Woman Stud Family 2015; 7(28): 115-28. [Persian].
Sajadian A. Haghighat sh, Montazeri A, Kazemnejad A, Alavi A. Post diagnosis coping strategies patients with breast cancer. Iran J Breast Dis 2011; 4(3): 52-8.
Ness KK, Wall MM, Oakes JM, Robison LL, Gurney JG. Physical performance limitations and participation restrictions among cancer survivors: a population-based study. Ann Epidemiol 2006; 16(3): 197-205.
[] [PMID: 16137893]
Matthews H, Grunfeld EA, Turner A. The efficacy of interventions to improve psychosocial outcomes following surgical treatment for breast cancer: a systematic review and meta-analysis. Psychooncology 2017; 26(5): 593-607.
[] [PMID: 27333194]
Lyons KD, Erickson KS, Hegel MT. Problem-solving strategies of women undergoing chemotherapy for breast cancer. Can J Occup Ther 2012; 79(1): 33-40.
[] [PMID: 22439290]
Fors EA, Bertheussen GF, Thune I, et al. Psychosocial interventions as part of breast cancer rehabilitation programs? Results from a systematic review. Psychooncology 2011; 20(9): 909-18.
[PMID: 20821803]
Hegel MT, Lyons KD, Hull JG, et al. Feasibility study of a randomized controlled trial of a telephone-delivered problem-solving-occupational therapy intervention to reduce participation restrictions in rural breast cancer survivors undergoing chemotherapy. Psychooncology 2011; 20(10): 1092-101.
[] [PMID: 20821373]
Wojtyna E, Zycinska J, Stawiarska P. The influence of cognitive-behaviour therapy on quality of life and self-esteem in women suffering from breast cancer. Rep Pract Oncol Radiother 2007; 12(2): 109-17.
Norouzi H, Rahimian-Boogar I, Talepasand S. Effectiveness of mindfulness-based cognitive therapy on posttraumatic growth, self-management and functional disability among patients with breast cancer. Nurs Pract Today 2017; 4(4): 190-202.
Mousavi M, Akbari B. The effectiveness of cognitive –behavioral group training, on life expectancy and self-efficacy of women with breast cancer. J Appl Environ Biol Sci 2014; 4(9): 111-20.
McGregor BA, Antoni MH. Psychological intervention and health outcomes among women treated for breast cancer: a review of stress pathways and biological mediators. Brain Behav Immun 2009; 23(2): 159-66.
[] [PMID: 18778768]
Hoffman CJ, Ersser SJ, Hopkinson JB, Nicholls PG, Harrington JE, Thomas PW. Effectiveness of mindfulness-based stress reduction in mood, breast- and endocrine-related quality of life, and well-being in stage 0 to III breast cancer: a randomized, controlled trial. J Clin Oncol 2012; 30(12): 1335-42.
[] [PMID: 22430268]

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