Skip to main content
Home
Zeitschriften
Zeitungen
Podcast
Gesundheitspolitik
Praxis
Allerlei
Jobs
Fachgebiete
Allgemeinmedizin Anästhesiologie & Intensivmedizin Apotheke Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kinder & Jugendheilkunde Neurologie & Psychiatrie Orthopädie & Unfallchirurgie Pflege Urologie Zahnmedizin
Subfächer Innere Medizin
Diabetologie Gastroenterologie Infektiologie Kardiologie Onkologie und Hämatologie Pneumologie Rheumatologie
Fortbildungen
Überblick Fortbildungen DFP-Literaturstudium-Artikel DFP-Webcast Fortbildungen DFP-Podcasts
Erweiterte Suche
Anmelden
nach oben
Wiener klinische Wochenschrift
Erschienen in:

18.07.2022 | original article

Effectiveness of mindfulness-based supportive psychotherapy on posttraumatic growth, resilience, and self-compassion in cancer patients

A pilot study

verfasst von: Fatemeh Faghani, Assistant Professor of Psychology Azadeh Choobforoushzadeh, Assistant Professor of Psychiatry Mohammad Reza Sharbafchi, Hanieh Poursheikhali

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 15-16/2022

Einloggen, um Zugang zu erhalten

Summary

Objective

The aim of this study was to investigate the effectiveness of mindfulness-based supportive psychotherapy on posttraumatic growth, resilience, and self-compassion of the cancer patients.

Methods

This quasi-experimental study was conducted as a pre-test, post-test, and follow-up inquiry with a control group. A total of 30 patients who met the inclusion criteria were selected through the convenience sampling method out of all patients referred to ALA Cancer Prevention and Control Center (MACSA) in Isfahan city, Iran. They were randomly assigned to the experimental and control groups. The experimental group received mindfulness-based supportive psychotherapy (SP) for 6 sessions of 90-min, while the control group only received treatment as usual (TAU). Finally, both groups were re-evaluated through the post-test and follow-up stages after 3 months. The research instruments included the Post-Traumatic Growth Inventory, the Connor-Davidson Resilience Scale, and Neff’s Self-Compassion Scale. Collected data were analyzed using the repeated measures analyses of variance (ANOVA).

Results

The results showed that the group supportive psychotherapy significantly increased posttraumatic growth (p < 0.05) and resilience (p < 0.05), and improved self-compassion (p < 0.05) in the experimental group over the post-test phase. At the post-intervention phase, the effect sizes were Cohen’s d = 0.72, d = 0.68, and d = 0.63 for post-traumatic growth, resilience, and self-compassion, respectively. Changes were constantly implemented in the follow-up phase as well.

Conclusion

According to the results of the present study, mindfulness-based supportive psychotherapy could be used along with usual medical treatment in order to improve post-traumatic growth, resilience, and self-compassion in cancer patients.
Vorheriger Artikel Interoceptive awareness and self-regulation contribute to psychosomatic competence as measured by a new inventory
Nächster Artikel Assessment of personality functioning in psychosomatic medicine
Literatur
1.
Laskowska A. Quality of life in cancer as a function of temperament, coping and posttraumatic stress disorder. Curr Psychol. 2021;40(2):944–52.CrossRef
2.
Seitz DCM, Besier T, Debatin KM, Grabow D, Dieluweit U, Hinz A, et al. Posttraumatic stress, depression and anxiety among adult long-term survivors of cancer in adolescence. Eur J Cancer. 2010;46(9):1596–606.PubMedCrossRef
3.
Pirl WF. Evidence report on the occurrence, assessment, and treatment of depression in cancer patients. J Natl Cancer Institute Monogr. 2004;32:32–9.CrossRef
4.
5.
Wang YH, Li JQ, Shi JF, Que JY, Liu JJ, Lappin JM, et al. Depression and anxiety in relation to cancer incidence and mortality: a systematic review and meta-analysis of cohort studies. Mol Psychiatry. 2020;25(7):1487–99.PubMedCrossRef
6.
Thornton AA, Perez MA. Posttraumatic growth in prostate cancer survivors and their partners. Psychooncology. 2006;15(4):285–96.PubMedCrossRef
7.
Danhauer SC, Case LD, Tedeschi R, Russell G, Vishnevsky T, Triplett K, et al. Predictors of posttraumatic growth in women with breast cancer. Psychooncology. 2013;22(12):2676–83.PubMedCrossRef
8.
Ben-Zur H, Cohen M, Gouzman J. Posttraumatic growth moderates the effects of posttraumatic stress symptoms on adjustment and positive affective reactions in digestive system cancer patients. Psychol Health Med. 2015;20(6):685–96.PubMedCrossRef
9.
Park CL. Overview of theoretical perspectives. In: Medical illness and positive life change: Can crisis lead to personal transformation? American Psychological Association; 2009. pp. 11–30.CrossRef
10.
Tedeschi RG, Calhoun LG. The Posttraumatic Growth Inventory: measuring the positive legacy of trauma. J Trauma Stress. 1996;9(3):455–71.PubMedCrossRef
11.
Tedeschi RG, Park CL, Calhoun LG. Posttraumatic growth : positive changes in the aftermath of crisis. 1998.CrossRef
12.
13.
Gooding HC, Milliren CE, Austin SB, Sheridan MA, McLaughlin KA. Child abuse, resting blood pressure, and blood pressure reactivity to psychosocial stress. J Pediatr Psychol. 2016;41(1):5–14.PubMedCrossRef
14.
15.
Inzlicht M, Aronson J, Good C, McKay L. A particular resiliency to threatening environments. J Exp Soc Psychol. 2006;42(3):323–36.CrossRef
16.
Werner EE. Journeys from childhood to midlife: risk, resilience, and recovery. Pediatrics. 2004;114(2):492.PubMedCrossRef
17.
Benard B. Resiliency : what we have learned. WestEd; 2004.
18.
Saeedi Z, Ghorbani N, Sarafraz M, Sharifian M. The relationship between self-compassion, self-esteem and regulation of self-conscious emotions. Res Psychol Heal. 2012;6(3):1–9.
19.
Neff K. Self-compassion: an alternative conceptualization of A healthy attitude toward oneself.Self and Identity 2010;2(2):85–101.
20.
21.
Lennon J, Hevey D, Kinsella L. Gender role conflict, emotional approach coping, self-compassion, and distress in prostate cancer patients: a model of direct and moderating effects. Psychooncology. 2018;27(8):2009–15.PubMedCrossRef
22.
Mahmoodi H. Comparison of perceived social support and self-compassion among patients with multiple sclerosis and normal people. Q J Health Psychol. 2018;7(25):21–34.
23.
Sharifi Saki S, Alipour A, AghaYousefi AR, Mohammadi MR, Ghobari Bonab B, Anbiaee R. Relationship of patience and self-compassion with depression in patients with breast cancer. Iran J Breast Dis. 2018;11(02):36–45.CrossRef
24.
Sirois FM, Hirsch JK. Self-compassion and adherence in five medical samples: the role of stress. Mindfulness (N Y). 2019;10(1):46–54.CrossRef
25.
Pinto-Gouveia J, Duarte C, Matos M, Fráguas S. The protective role of self-compassion in relation to psychopathology symptoms and quality of life in chronic and in cancer patients. Clin Psychol Psychother. 2014;21(4):311–23.PubMedCrossRef
26.
Gillanders DT, Sinclair AK, MacLean M, Jardine K. Illness cognitions, cognitive fusion, avoidance and self-compassion as predictors of distress and quality of life in a heterogeneous sample of adults, after cancer. J Context Behav Sci. 2015;4(4):300–11.CrossRef
27.
Schellekens MPJ, Karremans JC, van der Drift MA, Molema J, van den Hurk DGM, Prins JB, et al. Are mindfulness and self-compassion related to psychological distress and communication in couples facing lung cancer? A dyadic approach. Mindfulness (N Y). 2017;8(2):325–36.CrossRef
28.
Neff KD. Self-compassion, self-esteem, and well-being. Soc Personal Psychol Compass. 2011;5(1):1–12.CrossRef
29.
Przezdziecki A, Sherman KA, Baillie A, Taylor A, Foley E, Stalgis-Bilinski K. My changed body: breast cancer, body image, distress and self-compassion. Psychooncology. 2013;22(8):1872–9.PubMedCrossRef
30.
Zhu L, Yao J, Wang J, Wu L, Gao Y, Xie J, et al. The predictive role of self-compassion in cancer patients’ symptoms of depression, anxiety, and fatigue: A longitudinal study. Psychooncology. 2019;28(9):1918–25.PubMedCrossRef
31.
White CR. Cognitive behavioral therapy for chronic medical Diseases, A practical Guide to the Evaluation and Treatment. 1st ed. Tehran: Arjmand; 2010. translated by Molodi, R, Fatahi, K.
32.
Holland JC, Breitbart WS, Jacobsen PB, Loscalzo MJ, Lam W, Lazenby M. Psycho-Oncology. 4th ed. Oxford: Oxford University Press; 2021.
33.
Neisani Samani L, Hoseini A, Modares Gilani M, Niroomand S. Effect of a supportive educational program on stress in women with endometrial cancer. Iran J Nurs. 2018;30(110):11–20.CrossRef
34.
Barabadi H. Evaluation of the effectiveness of group supportive psychotherapy on reducing mental disorders in cancer patients. Master Thesis. Allameh Tabatabaei University; 2004.
35.
Mukherjee A, Mazumder K, Kaushal V, Ghoshal S. Effect of supportive psychotherapy on mental health status and quality of life of female cancer patients receiving chemotherapy for recurrent disease. Indian J Palliat Care. 2017;23(4):399–402.PubMedPubMedCentralCrossRef
36.
Melton L, Brewer B, Kolva E, Joshi T, Bunch M. Increasing access to care for young adults with cancer: results of a quality-improvement project using a novel telemedicine approach to supportive group psychotherapy. Palliat Support Care. 2017;15(2):176–80.PubMedCrossRef
37.
38.
39.
Osborn RL, Demoncada AC, Feuerstein M. Psychosocial interventions for depression, anxiety, and quality of life in cancer survivors: meta-analyses. Int J Psychiatry Med. 2006;36(1):13–34.PubMedCrossRef
40.
Poulin PA, Romanow HC, Rahbari N, Small R, Smyth CE, Hatchard T, et al. The relationship between mindfulness, pain intensity, pain catastrophizing, depression, and quality of life among cancer survivors living with chronic neuropathic pain. Support Care Cancer. 2016;24(10):4167–75.PubMedCrossRef
41.
Fish JA, Ettridge K, Sharplin GR, Hancock B, Knott VE. Mindfulness-based Cancer Stress Management: impact of a mindfulness-based programme on psychological distress and quality of life. Eur J Cancer Care. 2014;23(3):413–21.CrossRef
42.
Zhang J, Xu R, Wang B, Wang J. Effects of mindfulness-based therapy for patients with breast cancer: a systematic review and meta-analysis. Complement Ther Med. 2016;26:1–10.PubMedCrossRef
43.
44.
Carmody J, Baer RA. Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. J Behav Med. 2008;31(1):23–33.PubMedCrossRef
45.
Johns SA, Brown LF, Beck-Coon K, Talib TL, Monahan PO, Giesler RB, et al. Randomized controlled pilot trial of mindfulness-based stress reduction compared to psychoeducational support for persistently fatigued breast and colorectal cancer survivors. Support Care Cancer. 2016;24(10):4085–96.PubMedPubMedCentralCrossRef
46.
Tedeschi RG, Calhoun LG. Posttraumatic growth: conceptual foundations and empirical evidence. Psychol Inq. 2004;15(1):1–18.CrossRef
47.
Connor KM, Davidson JRT. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003;18(2):76–82.PubMedCrossRef
48.
Neff KD. The development and validation of a scale to measure self-compassion. Self Identity. 2003;2(3):223–50.CrossRef
49.
Neff KD, Pisitsungkagarn K, Hsieh YP. Self-compassion and self-Construal in the United States, Thailand, and Taiwan. J of Cross-Cultural Psychology. 2008;39(3):267–85.
50.
Kleiman K, Wenzel A. Principles of supportive psychotherapy for perinatal distress. J Obstet Gynecol Neonatal Nurs. 2017;46(6):895–903.PubMedCrossRef
51.
Nikbakhsh N, Moudi S, Amiri FM, Niazifar M, Bijani A. Depression, anxiety, and quality of life in breast cancer patients with depression receiving citalopram and supportive group psychotherapy: a six-month longitudinal study. J Maz Univ Med Sci. 2019;29(173):64–74.
52.
Tompson MC, Sugar CA, Langer DA, Asarnow JR. A randomized clinical trial comparing family-focused treatment and individual supportive therapy for depression in childhood and early adolescence. J Am Acad Child Adolesc Psychiatry. 2017;56(6):515–23.PubMedPubMedCentralCrossRef
53.
Trompetter HR, de Kleine E, Bohlmeijer ET. Why does positive mental health buffer against psychopathology? An exploratory study on self-compassion as a resilience mechanism and adaptive emotion regulation strategy. Cognit Ther Res. 2017;41(3):459–68.PubMedCrossRef
54.
55.
Omidbeygi M, Hassanabadi H, Hatami M, Vaezi AA. The effectiveness of acceptance and commitment therapy on psychological flexibility, post traumatic growth and quality of life in women with breast cancer. J Clin Psychol. 2020;12(3):47–58.
56.
57.
Khakrangin M, Eqlima M, Rafiee H. Designing and evaluating a supportive intervention protocol to increase the resilience of children with drug-using fathers. Master Thesis University of Rehabilitation Sciences and Social Health, Tehran, Iran. 2017.
58.
Hadian Hamedani K. Effectiveness of advanced cognitive-behavioral group therapy on negative perfectionism, self-criticism, and self-compassion. Master Thesis, Bu-Ali Sina University. 2018.
59.
Hochberg FH, Linggood R, Wolfson L, Baker WH, Kornblith P. Quality and duration of survival in glioblastoma multiforme. Combined surgical, radiation, and lomustine therapy. JAMA. 1979;241:1016–8.PubMedCrossRef
Metadaten
Titel
Effectiveness of mindfulness-based supportive psychotherapy on posttraumatic growth, resilience, and self-compassion in cancer patients
A pilot study
verfasst von
Fatemeh Faghani
Assistant Professor of Psychology Azadeh Choobforoushzadeh
Assistant Professor of Psychiatry Mohammad Reza Sharbafchi
Hanieh Poursheikhali
Publikationsdatum
18.07.2022
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 15-16/2022
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-022-02057-4

Weitere Artikel der Ausgabe 15-16/2022

Wiener klinische Wochenschrift 15-16/2022 Zur Ausgabe

review article

Assessment of personality functioning in psychosomatic medicine

main topic

Development of a visual tool to assess six dimensions of health and its validation in patients with endocrine disorders

mitteilungen der gesellschaft der ärzte in wien

Veranstaltungstipps

MUW researcher of the month

MUW researcher of the month

main topic

The lived body (Der Leib) as a diagnostic and therapeutic instrument in general practice

editorial

Diagnostic approaches in psychosomatic medicine