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

摘要

Backgrounds: The adverse e?ects of cancer or its treatment forseveral years give impact physically and psychologically. One of them iscoping response and quality of life as important health issues in breastcancer survivors. Cognitive-Behavioral Therapy (CBT) and SpiritualReligious Intervention (SRI) are known could give improvement forthose problems.Objective: This study aims to evaluate the e?ectiveness of (CBT)and spiritual-religious intervention in the improvement of copingresponses and quality of life among women surviving breast cancer.Methods: This was a semi-experimental study. Forty-fve breastcancer survivors referred to Cancer Research Center at ShahidBeheshti University of Medical Sciences in Tehran, Iran wereassigned into three groups randomly (CBT, SRI, and control group).The interventions were applied over eight sessions of cognitivebehavioral therapy or spiritual-religious intervention based on theirgroup. The participants were evaluated through the Quality of Lifequestionnaire published by European Organization for Researchand Treatment of Cancer (QLQ-30C-ver3) and Billings and MossCoping Responses Inventory (CRI). The data were analyzed by usingcovariance.Results: Both interventions for CBT and SRI group show improvementin coping response and quality of life compared with control group.However, those results are not statistically signifcantConclusion: The participants’ survival problems, motivational?uctuation, and inefcacy of classic intervention protocols seeme?ective in this result. Hence, more research to assess the e?ectivenessof psychological interventions such as CBT and spiritual-religiousintervention in this group is recommended.