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Comparison of effectiveness of the metacognition treatment and the mindfulness-based stress reduction treatment on global and specific life quality of women with breast cancer.

Rahmani S, Talepasand S, Ghanbary-Motlagh A - Iran J Cancer Prev (2014)

Bottom Line: Data were analyzed using the multivariate repeated measurement model.The mindfulness -based stress reduction treatment excelled in functions and roles, fatigue, pain, future perspective and treatment side effects symptoms at the end of the treatment and follow-up in comparison to the metacognition treatment.Results of this research showed the mindfulness-based stress reduction treatment can be effective in improving global and specific life quality of women with breast cancer and is a selective method for improving quality of life in patients.

View Article: PubMed Central - PubMed

Affiliation: Dept. of Psychology and Educational Sciences, Semnan University, Semnan, Iran.

ABSTRACT

Background: This study is conducted to compare the metacognition treatment and the mindfulness-based stress reduction treatment on life quality of women with breast cancer.

Methods: In a quasi-experimental design, with pre-test, post-test and control group, 36 patients with diagnosis of breast cancer, among patients who referred to the Division of Oncology and Radiotherapy of Imam Hossein hospital in Tehran, were selected in accessible way and were assigned randomly to three experimental groups, the first group receiving meta-cognition treatment (n=12), the second one receiving mindfulness-based stress reduction program (n=12), and the other was the control group. Participants completed global life quality in cancer patient's questionnaire and specific quality of life in breast cancer patient's questionnaire in three stages: baseline, after intervention and two-month follow-up. Data were analyzed using the multivariate repeated measurement model.

Results: Findings showed both treatments were effective in improving global and specific quality of life in patients with breast cancer. The mindfulness -based stress reduction treatment excelled in functions and roles, fatigue, pain, future perspective and treatment side effects symptoms at the end of the treatment and follow-up in comparison to the metacognition treatment.

Conclusion: Results of this research showed the mindfulness-based stress reduction treatment can be effective in improving global and specific life quality of women with breast cancer and is a selective method for improving quality of life in patients.

No MeSH data available.


Related in: MedlinePlus

A) It shows global life quality-Social dimension; B) It shows global life quality-Fatigue dimension; C) It shows global life quality-Sleep disorder dimension; D) It shows global life quality-Pain dimension.
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f2-IJCP-07-184: A) It shows global life quality-Social dimension; B) It shows global life quality-Fatigue dimension; C) It shows global life quality-Sleep disorder dimension; D) It shows global life quality-Pain dimension.

Mentions: To examine interaction effect, post hoc tests with Bonferroni adjustment were used. Paired comparison findings are reported in table3.There is no significant difference between groups in pre-test in global life quality of functions scales in physical function. Post-test scores of physical function in metacognition program in comparison to control group ( = -10.67, p<0.05) and mindfulness-based stress reduction treatment program ( Dij=-16.67, p<0.001) was significantly lower. Thus, not only did physical function of participants in this group not improve, but also has become more deteriorated. Follow-up scores of physical function in mindfulness-based stress reduction treatment program was significantly higher than metacognition treatment ( Dij=23.33, p<0.01), but these scores did not have a significant difference in comparison to the control group (Figure 1, A). It can be concluded that the obtained difference is because of scores reduction of physical function in metacognition group participants, not because of increase in scores of this function in group receiving mindfulness-based stress reduction program. There is no significant difference between groups in pre-test in role function. Post-test and follow-up scores in role function in mindfulness-based stress reduction program were significantly higher in comparison to the control group and metacognition treatment program, but no difference was seen between metacognition treatment program and control group (Figure 1, B). So, metacognition program has had no effect on role function. Pre-test scores of control group in emotion function and mindfulness-based stress reduction treatment program were significantly lower in comparison to the metacognition treatment program. Post-test and follow-up scores of emotion function in mindfulness-based stress reduction treatment program and metacognition treatment program were significantly higher in comparison to the control group (Figure 1, C). In cognitive function, pre-test scores of control group and mindfulness-based stress reduction program were significantly higher in comparison to the metacognition treatment program. Post-test scores of cognitive function in metacognition treatment program did not have significant difference with control group. This finding suggests the effectiveness of metacognition treatment. Post-test scores in mindfulness-based stress reduction treatment program were significantly higher in comparison to the control group and it suggests the effectiveness of metacognition treatment. Follow-up scores of this function in mindfulness-based stress reduction treatment program were significantly higher in comparison to the metacognition treatment program and control group. No difference was seen between follow-up scores of metacognition treatment and control group (Figure 1, D). This finding suggests that follow-up scores in mindfulness-based stress reduction treatment program and metacognition treatment are stable enough. There is no significant difference between groups in pre-test in social function. Post-test scores of social function in mindfulness-based stress reduction treatment program and metacognition treatment program were significantly higher in comparison to the control group. Follow-up scores of social function in mindfulness-based stress reduction treatment program were significantly higher in comparison to the control group and metacognition treatment program (Figure 2, A). This finding suggests that scores have more stability in mindfulness-based stress reduction treatment program in comparison to the metacognition treatment program. There is no significant difference between groups in global life quality in symptoms scale and in fatigue symptoms. Post-test and follow-up scores of fatigue symptoms in mindfulness-based stress reduction treatment program were significantly lower in comparison to the metacognition treatment program and control group (Figure 2, B). This finding means that metacognition program has no effect on fatigue symptoms. In global life quality of symptoms scale, pre-test scores of sleep disorder in metacognition treatment program were significantly higher in comparison to the mindfulness-based stress reduction treatment program and control group. Post-test scores of sleep disorder symptoms in mindfulness-based stress reduction treatment program were significantly lower in comparison to the metacognition treatment program and control group. There was no significant difference in post-test scores of sleep disorder symptoms in metacognition treatment program in comparison to the control group. This means that metacognition treatment program has reduced sleep disorder. Follow-up scores of sleep disorder symptoms in metacognition treatment program were significantly higher in comparison to the mindfulness-based stress reduction treatment program and control group, but there were no significant differences between follow-up scores of mindfulness-based stress reduction treatment program and control group (Figure 2, C). These findings mean that follow-up scores of sleep disorder in metacognition and mindfulness-based stress reduction treatment programs are not stable. There is no significant difference between groups in pre-test in global life quality of symptoms scale, in pain symptoms. Post-test and follow-up scores of pain symptoms in mindfulness-based stress reduction treatment program were significantly lower in comparison to the metacognition treatment program and control group (Figure 2, D). So, metacognition treatment program has no effect on pain symptoms. Pre-test scores of total life quality of global life quality in metacognition treatment program were significantly lower in comparison to the mindfulness-based stress reduction treatment program and control group. Post-test scores of total life quality were significantly lower in mindfulness-based stress reduction and metacognition treatment programs in comparison to the control group. In other words, in spite of implementation of treatment programs, total life quality of participants has not been improved. Follow-up scores of total life quality between groups did not show a significant difference, i.e. the primary difference between groups in total life quality vanished. It is especially true about metacognition treatment program that has had lower scores in pre-test in comparison to the other two groups (Figure 3, A).


Comparison of effectiveness of the metacognition treatment and the mindfulness-based stress reduction treatment on global and specific life quality of women with breast cancer.

Rahmani S, Talepasand S, Ghanbary-Motlagh A - Iran J Cancer Prev (2014)

A) It shows global life quality-Social dimension; B) It shows global life quality-Fatigue dimension; C) It shows global life quality-Sleep disorder dimension; D) It shows global life quality-Pain dimension.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4307101&req=5

f2-IJCP-07-184: A) It shows global life quality-Social dimension; B) It shows global life quality-Fatigue dimension; C) It shows global life quality-Sleep disorder dimension; D) It shows global life quality-Pain dimension.
Mentions: To examine interaction effect, post hoc tests with Bonferroni adjustment were used. Paired comparison findings are reported in table3.There is no significant difference between groups in pre-test in global life quality of functions scales in physical function. Post-test scores of physical function in metacognition program in comparison to control group ( = -10.67, p<0.05) and mindfulness-based stress reduction treatment program ( Dij=-16.67, p<0.001) was significantly lower. Thus, not only did physical function of participants in this group not improve, but also has become more deteriorated. Follow-up scores of physical function in mindfulness-based stress reduction treatment program was significantly higher than metacognition treatment ( Dij=23.33, p<0.01), but these scores did not have a significant difference in comparison to the control group (Figure 1, A). It can be concluded that the obtained difference is because of scores reduction of physical function in metacognition group participants, not because of increase in scores of this function in group receiving mindfulness-based stress reduction program. There is no significant difference between groups in pre-test in role function. Post-test and follow-up scores in role function in mindfulness-based stress reduction program were significantly higher in comparison to the control group and metacognition treatment program, but no difference was seen between metacognition treatment program and control group (Figure 1, B). So, metacognition program has had no effect on role function. Pre-test scores of control group in emotion function and mindfulness-based stress reduction treatment program were significantly lower in comparison to the metacognition treatment program. Post-test and follow-up scores of emotion function in mindfulness-based stress reduction treatment program and metacognition treatment program were significantly higher in comparison to the control group (Figure 1, C). In cognitive function, pre-test scores of control group and mindfulness-based stress reduction program were significantly higher in comparison to the metacognition treatment program. Post-test scores of cognitive function in metacognition treatment program did not have significant difference with control group. This finding suggests the effectiveness of metacognition treatment. Post-test scores in mindfulness-based stress reduction treatment program were significantly higher in comparison to the control group and it suggests the effectiveness of metacognition treatment. Follow-up scores of this function in mindfulness-based stress reduction treatment program were significantly higher in comparison to the metacognition treatment program and control group. No difference was seen between follow-up scores of metacognition treatment and control group (Figure 1, D). This finding suggests that follow-up scores in mindfulness-based stress reduction treatment program and metacognition treatment are stable enough. There is no significant difference between groups in pre-test in social function. Post-test scores of social function in mindfulness-based stress reduction treatment program and metacognition treatment program were significantly higher in comparison to the control group. Follow-up scores of social function in mindfulness-based stress reduction treatment program were significantly higher in comparison to the control group and metacognition treatment program (Figure 2, A). This finding suggests that scores have more stability in mindfulness-based stress reduction treatment program in comparison to the metacognition treatment program. There is no significant difference between groups in global life quality in symptoms scale and in fatigue symptoms. Post-test and follow-up scores of fatigue symptoms in mindfulness-based stress reduction treatment program were significantly lower in comparison to the metacognition treatment program and control group (Figure 2, B). This finding means that metacognition program has no effect on fatigue symptoms. In global life quality of symptoms scale, pre-test scores of sleep disorder in metacognition treatment program were significantly higher in comparison to the mindfulness-based stress reduction treatment program and control group. Post-test scores of sleep disorder symptoms in mindfulness-based stress reduction treatment program were significantly lower in comparison to the metacognition treatment program and control group. There was no significant difference in post-test scores of sleep disorder symptoms in metacognition treatment program in comparison to the control group. This means that metacognition treatment program has reduced sleep disorder. Follow-up scores of sleep disorder symptoms in metacognition treatment program were significantly higher in comparison to the mindfulness-based stress reduction treatment program and control group, but there were no significant differences between follow-up scores of mindfulness-based stress reduction treatment program and control group (Figure 2, C). These findings mean that follow-up scores of sleep disorder in metacognition and mindfulness-based stress reduction treatment programs are not stable. There is no significant difference between groups in pre-test in global life quality of symptoms scale, in pain symptoms. Post-test and follow-up scores of pain symptoms in mindfulness-based stress reduction treatment program were significantly lower in comparison to the metacognition treatment program and control group (Figure 2, D). So, metacognition treatment program has no effect on pain symptoms. Pre-test scores of total life quality of global life quality in metacognition treatment program were significantly lower in comparison to the mindfulness-based stress reduction treatment program and control group. Post-test scores of total life quality were significantly lower in mindfulness-based stress reduction and metacognition treatment programs in comparison to the control group. In other words, in spite of implementation of treatment programs, total life quality of participants has not been improved. Follow-up scores of total life quality between groups did not show a significant difference, i.e. the primary difference between groups in total life quality vanished. It is especially true about metacognition treatment program that has had lower scores in pre-test in comparison to the other two groups (Figure 3, A).

Bottom Line: Data were analyzed using the multivariate repeated measurement model.The mindfulness -based stress reduction treatment excelled in functions and roles, fatigue, pain, future perspective and treatment side effects symptoms at the end of the treatment and follow-up in comparison to the metacognition treatment.Results of this research showed the mindfulness-based stress reduction treatment can be effective in improving global and specific life quality of women with breast cancer and is a selective method for improving quality of life in patients.

View Article: PubMed Central - PubMed

Affiliation: Dept. of Psychology and Educational Sciences, Semnan University, Semnan, Iran.

ABSTRACT

Background: This study is conducted to compare the metacognition treatment and the mindfulness-based stress reduction treatment on life quality of women with breast cancer.

Methods: In a quasi-experimental design, with pre-test, post-test and control group, 36 patients with diagnosis of breast cancer, among patients who referred to the Division of Oncology and Radiotherapy of Imam Hossein hospital in Tehran, were selected in accessible way and were assigned randomly to three experimental groups, the first group receiving meta-cognition treatment (n=12), the second one receiving mindfulness-based stress reduction program (n=12), and the other was the control group. Participants completed global life quality in cancer patient's questionnaire and specific quality of life in breast cancer patient's questionnaire in three stages: baseline, after intervention and two-month follow-up. Data were analyzed using the multivariate repeated measurement model.

Results: Findings showed both treatments were effective in improving global and specific quality of life in patients with breast cancer. The mindfulness -based stress reduction treatment excelled in functions and roles, fatigue, pain, future perspective and treatment side effects symptoms at the end of the treatment and follow-up in comparison to the metacognition treatment.

Conclusion: Results of this research showed the mindfulness-based stress reduction treatment can be effective in improving global and specific life quality of women with breast cancer and is a selective method for improving quality of life in patients.

No MeSH data available.


Related in: MedlinePlus