Effectiveness of Meaning-centered Group Therapy and Mindfulness based Cognitive therapy in Cognitive flexibility in Patients with Breast Cancer

Document Type : Research Paper

Authors

1 *1. Ph.D, Professor, Department of Psychology, Kharazmi University Email: moradi90. @yahoo.com (Corresponding Author)

2 Ph.D, student, Health Psychology, Kharazmi University

3 Ph.D, Associate Professor, Department of Psychology, Kharazmi University

4 MD, Assistant Professor, Department of Oncology, Tabriz University of Medical Sciences

Abstract

The present study aimed to compare effectiveness of meaning-centered group therapy with mindfulness based cognitive therapy in cognitive flexibilityamong patients with breast cancer. The research design was mixed. The study population included all patients with advanced breast cancer being treated at the Hematology and Oncology Research Center of Tabriz University of Medical Sciences. Using purposeful sampling,  24 patients were selected and were assigned in two groups of group meaning therapy  and mindfulness-based cognitive therapy (12 subjects in each group). Group psychotherapy was conducted on both groups in two hour sessions for 8 weeks. A demographic questionnaire and Cognitive Flexibility Inventory (CFI) were used for data collection. Data were analyzed by repeated measure analysis of variance method by SPSS 21 software. Both treatments had a significant effect on the cognitive flexibility in patients with breast cancer. Also, the study of the follow-up stage (after two months) showed that there was no significant difference between the post-test and the follow-up stage in the meaning centered therapy group, but this difference was significant in the mindfulness group. In addition, the groupmindfulness based cognitive therapy was more effective than meaning-centered group therapy.

Keywords


منابع
بداقی، الهه؛ مرادی، علیرضا؛ حسنی، جعفر؛ علیپور، فرشید؛ شاهسوند بغدادی، طیبه (1395). بررسی مقایسه ای کارکردهای اجرایی در زنان مبتلا به ام اس دارای اختلال افسردگی، فاقد اختلال افسردگی و زنان بهنجار. فصلنامه علمی/ پژوهشی عصب روانشناسی. سال دوم، شماره 2 ، (پیاپی 5).
پورمحمدی، سمیه و باقری، فریبرز (1394). اثربخشی آموزش ذهن آگاهی بر پردازش شناختی خودکار. مطالعات روانشناختی، 11 (3): 35-46.
تقی زاده، محمد احسان و فرمانی، اعظم. (1392). بررسی نقش انعطاف پذیری شناختی در پیش بینی نومیدی و تاب آوری در دانشجویان. فصلنامه روانشناسی شناختی، دوره 1، شماره 2: 24-35.
عسگریان، فاطمه سادات؛ میرزایی، مسعود؛ عسگریان، صدیقه سادات و جزایری، سید مهرداد (1395). بررسی اپیدمیولوژیک سرطان پستان و توزیع سنی بیماران در یک بازه ده ساله. فصلنامۀ بیماریهای پستان ایران، 9 (1): 20-26.
نجفی، مریم؛ قربانی، مریم؛ رضایی، صدیقه (1397). اثربخشی مداخله ی ذهن آگاهی مبتنی بر کاهش استرس بر عملکردهای اجرایی و انعطاف پذیری شناختی در زنان دارای خصیصه ی نوروز گرایی در شهر اصفهان. مجله روانشناسی و روان پزشکی شناخت، 5 (3): 22-37.
نصرتی، کبری؛ خسروی، زهره؛ درویزه، زهرا و خدابخش، روشنک (1388). بررسی سوگیری حافظه آشکار و ضمنی با شرایط آسان و دشوار، ادراک پیامد مخاطره آمیز در دانشجویان افسرده، مضطرب، ترکیبی، سالم دانشگاه های الزهرا و تهران. فصلنامه مطالعات روانشناختی، 5 (2): 75-114.
 
 
 
 
Akbari, M.E., Khayamzadeh, M., Khoshnevis, S.J., et al. (2008). Five and ten years’ survival in breast cancer patient’s mastectomies vs. breast conserving surgeries personal experience. Iranian Journal of Cancer Prevention, 1(2), 53-56.
Brefczynski-Lewis, J., Lutz, A., Schaefer, H., et al . (2007). Neural correlates of attentional expertise in long-term meditation practioners. Proc Natl Acad Sci USA:104,11483-88.
Breitbart, W. (2002). Spirituality and meaning in supportive care: Spirituality-and meaning-   centered group psychotherapy interventions in advanced cancer. Support Care Cancer. 10(4):272-280.
Breitbart, W. (2017). (Ed.). Meaning-centered psychotherapy in the cancer setting: Finding Meaning and Hope in the Face of Suffering. New York, NY: Oxford University Press.
Breitbart, W., Heller, K.S. (2003). Reframing hope: meaning-centered care for patients near the end of life. J Palliat Med.6:979-988.
Breitbart, W., Applebaum, A. (2011). Meaning-Centered Group Psychotherapy, In. Handbook of Psychotherapy in Cancer Care (Eds. M. Watson & D. Kissane), Wiley-Blackwell, pp, 149-157.
Breitbart, W., Rosenfeld, B., Pessin, H., et al.(2000). Depression, hopelessness, and desire for hastened death in terminally ill cancer patients. J Am Med Assoc, 284,2907–2911.
Castellon, S.A., Ganz, P.A., Bower, J.E., et al.(2004).Neurocognitive performance in breast cancer survivors exposed to adjuvant chemotherapy and tamoxifen. J Clin Exp Neuropsychol, 26:955-69.
De Battista, C. (2005). Executive dysfunction in major depressive disorder. J, Neurotherapeutics .5(1), 79-8.
Dennis, J.P., Vander Wal, J.S. (2010). The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cog Therap Res, 34(3):241-53.
Dunkin, J.J., Leuchter, A.F., Cook, I.A., et al. (2000). Executive dysfunction predicts nonresponse to fluoxetine in major depression. J Affect Disord, 60:13-23.
Greenstein, M., Breitbart, W. (2000). Cancer and the experience of meaning: a group psychotherap       program for people with cancer. Am J Psychotherapy, 54,486–500.
Gurevich, M., Devins, G. M., Rodin, G. M. (2002). Stress response syndromes and cancer: Conceptual and assessment issues. Psychosomatics, 43, 259–281.
Halliga, P.w.; kischka, U. & Marshal, J.C. (2003)."Handbook of clinical neuropsychology (PP.302-318) ". New Youk: Oxford University Press Inc.
Hammen, C. (2005). Stress and depression. Annu. Rev. Clin. Psychol. 1, 293–319.
Hong, D., Scaletta Kent, J., Kesler, S. (2009). Cognitive profile of Turner syndrome. Dev Disabil Res        Rev, 15:270-8.
Hanna - Pladdy, B. (2007). Dysexecutive syndromes in neurologic disease. J Neurol Phys Ther ,31:119-127.
Jemal, A., Bray, F., Center, M. M., et al. (2011). Global cancer statistics. CACancer J Clin ,61(2), 69-90.
Kesler.S.R., Kent.J.S., O’Hara.R.(2011). Prefrontal cortex and executive function impairments in primary breast cancer. Arch Neurol, 68:1447-53.
Koster, E. H., Hoorelbeke, K., Onraedt, T.,  et al. (2017).Cognitive control interventions for depression: a systematic review of findings from training studies. Clin Psychol. Rev. 53, 79–92.
Lazar, S.W., Kerr, C.E., Wasserman, R.H., et al. (2005). Meditation experience is associated with increased cortical thickness. Neuroreport .16: 1893-97.
Lo, C., Zimmermann, C., Gagliese, L., et al .(2011). Sources of spiritual well-being in advanced cancer. BMJ Support Palliat Care ,1,149–53.
Lupien, S. J., McEwen, B. S., Gunnar, M. R., and Heim, C. (2009). Effects of stress throughout the lifespan on the brain, behaviour and cognition. Nature Rev. Neurosci. 10:434.
Mahdavi, A., Aghaei, M., Aminnasab, V., et al. (2017). The Effectiveness of Acceptance-Commitment Therapy (ACT) on Perceived Stress, Symptoms of Depression, and Marital Satisfaction in Women with Breast Cancer. Archives of Breast Cancer, 4(1),16-23.
Montross-Thomas, L.P. Meier, E.A., Irwin, S.A .(2014). Meaning-Centered Psychotherapy: A Form of Psychotherapy for Patients With Cancer. Curr Psychiatry Rep, 16(10), 488.
Segal, Z.V., Williams, J.M.G., Teasdale, J.D. (2002). Mindfulness-Based Cognitive Therapy for Depression – A New Approach to Preventing Relapse. Guilford Press, New York.
Slagter, H., Lutz, A., Greischar, L.L., et al. (2007). Mental training affects distribution of limited brain resources. Public Libr Sci Biol;5,1228-35.
So, K., Orme-Johnson, D. (2001). Three randomized experiments on the longitudinal effects of the transcendental meditation technique on cognition. Intelligence. 29:419-40.
So, W.K., Marsh, G., Ling, W.M., Leung, F.Y., et al. (2009). The symptom cluster of fatigue, pain, anxiety, and depression and the effect on the quality of life of women receiving treatment for breast cancer: a multicenter study. Oncol Nurs Forum, 36(4), E205-214.
Spiegel, D., Morrow, G.R., Classen, C. et al. (2000).Group psychotherapy for recently diagnosed breast cancer patients:a multicenter feasibility study. Psycho-Oncology, 8 (6),482–493.
Spiegel, D., Riba, M.B. (2015). Managing anxiety and depression during treatment. Breast J, 21(1), 97-103.
Stilley, C.S., Bender, C.M., Dunbar-Jacob, J., et al. (2010). The impact of cognitive function on medication management: three studies. Health Psychol, 29:50-5.
Tarter, R.E., Kirisci, L., Reynolds, M., et al. (2004). Neurobehavior disinhibition in childhood predicts suicide potential and substance use disorder by young adulthood. Drug Alcohol Depend, 76(suppl): 45-52.
Van der Stigchel, S., Imants, P., and Ridderinkhof, K. R. (2011). Positive affect increases cognitive control in the antisaccade task. Brain Cogn. 75, 177–181.
Wang, Y., Chen, J., Yue, Z. (2017). Positive emotion facilitates cognitive flexibility: An FMRI Study. Frontiers in Psychology. 8,1832.
Wefel, J.S, Kayl, A.E, Meyers, C.A. (2004). Neuropsychological dysfunction associated with cancer and cancer therapies: A conceptual review of an emerging target. Br J Cancer. 90:1691-6.
Wefel, J.S., Schagen, S.B. (2012). Chemotherapy-related cognitive dysfunction. Curr Neurol Neurosci Rep. 12:267-75.
Yamada. T.H., Denburg. N.L., Beglinger. L.J., et al. (2010). Neuropsychological outcomes of older breast cancer survivors: cognitive features ten or more years after chemotherapy. J Neuropsychiatry Clin Neurosci, 22:48-54.