Comparing the Effectiveness of Mindfulness Training and Self-Care Training on Sexual Self-Esteem in Women with Breast Cancer

Document Type : Research Paper

Authors

1 PhD Student, Department of Psychology, UAE.C., Islamic Azad University, Dubai, United Arab Emirates

2 Department of Psychology, Ka.C., Islamic Azad University, Karaj, Iran

3 Department of Medical Oncology, Iran University of Medical Sciences, Tehran, Iran

4 Department of Psychology, Allameh University, Tehran, Iran

Abstract

The aim of this study was to compare the efficacy of mindfulness training and self-care training on sexual self-esteem in women with breast cancer. The research method was quasi-experimental with a pre-test, post-test, two-month follow-up, and a control group. The statistical population consisted of all patients (aged 30–50) suffering from breast cancer who applied to the "Firoozgar Hospital" cancer research center located in Tehran City in 2022 and underwent mastectomy surgery. The sampling method was purposive. Forty-five available patients were selected (15 in each experimental group) and randomly assigned to experimental group 1 (mindfulness training) and experimental group 2 (self-care training). Fifteen other patients were placed in the control group and did not receive any training. The Sexual Self-Esteem Scale (Zeanah & Schwarz, 1996) was administered in the pre-test, post-test, and follow-up. The training packages were the mindfulness training package (Kabat-Zinn, 2015) and the self-care training package (Clark et al., 2014). Both trainings were applied to the experimental groups (45 minutes each session) weekly, and the control group did not receive any training. The data were analyzed by mixed analysis of variance. Results showed that both mindfulness training and self-care training were equally effective in increasing sexual self-esteem in women with breast cancer (p < 0.001). The two-month follow-up confirmed these results. Using mindfulness and self-care training (especially mindfulness) can increase sexual self-esteem in women with breast cancer. Therefore, mindfulness and self-care training (especially mindfulness) are effective in raising sexual self-esteem, and it is necessary to use these methods to improve the therapy of these women with breast cancer, as these components effectively enhance the health of these patients.

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Akbari, M., & Lotfi Kashani, F. (2023). The efficacy of four-factor psychotherapy on increasing sexual assertiveness in breast cancer survivors. Health Psychology, 6(23), 57-73. [In Persian] https://hpj.journals.pnu.ac.ir/article_4261.html
Aktaş, D., & Bahar, Arzu. (2023). The Relationship Between Sexual Satisfaction and Marital Satisfaction in Women with Ovarian Cancer and Their Spouses. Cancer Nursing, 45(6), 473-480. DOI: 10.1097/NCC.0000000000001072
Alishiri, M., Tajeri, B., Kaveh, V., & Ahadi, H. (2023). Comparing efficacy mindfulness training & self-care training on body image in women with breast cancer. Journal of Psychological Science, 22(123), 557-572. [In Persian] DOI:10.52547/JPS.22.123.557
Bakhtiari, M., Eslami, M., Fesharaki, M. & Koosha, S. (2011). Effect of self care education on mental health of breast cancer women undergoing chemotherapy in cancer Institute of Tehran. Ijbd, 4(1 and 2), 42-47. [In Persian] URL: http://ijbd.ir/article-1-163-fa.html
Barandeh, M., Mehdizadeh Toorzani, Z., Babaei, M., & Sharifian, R. (2017). Effect of Self-Care on Quality of Life in Women with Breast Cancer Undergoing Chemotherapy. Nurs Midwifery J., 15(3), 199-207. [In Persian] URL: http://unmf.umsu.ac.ir/article-1- 3116-en.html
Barnard, L. K., & Curry, J. F. (2021). Self-compassion: Conceptualizations, correlates, & interventions. Review of General Psychology, 5(4), 289-303. DOI:10.1037/a0025754
ebrahimi, F., barghi irani, Z. & ali akbari, M. (2023). Comparison of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy in Reducing Mood Swings, Sleep Quality and Sexual Performance in Postmenopausal Women. Health Psychology, 11(44), 73-88. [In Persian] DOI: 10.30473/hpj.2023.59513.5289
Ehsani, A., Sohrabi Esmrood, F., Ghorban Jahromi, R. (2021). The effect of mindfulness-based stress management intervention on students' self-efficacy and optimism. RJMS, 28(8), 90-98. [In Persian] URL: http://rjms.iums.ac.ir/article-1-7169-en.html
Grantzau, T., Mellemkjær, L., & Overgaard, J. (2020). Second primary cancers after adjuvant radiotherapy in early breast cancer patients: a national population-based study under the Danish Breast Cancer Cooperative Group (DBCG). Radiotherapy and Oncology, 106(1), 9-42. DOI: 10/1016/j.radonc.2020/01/002
Harvey, I., Lenaghan, E., & Smith, J. (2018). Systematic review of multidisciplinary interventions in heart failure, Journal of Heart Failure, 91(7), 899- 906. DOI: 10.1136/hrt.2018.048389
Jaarsma, T., Halfens, R., Tan, F., Abu-Saad, H. H., Dracup, K., & Diederiks, J. (2019). Self-care and quality of life in patients with advanced heart failure: the effect of a supportive educational intervention. Heart Lung; 29(5), 319-330. DOI: 10.1067/mhl.2000.108323
Kabat-Zinn, J. (2015). Coming to our senses: Healing ourselves and the world through mindfulness. New York: Hyperion. DOI: 10.1080/ 14639947.2011.564844.
Kieviet-Stijnen, A., Visser, A., Garssen, B., & Hudig, W. (2008). Mindfulness-based stress reduction training for oncology patients: patients' appraisal and changes in well-being. Patient Educ Couns, 72(3), 436- 442. DOI: 10.1016/j.pec.2008.05.015
Lindenfeld, N., & Douglas, D. (2019). Dunbar, Statement from the American heart association state of the science: promoting self-care in persons with heart failure, A Scientific Circulation, 120(5), 1141-63. DOI: 10.1161/CIRCULATIONAHA.109.192628
Kargar, K., Vaziri, Sh., Lotfi Kashani, F., Nasri, S. M., & Shahabi Zadeh, F. (2024). Efficacy of Acceptance and Commitment Therapy on the Emotional Expression and Sexual Function in Infertile Women’s. Journal of Applied Psychological Research, 15(2), 1-16. DOI: 10.22059/JAPR.2024.344949.644309.
Markopoulos, C., Tsaroucha, A. K., Kouskos, E., Mantas, D., Antonopoulou, Z., & Karvelis, S. (2019). Impact of breast cancer surgery on the self-esteem and sexual life of female patients. J Int Med Res, 37(1), 182-8. DOI:10.1177/147323000903700122
Mehrzad, Y., Bagheri, N., & Mojtabaie, M. (2025). Structural Equation Modeling of the Psychological Distress based on Self-Compassion with the Mediating Role of Negative Body Image in Married Women with Breast Cancer. Health Psychology, 14(55), 99-116. [In Persian] DOI: 10.30473/hpj.2025.73174.6158
Sadeghi, E., Sajjadian, I., & Nadi, M. A. (2020). Comparison of the Effectiveness of Mindfulness Based Compassion and Mindfulness-Based Cognitive Therapy on Students' Dysfunctional Attitude, Self-control, and Mental Health. Positive Psychology Research, 6(1), 31-48. [In Persian] DOI: 10.22108/ppls.2020.120851.1861
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2020). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford Press. DOI:10.1037/a0035036
Smedsland, S.K., Vandraas, K. F., Bøhn, S. K., Dahl, A. A., Kiserud, C. E., Brekke, M., Falk, R. S., & Reinertsen, K. V. (2022). Sexual activity and functioning in long-term breast cancer survivors; exploring associated factors in a nationwide survey. Breast Cancer Res Treat, 193(1), 139-149. DOI: 10.1007/s10549-022-06544-0. Epub 2022 Feb 28.
Tabarzan, Sh., Hooman, F., & Bakhtiarpour, S. (2023). The Mediating Role of Sexual Satisfaction in the Relationships of Body Mass Index and Spiritual Well-being with Quality of Married Life in Women with Breast Cancer: Quality of married life in women with BC. Arch Breast Cancer;10(1), 48-56. DOI:10.32768/abc.202310148-56
World Health Organization. Cancers. Available from: http://www.who.int/uv/ faq/skincancer/ en/index1.html. 2021. https://www.who.int/health-topics/cancer
Zeanah, P. D., & Schwarz, J. C. (1996). Reliability and validity of the sexual selfesteem inventory women. Assessment, 3, 1-15. DOI:10.1177/107319119600300101