THE EFFECT OF ACCEPTANCE AND COMMITMENT THERAPY ON ALEXITHYMIA, RUMINATION, AND LONELINESS DURING BREAST CANCER TREATMENT
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Keywords
Acceptance and commitment therapy, alexithymia, rumination, loneliness, Breast Cancer
Abstract
This study aimed to determine the effectiveness of acceptance and commitment therapy on alexithymia, rumination, and loneliness in breast cancer patients. A quasi-experimental pre-test and post-test were conducted in 2021 with experimentation, control, and follow-up groups. This study included women with breast cancer who had been treated in public hospitals in Tehran's District 2 for at least two years and had been referred to them. To determine the effectiveness of the experiment and control groups, 30 participants were randomly selected by purposive sampling. The Toronto alexithymia scale, the Nolan, Hoxma, & Murrow (1991) rumination scale, and the Russell UCLA Loneliness Scale (1996) were used to evaluate subjects before and after the intervention. Group acceptance and commitment therapy was administered to the experimental group in eight sessions of 90 minutes once a week. The data was analyzed two months after the last treatment session using covariance analysis. Based on the analysis of covariance, it was demonstrated that alexithymia and rumination significantly differed between the experimental and control groups. However, there was no significant difference between the experimental and control groups in loneliness (P>0.05). Despite the effectiveness of acceptance and commitment therapy in treating alexithymia and rumination in women with breast cancer, this intervention could not affect the feeling of loneliness among these women
References
2. Baset, Z.; Abdul-Ghafar, J.; Parpio, Y. N.; Haidary, A. M., Risk factors of breast cancer among patients in a tertiary care hospitals in Afghanistan: a case control study. BMC cancer 2021, 21 (1), 1-9.
3. Park, H.; Kim, K., Impact of psycho-social factors on fatigue among breast cancer patients who are currently undergoing radiotherapy. International Journal of Environmental Research and Public Health 2020, 17 (17), 6092.
4. Falahati, F.; Mohammadi, M., Prediction of marital burnout based on automatic negative thoughts and alexithymia among couples. Journal of Midwifery and Reproductive Health 2020, 8 (2), 2211-2219.
5. Sifneos, P. E., Alexithymia, clinical issues, politics and crime. Psychotherapy and psychosomatics 2000, 69 (3), 113-116.
6. Ogińska-Bulik, N.; Michalska, P., The relationship between emotional processing deficits and posttraumatic stress disorder symptoms among breast cancer patients: The mediating role of rumination. Journal of clinical psychology in medical settings 2020, 27 (1), 11-21.
7. Fossa, P.; Gonzalez, N.; Cordero Di Montezemolo, F., From inner speech to mind-wandering: Developing a comprehensive model of inner mental activity trajectories. Integrative Psychological and Behavioral Science 2019, 53 (2), 298-322.
8. Taylor, T. R.; Huntley, E. D.; Makambi, K.; Sween, J.; Adams‐Campbell, L. L.; Frederick, W.; Mellman, T. A., Understanding sleep disturbances in African‐American breast cancer survivors: a pilot study. Psycho‐Oncology 2012, 21 (8), 896-902.
9. Sanchez, E.; Philbin, S. P.; Ayón, C., Y el luto sigue (and the grief continues): Latinx Immigrant's Experiences of Ambiguous Loss in the Age of Restrictive Immigration Policy. Family Relations 2021, 70 (4), 1009-1026.
10. Gray, T. F.; Azizoddin, D. R.; Nersesian, P. V., Loneliness among cancer caregivers: a narrative review. Palliative & supportive care 2020, 18 (3), 359-367.
11. Mathew, A.; Doorenbos, A. Z.; Jang, M. K.; Hershberger, P. E., Acceptance and commitment therapy in adult cancer survivors: a systematic review and conceptual model. Journal of Cancer Survivorship 2021, 15 (3), 427-451.
12. Sharifi, M.; Kakabaraei, K.; Afshariniya, K., The effectiveness of acceptance and commitment based therapy on cognitive emotion regulation in individuals with physical and motor disabilities. The Scientific Journal of Rehabilitation Medicine 2022.
13. Tanhan, A., Acceptance and commitment therapy with ecological systems theory: Addressing Muslim mental health issues and wellbeing. Journal of Positive Psychology and Wellbeing 2019, 3 (2), 197-219.
14. Hayes, S. C.; Strosahl, K.; Wilson, K. G.; Bissett, R. T.; Pistorello, J.; Toarmino, D.; Polusny, M. A.; Dykstra, T. A.; Batten, S. V.; Bergan, J., Measuring experiential avoidance: A preliminary test of a working model. The psychological record 2004, 54 (4), 553-578.
15. Mohammad Ali, B., Alexithymia and interpersonal problems. Educational and psychological studies 1388, 10th year (1), 129-.
16. Seo, S. S.; Chung, U.-S.; Rim, H. D.; Jeong, S. H., Reliability and validity of the 20-item Toronto Alexithymia Scale in Korean adolescents. Psychiatry investigation 2009, 6 (3), 173.
17. Kooiman, C.; Spinhoven, P.; Trijsburg, R., The assessment of alexithymia: a critical review of the literature and a psychometric study of the Toronto Alexithymia Scale-20. Journal of psychosomatic research 2002, 53 (6), 1083-1090.
18. Parker, J. D.; Taylor, G. J.; Bagby, R. M., The relationship between emotional intelligence and alexithymia. Personality and Individual differences 2001, 30 (1), 107-115.
19. Nolen-Hoeksema, S.; Morrow, J.; Fredrickson, B. L., Response styles and the duration of episodes of depressed mood. Journal of abnormal psychology 1993, 102 (1), 20.
20. Bagherinezhad, M.; SALEHI, F. J.; Tabatabaee, S., Relationship between rumination and depression in a sample ofiranian students. 2010.
21. Stephan, E.; Fäth, M.; Lamm, H., Loneliness as related to various personality and environmental measures: Research with the German adaptation of the UCLA Loneliness Scale. Social Behavior and Personality: an international journal 1988, 16 (2), 169-174.
22. Russell, D. W., UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. Journal of personality assessment 1996, 66 (1), 20-40.
23. Normization of the revised version of the UCLA Loneliness Scale for girls aged 12 to 18 in Tehran. 1372.
24. Feros, D. L.; Lane, L.; Ciarrochi, J.; Blackledge, J. T., Acceptance and Commitment Therapy (ACT) for improving the lives of cancer patients: a preliminary study. Psycho‐oncology 2013, 22 (2), 459-464.
25. Rost, A. D.; Wilson, K.; Buchanan, E.; Hildebrandt, M. J.; Mutch, D., Improving psychological adjustment among late-stage ovarian cancer patients: examining the role of avoidance in treatment. Cognitive and Behavioral Practice 2012, 19 (4), 508-517.
26. Alighanavati, S.; Bahrami, F.; Godarzi, K.; Rouzbahani, M., Effectiveness of compassion-based therapy on rumination and concern of women with breast cancer. Quarterly Journal of Health Psychology 2018, 7 (27), 152-168.
27. Cohen, N.; Mor, N.; Henik, A., Linking executive control and emotional response: A training procedure to reduce rumination. Clinical Psychological Science 2015, 3 (1), 15-25.
28. Chiang, K. J.; Chu, H.; Chang, H. J.; Chung, M. H.; Chen, C. H.; Chiou, H. Y.; Chou, K. R., The effects of reminiscence therapy on psychological well‐being, depression, and loneliness among the institutionalized aged. International Journal of Geriatric Psychiatry: A journal of the psychiatry of late life and allied sciences 2010, 25 (4), 380-388.
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Parisa Siyahmansuri
Department of Psychology, Faculty of Humanities, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran.
Sara hashemi
Assistant professor of health psychology, Department of clinical psychology faculty of medical sciences and technologies. science and research branch. Islamic azad university. Tehran. Iran