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A Comparative Study of Meaning-Centered Pain Coping Skills Training and Mindfulness-Integrated Cognitive Therapy on Fear of Cancer Recurrence and Pain Management in Patients with Breast Cancer
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Mahjoubeh Pahlavani   , Tahereh Ranjbaripour , Mastooreh Sedaghat * , Sheida Sodagar , Fatemeh Mohammadi Shir Mahaleh |
| Tehran North Branch, Islamic Azad University, Tehran, Iran , mastoorehsedaghat@yahoo.com |
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Abstract: (28 Views) |
Introduction: Breast cancer is recognized as the most common cancer among women worldwide, with increasing trends in both incidence and survival rates. The present study aimed to compare the effects of meaning-centered pain coping skills training and mindfulness-integrated cognitive therapy on fear of cancer recurrence and pain management in patients with breast cancer.
Methods: This study employed a quasi-experimental, multi-group pretest–posttest design with a control group and a two-month follow-up. The statistical population consisted of women aged 25 to 50 years diagnosed with breast cancer who were referred to hospitals in Babol during the second half of 2024. Using purposive sampling, 60 participants were selected and randomly assigned to three groups: Intervention Group 1 (meaning-centered pain coping skills training), Intervention Group 2 (mindfulness-integrated cognitive therapy), and a control group. The meaning-centered pain coping intervention was delivered in six group sessions, while the mindfulness-integrated cognitive therapy was conducted in eight group sessions. Data were collected using the Fear of Cancer Recurrence Scale and the Brief Pain Severity Scale. The data were analyzed using mixed-design analysis of variance (ANOVA) and Bonferroni post hoc tests in SPSS version 27.
Results: The analysis of the data demonstrated that meaning-centered pain coping skills training and mindfulness-integrated cognitive therapy had a statistically significant effect on reducing fear of cancer recurrence and pain severity in patients with breast cancer at post-test and at the two-month follow-up. Furthermore, the results of the Bonferroni post hoc test indicated that participants in the meaning-centered pain coping skills group reported lower mean scores in fear of recurrence and pain management compared to those in the mindfulness-integrated cognitive therapy group after the intervention. This difference remained statistically significant at the follow-up stage, indicating the continuity and durability of the intervention effects over time (P < 0.001).
Conclusion: Overall, the findings suggest that both meaning-centered pain coping skills training and mindfulness-integrated cognitive therapy significantly reduce fear of recurrence and pain severity in patients with breast cancer. Therefore, healthcare professionals, researchers, nurses, and other therapists may consider incorporating these interventions, alongside medical treatments and nursing care, to promote patients’ psychological well-being. |
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| Keywords: Fear of recurrence, Cognitive therapy, Breast cancer, Mindfulness, Pain management, Nursing care, Meaning-centered pain coping. |
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Full-Text [PDF 380 kb]
(18 Downloads)
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Type of Study: Psychiatric and Mental Health Nursing |
Subject:
behavioral sciences
Received: 2026/01/29 | Accepted: 2026/02/22 | Published: 2026/03/30
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