Shayan Arezoo, Jamshidi Farkhondeh, Tahmasebiboldaji Vahid, Khani Somayeh, Babaei Maryam, Havasian Mohamad Reza, Masoumi Seyedeh Zahra
Instructor of Midwifery, Mother and child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran. Email:
Asian Pac J Cancer Prev. 2017 Oct 26;18(10):2787-2793. doi: 10.22034/APJCP.2017.18.10.2787.
Breast cancer as the most common cancer among women endangers various aspects of their sexual lives and is a major culprit regarding health impairment and low life quality. The aim of this study was to examine the effect of a stress management intervention program on sexual functioning and stress reduction in women with breast cancer. This study employed a quasi-experimental pre-test, post-test design which included follow-up checks and a control group. To this end, 104 women with breast cancer referring to Hamadan’s Mahdiyeh MRI Center at the time of data collection were conventionally selected in 2015. Using permuted blocks, they were randomly divided into experimental and control groups (n= 52), only the former receiving stress management counseling for 18 hours. Data were collected through a demographic questionnaire, the Female Sexual Function Index (FSFI) questionnaire, and Harry’s stress questionnaire, filled out by patients before and after the intervention. To analyze the data, descriptive statistics and two-way ANOVA were used. The results showed that cognitive - behavioral stress management group therapy improved total sexual functioning and its subscales. After the treatment, there was a significant difference in mean scores between the groups (p=0.01). Moreover, significant differences were observed in the mean scores for stress with improvement in the experimental group in post-test results. Cognitive - behavioral group therapy for stress management was thuis found to improve total sexual functioning and its subscales and reduce the level of stress in the experimental group after the intervention and follow-up period with an interval of two weeks. Therefore, this method can be used as a complementary therapy along with medical treatment in oncology centers.
乳腺癌是女性中最常见的癌症，危及她们性生活的各个方面，是导致健康受损和生活质量低下的主要原因。本研究的目的是检验压力管理干预计划对乳腺癌女性性功能和压力减轻的影响。本研究采用了准实验前测、后测设计，包括随访检查和一个对照组。为此，在2015年数据收集时，从哈马丹的马赫迪耶核磁共振成像中心转诊的104名乳腺癌女性被常规选取。使用排列块法，她们被随机分为实验组和对照组（n = 52），只有前者接受了18小时的压力管理咨询。数据通过人口统计学问卷、女性性功能指数（FSFI）问卷和哈里压力问卷收集，由患者在干预前后填写。为了分析数据，使用了描述性统计和双向方差分析。结果表明，认知行为压力管理团体治疗改善了总体性功能及其各个子量表。治疗后，两组之间的平均得分存在显著差异（p = 0.01）。此外，在压力平均得分方面观察到显著差异，实验组在后测结果中有改善。因此，发现认知行为团体压力管理治疗在干预和为期两周的随访期后改善了实验组的总体性功能及其各个子量表，并降低了压力水平。所以，这种方法可以作为肿瘤中心医疗治疗的辅助疗法。
