Department of Psychology, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran.
Department of Psychology, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran.
Eur J Oncol Nurs. 2023 Feb;62:102268. doi: 10.1016/j.ejon.2023.102268. Epub 2023 Jan 5.
Pain experience is one of the most common symptoms of women with breast cancer receiving chemotherapy. It may cause physical and psychological problems and interfere with the treatment process.
This study aimed to examine the relationship between depression, stress, resilience and spirituality on the pain symptoms of breast cancer patients during chemotherapy and explore the potential mediating role of mindfulness in this association.
Two hundred and forty women with breast cancer receiving chemotherapy from Shiraz University Hospital, were selected and evaluated by a purposive sampling method. The research instruments were Perceived Stress Scale, Beck Depression Questionnaire-2, Mindfulness, Resilience, Spirituality and Pain Questionnaires. The obtained data was analyzed by SPSS software and MPLUS using Spearman correlation coefficient and path analysis.
Based on the findings of direct path analysis, depression, stress, and spirituality showed a significant relationship with mindfulness, but resilience had no significant relationship with mindfulness (p < 0.01). Furthermore, depression, stress, resilience, and mindfulness showed a significant relationship with pain, while spirituality had no significant relationship with pain (p < 0.01). Finally, indirect path analysis revealed mindfulness is a significant mediator of stress and pain (p < 0.05).
The present study suggested a model can be useful in better understanding of the psychological components affecting pain in breast cancer patients, after and during their treatments. It also provided an effective framework to develop and investigate pain-focused and non-pharmacological interventions.
疼痛体验是接受化疗的乳腺癌女性最常见的症状之一。它可能导致身体和心理问题，并干扰治疗过程。
本研究旨在探讨抑郁、压力、韧性和灵性与乳腺癌患者化疗期间疼痛症状的关系，并探讨正念在这种关联中的潜在中介作用。
采用目的抽样法，从设拉子大学医院选取 240 名接受化疗的乳腺癌女性进行评估。研究工具包括感知压力量表、贝克抑郁问卷-2、正念、韧性、灵性和疼痛问卷。采用 SPSS 软件和 MPLUS 软件对获得的数据进行分析，采用 Spearman 相关系数和路径分析。
基于直接路径分析的结果，抑郁、压力和灵性与正念呈显著相关，但韧性与正念无显著相关（p<0.01）。此外，抑郁、压力、韧性和正念与疼痛呈显著相关，而灵性与疼痛无显著相关（p<0.01）。最后，间接路径分析显示正念是压力和疼痛的重要中介变量（p<0.05）。
本研究提出的模型可以帮助更好地理解影响乳腺癌患者治疗后和治疗期间疼痛的心理因素。它还为开发和研究以疼痛为重点的非药物干预措施提供了一个有效的框架。
