Indian Journal of Fundamental and Applied Life Sciences ISSN: 2231– 6345 (Online)
An Open Access, Online International Journal Available at www.cibtech.org/sp.ed/jls/2014/04/jls.htm
2014 Vol. 4 (S4), pp. 1521-1527/Hosseinpour et al.
Research Article
© Copyright 2014 | Centre for Info Bio Technology (CIBTech) 1521
THE EFFICACY OF COGNITIVE-BEHAVIORAL STRESS
MANAGEMENT TRAINING ON DEPRESSION AND ANXIETY IN
WOMEN WITH CANCER
Amirhossein Hosseinpour
1
, *Seyed Jalal Younesi
1
, Shafigh Mehraban
1
, Seyedeh Fatemeh Mousavi
2
,
Seyed Abolfazl Mousavi
2
, Farzaneh Farmani
2
and Mohammad Rostami
3
1
Department of Counseling of University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
2
Department of Clinical Psychology, Tehran Campus University, Tehran, Iran
3
Department of Clinical Psychology, Islamic Azad University of Isfahan (Khorasegan branch)
*Author for Correspondence
ABSTRACT
This study aimed to investigate the effectiveness of cognitive-behavioral stress management on anxiety
and depression in women with breast cancer. This study was performed in quasi-experimental procedure
with pre-test and post-test and control groups. The study population included all women referring to the
Comprehensive Cancer Control Center in the Year 2012, among which 24 patients with cancer selected
by accessible sampling and were replaced into control and experimental group accidently. Instruments
used in this study were a questionnaire, Beck depression and anxiety. Multivariate analysis of variance
showed that cognitive-behavioral stress management training had a significant effect on reducing anxiety
and depression in women with cancer (anxiety (p<0/05), depression (p 05 / 0 > )). Cognitive-behavioral
stress management training for women with cancer can be taken as an effective way to improve the
psychological status of these women.
Keywords: Depression, Anxiety, Cognitive-behavioral Stress Management, Cancer
INTRODUCTION
Despite significant advances in medical science, cancer continues to be one of the major diseases of our
century and is known as the second leading cause of death after cardiovascular diseases. Now, more than
7 million people worldwide lose their lives due to cancer and it is predicted that the number of patients
annually by 2020 from 10 million will reach to 15 million (Hamza et al., 2011). Although nowadays
diagnosis of cancer is not considered as imminent death, many studies (Brothers et al., 2011) in western
countries and some Asian countries has shown that such diagnosis cause deeply emotional problems in
patients and their families. Some of the causes of these problems are the implications of this diagnosis in
mind of the patient and his family, including malformation risk, pain, financial and social losses,
dependence, disrupted family structure, death and dying process and the actual occurrence is some of
these phenomenon’s in life of patients. The most common psychiatric disorder in these patients, according
to studies, is adjustment disorder with subtypes of affective disorders, such as adjustment disorder with
anxiety, with depression, and with anxiety and depression. The second most common psychiatric
diagnosis in these patients is major depressive disorder (Brown, 2012). Other studies have shown that
these patients are suffered mostly by complains about anxiety and depression (Brothers et al., 2011).
Depression is the most common mental disorder in recent years that its rate has increased (Gilchrist and
Creed, 1994). Almost in everyone’s life there are days that the feelings of boredom, sadness, frustration,
disappointment, loneliness and dissatisfaction have been overcome that they are common experiences of
depression. These feelings and the way they perceive in the realm of normal life and in the pathological
experience field, have been associated with the concept of depression. Depression is the most common
known cause of emotional pain and suffering and cause of significant reduction in life quality in life
(Nuval, 2010). Including people who suffer from depression is people with cancer.
Anxiety is another factor that affects the lives of these patients. Studies have shown that cancer patients in
comparison with healthy individuals have higher levels of psychiatric disorders such as stress and anxiety.
A study by Basic and colleagues in Norway, over 140 cancer patients showed 19% of cancer patients