Document Type : Original Article
Authors
- Elham Behnam-Talab 1
- Farkhondeh Amin-Shokravi 2
- Masoumeh Hashemian 3
- Mahdi Moshki 4
- Naeimeh Jafaei 5
1 M.Sc. in Health Education, Department of Health Education, School of Medicine, Tarbiat Modares University, Tehran, Iran
2 Associate Professor, Department of Health Education, School of Medicine, Tarbiat Modares University, Tehran, Iran
3 Assistant Professor, Department of Health Education, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran
4 Associate Professor, Department of Public Health Sciences, School of Health, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
5 M.Sc.in Family Counseling, Ghochan Branch, Islamic Azad University, Ghochan, Iran
Abstract
Background & Aims: Breast cancer is the most prevalent cancer and the leading cause of death due to cancer in woman. The presence of a breast cancer patient in the family not only increases the risk of this cancer among family members, but can also increase their stress level. Moreover, increased stress level can be proposed as a trigger for breast cancer. The aim of the present study was to evaluate the effect of stress management group counseling on stress levels of women with a family history of breast cancer.
Methods: This was a quasi-experimental study with control group. In this study, 97 women whose mothers, sisters, or daughters had breast cancer in the past 5 years were selected and randomly divided into control and experimental groups. The stress management intervention was designed in the form of group counseling and implemented in 6 sessions lasting 90 minutes. The data collection tool consisted of a 2-part questionnaire including a demographic questionnaire and the Harry’s stress questionnaire. The questionnaire was completed by both group participants before and after the intervention. Data were analyzed using independent t-test in SPSS software.
Results: Before the intervention, no significant statistical difference was observed between the two groups in terms of the mean stress score. However, after the intervention, independent t-test showed a statistically significant difference between the control and experiment groups in terms of the mean stress management score (P < 0.001)
Conclusion: Stress management group counseling is effective on the stress level of women with a family history of breast cancer. Thus, this intervention is recommended as an appropriate mental health plan in this group of women.
Keywords
- Rafiefar S, Ahmadzade Asl M, Esmaelei M, Parsinia S, Khosrobeigi MR, Ayar S, et al. Research in health promotion. Tehran, Iran: Office of communications and health Education, Health deputy Ministry health and Medical Education; 2005. [In Persian].
- Iranian Ministry of health and medical Education. Demographic and health survey. Tehran, Iran: Iranian Ministry of health and medical Education; 2002. [In Persian].
- Rastad H, Shokohi L, Dehghani S, Motamed Jahromi M. Assessment of the awareness and practice of women vis-à-vis breast self-examination in Fasa in 2011. J Fasa Univ Med Sci 2013; 3(1): 75-80. [In Persian].
- Otto SE. Oncology nursing. St. Louis: Mosby; 2001. p. 113.
- The Society. Cancer facts and figures. Atlanta, GA: American Cancer Society; 2003.
- Harirchi I, Ebrahimi M, Zamani N, Jarvandi S, Montazeri A. Breast cancer in Iran: a review of 903 case records. Public Health 2000; 114(2): 143-5.
- Hashemian M, Heidarnia AR, Amin F, Lameian M, Hasanpour K, Akaberi A. Survey of believe perceived in women with positive family history of breast cancer and its prevention methods. Iran J Obstet Gynecol Infertil 2013; 15(35): 17-24. [In Persian].
- McCredie M, Paul C, Skegg DC, Williams S. Reproductive factors and breast cancer in New Zealand. Int J Cancer 1998; 76(2): 182-8.
- Aminshokravi F, Alhani F, Kazemnejad A, Vahdaninia M. The relationship between physical activity and Womens Quality of life. Payesh Health Monit 2009; 8(4): 407-13. [In Persian].
- Ribeiro PS, Jacobsen KH, Mathers CD, Garcia-Moreno C. Priorities for women's health from the Global Burden of Disease study. Int J Gynaecol Obstet 2008; 102(1): 82-90.
- Orshan SA. Maternity, newborn, and women's health nursing: Comprehensive care across the lifespan. Philadelphia, PA: Lippincott Williams & Wilkins; 2008.
- Behzadipour S, Sepah Mansour M, Keshavarzi F, Farzad V, Naziri GH, Zamanian S. Effectiveness of stress management based on cognitive-behavioral intervention on quality of life and coping styles for female with breast cancer. Journal of Psychological Models and Methods 2013; 3(12): 29-46. [In Persian].
- Taleghani F. Review process compliance in women with Breast cancer. [PhD Thesis]. Tehran, Iran: Nursing and Midwifery School, Tehran University of Medical Science 2005. [In Persian].
- Gibson RL, Mitchell M, Higgins RE. Development and management of counseling programs and guidance services. London, UK: Macmillan; 1994.
- Shafeeabadi A. Counseling group. Tehran, Iran: Roshd Publication; 1993. [In Persian].
- Abbasian F, Najimi A, Ghasemi Gh, Afshar H, Meftagh SD. The effectiveness of the cognitive-behavioral startegies of stress management training on social adjustment of depressed women. J Research Health 2013; 3(1): 303-9.
- Bunn JY, Bosompra K, Ashikaga T, Flynn BS, Worden JK. Factors influencing intention to obtain a genetic test for colon cancer risk: a population-based study. Prev Med 2002; 34(6): 567-77.
- Alahverdipour H. Passing from traditional health education to achieving theory-based health education programs. Health Education and Health Promotion 2004; 1(3): 75-9. [In Persian].
- Sharifirad GH, Hazavehie SM, Mohebi S, Rahimi MA, Hasanzadeh A. The effect of educational programme based on Health Belief Model (HBM) on the foot care by type II diabetic patients. Iran J Endocrinol Metab 2006; 8(3): 231-9. [In Persian].
- Phipps WJ, Sands JK, Marek JF. Medical-surgical nursing: concepts & clinical practice. 6th ed. St. Louis: Mosby; 1999. p. 315-6.
- Unic I, Stalmeier PF, Peer PG, van Daal WA. A review on family history of breast cancer: screening and counseling proposals for women with familial (non-hereditary) breast cancer. Patient Educ Couns 1997; 32(1-2): 117-27.
- Ginsberg A, Price S, Ingram D, Nottage E. Life events and the risk of breast cancer: a case-control study. Eur J Cancer 1996; 32A(12): 2049-52.
- Tarkhan M. The relationship between coping strategies and self perceived stress in women at risk for breast cancer. Health Psychology 2013; 2(6): 33-47. [In Persian].
- Mohamadi R, Kashfi F, Nikofar AR, Hoseini F. Risk factors of breast cancer. Iran J Nurs 2001; 13(26): 23-30. [In Persian].
- Bolhahi J, Fati L, Kazemzadeh M, Motabi F, Baroti E. Stress management. Tehran, Iran: Danjeh Publication; 2008. [In Persian].
- Antoni M, Schneiderman N, Ironson G. A practical guide to stress management. Trans. Neshatdost HT, Almohamad J, Jookar S. Isfahan, Iran: Jahad Daneshgahi Publication; 2010. [In Persian].
- Azmonyar. Hari`s stress inventory [Online]. [cited 2009 Nov]; Available from: URL: http://www.azmonyar.blogfa.com/post-486.aspx [In Persian].
- Hillemeier MM, Downs DS, Feinberg ME, Weisman CS, Chuang CH, Parrott R, et al. Improving women's preconceptional health: findings from a randomized trial of the Strong Healthy Women intervention in the Central Pennsylvania women's health study. Women Health Issues 2008; 18(6 Suppl): S87-S96.
- AliGhol M , ShojaeiZadeh D , Gholestan B. The effect of stress management education on job stress in Ghom city health and medical centers.3th National Congress on Health Education &Promotion .Hamadan.2008:171. (Persian
- Heydari F, Mohamadkhan S, Vanaki Z, Kazemnejad A. Review effect design program health promotion the stress management middle-aged women. Iran J Nurs Res 2011; 6(22): 16-23. [In Persian].
- Moeini B, Hazavehei SM, Hosseini Z, Aghamolaei T, Moghim Beigi A. The impact of cognitive-behavioral stress management training program on job stress in hospital nurses: applying PRECEDE model. J Res Health Sci 2011; 11(2): 114-20.
- Mohebbi S, Shahsiah M, Moshki M, Delshad A, Matlabi M. The effect of teaching courageousness based on PRECEDE model on the assertiveness of high school adolescents in Gonabad. J Research & Health 2011; 1:45-53.
- Bakhshi R. Review effect of nursing consulting in quality of life women breast cancer treated radiation in cancer institute Tehran. [MA Thesis]; Tehran, Iran: School of Nursing and Midwifery, Tehran University of Medical Sciences 2009. [In Persian].
- Bragg LS, Deiriggi P, Hursh D, Miller D, Leight V. The effect of structured training on breast self-examination search behaviors as measured using biomedical instrumentation. Nurs Res 2000; 49(5): 283-9.
- Kwok C, Cant R, Sullivan G. Factors associated with mammographic decisions of Chinese-Australian women. Health Educ Res 2005; 20(6): 739-47.
- Rutledge DN, Barsevick A, Knobf MT, Bookbinder M. Breast cancer detection: knowledge, attitudes, and behaviors of women from Pennsylvania. Oncol Nurs Forum 2001; 28(6): 1032-40.
- Bailey EJ, Erwin DO, Belin P. Using cultural beliefs and patterns to improve mammography utilization among African-American women: the Witness Project. J Natl Med Assoc 2000; 92(3): 136-42.
- Hatefnia E, Niknami S, Mahmoudi M, Ghofranipour F, Lamyian M. The effects of health belief model education on knowledge attitude and behavior of Tehran pharmaceutical industry employees regarding breast cancer and mammography. Behbood J 2010; 14(1): 42-53. [In Persian].
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