Volume 30, Issue 2 (Spring 2022)                   Avicenna J Nurs Midwifery Care 2022, 30(2): 90-97 | Back to browse issues page

Ethics code: IR.THUMS.REC.1398.044


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Yaghoobi H. The Relationship between Sence of Coherence and Stress, Anxiety and Depression in Women with Breast Cancer in Torbat-e Heydarieh, 2019. Avicenna J Nurs Midwifery Care 2022; 30 (2) :90-97
URL: http://nmj.umsha.ac.ir/article-1-2403-en.html
Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran , hamideh.yaghoobi@yahoo.com
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Background and Objective
Breast cancer is the most common malignancy among women, the diagnosis and treatment of which are associated with stress and anxiety. Various factors, including adaptation strategies, emotional state, and family involvement in supportive care, can reduce patients' stress and anxiety and change their quality of life. One of the less known factors in this area is the sense of coherence, which means focusing on issues that support human health. Considering that the prevalence of breast cancer is high in Iran and no study has been found to examine the relationship of the sense of coherence with stress and anxiety among women with breast cancer, this study aimed to investigate the relationship of the sense of coherence with stress and anxiety in women with breast cancer in the city of Torbat-e Heydarieh, Razavi Khorasan Province, Iran.
Materials and Methods
The present descriptive-analytical study was conducted on 210 women with breast cancer who were selected using the available sampling method. The inclusion criteria were being in the age range of 20-60 years, being diagnosed with breast cancer at least 6 months ago, lacking a history of psychiatric medication use in the last 6 months, not suffering from another concomitant chronic illness, and not being a substance abuser, which was examined through the patient's file and self-report. On the other hand, the patients who were under 20 and over 60 years old, had been diagnosed with breast cancer for less than 6 months, had a history of using psychiatric drugs, suffered from another concomitant chronic illness, and were addicted to substances were excluded from the study. The questionnaires were completed by women with cancer participating in the study and collected by the researcher. The tools employed to collect the required data consisted of the Sense of Coherence Scale (developed by Antonovsky) and Depression, Anxiety, and Stress Scale (DASS-21). The collected data were analyzed in SPSS software (version 16). A p-value of < 0.05 was considered significant.
Results
The results of Pearson correlation coefficients between the total score of sense of coherence and the subscales of DASS-12 were obtained at -0.20, -0.20, and -0.020 for depression, anxiety, and stress, which were statistically significant. Linear regression models were used to investigate the effects of the sense of coherence and demographic factors on stress, anxiety, and depression. Accordingly, the results showed that the sense of coherence was effective on the stress, anxiety, and depression variables so that a one-score increase in the sense of coherence led to a decrease in the mean scores of stress, anxiety, and depression by 0.09, 0.11, and 0.07, respectively.
Conclusion
The decreased quality of life of women with breast cancer following stress, anxiety, and depression is one of the most important problems in such patients, which is seemingly influenced by numerous factors. One of the lesser-known factors in this area is the sense of coherence, which means developing health or focusing on issues that support human health. Therefore, this study aimed to determine the relationship of the sense of coherence with stress, anxiety, and depression in women with breast cancer. The results of the study showed that the sense of coherence was effective on the variables of stress, anxiety, and depression in women with breast cancer. The results of the present study were consistent with those of a study conducted by Azarkolah et al. on 100 cancer patients in Ardabil, Iran. The results of the mentioned study indicated that the sense of coherence, positive thinking, and emotional self-disclosure were able to predict the quality of life of cancer patients. Consequently, these findings can have important implications for the prevention of psychological problems in such patients. Furthermore, the results of a study performed by Junqing Chui et al. on Chinese revealed that social support and better performance were associated with a stronger sense of coherence, compared to communication with peers. They also stated that perceived stress was negatively related to the sense of coherence. The results of the present study indicated that the sense of coherence had a relationship with stress, anxiety, and depression in women with breast cancer. Regarding this, a higher sense of coherence led to less perceived stress, anxiety, and depression in the person, which in turn would result in better adaptation to the disease and improvement in the quality of life and mental health. Therefore, it seems that supportive and psychological therapies can be effective in improving the quality of life of women with breast cancer.
Type of Study: Original Research | Subject: Nursing
Received: 2021/12/1 | Accepted: 2022/05/15 | Published: 2022/05/31

References
1. Safaeian Z, Hejazi S, Delavar E, Hoseini Azizi T, Haresabadi M. The relationship between caregiver burden, and depression, anxiety and stress in family caregivers of cancer patients referred to Imam Reza Hospital in Bojnurd City. Iran J Psych Nurs. 2017;5(3):7-14. [Persian] [DOI]
2. Abbasi A, Shamsizadeh M, Asayesh H, Rahmani H, Hosseini A, Talebi M. The relationship between caregiver burden with coping strategies in Family caregivers of cancer patients. Iran J Psych Nurs. 2013;1(3):62-71. [Persian]
3. Mohadesi H, Ayatollahi H, Hassanzade G, Yeghansanghi M. Quality of life in breast cancer patients: Study in the Omid cancer research center–Urmia. Iran J Breast Dis. 2013;5(4):35-43. [Persian]
4. Taghdisi MH, Dehdari T, Dehnabi A, Zarati M. Predictors of Adopting Preventive Nutritional Behaviors of Breast Cancer among Women Based on Social-Cognitive Theory variables. Child Care Health Dev. 2020;9(1):19-28. [Persian] [DOI]
5. Madmoli M. Evaluation of chemotherapy complications in patients with cancer: A systematic review. Int J Eng Res Technol. 2018;5(12):59-64.
6. Mardani HM, Borimnejad L, Seyedfatemi N, Tahmasebi M. Spirituality-based palliative care in cancer patients’point of view nurses: qualitative study. Med Hist. 2014;5(17):141-65. [Persian]
7. Basharpoor S, Amani S, Narimani M, Heidari F. The effectiveness of narrative exposure therapy on improving the stress physiological indexes in women with cancer. J Health Psychol. 2018;7(25):133-45. [Persian] [DOI]
8. Ataollahi M, Masoumi Z, Shayan A, Roshanaei G, Sedighi S. Comparing dimension of perceived social support and perceived stress in women with and without breast cancer referred to Mahdieh MRI Center of Hamedan in 2013. Pajouhan Sci J. 2016;14(2):62-70. [Persian]
9. Heidari M, Ghodusi M. The relationship between body esteem and hope and mental health in breast cancer patients after mastectomy. Indian J Palliat Care. 2015;21(2):198. [DOI] [PubMed]
10. Luecken LJ, Compas BE. Stress, coping, and immune function in breast cancer. Ann Behav Med. 2002;24(4):336-44. [DOI] [PubMed]
11. Animashaun G, Hansen K. Factors assisting breast cancer survivors improve quality of life: A salutogenic approach. [Bachelor’s Thesis] NOVIA University of Applied Science; 2017.
12. Rohani C, Abedi HA, Omranipour R, Langius-Eklöf A. Health-related quality of life and the predictive role of sense of coherence, spirituality and religious coping in a sample of Iranian women with breast cancer: a prospective study with comparative design. Health Qual Life Outcomes. 2015;13(1):1-14. [DOI] [PubMed]
13. Schumacher J, Wilz G, Gunzelmann T, Brähler E. The Antonovsky Sense of Coherence Scale. Test statistical evaluation of a representative population sample and construction of a brief scale. Psychother Psychosom Med Psychol. 2000;50(12):472-82. [DOI] [PubMed]
14. Antonovsky A. Unraveling the mystery of health: How people manage stress and stay well. California: Jossey-bass; 1987.
15. Rohani C, Khanjari S, Abedi HA, Oskouie F, Langius‐Eklöf A. Health index, sense of coherence scale, brief religious coping scale and spiritual perspective scale: Psychometric properties. J Adv Nurs. 2010;66(12):2796-806. [DOI]
16. Sahebi A, Asghari MJ, Salari RS. Validation of depression anxiety and stress scale (DASS-21) for an Iranian population. Dev Psychol. 2005;1(4):1-18. [Persian]
17. Narimani M. The relationship between senses of coherence, self-compassion and personal intelligence with postpartum depression in women. Iran J Nurs Res. 2016;11(1):25-33. [Persian]
18. Sadoughi M, Mehrzad V, MohammadSalehi Z. The relationship between anxiety, depression, and quality of life among breast cancer patients in Seyedoshohada Hospital in Isfahan in 2016: the mediating role of resilience. J Res Med Sci . 2017;16(5):395-408. [Persian]
19. Hiensch AE, Bolam KA, Mijwel S, May AM, Wengström Y. Sense of coherence and its relationship to participation, cancer-related fatigue, symptom burden, and quality of life in women with breast cancer participating in the OptiTrain exercise trial. Support Care Cancer. 2020;28(11):5371-9. [DOI] [PubMed]
20. Azarkolah A, Abolghasemi A, Nadrmohammadi M, Salvat H. Determine the relationship between sense of coherence, positive thinking & self-disclosure with quality of life of cancer patients. Health Psychol. 2020;8(32):7-24. [Persian] [DOI]
21. Chu JJ, Khan MH, Jahn HJ, Kraemer A. Sense of coherence and associated factors among university students in China: cross-sectional evidence. BMC Public Health. 2016;16(1):1-11. [DOI] [PubMed]
22. Valtonen M, Raiskila T, Veijola J, Läksy K, Kauhanen ML, Kiuttu J, et al. Enhancing sense of coherence via early intervention among depressed occupational health care clients. Nord J Psychiatry. 2015;69(7):515-22. [DOI] [PubMed]
23. Rohani C, Abedi HA, Sundberg K, Langius-Eklöf A. Sense of coherence as a mediator of health-related quality of life dimensions in patients with breast cancer: a longitudinal study with prospective design. Health Qual Life Outcomes. 2015;13(1):1-9. [DOI] [PubMed]
24. Asplund D, Bisgaard T, Bock D, Burcharth J, González E, Haglind E, et al. Pretreatment quality of life in patients with rectal cancer is associated with intrusive thoughts and sense of coherence. Int J Colorectal Dis. 2017;32(11):1639-47. [DOI] [PubMed]

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