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.
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.
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

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