Volume 33, Issue 4 (Autumn 2025)
Avicenna J Nurs Midwifery Care 2025, 33(4): 335-347 |
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Ethics code: IR.IAU.TABRIZ.REC.1402.440
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Sharifi Rahnemo S, Fathi A, Bagheri Badelbo S, Yadegari Sorour V, Sharifi Rahnemo M. The Effectiveness of Mindfulness-based Cognitive Therapy on Life Expectancy, Tolerance of Treatment-induced Helplessness, and Psychological Well-being of Cancer Patients. Avicenna J Nurs Midwifery Care 2025; 33 (4) :335-347
URL: http://nmj.umsha.ac.ir/article-1-3280-en.html
URL: http://nmj.umsha.ac.ir/article-1-3280-en.html
Saeid Sharifi Rahnemo1 
, Ayatollah Fathi *2 , Saba Bagheri Badelbo3 , Vahid Yadegari Sorour4 , Majid Sharifi Rahnemo5
, Ayatollah Fathi *2 , Saba Bagheri Badelbo3 , Vahid Yadegari Sorour4 , Majid Sharifi Rahnemo5
1- Educational Development Center (EDC), Research Center for Health Sciences, Institute of Health Sciences and Technology, Hamadan University of Medical Sciences, Hamadan, Iran
2- Research Center for Cognitive and Behavioral Sciences in the Police, Deputy Health, Relief and Treatment, Police Command, Faraja Institute of Police Sciences and Social Studies, Tehran, Iran ,a.fathi64 @gmail.com
3- Department of Clinical Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran
4- Department of Islamic Studies, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
5- Department of Curriculum Studies, Faculty of Psychology and Educational Sciences, Allameh Tabatabaei University, Tehran, Iran
2- Research Center for Cognitive and Behavioral Sciences in the Police, Deputy Health, Relief and Treatment, Police Command, Faraja Institute of Police Sciences and Social Studies, Tehran, Iran ,
3- Department of Clinical Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran
4- Department of Islamic Studies, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
5- Department of Curriculum Studies, Faculty of Psychology and Educational Sciences, Allameh Tabatabaei University, Tehran, Iran
Abstract: (1445 Views)
Background and Objective: Leukemia is one of the most common types of cancer among patients, which can affect crucial components of life, such as life expectancy, tolerance of helplessness due to treatment, and psychological well-being of patients, leading to increased psychological stress resulting from the disease. Therefore, this study aimed to determine the effectiveness of mindfulness-based cognitive therapy (MBCT) on life expectancy, tolerance of helplessness, and psychological well-being of cancer patients.
Materials and Methods: This quasi-experimental study with a pretest-posttest design and a control group was conducted in 2024 for 2 months. The statistical population included all patients with leukemia at Shahid Mahallati Hospital, Tabriz, Iran. In total, 30 patients were selected using convenience sampling and randomly assigned to two groups: experimental (15 participants) and control (15 participants). The experimental group received mindfulness-based training through an educational package of eight 90-minute in-person sessions, whereas the control group received no intervention. Data were collected with Schneider and Peterson's Hope Questionnaire, Riff's Psychological Well-Being, and Simmons and Gaher's Helplessness Tolerance Questionnaire, and analyzed using multivariate and univariate covariance analysis in SPSS software (version 26).
Results: The results showed that MBCT has an effect on the components of life expectancy, factor thinking (P = 0.004) and path thinking (P = 0.007), and the psychological well-being components of self-acceptance (P = 0.001), positive relationships with others (P = 0.005), autonomy (P = 0.001), mastery of the environment (P = 0.014), purposeful living (P = 0.017), personal growth (P = 0.038), and helplessness tolerance, and the difference between pretests and posttests is also significant (P < 0.05).
Conclusion: Considering the results, using cognitive behavioral therapy integrated with mindfulness can be an effective treatment for increasing life expectancy, tolerance of treatment-induced helplessness, and psychological well-being of patients; therefore, it is suggested that the aforementioned treatment method be used as a complement to drug treatments in patients with leukemia.
Materials and Methods: This quasi-experimental study with a pretest-posttest design and a control group was conducted in 2024 for 2 months. The statistical population included all patients with leukemia at Shahid Mahallati Hospital, Tabriz, Iran. In total, 30 patients were selected using convenience sampling and randomly assigned to two groups: experimental (15 participants) and control (15 participants). The experimental group received mindfulness-based training through an educational package of eight 90-minute in-person sessions, whereas the control group received no intervention. Data were collected with Schneider and Peterson's Hope Questionnaire, Riff's Psychological Well-Being, and Simmons and Gaher's Helplessness Tolerance Questionnaire, and analyzed using multivariate and univariate covariance analysis in SPSS software (version 26).
Results: The results showed that MBCT has an effect on the components of life expectancy, factor thinking (P = 0.004) and path thinking (P = 0.007), and the psychological well-being components of self-acceptance (P = 0.001), positive relationships with others (P = 0.005), autonomy (P = 0.001), mastery of the environment (P = 0.014), purposeful living (P = 0.017), personal growth (P = 0.038), and helplessness tolerance, and the difference between pretests and posttests is also significant (P < 0.05).
Conclusion: Considering the results, using cognitive behavioral therapy integrated with mindfulness can be an effective treatment for increasing life expectancy, tolerance of treatment-induced helplessness, and psychological well-being of patients; therefore, it is suggested that the aforementioned treatment method be used as a complement to drug treatments in patients with leukemia.
Keywords: Cancer pain, Leukemia, Life expectancy, Mindfulness-based cognitive therapy (MBCT), Psychological well-being
Type of Study: Original Research |
Subject:
Education in Nursing and Midwifery
Received: 2025/05/29 | Accepted: 2025/08/2 | Published: 2025/12/26
Received: 2025/05/29 | Accepted: 2025/08/2 | Published: 2025/12/26
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