مجله علوم روانشناختی (Dec 2023)
Comparison of the efficacy of narrative therapy and cognitive-behavioral therapy on pain self-efficacy and hope in refractory metastatic breast cancer patients
Abstract
Background: Breast cancer is one of the most common types of cancer in women worldwide, which has several negative consequences on the emotional, mental, and emotional states of women. Due to the psychological nature of breast cancer, psychological interventions have been the focus of some studies. It seems that it is necessary to pay more attention to psychological interventions to reduce the psychological suffering of women with breast cancer. Aims: This study aimed to compare the efficacy of narrative therapy and cognitive-behavioral therapy on pain self-efficacy and hope in refractory metastatic breast cancer patients. Methods: The research method was applied in a semi -experimental way with a pre -test -post -test design and a one-month follow-up with a control group.. The statistical population included all female patients with refractory metastatic breast cancer referred to Imam Khomeini Hospital in Urmia. 45 patients were selected using a targeted sampling method from the available type. They were randomly replaced into two experimental groups (narrative therapy and cognitive-behavioral therapy) and a control group (15 people in each group). Data collection tools included Pain Self-Efficacy Scale (PSEQ), and Schneider Hope Scale (SHS). The first and second experimental groups were treated with narrative therapy by White and Epston (1990) and cognitive-behavioral intervention by Wildermut (2008) for eight sessions each. Follow-up was done after 1 month. Data were analyzed using SPSS-26 software and repeated measure analysis of variance and LSD. Results: According to the results of the LSD test, people who experienced narrative therapy had higher scores in pain self-efficacy and hope compared to people who participated in cognitive-behavioral therapy (p<0.05). This means that narrative therapy was more effective than cognitive behavioral therapy on pain self-efficacy and hope, and in the follow-up phase, this level of meaning was permanent. Conclusion: Both approaches of narrative therapy and cognitive behavioral therapy are practical in pain self-efficacy and hope, but narrative therapy is more effective than the other two groups in improving pain self-efficacy and hope of patients with metastatic breast cancer resistant to treatment. Therefore, the results of this study can help therapists, psychologists, and policymakers in the field of health and mental health. Hence, it is suggested to repeat this research in more groups and samples
