Comparing the Efficacy of a Quality of Life Enrichment Package and Mindfulness-Based Cancer Recovery Intervention on Pain Self-Efficacy in Mastectomized Women Undergoing Chemotherapy

Maryam Fayazi; Gholamreza Manshaee; Ilnaz sajjadian

Authors

Maryam Fayazi Department of Psychology, Isf.C., Islamic Azad University, Isfahan (Khorasgan), Iran. Author https://orcid.org/0009-0001-1783-9596
Gholamreza Manshaee Department of Psychology, Isf.C., Islamic Azad University, Isfahan (Khorasgan), Iran. Corresponding Author https://orcid.org/0000-0002-3748-0875
Ilnaz sajjadian Department of Psychology, Isf.C., Islamic Azad University, Isfahan (Khorasgan), Iran. Author https://orcid.org/0000-0003-4257-6967

Keywords:

Quality of Life Enrichment Package, Mastectomy, Chemotherapy, Mindfulness-Based Cancer Recovery, Pain Self-Efficacy

Abstract

Objective: The present study aimed to compare the efficacy of a Quality of Life Enrichment Package and a Mindfulness-Based Cancer Recovery (MBCR) intervention on pain self-efficacy in mastectomized women undergoing chemotherapy.

Methods and Materials: Methodologically, this applied study was designed as a randomized clinical trial with a pretest-posttest control-group design and a three-month follow-up. The statistical population consisted of patients referred to the MACSA Charity Institute (Iranian Cancer Control Center) in Mashhad in 1404 who met the inclusion criteria. Forty-five mastectomized women undergoing chemotherapy were selected purposively and randomly assigned to three groups: two experimental groups, consisting of the researcher-made Quality of Life Enrichment Package and the Mindfulness-Based Cancer Recovery intervention, and one control group. The Pain Self-Efficacy Questionnaire developed by Nicholas (1989) was used for data collection. Data were analyzed using repeated-measures analysis of variance in SPSS.

Findings: The findings showed that the mean difference in pain self-efficacy scores between the Mindfulness-Based Cancer Recovery group and the Quality of Life Enrichment Package group was not significant at either the posttest or follow-up stage (p > .05). This indicates that both interventions were effective in increasing pain self-efficacy among patients with cancer, with no statistically significant difference between the two intervention approaches.

Conclusion: Both the Quality of Life Enrichment Package and the Mindfulness-Based Cancer Recovery intervention may be recommended as psychological components of treatment protocols for improving pain self-efficacy in mastectomized women undergoing chemotherapy in psycho-oncology clinics.

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References

Alishiri, M., Tajeri, B., Kaveh, V., & Ahadi, H. (2026). Comparing the Effectiveness of Mindfulness Training and Self-Care on Sexual Self-Esteem in Women with Breast Cancer. Journal of Modern Psychological Research, 21(81), 166-178. https://doi.org/10.22034/JMPR.2023.58469.5823

Asghari, A., & Nicholas, M. K. (2001). Pain Self-Efficacy Beliefs and Pain Behaviour: A Prospective Study. Pain, 94(1), 85-100. https://doi.org/10.1016/S0304-3959(01)00344-X

Bandura, A. (1997). Self-Efficacy: The Exercise of Control. W. H. Freeman.

Bokaie, M., Firouzabadi, O., & Joulaee, A. (2022). The Effectiveness of Group Problem-Solving Therapy on Women's Sexual Function and Satisfaction after Mastectomy Surgery. BMC Women's Health, 22, 50. https://doi.org/10.1186/s12905-022-01628-x

Bray, F. (2024). Global Cancer Statistics 2022: GLOBOCAN Estimates of Incidence and Mortality Worldwide. CA: A Cancer Journal for Clinicians, 74(2), 118-142. https://doi.org/10.3322/caac.21834

Carlson, L. E., & Garland, S. N. (2024). Mindfulness-Based Cancer Recovery: A Review of the Literature on Health Outcomes. Journal of Psychosocial Oncology.

Carlson, L. E., & Speca, M. (2010). The Mindfulness-Based Cancer Recovery Manual. Islamic Azad University, Khorasgan Branch.

Carlson, L. E., Tamagawa, R., Stephen, J., Drysdale, E., Zhong, L., & Speca, M. (2016). Randomized-Controlled Trial of Mindfulness-Based Cancer Recovery versus Supportive Expressive Group Therapy among Distressed Breast Cancer Survivors (MINDSET): Long-Term Follow-Up Results. Psycho-Oncology, 25, 750-759. https://doi.org/10.1002/pon.4150

Dong, X., Liu, Y., Fang, K., Xue, Z., Hao, X., & Wang, Z. (2024). Effects of Mindfulness-Based Therapy for Cancer Patients: A Systematic Review and Meta-Analysis. BMC psychology, 12(1), 619. https://doi.org/10.1186/s40359-024-02092-y

Fallah, B., Fathi, F., Fallah, F., Nasiriani, A. R., Mehrab, K., & Beik, A. (2023). Psychological Adjustment to Cancer and Its Effect on Quality of Life among Women with Breast Cancer. Journal Of Shahid Sadoughi University Of Medical Sciences, 31(12), 7351-7362.

Heinen, J. M., Timmerman, J., Schroevers, M. J., & Brink, E. (2024). How Do Mindfulness-Based Interventions Promote Coping and Self-Efficacy in Patients with Cancer: A Systematic Review. Psycho-Oncology. https://doi.org/10.1002/pon.6350

Martinez-Calderon, J. (2018). The Role of Self-Efficacy on the Prognosis of Chronic Musculoskeletal Pain: A Systematic Review. The Journal of Pain, 19(1), 10-34. https://doi.org/10.1016/j.jpain.2017.08.008

Meireles, E. (2023). Pain Management and Psychological Distress in Breast Cancer Patients. European Journal of Oncology Nursing.

Nicholas, M. K. (2007). The Pain Self-Efficacy Questionnaire: Taking Pain into Account. European Journal of Pain, 11(2), 153-163. https://doi.org/10.1016/j.ejpain.2005.12.008

Soto-Ruiz, N., Escalada-Hernández, P., Martín-Rodríguez, L. S., Ferraz-Torres, M., & García-Vivar, C. (2022). Web-Based Personalized Intervention to Improve Quality of Life and Self-Efficacy of Long-Term Breast Cancer Survivors. International journal of environmental research and public health, 19(19), 12240. https://doi.org/10.3390/ijerph191912240

Suleimani Namaghi, F., Abdollahzadeh, H., & Asadi, J. (2021). Structural Model Analysis of Spiritual Health Based on Health Anxiety, Positive Meta-Emotion, and Pain Self-Efficacy with the Mediating Role of Internal Health Locus of Control in Men with Cancer. Behavioral Sciences Research, 19.

Talebi, G., Bagherian Sararoudi, R., Rezaei Jamalouei, H., Arizi, H., & Bagherian Sararoudi, P. (2025). Effectiveness of Mindfulness-Based Cognitive Therapy on Death Attitude and Hopefulness in Women with Breast Cancer: A Randomized Clinical Trial. Daneshvar Medicine, 33(1), 1-10. https://doi.org/10.22070/daneshmed.2025.20015.1579

Zarei, M. (2023). Psychological, Physical, and Social Impacts of Mastectomy among Iranian Breast Cancer Patients: A Multi-Center Study. Journal of Breast Cancer Research.

Zhang, J., Chan, D. N. S., Liu, X., Cai, Y., Chen, J., & Xie, M. (2023). Effects of Self-Management Interventions for Cancer Patients with Pain: A Systematic Review of Randomised Controlled Trials. Journal of clinical nursing, 32, 5652-5667. https://doi.org/10.1111/jocn.16669