Effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) Therapy on Fear of Cancer Recurrence and Body Image in Patients with Breast Cancer

Authors

    Azita Shojaei PhD student in General Psychology, Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.
    Hamidreza Vatankhah * Assistant Professor, Department of Psychology, West Tehran Branch, Islamic Azad University, Tehran, Iran. hamid_vatankha1@yahoo.com
    Shahnam Abolghasemi Associate Professor, Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.
https://doi.org/10.61838/kman.pwj.6.3.10

Keywords:

Fear of cancer recurrence, body image, Eye Movement Desensitization and Reprocessing (EMDR), breast cancer

Abstract

Objective: The present study aimed to compare the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) therapy on fear of cancer recurrence and body image in patients with breast cancer.

Methods and Materials: This research employed a quasi-experimental design, using a pretest-posttest-follow-up model with a control group for data collection. The statistical population consisted of women undergoing chemotherapy for breast cancer who visited the Jihad Daneshgahi Breast Disease Specialized and Subspecialized Clinic in Tehran during the second half of 2023. From this population, 40 individuals were selected using cluster random sampling and were randomly assigned to an experimental group (n = 20) and a control group (n = 20). The experimental group received EMDR therapy across eight 90-minute sessions, while the control group was placed on a waiting list. The research instruments included the Fear of Cancer Recurrence Inventory (Simard & Savard, 2009) and the Body Image Scale (Cash, 1994). Data analysis was conducted using SPSS version 27 in two phases: descriptive and inferential statistics (ANCOVA and MANCOVA).

Findings: The findings indicated that EMDR therapy had a significant impact on components of fear of cancer recurrence and body image compared to the control group in both the posttest and follow-up phases (P < 0.05).

Conclusion: It can be concluded that EMDR therapy, through its specialized techniques, was effective in improving fear of cancer recurrence and body image, and its integration alongside pharmacological treatments is recommended.

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References

Aleksic, M., Ehring, T., Kunze, A. E., & Wolkenstein, L. (2025). Does Treating Emotional Memories Come at a Price? Comparing the Effects of Imagery Rescripting, Eye Movement Desensitization and Reprocessing and Imaginal Exposure on Memory Accuracy. https://doi.org/10.31219/osf.io/qvwhu_v1

Bloomgarden, A., & Calogero, R. M. (2008). A randomized experimental test of the efficacy of EMDR treatment on negative body image in eating disorder inpatients. Eating Disorders, 16(5), 418-427. https://doi.org/10.1080/10640260802370598

Capezzani, L., Ostacoli, L., Cavallo, M., Carletto, S., Fernández, I., Solomon, R. M., Pagani, M., & Cantelmi, T. (2013). EMDR and CBT for Cancer Patients: Comparative Study of Effects on PTSD, Anxiety, and Depression. Journal of EMDR Practice and Research, 7(3), 134-143. https://doi.org/10.1891/1933-3196.7.3.134

Cinek, B. Y. (2025). Cognitive Emotion Regulation and Its Impact on Sexual Function, Body Image, and Depression in Breast Cancer Survivors. Psychiatry Investigation, 22(3), 330-339. https://doi.org/10.30773/pi.2024.0349

de Jongh, A., de Roos, C., & El-Leithy, S. (2024). State of the science: Eye movement desensitization and reprocessing (EMDR) therapy. Journal of Traumatic Stress, 37(2), 205-216. https://doi.org/10.1002/jts.23012

de Roos, C., Offermans, J., Bouwmeester, S., Lindauer, R., & Scheper, F. (2025). Preliminary efficacy of eye movement desensitization and reprocessing for children aged 1.5–8 years with PTSD: a multiple baseline experimental design (N=19). European Journal of Psychotraumatology, 16(1), 2447654. https://doi.org/10.1080/20008066.2024.2447654

Doori, Z., Hekmat, K., Mousavi, P., Latifi, S. M., & Shahbazian, H. (2022). Investigation of the relationship between perceived social support and body image in women with breast cancer. Middle East Current Psychiatry, 29, 49. https://doi.org/10.1186/s43045-021-00165-x

Fernández, D., Garzón‐Partida, A. P., Aguilar-García, I. G., Garcı́a‐Estrada, J. n., Luquı́n, S., & Fernández-Quezada, D. (2024). The Effect of Eye Movement Desensitization and Reprocessing (EMDR) Therapy on Reducing Craving in Populations With Substance Use Disorder: A Meta-Analysis. https://doi.org/10.21203/rs.3.rs-4391211/v1

Hamzehrad, M., Niknam, M., & Kelarijani, F. A. (2024). Sexual Function and Marital Intimacy in Mastectomized Women With Breast Cancer: Mediating Role of Body Image Concern. Journal Of Shahid Sadoughi University Of Medical Sciences. https://doi.org/10.18502/ssu.v32i4.15836

Hatoum, A. H., & Burton, A. L. (2024). Eye movement desensitization and reprocessing (EMDR) therapy for the treatment of eating disorders: A systematic review of the literature. Mental Health Science, 2(4), e92. https://doi.org/10.1002/mhs2.92

Hinz, A., Schulte, T., Mehnert-Theuerkauf, A., Richter, D., Sender, A., Brock, H., & Briest, S. (2024). Fear of Cancer Progression: A Comparison between the Fear of Progression Questionnaire (FoP-Q-12) and the Concerns about Recurrence Questionnaire (CARQ-4).

Hosseini, S., Salehi, M., Jadidi, M., & Aghili, M. (2023). The Mediating Role of cognitive Emotion Regulation Explaining the Casual Relationship between Personality Traits and Fear of Cancer Recurrence in Breast Cancer Survivors [Research]. Iranian Journal of Breast Diseases, 16(2), 4-21. https://doi.org/10.30699/ijbd.16.2.4

Karimi Mohajeri, Z., Karbalaee Harfteh, F., Khalatbari, J., & Fardin, M. (2025). The effectiveness of integrating schema therapy and acceptance and commitment therapy on subjective well-being and body image concerns in women with breast cancer. Journal of Psychological Sciences, 24(145), 197-220. https://psychologicalscience.ir/browse.php?a_id=2564&sid=1&slc_lang=en

Londoudi, A. (2024). Assessment of the Relationship Between Fear of Cancer Recurrence, Spiritual Well-Being, and Mental Health Among Cancer Patients: A Cross-Sectional Study. Nursing Reports, 14(1), 317-327. https://doi.org/10.3390/nursrep14010024

Pehlivan, M., & Eyı, S. (2024). The Impact of Mindfulness-Based Meditation and Yoga on Stress, Body Image, Self-Esteem, and Sexual Adjustment in Breast Cancer Patients Undergoing Modified Radical Mastectomy. Cancer Nursing, 48(3), 190-199. https://doi.org/10.1097/ncc.0000000000001427

Pourjaberi, B., Shirkavand, N., & Ashoori, J. (2023). The Effectiveness of Cognitive Rehabilitation Training on Prospective Memory and Cognitive Flexibility in Individuals with Depression. International Journal of Education and Cognitive Sciences, 4(3), 45-53. https://doi.org/10.61838/kman.ijecs.4.3.5

Spicer, L. (2024). Eye Movement Desensitisation and Reprocessing (EMDR) Therapy for Prolonged Grief: Theory, Research, and Practice. Frontiers in Psychiatry, 15. https://doi.org/10.3389/fpsyt.2024.1357390

Tahir, K., & Khan, N. (2021). Mediating role of body image between sexual functioning and marital intimacy in Pakistani women with breast cancer. Psycho-Oncology, 30(2), 260-266. https://doi.org/10.1002/pon.5563

Tamannayi Far, M. R., Mansouri Nik, A., & Golestani, E. (2023). The relationship between body image and adjustment in breast cancer patients: The mediating role of self-compassion and psychological resilience. Feyz Medical Sciences Journal, 27(3), 288-297. https://feyz.kaums.ac.ir/browse.php?a_code=A-10-821-4&sid=1&slc_lang=en

Tauber, N. M., O'Toole, M. S., & Dinkel, A. (2022). Cognitive-behavioral therapy for fear of cancer recurrence: A systematic review and meta-analysis. Psychooncology, 31(3), 365-378. https://doi.org/10.1002/pon.5813

Thakur, M., Sharma, R., Mishra, A. K., & Gupta, B. (2022). Body Image Disturbances Among Breast Cancer Survivors. Cancer Research Statistics and Treatment, 5(1), 90-96. https://doi.org/10.4103/crst.crst_170_21

Tunç, E., Orak, O., & Iseri, O. (2023). The Effect of Acceptance and Commitment Therapy-Based Psychoeducation on Body Image, Quality of Sexual Life, and Dyadic Adjustment of Women After Breast Cancer Surgery. Oncology Nursing Forum, 50, 599–609. https://doi.org/10.1188/23.ONF.599-609

Tutelman, P. R., Chambers, C. T., Noel, M., Heathcote, L. C., Fernandez, C. V., Flanders, A., MacLeod, J., Sherry, S., Simard, S., Stern, M., Stewart, S. H., & Urquhart, R. (2022). Pain and Fear of Cancer Recurrence in Survivors of Childhood Cancer. The Clinical Journal of Pain, 38(7), 484-491. https://doi.org/10.1097/ajp.0000000000001049

Üyesi, Ö., & Kâtip, İ. (2021). Effects of Breast Cancer on Women's Psychological Health: A Review of Self-Compassion-Based Interventions in Body Image. Nesne Psikoloji Dergisi, 9(22). https://doi.org/10.7816/nesne-09-22-12

Walker, M. J. (2024). Incorporating Eye Movement Desensitization and Reprocessing (EMDR) Into CAT. 717-731. https://doi.org/10.1093/oxfordhb/9780198866572.013.43

Zhao, X., Zhang, Y., Qin, R., Li, G., He, X., Shen, X., & Li, P. (2024). Dyadic association between mindfulness, family avoidance of communication about cancer and fear of cancer recurrence among breast cancer couples: A cross-sectional study. European Journal of Oncology Nursing, 68, 102491. https://doi.org/10.1016/j.ejon.2023.102491

Additional Files

Published

2025-07-01

Submitted

2024-12-29

Revised

2025-04-18

Accepted

2025-04-27

How to Cite

Shojaei, A., Vatankhah, H., & Abolghasemi, S. (2025). Effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) Therapy on Fear of Cancer Recurrence and Body Image in Patients with Breast Cancer. Psychology of Woman Journal, 6(3), 1-9. https://doi.org/10.61838/kman.pwj.6.3.10