Volume 24, Issue 4 (7-2025)                   JRUMS 2025, 24(4): 346-359 | Back to browse issues page

Ethics code: IR.IAU.SARI.REC.1402.288

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Mirzayi S, Pourfraj Omran M. The Effectiveness of Schema Therapy on Emotional Regulation and Resilience in Breast Cancer Patients: A Quasi-Experimental Study. JRUMS 2025; 24 (4) :346-359
URL: http://journal.rums.ac.ir/article-1-7472-en.html
Associate Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Islamic Azad University, Behshahr Branch, Behshahr, Iran
Abstract:   (85 Views)
Background and Objectives: Breast cancer is a public health problem. The use of schema therapy and research in this field has increased, and increasing evidence indicates that this treatment is useful in various situations. Therefore, the present study was conducted with the aim of determining the effectiveness of schema therapy on emotional regulation and resilience in patients with breast cancer.
Materials and Methods: The current study was a quasi-experimental study with a pretest-posttest design and a control group. The statistical population of the study included all women diagnosed with breast cancer who referred to Imam Khomeini Hospital in Sari in 2023, out of which 32 people were selected using convenience sampling method and randomly assigned to the experimental and control groups, with 16 people in each group. Then, both groups were evaluated using the emotion regulation and resilience questionnaire. The experimental group received 12 sessions of group schema therapy over two months, one 90-minute session per week, and the control group did not receive any intervention. The data were analyzed using multivariate analysis of covariance.
Results: The results showed that after treatment, the mean score of maladaptive emotion regulation in the experimental group decreased (p<0.001), while the mean score of adaptive emotion regulation and resilience in the experimental group increased (p<0.001), and significant changes were made in emotion regulation and resilience (p<0.001).
Conclusion: The present study showed that schema therapy is effective on emotion regulation and resilience in patients with breast cancer. Therefore, the use of this approach is recommended to improve emotion regulation and resilience.
Keywords: Schema therapy, Emotion regulation, Resilience, Breast cancer

Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical considerations: The Ethics Committee of Islamic Azad University, Behshahr Branch of Medical Sciences, approved the study (IR.IAU.SARI.REC.1402.288).
Authors’ contributions:
- Conceptualization: Samaneh Mirzayi
- Methodology: Samaneh Mirzayi
- Data collection: Samaneh Mirzayi
- Formal analysis: Samaneh Mirzayi
- Supervision: Majid Pourfraj Omran
- Project administration: Majid Pourfraj Omran
- Writing – original draft: Samaneh Mirzayi
- Writing – review & editing: Samaneh Mirzayi
 
Full-Text [PDF 316 kb]   (34 Downloads) |   |   Full-Text (HTML)  (40 Views)  
Type of Study: Research | Subject: Psychiatry
Received: 2024/08/9 | Accepted: 2025/05/17 | Published: 2025/07/19

References
1. Pereira M, Moreira CS, Nogueira‐Silva C, Izdebski P, Pereira MG. Breast cancer post‐surgical impact on women´ s quality of life during chemotherapy treatment: A structural equation modelling approach. European Journal of Cancer Care 2021; 30(1): 13349-58.
2. American Cancer Society. Breast cancer facts & figures 2019-2020. Am Cancer Soc 2019; 1-44.
3. Hopman P, Rijken M. Illness perceptions of cancer patients: relationships with illness characteristics and coping. Psycho‐Oncology 2015; 24(1): 11-8.
4. Baziliansky S, Cohen M. Emotion regulation and psychological distress in cancer survivors: A systematic review and meta‐analysis. Stress and Health 2021; 37(1): 3-18.
5. Kangas M, Gross JJ. The Affect Regulation in Cancer framework: Understanding affective responding across the cancer trajectory. Journal of Health Psychology 2020; 25(1): 7-25.
6. Mirbagheri SR, Khosravi S, Akrami M. Evaluation of the effectiveness of group schema therapy on death anxiety and emotional disturbance in patients with breast cancer in Shiraz. Shenakht Journal of Psychology and Psychiatry 2022; 9(5): 16-28. [Farsi]
7. Ding X, Zhao F, Wang Q, Zhu M, Kan H, Fu E, et al. Effects of interventions for enhancing resilience in cancer patients: A systematic review and network meta-analysis. Clinical Psychology Review 2024; 10(2): 102381.
8. Chen JJ, Wang QL, Li HP, Zhang T, Zhang SS, Zhou MK. Family resilience, perceived social support, and individual resilience in cancer couples: Analysis using the actor-partner interdependence mediation model. European Journal of Oncology Nursing 2021; 52(28): 101932.
9. Tamura S, Suzuki K, Ito Y, Fukawa A. Factors related to the resilience and mental health of adult cancer patients: a systematic review. Supportive Care in Cancer 2021; 29: 3471-86.
10. Emamzamani Z, Rahimian Boogar I, Mashhadi A. Effectiveness of contextual schema therapy for emotion regulation and painful physical symptoms in individuals with social anxiety disorder: Single subject study. Shenakht Journal of Psychology and Psychiatry 2023; 10(3): 1-16. [Farsi]
11. Mirkhan NS, Khalatbari J, Tajeri B. Comparison of the Effectiveness of Acceptance and Commitment Therapy and Schema Therapy on Resiliency of Breast Cancer Patients in East Tehran Medical Centers. Iranian Journal of Educational Sociology 2019; 2(1): 171-7.
12. Knapík P, Slancová K. Core beliefs–Schemas and Coping Styles in Addictions. Cognitive Remediation Journal 2020; 9(3): 9-19.
13. Talebi G, Rezaei Jamaloui H, Bagherian Sararodi R, Oreyzi H. The Effectiveness of Emotional Schema Therapy on the Quality of Life and the Sense of Agency of Breast Cancer Patients. RBS 2023; 21(2): 215-27. [Farsi]
14. Garnefski N, Kraaij V, Spinhoven P. Negative life events, cognitive emotion regulation and emotional problems. Personality and Individual Differences 2001; 30(8): 1311-27.
15. Yousefi F. The Relationship of Cognitive Emotion Regulation Strategies with depression and Anxiety in Students of Special Middle Schools for Talented Students in Shiraz. Journal of Exceptional Children 2007; 6(4): 871-92. [Farsi]
16. Connor KM, Davidson JRT. Development of a New Resilience Scale: The Connor–Davidson Resilience Scale (CDRISC). Depression and Anxiety 2003; 18(9): 76-82.
17. Abdi F, Banijamli S, Ahadi H, Koushki S. Psychometric properties of of Resilience scale (CD-RISC) among women’s with breast cancer. Journal Title 2019; 13(2): 81-99. [Farsi]
18. Young JE, Klosko JS, Weishaar ME. Schema therapy: A practitioner's guide 2006; guilford press. pp 107-9.
19. Ameri N. Structural Relations of Early Maladaptive Schemas to Craving in Substance-Dependent Individuals under Methadone Maintenance Treatment: The Mediating Role of Self-Compassion. Etiadpajohi 2023; 16(66): 47-70. [Farsi]
20. Taghizadeh M. Effectiveness of Cognitive Behavioral Therapy group on the resilience of Women with Breast Cancer. Scientific Journal of Nursing, Midwifery and Paramedical Faculty 2023; 8(3): 1-12. [Farsi]
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