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Effects of Cognitive Behavioral Counseling on Body Image Following Mastectomy



Fadaei S1 ; Janighorban M3 ; Mehrabi T4 ; Ahmadi SA5 ; Mokaryan F6 ; Gukizade A7 ; Mohammadi A2, 8
Authors
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Authors Affiliations
  1. 1. Instructor, Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. School of Nursing and Midwifery, Najafabad Branch, Islamic Azad University, Isfahan, Iran
  3. 3. Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Department of Counseling, School of Psychology, University of Isfahan, Isfahan, Iran
  6. 6. Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  7. 7. Department of Radiotherapy, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  8. 8. Department of Pathology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Research in Medical Sciences Published:2011

Abstract

BACKGROUND: Breast cancer is the most common cancer in women. Surgical treatment of breast cancer may causebody image alterations. The purpose of the current study was to examine the effects of cognitive behavioral counselingon body image among Iranian women with primary breast cancer.METHODS: In this quasi-experimental designed study, 72 patients diagnosed as breast cancer and surgically treated wereenrolled in Isfahan, Iran. The patients were entered the study by convenience sampling method and were randomly dividedin two groups of intervention (n = 32) and control (n = 40). The intervention group received consultation based onEllis rational emotive behavior therapy (REBT) method for 6 sessions during 3 weeks. The control group did not receiveany consultation. Paired t-test was used to compare the changes in groups and independent t-test was conducted tocompare two groups. The average values represented as mean ± standard deviation.RESULTS: Before the study, the body image score was not significantly different between the intervention (16.97 ± 5.44)and control (15.95 ± 4.66) groups (t = 0.86; P = 0.395). The body image score was significantly lower in the interventiongroup (9.03 ± 6.11) compared to control group (17.18 ± 5.27) after the intervention (t = -6.07; P < 0.001).CONCLUSIONS: Since a woman's body image influences her breast cancer treatment decision, oncology professionalsneed to recognize the value of a woman's favorite about appearance and body image. This study emphasizes the importanceof offering consultation in breast cancer patients.
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