The role of mindfulness and emotional schemas in predicting anxiety in patients with cancer: A cross-sectional study
The role of mindfulness and schemas in predicting anxiety
DOI:
https://doi.org/10.22122/cdj.v11i2.533Keywords:
Cancer, Anxiety, Mindfulness, SchemasAbstract
BACKGROUND: Diagnosing cancer associates with a high rate of anxiety in these patients. In recent years, mindfulness and emotional schemas have been increasingly considered in order to reduce anxiety. However, no study has been conducted on this regard. This study was conducted to investigate the role of mindfulness and emotional schemas in predicting anxiety in patients with cancer.
METHODS: In a cross-sectional study in 2019, 119 patients with the diagnosis of non-metastatic cancer were estimated based on Morgan table among the patients referred to the chemotherapy centers in Shiraz, Iran, and were selected by purposive sampling. Beck Anxiety Inventory (BAI), Five Facet Mindfulness Questionnaire (FFMQ), and Leahy Emotional Schema Scale (LESS) were completed by participants. Data were analyzed by Pearson correlation coefficient, multi-step regression, and hierarchical analysis by SPSS software.
RESULTS: The two dimensions of mindfulness, including acting with awareness (β = -0.27) and non-reactivity (β = -0.20), negatively were predictors of anxiety (P < 0.001). Besides, the two dimensions of emotional schemas, including controllability (β = -0.30) and blame (β = -0.19), negatively predicted anxiety (P < 0.001). In addition, demographic variables, neither alone nor as modulating variables, had a significant effect on the role of mindfulness and emotional schemas in predicting anxiety (P > 0.05).
CONCLUSION: Identifying the components of mindfulness and emotional schemas and understanding their role in the mechanism of triggering anxiety system in patients with cancer can be useful in line with the planning of psychological interventions and improving mental health in these patients.
References
Niedzwiedz CL, Knifton L, Robb KA, Katikireddi SV, Smith DJ. Depression and anxiety among people living with and beyond cancer: A growing clinical and research priority. BMC Cancer. 2019; 19(1): 943.
Cillessen L, Johannsen M, Speckens AEM, Zachariae R. Mindfulness-based interventions for psychological and physical health outcomes in cancer patients and survivors: A systematic review and meta-analysis of randomized controlled trials. Psychooncology. 2019; 28(12): 2257-69.
Sadeghi Z, Yazdi-Ravandi S, Pirnia B. Compassion-focused therapy on levels of anxiety and depression among women with breast cancer; a randomized pilot trial. Int J Cancer Manage. 2018; 11(11): e67019.
Dos Santos RG, Bouso JC, Hallak JEC. Serotonergic hallucinogens/psychedelics could be promising treatments for depressive and anxiety disorders in end-stage cancer. BMC Psychiatry. 2019; 19(1): 321.
Kennedy B, Fang F, Valdimarsdottir U, Udumyan R, Montgomery S, Fall K. Stress resilience and cancer risk: A nationwide cohort study. J Epidemiol Community Health. 2017; 71(10): 947-53.
Chen PY, Liu YM, Chen ML. the effect of hypnosis on anxiety in patients with cancer: a meta-analysis. Worldviews Evid Based Nurs. 2017; 14(3): 223-36.
Aslani F, Kafami L, Alzackerini SM, Mousavi M, Noorbala AA, Pirnia B. biomarkers in cardiovascular disease: A cross-sectional study on the role of interleukin-6 in predicting stress, depression, and optimism in cardiovascular diseases. Crescent J Med Biol Sci. 2020; 7(2): 295-6.
Pirnia B, Janbozorg M, Pirnia K. Comparing the depression symptoms and gender differences in individuals dependent and independent to methamphetamine and the relation of these symptoms with plasma cortisol level, a cross-sectional study. Razi J Med Sci. 2017; 24(159): 49-56.
Pirnia B, Pirnia K, Haghighat S, Malekanmehr P, Zahiroddin A. The effectiveness of acupuncture on cortisol levels in a prostate-carcinoma patient under androgen deprivation therapy with dysthymic syndrome: A single-case experimental design. Middle East J Cancer. 2020; 11(2): 237-42.
Nissen ER, O'Connor M, Kaldo V, Hojris I, Borre M, Zachariae R, et al. Internet-delivered mindfulness-based cognitive therapy for anxiety and depression in cancer survivors: A randomized controlled trial. Psychooncology. 2020; 29(1): 68-75.
Bijan P, Kambiz P, Maryam T, Parisa K. Acupuncture for back pain in colon cancer: A case report. International Journal of Cancer Management. 2018; 10(12): e15087.
Wang YH, Li JQ, Shi JF, Que JY, Liu JJ, Lappin JM, et al. Depression and anxiety in relation to cancer incidence and mortality: A systematic review and meta-analysis of cohort studies. Mol Psychiatry. 2020; 25(7): 1487-99.
Di Giuseppe M, Ciacchini R, Piarulli A, Nepa G, Conversano C. Mindfulness dispositions and defense style as positive responses to psychological distress in oncology professionals. Eur J Oncol Nurs. 2019; 40: 104-10.
Ikeuchi K, Ishiguro H, Nakamura Y, Izawa T, Shinkura N, Nin K. The relation between mindfulness and the fatigue of women with breast cancer: path analysis. Biopsychosoc Med. 2020; 14: 1.
Al-Ghabeesh SH, Al-Kalaldah M, Rayan A, Al-Rifai A, Al-Halaiqa F. Psychological distress and quality of life among Jordanian women diagnosed with breast cancer: The role of trait mindfulness. Eur J Cancer Care (Engl). 2019; 28(5): e13082.
Bach B, Lockwood G, Young JE. A new look at the schema therapy model: organization and role of early maladaptive schemas. Cogn Behav Ther. 2018; 47(4): 328-49.
Mazzocco K, Masiero M, Carriero MC, Pravettoni G. The role of emotions in cancer patients' decision-making. Ecancermedicalscience. 2019; 13: 914.
Hoyt MA, Carpenter KM. Sexual self-schema and depressive symptoms after prostate cancer. Psychooncology. 2015; 24(4): 395-401.
Bredicean AC, Crainiceanu Z, Oprean C, Rivis IA, Papava I, Secosan I, et al. The influence of cognitive schemas on the mixed anxiety-depressive symptoms of breast cancer patients. BMC Womens Health. 2020; 20(1): 32.
Pirnia B, Givi F, Roshan R, Pirnia K, Soleimani AA. The cortisol level and its relationship with depression, stress and anxiety indices in chronic methamphetamine-dependent patients and normal individuals undergoing inguinal hernia surgery. Med J Islam Repub Iran. 2016; 30: 395.
Pirnia B, Pirnia K, Aghajanpoor M, Mardan F, Zahiroddin A. Relationship between function of hypothalamic-pituitary-adrenal axis and executive functions in chronic methamphetamine users: A cross-sectional study. Asian J Psychiatr. 2018; 35: 113-4.
Pirnia B, Pirnia K. Effectiveness of Oxytocin on Reducing Alcohol Consumption and Depression Syndrome in a Patient with Oropharyngeal Carcinoma. Int J Cancer Manag. 2018; 11(10): e81752.
Pirnia B, Khosravani V, Maleki F, Kalbasi R, Pirnia K, Malekanmehr P, et al. The role of childhood maltreatment in cortisol in the hypothalamic-pituitary-adrenal (HPA) axis in methamphetamine-dependent individuals with and without depression comorbidity and suicide attempts. J Affect Disord. 2020; 263: 274-81.
Baer RA, Smith GT, Hopkins J, Krietemeyer J, Toney L. Using self-report assessment methods to explore facets of mindfulness. Assessment. 2006; 13(1): 27-45.
Leahy RL. A model of emotional schemas. Cognitive and Behavioral Practice. 2002; 9(3): 177-90.
Parmentier FBR, Garcia-Toro M, Garcia-Campayo J, Yanez AM, Andres P, Gili M. Mindfulness and symptoms of depression and anxiety in the general population: The mediating roles of worry, rumination, reappraisal and suppression. Front Psychol. 2019; 10: 506.
Janusek LW, Tell D, Mathews HL. Mindfulness predicts psycho-behavioral improvement after breast cancer diagnosis: Influence of childhood adversity. West J Nurs Res. 2021; 43(3): 239-49.
Zhang A, Hu R, Wang K, Antalis EP. Age moderates the association between psychological distress and engagement in mindfulness among cancer patients and survivors: A population-based study. J Psychosoc Oncol. 2020; 38(5): 513-26.
Weiss Wiesel TR, Nelson CJ, Tew WP, Hardt M, Mohile SG, Owusu C, et al. The relationship between age, anxiety, and depression in older adults with cancer. Psychooncology. 2015; 24(6): 712-7.
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