Evaluation of the Effectiveness of Dialectical Behavior Therapy Training on Depression in Women with Breast Cancer

S. Reza Azhar, Zahra AhmadiArdakani

Abstract


Cancer can cause many psychological problems for patients and it is necessary to find effective ways to help them. Unfortunately, people consider cancer to be a kind of end of life, and patients, after being diagnosed with the disease, find themselves closer to death, and as a result, suffer from death-related disorders. The aim of this study was to evaluate the effectiveness of dialectical behavior therapy on mental health and depression in breast cancer. The present study was a quasi-experimental study consisting of experimental and control groups. The statistical population of the present study included all women with breast cancer who referred to the specialized breast clinic of women in Jihad University of Tehran. The sample consisted of 33 subjects who were reduced to 33 subjects in 2 groups of 15 after the fall. The selection was done by randomization of treatment, but the selection of subjects for inclusion in the study was done non-randomly. Subjects were assessed using the Lovebird Depression, Anxiety and Stress Scale. Due to the fact that the necessary assumptions for multivariate analysis of variance and multivariate analysis of variance were not met, univariate analysis of variance was used to analyze the data. The results showed that there was a significant difference between the depression scores of the experimental group of dialectical behavior therapy compared to the control group. In the field of treatment and work with cancer patients and people in crisis, dialectical behavior therapy is very useful due to its nature and effectiveness.

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References


Alavi, Khadijeh, Modarres Gharavi, Morteza., Amin Yazdi, Seyyed Amir., & Salehi Fadardi, Javad. (2011). Effectiveness of group dialectical behavior therapy (based on core mindfulness, distress tolerance and emotion regulation components) on depressive symptoms in university students. Journal of Fundamentals of Mental Health, 13(50), 35-124 [In Persian]. doi: 10.22038/jfmh.2011.881

Alilo, MM, & Sharifi, MA. (2012). Dialectic behavioral therapy for borderlin personality disorder. Tehran, Iran: Tehran University Publication [In Persian].

Alshawwa, Izzeddin A, Elkahlout, Mohammed, El-Mashharawi, Hosni Q, & Abu-Naser, Samy S. (2019). An Expert System for Depression Diagnosis: Department of Information Technology, AUG.

American Psychiatric Association, . (2001). Practice guideline for the treatment of patients with borderline personality disorder: American Psychiatric Pub.

Antony, Martin M, Bieling, Peter J, Cox, Brian J, Enns, Murray W, & Swinson, Richard P. (1998). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological assessment, 10(2), 176.

Burgess, Caroline, Cornelius, Victoria, Love, Sharon, Graham, Jill, Richards, Michael, & Ramirez, Amanda. (2005). Depression and anxiety in women with early breast cancer: five year observational cohort study. Bmj, 330(7493), 702.

Chan, Cynthia YY, Tsang, Helen HL, Lau, CS, & Chung, HY. (2017). Prevalence of depressive and anxiety disorders and validation of the Hospital Anxiety and Depression Scale as a screening tool in axial spondyloarthritis patients. International journal of rheumatic diseases, 20(3), 317-325.

Chew, Christine Elizabeth. (2006). The effects of dialectical behavioral therapy on moderately depressed adults. University of Denver.

Davis, W Marvin. (2000). Multiple sclerosis: continuing mysteries and current management. Drug Topics, 144(12), 93-93.

Dennison, Laura, Moss-Morris, Rona, Silber, Eli, Galea, Ian, & Chalder, Trudie. (2010). Cognitive and behavioural correlates of different domains of psychological adjustment in early-stage multiple sclerosis. Journal of psychosomatic research, 69(4), 353-361.

Götze, H, Brähler, E, Gansera, L, Schnabel, A, Gottschalkâ€Fleischer, A, & Köhler, N. (2018). Anxiety, depression and quality of life in family caregivers of palliative cancer patients during home care and after the patient's death. European journal of cancer care, 27(2), e12606.

Groenvold, Mogens, Fayers, Peter M, Sprangers, Mirjam AG, Bjorner, Jakob B, Klee, Marianne C, Aaronson, Neil K, . . . Mouridsen, Henning T. (1999). Anxiety and depression in breast cancer patients at low risk of recurrence compared with the general population: a valid comparison? Journal of Clinical Epidemiology, 52(6), 523-530.

Harley, Rebecca, Sprich, Susan, Safren, Steven, Jacobo, Michelle, & Fava, Maurizio. (2008). Adaptation of dialectical behavior therapy skills training group for treatment-resistant depression. The Journal of nervous and mental disease, 196(2), 136-143.

Heard, Heidi L, & Linehan, Marsha M. (1994). Dialectical behavior therapy: An integrative approach to the treatment of borderline personality disorder. Journal of Psychotherapy Integration, 4(1), 55.

Karkou, Vicky, Aithal, Supritha, Zubala, Ania, & Meekums, Bonnie. (2019). Effectiveness of dance movement therapy in the treatment of adults with depression: A systematic review with meta-analyses. Frontiers in psychology, 10, 936.

Lichtenthal, Wendy G, Nilsson, Matthew, Zhang, Baohui, Trice, Elizabeth D, Kissane, David W, Breitbart, William, & Prigerson, Holly G. (2009). Do rates of mental disorders and existential distress among advanced stage cancer patients increase as death approaches? Psychoâ€Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 18(1), 50-61.

Lovibond, Peter F, & Lovibond, Sydney H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy, 33(3), 335-343.

Lynch, Thomas R, Chapman, Alexander L, Rosenthal, M Zachary, Kuo, Janice R, & Linehan, Marsha M. (2006). Mechanisms of change in dialectical behavior therapy: Theoretical and empirical observations. Journal of clinical psychology, 62(4), 459-480.

Maass, Saskia WMC, Roorda, C, Berendsen, Annette J, Verhaak, Peter FM, & de Bock, Geertruida H. (2015). The prevalence of long-term symptoms of depression and anxiety after breast cancer treatment: a systematic review. Maturitas, 82(1), 100-108.

Martin, Roland, McFarland, Henry F, & McFarlin, Dale E. (1992). Immunological aspects of demyelinating diseases. Annual review of immunology, 10(1), 153-187.

McKay, Matthew, Wood, Jeffrey C, & Brantley, Jeffrey. (2019). The dialectical behavior therapy skills workbook: Practical DBT exercises for learning mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance: New Harbinger Publications.

Nafisi, SH. (1998). MS disease Seminar. Int J Tehran Univ Med Sci, 2(10), 9-10.

Phillips, Michael R, Li, Xianyun, & Zhang, Yanping. (2002). Suicide rates in China, 1995–99. The Lancet, 359(9309), 835-840.

Prince, Martin J, Harwood, Rowan H, Thomas, Alan, & Mann, Arthur Henry. (1998). A prospective population-based cohort study of the effects of disablement and social milieu on the onset and maintenance of late-life depression. The Gospel Oak Project VII. Psychological medicine, 28(2), 337-350.

Razban, Farideh, Mehdipour-Rabori, Roghayeh, Rayyani, Masoud, & Mangolian Shahrbabaki, Parvin. (2020). Meeting death and embracing existential loneliness: A cancer patient’s experience of being the sole author of his life. Death Studies, 1-16. doi: 10.1080/07481187.2020.1725932

Reich, M, Lesur, A, & Perdrizet-Chevallier, C. (2008). Depression, quality of life and breast cancer: a review of the literature. Breast cancer research and treatment, 110(1), 9-17.

Robbertz, Abigail S, Weiss, David M, Awan, Farrukh T, Byrd, John C, Rogers, Kerry A, & Woyach, Jennifer A. (2020). Identifying risk factors for depression and anxiety symptoms in patients with chronic lymphocytic leukemia. Supportive Care in Cancer, 28(4), 1799-1807.

Samani, Siamak, & Joukar, Bahram. (2007). A study on the reliability and validity of the short form of the depression anxiety stress scale (DASS-21). Journal Of Social Sciences And Humanities Of Shiraz University, 26(3), 65-77.

Sanderson, Cynthia, Swenson, Charles, & Bohus, Martin. (2002). A critique of the American psychiatric practice guideline for the treatment of patients with borderline personality disorder. Journal of Personality Disorders, 16(2), 122-129.

Segal, Zindel V, & Teasdale, John. (2018). Mindfulness-based cognitive therapy for depression: Guilford Publications.

Sospedra, Mireia, & Martin, Roland. (2005). Immunology of multiple sclerosis. Annu. Rev. Immunol., 23, 683-747.

Tsuang, Ming T, Tohen, Mauricio, & Jones, Peter. (2011). Textbook of psychiatric epidemiology: John Wiley & Sons.

Van den Bosch, Louisa MC, Verheul, Roel, Schippers, Gerard M, & van den Brink, Wim. (2002). Dialectical behavior therapy of borderline patients with and without substance use problems: Implementation and long-term effects. Addictive Behaviors, 27(6), 911-923.

Zarrin, Vahideh, Hatami, Homeyra, & AliHemmati, Alirez. (2014). The effect of intrahippocampal injection of estradiol on spatial memory in male rats during multiple sclerosis disease. Journal of Fasa University of Medical Sciences, 4(3), 353-361.


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