Highlights
- •Pain is considered as one of the side effects of chemotherapy.
- •In this study, we evaluate and propose a model of pain in Brest cancer patients based on psychological components.
- •Depression, stress, mindfulness and resilience have an effective role on the experience of pain during chemotherapy.
Abstract
Background
Pain experience is one of the most common symptoms of women with breast cancer receiving
chemotherapy. It may cause physical and psychological problems and interfere with
the treatment process.
Aims
This study aimed to examine the relationship between depression, stress, resilience
and spirituality on the pain symptoms of breast cancer patients during chemotherapy
and explore the potential mediating role of mindfulness in this association.
Method
Two hundred and forty women with breast cancer receiving chemotherapy from Shiraz
University Hospital, were selected and evaluated by a purposive sampling method. The
research instruments were Perceived Stress Scale, Beck Depression Questionnaire-2,
Mindfulness, Resilience, Spirituality and Pain Questionnaires. The obtained data was
analyzed by SPSS software and MPLUS using Spearman correlation coefficient and path
analysis.
Results
Based on the findings of direct path analysis, depression, stress, and spirituality
showed a significant relationship with mindfulness, but resilience had no significant
relationship with mindfulness (p < 0.01). Furthermore, depression, stress, resilience,
and mindfulness showed a significant relationship with pain, while spirituality had
no significant relationship with pain (p < 0.01). Finally, indirect path analysis
revealed mindfulness is a significant mediator of stress and pain (p < 0.05).
Conclusions
The present study suggested a model can be useful in better understanding of the psychological
components affecting pain in breast cancer patients, after and during their treatments.
It also provided an effective framework to develop and investigate pain-focused and
non-pharmacological interventions.
Keywords
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Article info
Publication history
Published online: January 05, 2023
Accepted:
January 4,
2023
Received in revised form:
December 16,
2022
Received:
September 25,
2022
Identification
Copyright
© 2023 Elsevier Ltd. All rights reserved.
