Stress Management in Patients with Breast Cancer Using a Supportive Approach: A systematic Review

Archives of Breast Cancer

article

Maedeh Rezaei¹  Forouzan Elyasi²  Zeinab Hamzehgardeshi³  Ghasem Janbabai⁴  Mahmood Moosazadeh⁵ 

[1] Department of Midwifery, Gorgan Branch, Islamic Azad University;Department of Psychiatry, Cancer Research Center, Psychiatry and Behavioral Research Center, Addiction Institute, School of Medicine, Mazandaran University of Medical Sciences;Department of Reproductive Health and Midwifery, Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences;Department of Hematology-Oncology, Gastrointestinal Cancer Research Center, Mazandaran University of Medical Sciences;Health Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences

关键词: Supportive program;    breast cancer;    stress management;    relaxation;    cognitive-behavioraltherapy;    mindfulness;   

DOI  :  10.32768/abc.2019616-16

学科分类：社会科学、人文和艺术（综合）

来源: Kaviani Breast Disease Institute

【 摘 要 】

Background: Stress is a reaction to physical, psychological, and emotional events. Compared with other chronic diseases, breast cancer (BC) is a dire stressful situation greatly disheartening the patients. Therefore, patients with BC need longlasting physical and emotional support to cope with stress. The purpose of this study was to systematically review the studies using supportive stress management interventions in patients with BC.Methods: A literature search was performed in scientific databases including Google Scholar, Scientific Information Database, Magiran, Irandoc, Web of Science, Science Direct, PubMed [including Medline], and Elsevier. The keywords were retrieved from Medical Subject Headings (Mesh). The articles published from 1997 to 2017 were included. Database search returned 440 records. Title and abstract screening identified 152 potentially eligible articles. Finally, 18 articles were included in the synthesis of the review.Results: All the included studies had an interventional design focusing on stress management approaches and their related covariates in women with BC. The findings were assessed regarding two distinct approaches. First, the studies assessing stress management interventions were scrutinized. Next, the impact of intervention duration, the number of the participants, and the contents of sessions were explored. Of the selected articles, 6 had used a mindfulness-based approach, 2 had utilized relaxation techniques, and 7 had employed stress-related cognitivebehavioral therapy. In addition, one study was related to resilience training and 2 studies investigated problem-based approaches. Conclusion: Stress management interventions can be helpful in reducing stress in BC patients. Therefore, it is advisable to incorporate stress management strategies along with routine pharmaceutical therapies in these patients.

【 授权许可】

CC BY-NC