The Relationship between Ambivalence over Emotional Expression and Health-Related Quality of Life and Adherence to Treatment in Cancer Patients: The Mediating Role of Depression and Social Support: A Descriptive Study

Nejadian, Atefeh Bashiri; Bayazi, Mohammad Hossein; Fard, Reza Johari; Rajaei, Alireza

doi:10.52547/jrums.20.2.163

Cited by 3 publications

(3 citation statements)

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“…Factor analysis identi ed two main components that together accounted for 65.9% of the variance (43). In the study by Beshiri Nezhadyan et al, the reliability of this questionnaire was also calculated using Cronbach's alpha method, yielding a value of 0.85 (44).…”

Section: Data Collection Toolsmentioning

confidence: 99%

The Impact of Benson's Relaxation Technique on the Quality of Life of Operating Room Nurses in Hospitals Southwest Iran: A Randomized Controlled Trial

Mohebbi,

Ghanbarzadeh,

Ejraei

et al. 2024

Preprint

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Background In clinical settings, continuous changes lead to increased professional stress, affecting the quality of life of nurses. Some complementary interventions may influence the improvement of the quality of life. This study aimed to determine the effect of Benson's relaxation technique on the operating room nurses’ quality of life.Methods In this clinical trial, 180 operating room nurses were randomly allocated to two groups: intervention (Benson's relaxation technique) and control (routine activity). The study was conducted from December 2021 to March 2022 in hospitals affiliated with Shiraz University of Medical Sciences. Benson's relaxation technique was performed twice daily by the intervention group for 8 weeks. Quality of life was measured before and after the intervention using the SF-36 questionnaire. Data were analyzed using SPSS version 21 software, with a significance level set at a P-value of < 0.05.Results After the intervention, the results showed that Benson's relaxation technique led to an increase in the quality of life in the intervention group (P-value < 0.0001). In terms of quality-of-life dimensions, significant improvements were observed in the intervention group in the domains of physical problems (P-value = 0.026), emotional problems (P-value = 0.010), general health (P-value < 0.038), pain (P-value = 0.0001), and social functioning (P-value = 0.001). However, no significant differences were found in the dimensions of physical functioning (P-value = 0.294), energy (P-value = 0.078), and emotional well-being (P-value = 0.087).Conclusions Benson's relaxation technique can serve as a complementary method to enhance various dimensions of the operating room nurses’ quality of life.Trial Registration Number: IRCT20211002052650N1 with the Clinical Trial Registry (26.10.2022)

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Section: Data Collection Toolsmentioning

confidence: 99%

The Impact of Benson's Relaxation Technique on the Quality of Life of Operating Room Nurses in Hospitals Southwest Iran: A Randomized Controlled Trial

Mohebbi,

Ghanbarzadeh,

Ejraei

et al. 2024

Preprint

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“…The suppression of emotion may lead individuals to suffer alone and in silence [28]. In cancer patients, AEE has been associated with higher levels of pain behavior, being overly reserved or non-communicative, having anxiety and depressive symptoms, poor self-effacing behaviors in relationships, poorer emotional well-being, and non-adherence to treatment [29].…”

Section: Emotional Expressionmentioning

confidence: 99%

Loneliness in Breast Cancer Patients with Early Life Adversity: An Investigation of the Effects of Childhood Trauma and Self-Regulation

Heshmati,

Azmoodeh,

Kheiriabad

et al. 2023

Current Oncology

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Childhood trauma may be prevalent in the general population, and the psychosocial treatment of patients with cancer may require consideration of the effects of such early adversity on the healing and recovery process. In this study, we investigated the long-term effects of childhood trauma in 133 women diagnosed with breast cancer (mean age 51, SD = 9) who had experienced physical, sexual, or emotional abuse or neglect. We examined their experience of loneliness and its associations with the severity of childhood trauma, ambivalence about emotional expression, and changes in self-concept during the cancer experience. In total, 29% reported experiencing physical or sexual abuse, and 86% reported neglect or emotional abuse. In addition, 35% of the sample reported loneliness of moderately high severity. Loneliness was directly influenced by the severity of childhood trauma and was directly and indirectly influenced by discrepancies in self-concept and emotional ambivalence. In conclusion, we found that childhood trauma was common in breast cancer patients, with 42% of female patients reporting childhood trauma, and that these early experiences continued to exert negative effects on social connection during the illness trajectory. Assessment of childhood adversity may be recommended as part of routine oncology care, and trauma-informed treatment approaches may improve the healing process in patients with breast cancer and a history of childhood maltreatment.

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“…Results of a study by Servaes et al (1999) on inhibited emotional expression in breast cancer patients showed significantly higher levels of AEE, which was a reaction to their disease, not a reflection of personality traits. A growing literature on patients dealing with cancer has since linked AEE in response to disease to higher levels of being reserved, anxiety and depressive symptoms, pain behavior, poor emotional well-being, low levels of energy and general health, and eventually to low adherence to treatment, contributing importantly to understanding cancer patients’ experience of and coping with symptoms of the disease (Bashiri Nejadian et al, 2021; Lu et al, 2015; Porter et al, 2005; Servaes et al, 1999). In turn, childhood maltreatment can be placed among variables that have been associated with specific types of emotion dysregulation, including alterations in the expression of emotions, expressive suppression, or AEE (Kim & Cicchetti, 2010; Weissman et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Pathways Linking Parental Care and Control to Loneliness in Breast Cancer Patients with A History of Childhood Maltreatment: Exploring the Mediating Roles of Ambivalence Over Emotional Expression and Self-Discrepancy

Heshmati,

Kheiriabad,

Azmoodeh

et al. 2023

J Interpers Violence

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Childhood maltreatment is a risk factor for loneliness and is linked to breast cancer. Parental bonding experienced during one’s childhood also plays a significant role in increasing or decreasing the risk of loneliness later in life. Previous research has highlighted the significance of ambivalence over emotional expression (AEE) and self-discrepancy in the psychological adaptation of breast cancer patients, particularly concerning the impact of parental care and control experienced by patients in their relationship with their parents during childhood. Nevertheless, previous studies have not examined the mediating effects of AEE and self-discrepancy on parental care and control, as well as loneliness, in breast cancer patients. This study aimed to investigate whether AEE and self-discrepancy mediate the association of childhood parental care and control with loneliness in breast cancer patients with a history of childhood maltreatment. One hundred and thirty-three breast cancer patients who were receiving chemotherapy within the first 3 months post-diagnosis were recruited from one private and three public hospitals in Tabriz, Iran, to complete questionnaires. Parental bonding, loneliness, AEE, and self-discrepancy were assessed using the Parental Bonding Instrument (PBI), University of California Los Angeles (UCLA) Loneliness Scale, Ambivalence over the Expression of Emotion Questionnaire (AEQ), and Self-Discrepancies Scale (S-DS). Mediation models were tested using structural equation modeling. Effects of parental care (β = −.17, p < .05) and control (β = .21, p < .001) on loneliness were significant. Furthermore, both AEE (β = .19, p < .05) and self-discrepancy (β = .23, p < .01) significantly predicted loneliness. The pathway between parental care and AEE was significant (β = −.21, p < .001), as was the direct effect of parental control on self-discrepancy (β = .19, p < .05). Bootstrapping results showed that AEE significantly mediated the relationship between parental care and loneliness (95% confidence interval [CI] [−0.09, −0.01]). In addition, there was a significant indirect effect from parental control to loneliness via self-discrepancy (95% CI [0.11, 0.01]). These findings suggest that AEE and self-discrepancy could potentially be utilized in preventing or addressing loneliness in breast cancer patients who have a history of childhood maltreatment. Future research could, for example, assess whether integrating psychosocial interventions focusing on these variables as part of medical care can improve the mental health status of this subgroup of breast cancer patients who have experienced childhood maltreatment.

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The Relationship between Ambivalence over Emotional Expression and Health-Related Quality of Life and Adherence to Treatment in Cancer Patients: The Mediating Role of Depression and Social Support: A Descriptive Study

Cited by 3 publications

References 0 publications

The Impact of Benson's Relaxation Technique on the Quality of Life of Operating Room Nurses in Hospitals Southwest Iran: A Randomized Controlled Trial

The Impact of Benson's Relaxation Technique on the Quality of Life of Operating Room Nurses in Hospitals Southwest Iran: A Randomized Controlled Trial

Loneliness in Breast Cancer Patients with Early Life Adversity: An Investigation of the Effects of Childhood Trauma and Self-Regulation

Pathways Linking Parental Care and Control to Loneliness in Breast Cancer Patients with A History of Childhood Maltreatment: Exploring the Mediating Roles of Ambivalence Over Emotional Expression and Self-Discrepancy

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