فاطمه غیور کاظمی - Department of Medicine and Psychology, School of Psychology, Islamic Azad University, Birjand Branch, Birjand, Iran.
فاطمه شهابی زاده - Department of Psychology, School of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran.
مریم صف آرا - Department of Psychology, Women Research Center, School of Psychology, Alzahra University, Tehran, Iran.
سودابه شهید ثالث - Cancer Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Background and Objectives: Breast cancer is the most commonly diagnosed cancer in women which can cause spiritual distress in them. This study aims to assess the effects of mindfulness-based schema therapy (MBST) and transdiagnostic intervention on spiritual distress of women with breast cancer. Methods: This is a quasi-experimental study (Clinical trial) with a pre-test/post-test/ follow-up design using a control group. Participants were ۴۱ women with breast cancer referred to Omid and Imam Reza hospitals in Mashhad, Iran during ۲۰۱۷-۲۰۲۰, who were selected using a convenience sampling method and randomly assigned into two experimental groups and one control group. For both experimental groups, the intervention was performed at ten weekly sessions. The used instrument was the Spiritual Distress Scale of Ku et al. Data were analyzed using repeated measures analysis of variance and Bonferroni post hoc test in SPSS software, version ۲۵ software. Results: There was a significant difference in the mean scores of spiritual distress in the experimental groups compared to the control group in the post-test and follow-up phases (P<۰.۰۰۱). There was no significant difference between the effectiveness of transdiagnostic intervention and MBST in the post-test and follow-up phases (P>۰.۰۵). Conclusion: Both transdiagnostic intervention and MBST can reduce the spiritual distress of women with breast cancer.

Breast cancer, Schema, Mindfulness, Distress, سرطان پستان, طرحواره درمانی, توجه آگاهی, پریشانی