International Journal of Behavioral Sciences

International Journal of Behavioral Sciences

Comparing the Effectiveness of Self-Healing Training and Emotional Schema Therapy on Health Locus of Control, Pain Self-efficacy, and Positive Meta-emotion in Women with Breast Cancer

Document Type : Original Article

Authors
Department of Psychology, Ashtian Branch, Islamic Azad University, Ashtian, Iran
Abstract
Introduction: The present study compared the effectiveness of self-healing therapy and emotional schema therapy on health locus of control, pain self-efficacy, and positive meta-emotion in women with breast cancer.
Method: This research was an applied study following a quasi-experimental method with a pretest-posttest-control group design. The statistical population consisted of all female clients medically and clinically diagnosed with breast cancer in the healthcare centers of Tehran in 2022-2023. A total of 45 individuals with definite breast cancer detection were selected by convenience sampling and assigned into three groups randomly. The research instruments were Nickolas’, Pain Self-efficacy questionnaire, Walston et al.’s, Health Locus of Control Scale, and Mitmansgruber et al.’s meta-emotion questionnaire. The two experimental groups were intervened constantly and weekly, while the control group received no intervention. The research data were analyzed by the multivariate analysis of covariance and post hoc tests run in the SPSS 26 software.
Results: Findings revealed that self-healing training and emotional schema therapy influenced the health locus of control, pain self-efficacy, and positive meta-emotion of women with breast cancer. Likewise, the findings revealed a significant difference between the effectiveness of the two interventions on health locus of control and pain self-efficacy.
Conclusion: In line with the outcomes of the research, it can be concluded that the therapeutic function of the mentioned interventions provides researchers with state-of-the-art strategies to expand knowledge, research, and treatment boundaries when facing psychological disorders in women with breast cancer.
Keywords

  1. Di Mattei VE, Perego G, Taranto P, Mazzetti M, Ferrari F, Derna N, Peccatori FA, Mangili G, Candiani M. Psychological issues in breast cancer survivors confronted with motherhood: Literature review and a call to action. Front Psychol. 2023 Mar 2;14:1133204. doi: 10.3389/fpsyg.2023.1133204.
  2. Akingbade O, Nguyen KT, Chow KM. Effect of mHealth interventions on psychological issues experienced by women undergoing chemotherapy for breast cancer: A systematic review and meta-analysis. J Clin Nurs. 2023 Jul;32(13-14):3058-3073. doi: 10.1111/jocn.16533.
  3. Sebri V, Durosini I, Pravettoni G. How to address the body after breast cancer? A proposal for a psychological intervention focused on body compassion. Front Psychol. 2023 Jan 9;13:1085837. doi: 10.3389/fpsyg.2022.1085837
  4. Antoni MH, Moreno PI, Penedo FJ. Stress Management Interventions to Facilitate Psychological and Physiological Adaptation and Optimal Health Outcomes in Cancer Patients and Survivors. Annu Rev Psychol. 2023 Jan 18;74:423-455. doi: 10.1146/annurev-psych-030122-124119
  5. Harbridge R, Ivanitskaya L, Spreitzer G, Boscart V. Psychological empowerment and job crafting among registered nurses working in public health: A quantitative study. Appl Nurs Res. 2023 Feb;69:151649. doi: 10.1016/j.apnr.2022.151649.
  6. Alat P, Das SS, Arora A, Jha AK. Mental health during COVID-19 lockdown in India: Role of psychological capital and internal locus of control. Curr Psychol. 2023;42(3):1923-1935. doi: 10.1007/s12144-021-01516-x
  7. Zheng C, Poon ET, Wan K, Dai Z, Wong SH. Effects of Wearing a Mask During Exercise on Physiological and Psychological Outcomes in Healthy Individuals: A Systematic Review and Meta-Analysis. Sports Med. 2023 Jan;53(1):125-150. doi: 10.1007/s40279-022-01746-4.
  8. Swanson LM, Hood MM, Hall MH, Avis NE, Joffe H, Colvin A, Ruppert K, Kravitz HM, Neal-Perry G, Derby CA, Hess R, Harlow SD. Sleep timing, sleep regularity, and psychological health in early late life women: Findings from the Study of Women's Health Across the Nation (SWAN). Sleep Health. 2023 Apr;9(2):203-210. doi: 10.1016/j.sleh.2022.11.001.
  9. Gilanyi YL, Wewege MA, Shah B, Cashin AG, Williams CM, Davidson SRE, McAuley JH, Jones MD. Exercise Increases Pain Self-efficacy in Adults With Nonspecific Chronic Low Back Pain: A Systematic Review and Meta-analysis. J Orthop Sports Phys Ther. 2023 Jun;53(6):335–342. doi: 10.2519/jospt.2023.11622.
  10. Dubé MO, Roos M, Desmeules F, Roy JS. Reliability, validity, and responsiveness of a Canadian French adaptation of the pain self-efficacy questionnaire (PSEQ). Disabil Rehabil. 2023 Aug;45(16):2675-2682. doi: 10.1080/09638288.2022.2102254.
  11. Nudelman Y, Pincus T, Nicholas MK, Ben Ami N. Cross-cultural adaptation, reliability, and validity of the pain self-efficacy questionnaire - Hebrew version. Musculoskelet Sci Pract. 2023 Apr;64:102749. doi: 10.1016/j.msksp.2023.102749.
  12. Apriliyasari RW, Chou CW, Tsai PS. Pain Catastrophizing as a Mediator Between Pain Self-Efficacy and Disease Severity in Patients with Fibromyalgia. Pain Manag Nurs. 2023 Dec;24(6):622-626. doi: 10.1016/j.pmn.2023.05.003.
  13. Matko K, Burzynski M, Pilhatsch M, Brinkhaus B, Michalsen A, Bringmann HC. How Does Meditation-Based Lifestyle Modification Affect Pain Intensity, Pain Self-Efficacy, and Quality of Life in Chronic Pain Patients? An Experimental Single-Case Study. J Clin Med. 2023 May 31;12(11):3778. doi: 10.3390/jcm12113778.
  14. Soucie, K., Scott, S. A., Partridge, T., Hakim-Larson, J., Babb, K. A., & Voelker, S. Meta-Emotion and Emotion Socialization by Mothers of Preschoolers During Storytelling Tasks. Journal of Child and Family Studies, 2023, 1-14. http://dx.doi.org/10.1007/s10826-023-02736-4‏
  15. Ciucci, E., & Baroncelli, A.. Meta-emotion philosophy in teachers from kindergarten to middle school. Current Psychology, 2024, 1-13. ‏ https://doi.org/10.1007/s12144-024-05705-2
  16. Shao R, Liu S, Coplan RJ, Chen X, Liu J. Examining a Complex Model Linking Maternal Reflective Functioning, Maternal Meta-Emotion Philosophies, and Child Emotion Regulation. Children (Basel). 2023 Jul 2;10(7):1161. doi: 10.3390/children10071161.
  17. Cain, L., Strodl, E., & Howard, G. Targeting Beliefs About Emotions via Meta-Emotion Therapy for Adolescents with Anxiety: A Case Series Study. Journal of Contemporary Psychotherapy, 2024, 1-10. https://doi.org/10.1007/s10879-023-09605-7
  18. Zhang, Y., Zhou, M., & Zhang, X.. What really matters? Comparing parents’ and adolescents’ perceptions of parental meta-emotion philosophy as predictors of adolescents’ positive mental health. Current Psychology, 2023, 1-16. http://dx.doi.org/10.1007/s12144-023-04346-1
  19. Strodl, E., & Sorensen, P. The role of metacognitive beliefs versus meta-emotion beliefs in disordered eating. Australian Psychologist, 2023, 58(3), 179-189. https://doi.org/10.1080/00050067.2023.2181685
  20. Vahhab M, Latifi Z, Marvi M, Soltanizadeh M, Loyd A. Effects of self-healing training on perfectionism and frustration tolerance in mothers of single-parent students. J Gen Psychol. 2024 Jul-Sep;151(3):374-389. doi: 10.1080/00221309.2023.2275305.
  21. Yamazaki M, Watanabe Y, Kawakami M, Takayama T, Furukawa H, Fujimura T. A new training model using the self-healing properties of supramolecular hydrogels for endoscopic combined intrarenal surgery. Urolithiasis. 2023 Dec 20;52(1):13. doi: 10.1007/s00240-023-01509-4.
  22. Yang, J., & Wang, H. A hydrogel triboelectric nanogenerator with a self-healing function to obtain bio-mechanical energy and boxing training monitoring. Journal of Materials Science: Materials in Electronics, 2023, 34(13), 1124. http://dx.doi.org/10.1007/s10854-023-10469-9
  23. Fathi, Z., Latifi, Z. Comparing the Effectiveness of Body Appreciation Training and Self-Healing Training for Food Cravings and Weight Control Self-Efficacy among Overweight Women. Positive Psychology Research, 2023; 8(4): 75-94. doi:10.22108/ppls.2023.132282.2256
  24. Jin, X., Haider, M. Z., Cui, Y., Jang, J. G., Kim, Y. J., Fang, G., & Hu, J. W. Development of nanomodified self-healing mortar and a U-Net model based on semantic segmentation for crack detection and evaluation. Construction and Building Materials, 2023, 365, 129985. http://dx.doi.org/10.1016/j.conbuildmat.2022.129985
  25. Irani Z, Latifi Z, Soltanizadeh M. The Effectiveness of Self-healing Training (Healing Codes) on Psychological Capital and a Sense of Cohesion in Drug Addicts. J Research Health 2021; 11 (5) :351-362. http://dx.doi.org/10.32598/JRH.11.5.1598.4
  26. Edwards, E., Leahy, R., & Snyder, S. Patterns of emotional schema endorsement and personality disorder symptoms among outpatient psychotherapy clients. Motivation and Emotion, 2023, 47(3), 412-422. http://dx.doi.org/10.1007/s11031-022-10000-3
  27. van Dijk SDM, Veenstra MS, van den Brink RHS, van Alphen SPJ, Oude Voshaar RC. A Systematic Review of the Heterogeneity of Schema Therapy. J Pers Disord. 2023 Apr;37(2):233-262. doi: 10.1521/pedi.2023.37.2.262.
  28. da Silva, A. N., Matos, M., Faustino, B., Neto, D. D., & Roberto, M. S. Rethinking Leahy’s Emotional Schema Scale (LESS): Results from the Portuguese adaptation of the LESS. Journal of Rational-Emotive & Cognitive-Behavior Therapy,2023, 41(1), 95–114. https://doi.org/10.1007/s10942-022-00453-3
  29. Dadomo H, Panzeri M, Caponcello D, Carmelita A, Grecucci A. Schema therapy for emotional dysregulation in personality disorders: a review. Curr Opin Psychiatry. 2018 Jan;31(1):43-49. doi: 10.1097/YCO.0000000000000380.
  30. Dadomo H, Grecucci A, Giardini I, Ugolini E, Carmelita A, Panzeri M. Schema Therapy for Emotional Dysregulation: Theoretical Implication and Clinical Applications. Front Psychol. 2016 Dec 22;7:1987. doi: 10.3389/fpsyg.2016.01987.
  31. Wallston, K. A., Strudler Wallston, B., & DeVellis, R Development of the multidimensional health locus of control (MHLC) scales. Health education monographs, . (1978). 6(1), 160-170. attachments (10).zip
  32. Balochi Bidakhti, Mehri, Mousavi, Afrooz, Meshki, Mahdi, and Panahi Shahri, Mahmoud. Prediction of women's health control center, optimism and mindfulness. Journal of Positive Psychology, (2017). 3(4), 51-64. https://doi.org/10.22108/ppls.2018.103456.1091
  33. Mitmansgruber, H., Beck, T. N., Höfer, S., & Schüßler, When you don’t like what you feel: Experiential avoidance, mindfulness and meta -emotion in emotion regulation. Personality and Individual Differences , 2009, 46(4), 448 -453. https://doi.org/10.1016/j.paid.2008.11.013
  34. Rezaei, Noor Mohammad, Parsai, Iman, Nejati, Ismat, Nik Amal, Mitra, and Hashemi Razini, Saadaleh. Psychological characteristics of students' hyperexcitement analysis. Psychological Research,(2013).124-111,23(6).
  35. Nicholas MK. The pain self-efficacy questionnaire: Taking pain into account. Eur J Pain. 2007 Feb;11(2):153-63. doi: 10.1016/j.ejpain.2005.12.008.
  36. Broumand, Akram. Chronic pain, pain self-efficacy and suicidal thoughts: the moderating role of pain self-efficacy on the relationship between depression and suicidal thoughts in patients with chronic pain. Journal of Principles of Mental Health, 2011. 14(54), 152-63. https://doi.org/10.22038/jfmh.2012.985
  37. Leahy, R.L. Introduction: Emotional Schemas and Emotional Schema Therapy. 2019, J Cogn Ther 12, 1–4. https://doi.org/10.1007/s41811-018-0038-5
  38. Low LF, Goodenough B, Fletcher J, Xu K, Casey AN, Chenoweth L, Fleming R, Spitzer P, Bell JP, Brodaty H. The effects of humor therapy on nursing home residents measured using observational methods: the SMILE cluster randomized trial. J Am Med Dir Assoc. 2014 Aug;15(8):564-9. doi: 10.1016/j.jamda.2014.03.017.
  39. Zarean, F., & Latifi, Z. The effectiveness of self-healing (the healing codes) training on psychological capital and distress tolerance in women with addicted husbands. Current Psychology, 2022. 41(6), 3472-3480