Structural Equation Model of Pain Management Based on Rumination, Positive and Negative Emotional Regulation Mediating Resilience In Women With Breast Cancer

Document Type : Original Article

Authors

1 Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran

2 Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Karaj Branch, Islamic Azad University, Karaj, Iran

3 Department of Human Genetics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Background: Breast cancer is the second leading cause of cancer death in women, accounting for approximately 21% of all cancers worldwide.
 
Objective: The present study aimed to assess the pain management model based on rumination, as well as positive and negative emotional regulation, with the mediating role of resilience in women with breast cancer.
 
Method: The present study was conducted based on a correlational design (structural equation modeling). The statistical population of the present study was all women with breast cancer who were referred to medical centers (private and public hospitals and clinics) in Tehran in 2019. The sample size was calculated at 273 patients according to Morgan's table who were selected via simple random sampling. Rumination response questionnaires, positive and negative emotional regulation, resilience, and pain management were used to measure the variables of the study. The obtained data were analyzed in SPSS software and LISREL using Spearman correlation coefficient and path analysis.
 
Results: Based on the results, resilience had a mediating role in the indirect effect of positive emotional regulation on activity enhancement (P<0.01). Nonetheless, resilience played no significant mediating role in the relationship between positive regulation. Moreover, the results pointed to the significant indirect effect of negative emotional regulation with the mediating role of resilience on activity enhancement (P<0.01). However, resilience had no significant mediating role in the relationship between negative regulation.
 
Conclusion: As evidenced by the obtained results, it can be concluded that the pain management model based on rumination, as well as positive and negative emotional regulation, was fitted with the mediation of resilience in women with breast cancer.
 

Keywords

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

References

1. Lyubomirsky S, Kasri F, Chang O, Chung I. Ruminative response styles and delay of seeking diagnosis for breast cancer symptoms. Journal of Social and Clinical Psychology. 2006;25(3):276-304.
https://doi.org/10.1521/jscp.2006.25.3.276
 
2. Baghjari F, Saadati H, Esmaeilinasab M. The relationship between cognitive emotion-regulation strategies and resiliency in advanced patients with cancer. International Journal of Cancer Management. 2017;10(10).
https://doi.org/10.5812/ijcm.7443
 
3. Khaneshi Vatan FA, Askarian M. The Relationship between Resilience and Cognitive Emotion Regulation and Obsessive Rumination of Woman with Breast Cancer. European Online Journal of Natural and Social Sciences: Proceedings. 2015;4(1 (s)):pp-1265.
 
4. Yun MR, Song M, Jung KH, Boas JY, Lee KJ. The effects of mind subtraction meditation on breast cancer survivors' psychological and spiritual well-being and sleep quality: a randomized controlled trial in South Korea. Cancer nursing. 2017;40(5):377-85.
https://doi.org/10.1097/NCC.0000000000000443
PMid:27819804
 
5. Raines AM, Vidaurri DN, Portero AK, Schmidt NB. Associations between rumination and obsessive-compulsive symptom dimensions. Personality and Individual Differences. 2017;113:63-7.
https://doi.org/10.1016/j.paid.2017.03.001
 
6. Liu J, Peh CX, Mahendran R. Body image and emotional distress in newly diagnosed cancer patients: The mediating role of dysfunctional attitudes and rumination. Body image. 2017;20:58-64.
https://doi.org/10.1016/j.bodyim.2016.11.001
PMid:27936410
 
7. Papageorgiou C, Wells A, editors. Depressive rumination: Nature, theory and treatment. John Wiley & Sons; 2004.
https://doi.org/10.1002/9780470713853
 
8. MacIntyre PD, Vincze L. Positive and negative emotions underlie motivation for L2 learning. Studies in Second Language Learning and Teaching. 2017;7(1):61-88.
https://doi.org/10.14746/ssllt.2017.7.1.4
 
9. Southwick SM, Vythilingam M, Charney DS. The psychobiology of depression and resilience to stress: implications for prevention and treatment. Annu. Rev. Clin. Psychol. 2005;1:255-91.
https://doi.org/10.1146/annurev.clinpsy.1.102803.143948
PMid:17716089
 
10. Khoramniya S, Foroughi AA, Goodarzi G, Bahari Babadi M, Taheri AA. The relationship of self-compassion and rumination in prediction of chronic depression. Shenakht journal of psychology & psychiatry. 2020;7(5):15-29.
https://doi.org/10.52547/shenakht.7.5.15
 
11. Mary EM, Patra S. Relationship between forgiveness, gratitude and resilience among the adolescents. Indian Journal of Positive Psychology. 2015;6(1):63.
 
12. Strijk JE, Proper KI, van Mechelen W, van der Beek AJ. Effectiveness of a worksite lifestyle intervention on vitality, work engagement, productivity, and sick leave: results of a randomized controlled trial. Scandinavian Journal of Work, Environment & Health. 2013:66-75.
https://doi.org/10.5271/sjweh.3311
PMid:22740100
 
13. Casagrande M, Boncompagni I, Forte G, Guarino A, Favieri F. Emotion and overeating behavior: Effects of alexithymia and emotional regulation on overweight and obesity. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2020;25(5):1333-45.
https://doi.org/10.1007/s40519-019-00767-9
PMid:31473988
 
14. Besharat MA, Shahidi V. Mediating role of cognitive emotion regulation strategies on the relationship between attachment styles and alexithymia. Europe's Journal of Psychology. 2014;10(2):352-62.
https://doi.org/10.5964/ejop.v10i2.671
 
15. Sakellariou VI, Poultsides LA, Ma Y, Bae J, Liu S, Sculco TP. Risk assessment for chronic pain and patient satisfaction after total knee arthroplasty. Orthopedics. 2016;39(1):55-62.
https://doi.org/10.3928/01477447-20151228-06
PMid:26730683
 
16. Kheshti R, Namazi S, Mehrabi M, Firouzabadi D. Health care workers' knowledge, attitude, and practice about chronic pain management, Shiraz, Iran. Anesthesiology and pain medicine. 2016;6(4).
https://doi.org/10.5812/aapm.37270
PMid:27843775 PMCid:PMC5099987
 
17. Li L, Zhu X, Yang Y, He J, Yi J, Wang Y, Zhang J. Cognitive emotion regulation: characteristics and effect on quality of life in women with breast cancer. Health and quality of life outcomes. 2015;13(1):1-0.
https://doi.org/10.1186/s12955-015-0242-4
PMid:25944458 PMCid:PMC4419411
 
18. 18.Vandekerckhove M, Jung S, Kronast S. Regulating emotions: Culture, social necessity, and biological inheritance. von Scheve C, Ismer S, editors. Blackwell Pub; 2008.
https://doi.org/10.1002/9781444301786
 
19. Moksnes UK, Lazarewicz M. The association between stress, resilience, and emotional symptoms in Norwegian adolescents from 13 to 18 years old. Journal of health psychology. 2019;24(8):1093-102.
https://doi.org/10.1177/1359105316687630
PMid:28810383
 
20. McComb SE, Mills JS. Young women's body image following upwards comparison to Instagram models: The role of physical appearance perfectionism and cognitive emotion regulation. Body Image. 20
 
Razavi International Journal of Medicine
Volume 10, Issue 1 - Serial Number 1
January 2022
Pages 118-124

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