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Volume 31, Issue 1 (Winter 2024)                   Intern Med Today 2024, 31(1): 0-0 | Back to browse issues page

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Arefian M. Resilience and Hope mediate the impact of Depression, Stress, and Spirituality on pain in women with Breast Cancer: A cross-sectional study. Intern Med Today 2024; 31 (1)
URL: http://imtj.gmu.ac.ir/article-1-4108-en.html
Ph.D. in Psychology, Department of Psychology, Faculty of Humanities, Jahrom University, Fars, Iran. , arefian@jahromu.ac.ir
Abstract:   (10 Views)
 Aims: Pain is a prevalent symptom among women with breast cancer (BC), often leading to physical and psychological distress and interfering with the treatment process. This study aimed to investigate the relationship of depression, stress, and spirituality on pain symptoms in BC patients, while exploring the potential mediating role of hope and resilience.
Materials & Methods: Between June 2022 and February 2023, 240 women who were diagnosed with BC in a public hospital participated in this study, recruited using a purposive sampling method. Participants completed the following self-report measures, including Beck Depression Inventory-II, Perceived Stress Scale, Spiritual Well-Being Scale, Hope Scale, Connor-Davidson Resilience Scale, and Brief Pain Inventory. Data were analyzed with the help of SPSS software and AMOS. Moreover, Spearman's correlation coefficient and path analysis were used. Mediation effects were assessed using Variance Accounted For (VAF) values.
Results: Direct path analysis revealed significant associations between pain and depression (
β =.16), stress (β =.12), and resilience (β =-.45; p<.05). However, spirituality and hope had no significant relationship with pain. Indirect path analysis indicated that hope significantly mediated the relationship between depression (β =.11), spirituality (β =-.07), and pain (p<.05). Additionally, resilience partially mediated the relationship between stress (β =.23), spirituality (β =-.28), and pain (p<.05).
Conclusion: Our study supports the indirect association between spirituality and pain in BC patients. Furthermore, the mediating role of hope and resilience offers a novel perspective on pain management strategies. Our findings advocate for holistic pain management in BC care that integrates psychological support, spiritual counseling, and resilience-building strategies to improve patient well-being. 

 
     
Type of Study: Original | Subject: Basic Medical Science
Received: 2025/09/26 | Accepted: 2024/06/21 | Published: 2024/12/8

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