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Effectiveness of Acceptance and Commitment Therapy versus Spirituality Therapy on Self-Management among Women with Breast Cancer
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Sakineh Zamaniyan  , Jafar Bolhari * , Esmat Danesh , Hasan Ahadi , Shahrbanoo Ghahari , Marziyeh Ghahramani |
| Spiritual Health Research Center, Iran University of Medical Sciences, Tehran, Iran , bolharij@gmail.com |
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Abstract: (7 Views) |
Background and Aim: Breast cancer is the most common cancer among women worldwide. Women diagnosed with breast cancer face multiple challenges, including adherence to treatment, symptom management, cooperation with healthcare providers, and prevention of recurrence. Enhanced self-management has been associated with better treatment outcomes. This study aimed to compare the effectiveness of Acceptance and Commitment Therapy (ACT) and Spirituality Therapy on self-management in women with breast cancer.
Methods: This quasi-experimental study employed a pretest-posttest design with a two-month follow-up and three groups (two intervention groups and one control group). The statistical population consisted of women with breast cancer referred to Haft-e-Tir Hospital in Tehran, Iran, in 2017. Twenty-four eligible women were selected through convenience sampling and randomly assigned to three groups: ACT, Spirituality Therapy, and control. Each intervention group received eight 90-minute weekly sessions. Self-management was assessed using the Chronic Disease Self-Management Questionnaire (CDSQ) at pretest, posttest, and two-month follow-up, the reliability and validity of which have been confirmed in Persian populations. Data were analyzed using repeated-measures analysis of variance (ANOVA) in SPSS version 21.
Results: Both ACT and Spirituality Therapy significantly improved the symptom management (F = 0.84, P>0.05), self-efficacy (F = 0.73, P>0.05), and medical care management (F = 0.92, P>0.05) components of self-management, with no significant difference between the two interventions. However, ACT was significantly more effective than Spirituality Therapy in improving the physical activity component (F = 7.16, P<0.01).
Conclusion: Both ACT and spirituality therapy are effective in enhancing symptom management, self-efficacy, and medical care management in women with breast cancer. However, ACT showed superior efficacy in promoting physical activity. Therefore, it is recommended to incorporate ACT and, to a slightly lesser extent, Spirituality Therapy into supportive care programs to improve self-management among women with breast cancer.
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| Keywords: Breast Cancer, Acceptance and Commitment Therapy (ACT), Spirituality Therapy, Self-Management, Self-Efficacy, Physical Activity, Women |
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Full-Text [PDF 676 kb]
(2 Downloads)
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Type of Study: Original Research |
Subject:
Special
Received: 2025/07/27 | Accepted: 2025/11/19 | Published: 2025/12/21
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