[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Journal Information::
Articles archive::
Publication Ethics::
Peer Review Process::
Indexing Databases::
For Authors::
For Reviewers::
Contact us::
Site Facilities::
Google Scholar Metrics

Citation Indices from GS

AllSince 2019

Search in website

Advanced Search
Receive site information
Enter your Email in the following box to receive the site news and information.
Registered in



:: Volume 32, Issue 1 (4-2024) ::
Journal of Ilam University of Medical Sciences 2024, 32(1): 35-46 Back to browse issues page
Predicting the meaning of life based on the sense of coherence and defense mechanisms with the mediation of perceived stress in women with breast cancer
Maryam Bayat Tork1 , Sattar Kaikhavani * 2
1- Department of Psychology, Faculty of Medical Sciences, Azad University of Zanjan, Zanjan, Iran
2- Department of Psychology, Faculty of Medical Sciences, Ilam University of Medical Sciences, Ilam, Iran
Abstract:   (208 Views)
Introduction:  Breast cancer is the third most common cancer in the world, the most common cancer among women, and the second cause of cancer-related death among them.The present study aimed to predict the meaning of life based on the sense of coherence and defense mechanisms with the mediation of perceived stress in women with breast cancer in Qazvin.
Material & Methods: The present research was conducted based on a descriptive-analytical design. The statistical population included all women with breast cancer in Qazvin in 2023 (n=200). From this population, 126 cases were selected using Morgan's table and available sampling. Data were analyzed in SPSS (version 26) and SmartPLS (version 3.0.1) software packages using structural equation modeling.
Results: An inverse and significant relationship was detected between sense of coherence and  perceived stress (P=0.006; r= -0.478), defense mechanisms and perceived stress (P=0.015; r= -0.458), and perceived stress and the meaning of life (P=0.044; r= -0.414. Moreover,  defense mechanisms had a direct and significant correlation with the meaning of life (P=0.005; r=  0.608). Perceived stress had a significant mediating role with (P=0.032; r=0.198) on the relationship between the sense of coherence and the meaning of life. Furthermore, perceived stress palyed a mediating role in the relationship between defense mechanisms and the meaning of life (P=0.040; r= 0.190).
Discussion & Conclusion: As evidenced by the results of this research, an increase in perceived stress causes a decrease in the sense of coherence, an increase in incompatible defense mechanisms, and a decrease in the meaning of life. According to the proposed model, it is possible to improve the meaning of life in patients by controlling their level of perceived stress by increasing the sense of coherence and defense mechanisms. It is suggested to provide psychological services to control perceived stress and inconsistent defense mechanisms.
Keywords: Breast cancer, Defense mechanisms, Meaning of life, Perceived stress, Sense of coherence
Full-Text [PDF 496 kb]   (104 Downloads)    
Type of Study: Research | Subject: clinical psychology
Received: 2023/12/6 | Accepted: 2024/01/1 | Published: 2024/05/4
1. Bavadi B, Poursharifi H, Lotfi Kashani F. The Effectiveness of Cognitive-Behavioral Therapy Based 8-step Pattern of Cash to Improve Psychological well-being of Women with Breast Cancer. IJBD 2016; 8 :41-51 (Persian).
2. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin 2021;71:209-49.doi: 10.3322/caac.21660.
3. Amani O, Malekzade Moghani M, Peykani S. Study of executive function in women with breast cancer undergoing chemotherapy. Qazvin Univ Med Sci 2017; 20: 44-36(Persian).
4. Mounier NM, Abdel-Maged AE, Wahdan SA, Gad AM, Azab SS. Chemotherapy-induced cognitive impairment (CICI): An overview of etiology and pathogenesis. Life Sci 2020;258:118071. doi: 10.1016/j.lfs.2020.118071.
5. Wefel JS, Lenzi R, Theriault RL, Davis RN, Meyers CA. The cognitive sequelae of standarddose adjuvant chemotherapy in women with breast carcinoma: results of a prospective, randomized, longitudinal trial. Cancer 2004;100: 2292-9 .doi: 10.1002/cncr.20272.
6. Shields GS, Spahr CM, Slavich GM. Psychosocial interventions and immune system function: A systematic review and meta-analysis of randomized clinical trials. JAMA Psychiatry 2020;77:1031-43. doi: 10.1001/jamapsychiatry.2020.0431.
7. Heffer T, WilloughbyT. A count of coping strategies: A longitudinal study investigating an alternative method to understanding coping and adjustment. PloS One 2017; 12:e0186057. doi: 10.1371/journal.pone.0186057.
8. Pancice M, Kiorboe T. Phytoplankton defenes mechanisms: traits and trade-offs. Biol Rev 2018; 93: 1269-303. doi: 10.1111/brv.12395.
9. Whitty MT. Coping and defending: Age differences in maturity of defenses mechanism sand coping strategies. Aging Ment Health 2023;7:123-32. doi:10.1080/1360786031000072277.
10. Aghili SM, Asghari A, Yafetian S, Namazi M. The effectiveness of meaning therapy on pain and life expectancy in women with breast cancer. Res J Islamic Psychol 2023; 8: 95-110(Persian).
11. Cetkovic J, Cvetkovic M. Investigation of the depression in breast cancer patients by computational intelligence technique. Comput Hum Behav 2017;68:228-31.doi: 10.1016/j.chb.2016.11.042.
12. Kazeminia M, Salari N, Hosseinian-Far A, Akbari H, Bazrafshan MR, Mohammadi M. The Prevalence of Breast Cancer in Iranian Women: A Systematic Review and Meta-Analysis. Indian J Gynecol Oncol 2022;20:14 (Persian). doi: 10.1007/s40944-022-00613-4.
13. Catabay CJ, Stockman JK, Campbell JC, Tsuyuki K. Perceived stress and mental health: The mediating roles of social support and resilience among black women exposed to sexual violence. J Affect Disord 2019;259:153-9. doi: 10.1016/j.jad.2019.08.037.
14. Łukasiewicz S, Czeczelewski M, Forma A, Baj J, Sitarz R, Stanisławek A. Breast Cancer Epidemiology, Risk Factors, Classification, Prognostic Markers, and Current Treatment Strategies an Updated Review. Cancers 2021; 13:4287. doi:10. 3390/cancers13174287.
15. Schumacher J, Wilz G, Gunzelmann T, Brähler E. The Antonovsky Sense of Coherence Scale. Test statistical evaluation of a representative population sample and construction of a brief scale. Psychother Psychosom Med Psychol 2000;50:472-82. doi: 10.1055/s-2000-9207.
16. lensborg-Madsen T, Vetegodt S, Merrick J. Why is Antonovskys sense of coherencenot correlated to physical health? Analysing Antonovsky’s 29-item sense of coherence scale(SOC-29). Scientific World Journal 2005; 5:767- 76.doi: 10.1100/tsw.2005.89.
Add your comments about this article
Your username or Email:


XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Bayat Tork M, Kaikhavani S. Predicting the meaning of life based on the sense of coherence and defense mechanisms with the mediation of perceived stress in women with breast cancer. J. Ilam Uni. Med. Sci. 2024; 32 (1) :35-46
URL: http://sjimu.medilam.ac.ir/article-1-8167-en.html

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 32, Issue 1 (4-2024) Back to browse issues page
مجله دانشگاه علوم پزشکی ایلام Journal of Ilam University of Medical Sciences
Persian site map - English site map - Created in 0.16 seconds with 41 queries by YEKTAWEB 4654