Effectiveness of Positive Thinking Training on Mental Health of Females with Breast Cancer


1 Associate Professor, Department of Psychology, University of Sistan and Balochestan, Iran

2 PhD Student in Psychology at Islamic Azad University of Sistan and Balochestan, Iran


Introduction: Cancer is a type of disorder affecting cell duplication and differentiation which can occur in each part of body tissue at any age, and may cause disease by attacking the healthy tissues of body The present study was conducted in Kerman with the aim of determining the effectiveness of positive thinking training on mental health of the women diagnosed with breast cancer. Methods: The research was a quasi-experimental one with the pre-test and post-test design, having both experimental and control groups. For this reason, 30 patients were selected from among the women diagnosed with breast cancer using purposive sampling method, and then they were put into two (experimental and control) groups, each including 15 patients via random replacement. The positive thinking training course was held during eight 90-minute sessions twice a week for experimental group. Goldberg’s 28-items mental health questionnaire (1972) was used to collect data. Also, the analysis of covariance (ANCOVA) test was used for data analysis with the help of SPSS software (version 19) (p≤0.05). Results: The results obtained from the research showed that the positive thinking training was effective on the mental health of the women diagnosed with breast cancer (P<0.001). Conclusion: Findings of the present research showed that psychological treatments can improve mental pains of cancer patients, Thus, considering the findings of this research, it is suggested to use psychological treatments, which relieve anxiety and depression patients experience during cancer disease


1. Hamid N. Effectiveness of semantics on depression, anxiety and quality of life in cancer patients. J Psychol Achiev. 2011; 18 (2): 199- 224.
2. Montgomery GH, Bovbjerg DH. Pre-surgery distress and specific response expectancies predict post– surgery outcomes in surgery patients confronting breast cancer. J Health Psychol. 2004; 23: 381- 387.
3. Akbari N. Evaluation of health beliefs of nurses toward breast self-efficacy in tabriz health center. Tabriz University of Medical Science. 2000.
4. Darvishi H. Examining mental imagery and relaxation on anxiety and hospital depression reduction and increasing life expectance in women with breast cancer, Golestan Hospital of Ahvaz, Thesis in Azad university of Ahvaz. 2009.
5. Sharpiro SL, Lopez AM, Scharrz GE, et al Quality of life and breast cancer relationship to psychosocial variable. J clin psycol. 2001; 5 (1): 501- 519.
6. Bahmani B. Comparison of effectiveness of two interventional methods of education-based cognitive therapy according to Michael furies’ and cognitive-existential group therapy on hope, self-esteem and quality of life of women diagnosed with breast cancer, together with symptoms of depression. Thesis in Alameh Tabatabaei University. 2010.
7. Shahkhodabandeh S. Pirozi Z. Breast cancer in iran, A study of iranian researches at the medline database. J Breast Diseases. 2009; 1 (2): 49- 54.
8. Hamzeh S, Beirami M. Comparison of personality trait, experience of negative emotions, and confronting styles in healthy women and those suffering from cancer. J Shahid Sadoughi Univ Med Sci. 2011; 19 (5): 627- 636.
9. Madani Zare H. The effect of education positive thinking on values, interpersonal and interpersonal problems. Thesis in Tehran University. 2010.
10. Maruta T. Colligan RC. Malinchoc M. Offord KP. Optimism- pessimism assessed in the 1960s and self reported health status 30 years later. Mayo clinic Proceedings. 2002; 77 (8): 748- 753.
11. Anderson P. Happiness and health. J Socioeconomics. 2008; 37: 213- 236.
12. Lee V, Cohen SR, Edgar L, Andrea ML, Gagnon AJ. Meaning making intervention during breast or colorectal cancer treatment improves self-esteem, optimism, and self-efficacy. Social Sci Med. 2006; 62 (12): 3133- 3145.
13. Victoria C. Margarita OT, Violeta C, Alejandro D. Positive psychology group intervention for breast cancer patient: A
randomized traial. Psychol Reports. 2014; 115 (1): 44- 46.
14. Jabari M, Shahidi S, Mootabi F. Positive thinking efficacy of group interventions in reducing ineffective attitudes and increasing the happiness of adolescent girls. J Clin Psychol. 2014; 6 (2): 65- 74.
15. Segerstrom SC, Taylor SE, Kemeny ME, Fahey JL. Optimism is associated with mood, coping, and immune change in response to stress. J Personal Social Psychol. 1998; 47 (6): 1646- 1655.
16. Goldberg DP, Blackwell D. Detecting of psychiatric illness by questionnaire. London: Oxford University Press. 1972.
17. Hooman A. Standardization of general health questionnaire for undergraduate students at Tarbiat Moalem University of Tehran. Tarbiat Moalem University Research Institute. 1997.
18. Pernegar T. Health and happiness in young Swiss adults, quality of care until. Geneva University Hospital, Geneva, Switzerland. 2004.
19. Jayasvasti K. Happiness and related factors in pregnant women, department of psychiatry, faculty of medicine, chulalongkorn university, Bangkok, Thailand. 2005.
20. Mannix M. Optimism, quality of life, and coping style in adolescents with cancer. J Social Clin Psychol. 2009; 4120- 4130.
21. Tabatabaei J, Ahadi H, Khamesan A. The effect of optimistic education on anxiety and depression in psychology students of Islamic Azad University of Birjand. J Nurs Midwifery College Birjand. 2013; 10 (1): 34- 42.
22. Snyder C, Foldma R. The role of hope in meaning life anxiety and depression. Psycol. 2005; 3: 210- 219.
23. Armitage CJ, Conner M, Norman P. Differential effects of mood on information processing: evidence from the theories of reasoned action and planned behavior. Eur J Social Psychol. 1999; 29: 419- 433.
24. Fredrickson BL. The role of positive emotion in positive psychology: the broaden and build the of positive emotion. Am Psychol. 2001; 56: 218- 226.
25. Isen AM. Positive affect and decision making. In Lewis M Havilan J (Eds.). Handbook of Emotion, New York: Guilford. 1999.