Effect of cognitive behavior therapy integrated with mindfulness on perceived pain and pain self-efficacy in patients with breast cancer

Context: cancer pain in a complicated situation for patients with breast cancer. researchers suggested to use complementary and alternative method in order to reduction pain and side effects in these patients. aims: this study was aimed to investigate the effectiveness of mindfulness integrated with cognitive behavioral therapy (micbt) on perceived pain and pain self-efficacy in patients with breast cancer. settings and design: in this clinical trial study, a semi-experimental method was used. patients with breast cancer were recurred from cancer clinic of a hospital of mashhad university of medical sciences. material and methods: twenty-four patients with breast cancer selected through purposive sampling method vand randomly assigned with permutation blocks in two groups of intervention (n = 12) and control (n = 12). the groups were assessed by demographic questionnaire, perceived pain scale, and pain self efficacyscale before, immediate, and 1 month after the intervention. participants in the interventional group received micbt for 8 weeks. statistical analysis used: data were analyzed using descriptive methods and multivariate analysis of covariance. results: the results showed that the interventional group had a significant decrease in perceived pain (p > 0.05). the pain self-efficacy of patients significantly increased in comparison to the control group in posttest and follow-up stage (p < 0.05). conclusion: according to the results, it can be concluded that using integrated therapy withmindfulness has been effective in reducing pain and enhancing pain self-efficacy in breast cancer patients. therefore, it can be an adequate complementary therapy for patients with breast cancer.