Prediction of Distress Tolerance in Patients with Breast Cancer based on Anger Rumination and Physical Health: Using an Artificial Neural Network Distress tolerance in patients with breast cancer

Mahbobeh Azarnia (1), Farah Naderi (2), Behnam Makvandi (3)
(1) Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran, Iran, Islamic Republic of,
(2) Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran, Iran, Islamic Republic of,
(3) Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran, Iran, Islamic Republic of

Abstract

Background: Breast cancer is a common cancer in women, causing significant psychological consequences. Traditionally, researchers have relied on statistical methods to predict factors influencing distress in cancer patients. However, this study explores the potential of artificial neural networks (ANNs) as a novel approach for predicting distress tolerance in women with breast cancer. This study aims to explore the use of ANNs in predicting distress tolerance in women with breast cancer, based on anger rumination and physical health.


Methods: The research method was descriptive and correlational. The statistical population of this study consisted of 207 women with breast cancer admitted to the hematology oncology department of Shafa Hospital in Ahvaz in 2023, selected using convenience sampling. Data were collected using Distress Tolerance Scale (DTS), Anger Rumination Scale (ARS), and Physical Health Questionnaire (PHQ). Data analysis involved Pearson correlation coefficient and ANN. SPSS-27 was used for initial analyses and MATLAB-2019 was used for ANN modeling.


Results: The results showed a negative relationship between anger rumination and distress tolerance, and a positive one between physical health and distress tolerance in women with breast cancer (P < 0.001). Furthermore, a significant correlation was found among anger rumination, physical health, and distress tolerance in these women (P < 0.001). The ANN analysis also highlighted that anger rumination had the most significant connection with distress tolerance in the patients, with physical health following in the next stage.


Conclusion: This study identified significant associations between anger rumination, physical health, and distress tolerance in women with breast cancer. These findings add to understanding distress tolerance in women with breast cancer, emphasizing the need to address psychological and physical health in interventions to improve well-being.

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References

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 (Basel). 2021;13(17).

Arnold M, Morgan E, Rumgay H, Mafra A, Singh D, Laversanne M, et al. Current and future burden of breast cancer: Global statistics for 2020 and 2040. Breast. 2022;66:15-23.

Miller MM, Vasiliadis T, Rochman CM, Repich K, Patrie JT, Anderson RT, Harvey JA. Factors associated with perceived personal risk for breast cancer among women with dense breasts. Clin Imaging. 2023;93:34-8.

Giaquinto AN, Sung H, Miller KD, Kramer JL, Newman LA, Minihan A, et al. Breast Cancer Statistics, 2022. CA Cancer J Clin. 2022;72(6):524-41.

Mofid B, Varvani Farahani P, Khonsari AH, Nazmi R, Taherkhaniha HE, Azghandi S. Improving Quality of Life for Patients with Breast Cancer by Twin Hearts Meditation: A Randomized Clinical Trial : Improving QOL in BC patients. Archives of Breast Cancer. 2023;10(3):262-9.

Melvin JC, Wulaningsih W, Hana Z, Purushotham AD, Pinder SE, Fentiman I, et al. Family history of breast cancer and its association with disease severity and mortality. Cancer Med. 2016;5(5):942-9.

Shahin T, Farzaneh H, Saeed B. The Mediating Role of Sexual Satisfaction in the Relationships of Body Mass Index and Spiritual Well-being with Quality of Married Life in Women with Breast Cancer: Quality of married life in women with BC. Archives of Breast Cancer. 2022;10(1):48-56.

Faroughi F, Fathnezhad-Kazemi A, Sarbakhsh P. Factors affecting quality of life in women with breast cancer: a path analysis. BMC Womens Health. 2023;23(1):578.

Corkum JP, Butler K, Zhong T. Higher Distress in Patients with Breast Cancer Is Associated with Declining Breast Reconstruction. Plast Reconstr Surg Glob Open. 2020;8(2):e2636.

Lass ANS, Veilleux JC, DeShong HL, Winer ES. What is distress tolerance? Presenting a need for conceptual clarification based on qualitative findings. Journal of Contextual Behavioral Science. 2023;29:23-32.

Probert-Lindström S, Perrin S. An examination of distress tolerance, anxiety sensitivity, and intolerance of uncertainty in adults in routine psychiatric care. Acta Psychol (Amst). 2023;235:103902.

Onyedibe MCC, Ibeagha PN, Onyishi IE. Distress tolerance moderates the relationship between anger experience and elevated blood pressure. South African Journal of Psychology. 2019;50(1):39-53.

de la Fuente-Anuncibay R, González-Barbadillo Á, Ortega-Sánchez D, Ordóñez-Camblor N, Pizarro-Ruiz JP. Anger Rumination and Mindfulness: Mediating Effects on Forgiveness. Int J Environ Res Public Health. 2021;18(5).

du Pont A, Rhee SH, Corley RP, Hewitt JK, Friedman NP. Rumination and Psychopathology: Are Anger and Depressive Rumination Differentially Associated with Internalizing and Externalizing Psychopathology? Clin Psychol Sci. 2018;6(1):18-31.

Oliva A, Ferracini SM, Amoia R, Giardinieri G, Moltrasio C, Brambilla P, Delvecchio G. The association between anger rumination and emotional dysregulation in borderline personality disorder: A review. J Affect Disord. 2023;338:546-53.

Sedighi Arfaee F, Rashidi A, Tabesh R. The Distress Tolerance in the Elderly: The Role of Experiential Avoidance, Rumination and Mindfulness. Aging Psychology. 2021;7(1):12-1.

Sarang B, Bhandarkar P, Parsekar SS, Patil P, Venghateri JB, Ghoshal R, et al. Concerns and coping mechanisms of breast cancer survivor women from Asia: a scoping review. Support Care Cancer. 2023;31(9):528.

Salmanian K, Marashian FS. Association of Coping Strategies with Death Anxiety through Mediating Role of Disease Perception in Patients with Breast Cancer. Archives of Breast Cancer. 2021:226-32.

Manouchehri E, Taghipour A, Ebadi A, Homaei Shandiz F, Latifnejad Roudsari R. How do I deal with breast cancer: a qualitative inquiry into the coping strategies of Iranian women survivors. BMC Womens Health. 2022;22(1):284.

Veilleux JC. A Theory of Momentary Distress Tolerance: Toward Understanding Contextually Situated Choices to Engage With or Avoid Distress. Clinical Psychological Science. 2022;11(2):357-80.

Vujanovic AA, Bonn-Miller MO, Potter CM, Marshall EC, Zvolensky MJ. An Evaluation of the Relation Between Distress Tolerance and Posttraumatic Stress within a Trauma-Exposed Sample. J Psychopathol Behav Assess. 2011;33(1):129-35.

Li Y, Ju R, Hofmann SG, Chiu W, Guan Y, Leng Y, Liu X. Distress tolerance as a mechanism of mindfulness for depression and anxiety: Cross-sectional and diary evidence. Int J Clin Health Psychol. 2023;23(4):100392.

Krasne M, Ruddy KJ, Poorvu PD, Gelber SI, Tamimi RM, Schapira L, et al. Coping strategies and anxiety in young breast cancer survivors. Support Care Cancer. 2022;30(11):9109-16.

Simons JS, Gaher RM. The Distress Tolerance Scale: Development and Validation of a Self-Report Measure. Motivation and Emotion. 2005;29(2):83-102.

Azizi AR. Reliability and validity of the persian version of distress tolerance scale. Iran J Psychiatry. 2010;5(4):154-8.

Sukhodolsky DG, Golub A, Cromwell EN. Development and validation of the anger rumination scale. Personality and Individual Differences. 2001;31(5):689-700.

Mahmoudi T, BasakNejad S, Mehrabizadeh Honarmand M. Psychometric characteristics of Anger Rumination Scale (ARS) in Students. Journal of Sabzevar University of Medical Sciences. 2014;21(3):453-62.

Schat ACH, Kelloway EK, Desmarais S. The Physical Health Questionnaire (PHQ): construct validation of a self-report scale of somatic symptoms. J Occup Health Psychol. 2005;10(4):363-81.

Abasi F, SKimiaei S, Safariyan Tosi M, Abedi M. Psychometric properties of the Persian version of physical health questionnaire. Research-in-Medicine. 2017;41(4):275-81.

Shadara Z, Dehghani M, Heidari M, Mahmoud Aliloo M. Distress Tolerance, Impulsivity and Aggression: The Role of Emotional Dysregulation and Reward Sensitivity in Individuals With Borderline Personality Disorder Features. Practice in Clinical Psychology. 2021;9(1):37-50.

İzci F, İlgün AS, Fındıklı E, Özmen V. Psychiatric Symptoms and Psychosocial Problems in Patients with Breast Cancer. J Breast Health. 2016;12(3):94-101.

Gosain R, Gage-Bouchard E, Ambrosone C, Repasky E, Gandhi S. Stress reduction strategies in breast cancer: review of pharmacologic and non-pharmacologic based strategies. Semin Immunopathol. 2020;42(6):719-34.

Boraka Ö, Klintman M, Rosendahl AH. Physical Activity and Long-Term Risk of Breast Cancer, Associations with Time in Life and Body Composition in the Prospective Malmö Diet and Cancer Study. Cancers (Basel). 2022;14(8).

Hu RY, Wang JY, Chen WL, Zhao J, Shao CH, Wang JW, et al. Stress, coping strategies and expectations among breast cancer survivors in China: a qualitative study. BMC Psychol. 2021;9(1):26.

Lv D, Lan B, Zhang L, Sun X, Yang M, Ma F. Association between depression and anxiety status of breast cancer patients before adjuvant chemotherapy and chemotherapy-induced adverse events. Cancer Med. 2023;12(4):4794-800.

Cordova MJ, Andrykowski MA. Responses to cancer diagnosis and treatment: posttraumatic stress and posttraumatic growth. Semin Clin Neuropsychiatry. 2003;8(4):286-96.

Henry M, Albert JG, Frenkiel S, Hier M, Zeitouni A, Kost K, et al. Body Image Concerns in Patients With Head and Neck Cancer: A Longitudinal Study. Front Psychol. 2022;13:816587.

Authors

Mahbobeh Azarnia
Farah Naderi
naderifa2@gmail.com (Primary Contact)
Behnam Makvandi
1.
Azarnia M, Naderi F, Makvandi B. Prediction of Distress Tolerance in Patients with Breast Cancer based on Anger Rumination and Physical Health: Using an Artificial Neural Network: Distress tolerance in patients with breast cancer. Arch Breast Cancer [Internet]. [cited 2024 Jun. 16];11(3). Available from: https://www.archbreastcancer.com/index.php/abc/article/view/902

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