Comparison of the effectiveness of acceptance and commitment-based therapy, cognitive-behavioral therapy and spiritual therapy on perceived stress, body image and the quality of life of women with breast cancer

Women with breast cancer should be able to deal with the initial impact of receiving news of a cancer diagnosis and its family, social, economic, and personal consequences, as well as the side effects of treatment measures such as changes in physical appearance, changes in roles, and social functioning. The aim of this study was to compare the effectiveness of acceptance and commitment-based therapy, cognitive-behavioral therapy and spiritual therapy on perceived stress, body image and quality of life of women with breast cancer. For this purpose, during a semi-experimental approach with pretest-posttest with the control group, 60 women with breast cancer were selected as convenience sampling in Tajrish Hospital and randomly divided into four experimental groups (three groups and one control group). The groups were tested before and after training in terms of body image, perceived stress, and quality of life. The results of MANCOVA's analysis showed that cognitive behavioral therapy is more effective than the two other therapies and spiritual therapy is more effective than acceptance and commitment therapy on body image and quality of life; Also, spiritual therapy is more effective than two other therapy and cognitive behavioural therapy is more effective than acceptance and commitment therapy in perceived stress. Cognitive-behavioral therapy seems to be more effective in reducing perceived stress, body image, and quality of life in women with breast cancer than acceptance and commitment therapy and spiritual therapy