THE EFFECT OF MINDFULNESS THERAPY IN IMPROVING THE QUALITY OF LIFE OF BREAST CANCER PATIENTS AT RADEN MATTAHER REGIONAL HOSPITAL

Riza Gina Nafsi; Muthia Mutmainnah; Yulia Indah Permata Sari; Yuliana; Sri Mulyani Ginafsi

doi:10.22437/ggzxtf64

Authors

Riza Gina Nafsi Jambi University
Muthia Mutmainnah
Yulia Indah Permata Sari
Yuliana
Sri Mulyani Ginafsi

DOI:

https://doi.org/10.22437/ggzxtf64

Keywords:

breast cancer, FACIT-sp, mindfulness, quality of life

Abstract

Background :Non-pharmacological, psychospiritual interventions for breast cancer patients remain underexplored in the Indonesian context, particularly interventions that structurally combine dhikr (remembrance of God) and tadabbur (reflective contemplation) of Qur’anic verses. Objective : This study aimed to evaluate the effectiveness of mindfulness therapy in improving the quality of life of breast cancer patients at Raden Mattaher Regional Hospital, Jambi City. Methods : The study used a quantitative quasi-experimental pretest-posttest control group design, involving 36 respondents (18 in the intervention group, 18 in the control group) selected through purposive sampling. Quality of life, assessed through its spiritual well-being dimension, was measured using the FACIT-Sp-12 questionnaire before and after two weeks of therapy. Data were analyzed using the Wilcoxon and Mann-Whitney tests. Results : Results showed that the mean quality-of-life score in the intervention group increased from 35.41 (SD 6.413) to 44.65 (SD 2.178) (p<0.001), while the control group increased from 32.56 (SD 3.258) to 39.33 (SD 2.223) (p<0.001). However, the Mann-Whitney test on the difference in scores between groups showed no significant difference (p=0.140). Conclusion : It was concluded that mindfulness therapy has the potential to improve the quality of life of breast cancer patients, although it has not yet been statistically proven superior to standard care. Further research with a larger sample and a longer intervention duration is recommended to strengthen the evidence of its effectiveness.

References

1. Al-Natour, A., Al-Momani, S.M. and Qandil, A. (2022) 'Factors influencing quality of life of women with breast cancer: a cross-sectional study', BMC Women's Health, 22, pp. 1–9.

2. Baer, R.A. (2003) 'Mindfulness training as a clinical intervention: a conceptual and empirical review', Clinical Psychology: Science and Practice, 10(2), pp. 125–143. https://doi.org/10.1093/clipsy.bpg015.

3. Chen, Q., Li, S., Wang, M., Liu, L. and Chen, G. (2021) 'Impact of body image disturbance on quality of life in breast cancer survivors: a systematic review', Supportive Care in Cancer, 29, pp. 4137–4148.

4. Chen, X., Wang, Q., Zhang, Y., Xie, Q. and Tan, X. (2019) 'Physical activity and risk of breast cancer: a meta-analysis of 38 cohort studies in 45 study reports', Value in Health, 22(1), pp. 104–128.

5. Creswell, J.D. (2017) 'Mindfulness interventions', Annual Review of Psychology, 68, pp. 491–516. https://doi.org/10.1146/annurev-psych-042716-051139.

6. Dehesh, T., Fadaghi, S., Seif, M., Abolhadi, E., Ilaghi, M., Shams, P., Ajam, F. and Mosleh-Shirazi, M.A. (2023) 'The relation between obesity and breast cancer risk in women by considering menstruation status and geographical variations: a systematic review and meta-analysis', BMC Women's Health, 23, pp. 1–12.

7. Jambi City Health Office (2022) Breast Cancer Patient Data, Jambi City. Jambi: Jambi City Health Office.

8. Hashemi, S.M., Sabouri, S. and Mirzaei, M. (2019) 'Religion, health and life satisfaction: evidence from Australia', Journal of Religious Health, 59(3), pp. 1287–1303.

9. Jassim, G.A., Doherty, S., Whitford, D.L. and Khashan, A.S. (2023) 'Psychological interventions for women with non-metastatic breast cancer', Cochrane Database of Systematic Reviews, 2023(1). https://doi.org/10.1002/14651858.CD008729.pub3.

10. Kabat-Zinn, J. (2003) 'Mindfulness-based interventions in context: past, present, and future', Clinical Psychology: Science and Practice, 10(2), pp. 144–156. https://doi.org/10.1093/clipsy.bpg016.

11. Kriakous, S.A., Elliott, K.A., Lamers, C. and Owen, R. (2021) 'The effectiveness of mindfulness-based stress reduction on the psychological functioning of healthcare professionals: a systematic review', Mindfulness, 12, pp. 1–28.

12. Ng, C.G., Mohamed, S., Kaur, K., Sulaiman, A.H. and Zainal, N.Z. (2020) 'Perceived distress and its association with quality of life among breast cancer patients', Psycho-Oncology, 29(9), pp. 1441–1448.

13. Nindrea, R.D., Aryandono, T. and Lazuardi, L. (2017) 'Breast cancer risk from modifiable and non-modifiable risk factors among women in Southeast Asia: a meta-analysis', Asian Pacific Journal of Cancer Prevention, 18(12), pp. 3201–3206.

14. Notoatmodjo, S. (2018) Metodologi Penelitian Kesehatan [Health Research Methodology]. Jakarta: Rineka Cipta.

15. Park, H.Y., Suh, M., Kim, Y., Kim, S. and Kim, H. (2023) 'Psychological distress and quality of life in breast cancer patients undergoing treatment', Journal of Psychosocial Oncology, 41(2), pp. 210–225.

16. Peterman, A.H., Fitchett, G., Brady, M.J., Hernandez, L. and Cella, D. (2002) 'Measuring spiritual well-being in people with cancer: the Functional Assessment of Chronic Illness Therapy—Spiritual Well-Being Scale (FACIT-Sp)', Annals of Behavioral Medicine, 24(1), pp. 49–58. https://doi.org/10.1207/S15324796ABM2401_06.

17. Raden Mattaher Regional Hospital, Jambi City (2024) Breast Cancer Patient Data. Jambi: Raden Mattaher Regional Hospital.

18. Shires, A., Sharpe, L., Davies, J.N. and Newton-John, T.R.O. (2020) 'The efficacy of mindfulness-based interventions in acute pain: a systematic review and meta-analysis', Pain, 161(8), pp. 1698–1707.

19. Sohi, I., Chrystoja, B.R., Rehm, J., Wells, S., Monteiro, M., Ainscough, T.S. and Shield, K. (2024) 'Alcoholic beverage consumption and female breast cancer risk: a systematic review and meta-analysis of prospective cohort studies', Alcoholism: Clinical and Experimental Research, 48(12), pp. 2222–2241.

20. Sugiyono (2022) Metode Penelitian Kuantitatif, Kualitatif, dan R&D [Quantitative, Qualitative, and R&D Research Methods]. Bandung: Alfabeta.

21. Indonesian Health Survey (2023) Cancer Prevalence in Indonesia. Jakarta: Ministry of Health of the Republic of Indonesia.

22. Vegunta, S., Lester, S.P., Pruthi, S. and Mussallem, D.M. (2020) 'Effects of major lifestyle factors on breast cancer risk: impact of weight, nutrition, physical activity, alcohol and tobacco', Breast Cancer Management, 9(3), Article e6.

23. Wahyuni, S., Yusuf, A. and Fitryasari, R. (2021) 'Islamic Mindfulness in mental health nursing practice: its effect on patients' self-acceptance', Jurnal Keperawatan Jiwa, 9(2), pp. 265–272.

24. White, L. (2014) 'Mindfulness in nursing: an evolutionary concept analysis', Journal of Advanced Nursing, 70(2), pp. 282–294. https://doi.org/10.1111/jan.12182.

25. World Health Organization (2020) WHOQOL: Measuring Quality of Life. Geneva: World Health Organization.

26. World Health Organization (2025) Breast Cancer. Available at: https://www.who.int/news-room/fact-sheets/detail/breast-cancer (Accessed: 3 July 2026).

27. Yiallourou, A., Pantavou, K., Markozannes, G., Georgiou, A., Theodoridou, D., Bouras, E., Zioga, M., Vitsios, K. and Tsilidis, K.K. (2024) 'Non-genetic factors and breast cancer: an umbrella review of meta-analyses', BMC Cancer, 24, pp. 1–23.

28. Zhang, M.F., Wen, Y.S., Liu, W.Y., Peng, L.F., Wu, X.D. and Liu, Q.W. (2015) 'Effectiveness of mindfulness-based therapy for reducing anxiety and depression in patients with cancer: a meta-analysis', Medicine, 94(45), e0897. https://doi.org/10.1097/MD.0000000000000897.