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Effectiveness of logotherapy and nutrition counseling on psychological status, quality of life, and dietary intake among breast cancer survivors with depressive disorder: a randomized clinical trial

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Abstract

Breast cancer (BC) can negatively influence multiple facets of survivors’ lives including mental health, quality of life (QoL), and dietary behavior. Logotherapy as a psycho-education program may help breast cancer survivors (BCSs) discover their meaning of life throughout distressful events. The present study aimed to determine the effects of logotherapy along with nutrition counseling on psychological status, QoL, and dietary intake among BCSs who were diagnosed with depression.

This randomized clinical trial was conducted on 90 BCSs who scored ≥ 14 on Beck’s depression test. Participants were randomly assigned into two groups to receive nutrition counseling plus logotherapy (n = 46) or nutrition counseling alone (n = 44) for 8 weeks. Primary outcomes (depression, anxiety, and QoL) and secondary outcomes (anthropometric indices, dietary intake, and eating disorder status) were measured at baseline and after 8 weeks.

All dimensions of QoL, anthropometric measurements, and the compulsive eating scale improved significantly in both groups after 8 weeks. A combination of nutrition counseling and logotherapy resulted in a significant reduction in anxiety (P < 0.001) and depression (P < 0.001) scores compared with the nutrition counseling alone. In addition, participants who received logotherapy plus nutrition counseling significantly consumed less energy, carbohydrate, and fat intake after 8 weeks compared with the control group (P < 0.001).

It can be concluded that logotherapy along with nutrition education would be an important step in improving anxiety, depression, and QoL of patients with BC who had depressive symptoms.

Trial registration number: (IR.ACECR.IBCRC.REC.1396.17).

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Data Availability

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

Code availability

Not applicable.

Abbreviations

BC:

Breast cancer

QoL:

Quality of life

BCS:

Breast cancer survivor

BRBI:

Body image

BRSEF:

Sexual functioning

BRSEE:

Sexual enjoyment

BRFU:

Future perspective

BRST:

Systemic therapy side effects

BRBS:

Breast symptoms

BRAS:

Arm symptoms

BRHL:

Upset by hair loss

FA:

Fatigue

NV:

Nausea and vomiting

PA:

Pain

DY:

Dyspnea

SL:

Insomnia

AP:

Appetite loss

CO:

Constipation

DI:

Diarrhea

FI:

Financial difficulties

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Acknowledgements

We would like to gratefully thank the participants for their support in the study.

Funding

This study was supported by the Breast Cancer Research Center, Motamed Cancer Institute, ACECR, Tehran, Iran. No: (IR.ACECR.IBCRC.REC.1396.17).

Author information

Author notes

  1. Mahsa Raji Lahiji and Elham Razmpoosh contributed equally to this work.

Authors and Affiliations

  1. Integrative Oncology and Quality of Life Department, Breast Cancer Research Center, Motamed Cancer Institute, ACECR, Tehran, Iran

    Mahsa Raji Lahiji, Akram Sajadian & Shahpar Haghighat

  2. Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran

    Mahsa Raji Lahiji & Mitra Zarrati

  3. Sports Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran

    Homa Dareini

  4. School of Medicine, Guilan University of Medical Sciences, Rasht, Iran

    Mahtab Raji Lahiji

  5. Nutrition and Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Elham Razmpoosh

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  1. Mahsa Raji Lahiji
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Contributions

Mahsa Raji Lahiji, Akram Sajadian, Shahpar Haghighat, Elham Razmpoosh, and Mitra Zarrati contributed in the conception, data collection, and manuscript drafting. Shahpar Haghighat, Mahsa Raji Lahiji, Mahtab Raji Lahiji, and Homa Dareini were involved in analysis, statistical analysis, and manuscript writing. Mahsa Raji Lahiji and Elham Razmpoosh contributed in the revision. All the authors read and approved the final manuscript.

Corresponding author

Correspondence to Akram Sajadian.

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Ethics approval

All procedures performed in this study were in accordance with the 1964 Helsinki Declaration and Good Clinical Practice guidelines. The study was approved by the Breast Cancer Research Center, Motamed Cancer Institute Ethical Committee (IR.ACECR.IBCRC.REC.1396.17).

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Informed consent was obtained from all individual participants included in the study.

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Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.

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The authors declare no conflict of interest.

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Raji Lahiji, M., Sajadian, A., Haghighat, S. et al. Effectiveness of logotherapy and nutrition counseling on psychological status, quality of life, and dietary intake among breast cancer survivors with depressive disorder: a randomized clinical trial. Support Care Cancer 30, 7997–8009 (2022). https://doi.org/10.1007/s00520-022-07237-6

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