The Role of Attachment Styles and Physical Activity in Predicting Quality of Life in Women with Breast Cancer with the Mediating Role of Negative Automatic Thoughts

Abstract

Introduction and Aim: Research on the quality of life of all groups, including breast cancer patients, and planning to improve their quality of life is of great importance. Therefore, the aim of this research was investigate the role of attachment styles and physical activity in predicting the quality of life of women with breast cancer with the mediating role of negative automatic thoughts.

Methodology: This study in terms of purpose was applied and in terms of implementation method was descriptive. The research population consisted of all breast cancer patients with a file in Imam Ali (AS) Hospital of Karaj city with number 107 people, which 85 people of them were selected using the available sampling method as a sample. The research tools included the Attachment Styles Questionnaire (Van Oudenhoven et al., 2003), Habitual Physical Activity Questionnaire (Baecke et al., 1982), Automatic Thoughts Questionnaire (Hollon & Kendall, 1980), and Quality of Life Questionnaire (World Health Organization, 1996). The data of this study were analyzed using Pearson correlation coefficients and structural equation modeling in SPSS and AMOS version 22 software.

Findings: The findings of this research showed that the model of attachment styles and physical activity in predicting the quality of life of women with breast cancer with the mediating role of negative automatic thoughts had a good fit. The direct effect of attachment styles and physical activity on quality of life was positive and significant, and on negative automatic thoughts was negative and significant. Also, the direct effect of negative automatic thoughts on quality of life was negative and significant. In addition, the indirect effect of attachment styles and physical activity on quality of life with mediating of negative automatic thoughts was significant (P<0.05).

Conclusion: According to the results of this research, in order to improve the quality of life of women with breast cancer can be provide the basis for promoting their attachment styles, and physical activity, and reducing their negative automatic thoughts.