---

Introduction: Breast cancer is the most common malignancy that affects women, and given the prevalence and importance of breast cancer, a study was designed to Comparison of Social Support and Perceived Stress in women with and without breast cancer referred to Mahdieh MRI & CT Scan center in Hamedan in 2013.

Methods: This cross-sectional study is conducted on 116 women with breast cancer and 116 women without breast cancer referred to Mahdieh MRI & CT Scan center of Hamadan(Iran) in 2013 using Random sampling method. Data have been collected with percived social support and percived stress Questionnaire and processed with SPSS-16 software using descriptive statistics, independent t, and chi-square tests.

Results: The mean perceived stress in patients with and without breast cancer was 44.62 and 34.15 respectively. Results obtained from data analysis showed that there was statistically significant difference between the two groups in terms of percived stress (P=0.04), this means that in patients with breast cancer perceived stress was higher than others. The average score of perceived social support in both group was 38.66 and 36.14 respectively. The favorable perceived social support were higher in those without breast cancer, But not exist a significant difference between the two groups in terms of social protection.

Conclusion: According to the results of this study are likely social support and perceived stress are very important factor affecting breast cancer. People with social support and perceived stress reduction can prevent breast cancer or decreased deaths from breast cancer.

---

Introduction: Breast cancer is the most prevalent cancer among all cancers worldwide and also one of the helth priorities in Yazd. Continuing deaths from this disease among the Iranian females is mainly because of the low use of screening behaviors and late diagnosis. The purpose of this study was to evaluate the women’s knowledge, attitude, and preventive behaviorse of breast cancer in Yazd, Iran in 2015.

Methods: This study was a cross-sectional study. The participants were 384 women referring to health centers of the city of Yazd selected in 2016selected by the cluster sampling method. Data were collected by a quesstionarre and designed by SPSS (version 16) (t-test, ANOVA and Chi-Square).

Results: The mean age of the participants  was 30.31±7.97 years. The mean score of the knowledge and attitude of the subjects was 52.53 out of 78 and 36.29 out of 50, respectively. And, the mean score of preventive behaviors of the cancer was 12.03 (out of 24). According to the Pearson's correlation test, a significant positive correlation was detected between the practice of  breast diagnostic examination and the knowledge (P = 0.001, r = 0.177) and attitude score (p = 0.0001, r = 0.257).

Conclusion: Since the mean score of the women’s behavior is lower than the average level, an education intervention plan  should be designed and  implemented to motivate women to use the screening methods.

---

Introduction: Acceptance and commitment therapy is a third generation behavior therapy in treatment of mood and anxiety disorders. The purpose of this study was to investigate the effectiveness of acceptance and commitment group therapy on depression and anxiety among women with breast cancer in the Ahvaz city.
Methods: In this Quasi-Experimental study with pre-test and post-test, control group, the sample group was selected by available sampling method from women with breast cancer who referred to Golestan hospital, the department of clinical oncology of Ahvaz. All patients had finished their chemotherapy. Thirty patients that have had high depression and anxiety scores with high acceptance and action scores in pre-test qustionnaires were chosen and randomly assigned to two control and experimental groups (each group with 15 subjects). The experimental group experienced the treatment based on commitment and acceptance group therapy and the control group did not receive any treatment. These questionnaires again conducted on both group in post-test.
Results: The results of pre-test, post-test, and follow-up exams showed that the mean depression scores (19.27, 16.13, and 15.53) and the mean anxiety scores (35.20, 29.20, and 28.13) significantly decreased in experimental group compared to the control group respectively. The decrease significantly continued after two-month fallow-up (depression P<0.026 and anxiety P<0.042).
Conclusion: The results emphasize the importance of using acceptance and commitment therapy in patients with cancer suffering from depression and/or anxiety, and offer new horizons to psychological based clinical interventions in these patients.