Background: Despite high number of visited cases, there are no certain therapeutic guidelines for mastalgia. Generally pain is associated with poor quality of life in all dimensions. The present study aimed to investigate the effect of healthy lifestyle promotion intervention on the quality of life in cyclic mastalgia. Methods: This study was a randomized controlled trial (RCT) conducted on women suffering from cyclic mastalgia at the age of 20 and older before menopausal age referred to the health centers of Karaj,Iran from September 2017 to August 2018. The participants were randomly assigned to intervention (N=40) and control groups (N=40). Intervention was carried out in two 46-minute sessions and two 90-minute sessions for the intervention group. The quality of life was assessed before and after the intervention in both groups using the World Health Organization Quality of Life-BREF (WHOQOL-BREF). The data were analyzed through SPSS statistical software(version 21) using independent sample t-test, Chi-square,and Paired t-test. Besides, P<0.05 was considered as statistically significant. Results: Before the intervention, both groups were matched in terms of marital status, educational level, occupation, history of breastfeeding, and mean scores of quality of life (P>0.05). After the intervention, the mean score of life quality in physical, social, environmental, and general health dimensions in the intervention group increased significantly compared to the control group (P>0.001). This difference was not statistically significant in the mental health dimension (P=0.086). Conclusion: The present study indicated that healthy lifestyle promotion intervention could improve the quality of life of women with cyclic mastalgia.
Trial Registration Number: IRCT2017100236513N1. |
- Theofilou P. Quality of Life: Definition and Measurement. Europe’s Journal of Psychology. 2013;9:150-62.
- Dueñas M, Ojeda B, Salazar A, et al. A review of chronic pain impact on patients, their social environment and the health care system. Journal of Pain Research. 2016;9:457-67.
- Kanat BH, Atmaca M, Girgin M, et al. Effects of mastalgia in young women on quality of life, depression, and anxiety levels. Indian Journal of Surgery. 2016;78:96-9.
- Bonilla Sepulveda OA, Giraldo Santa DC. Mastodynia. CES Medicina. 2019;33:111-8.
- Kumar S, Rai R, Das V, et al. Visual analogue scale for assessing breast nodularity in non-discrete lumpy breasts: The Lucknow-Cardiff breast nodularity scale. The Breast. 2010;19:238-42.
- Parsay S, Olfati F, Nahidi S. Therapeutic effects of vitamin E on cyclic mastalgia. The Breast Journal. 2009;15:510-4.
- Vaziri F, Samsami A, Rahimi Z, et al. Prevalence, Severity and Factors Related to Mastalgia among Women Referring to Health Centers Affiliated with Shiraz University of Medical Sciences. Journal of Health Sciences & Surveillance System. 2016;4:64-9.
- Shobeiri F, OshvandiK,Nazari M. Cyclical mastalgia: Prevalence and associated determinants in Hamadan City, Iran. Asian Pacific Journal of Tropical Biomedicine. 2016;6:275-8.
- Eren T, Aslan A, Ozemir IA, et al. Factors effecting mastalgia. Breast Care. 2016;11:188-93.
- Bhargav PRK, Mishra A, Agarwal G, et al. Prevalence of Hypothyroidism in Benign Breast Disorders and Effect of Thyroxine Replacement on the Clinical Outcome. World Journal of Surgery. 2009;33:2087-93.
- Olfati F, KazemiJaliseh H, Farhad M. Survey The Relationship Between Bmi And Cyclic Mastalgia. Journal Of Guilan University Of Medical Sciences. 2009;17:50-6. [In Persian]
- Mirghafourvand M, Ahmadpour P, Rahi P, Salehiniya H. Relationship between depression and anxiety with the severity and length of cyclic mastalgia in women. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2016;18:1-7. [In Persian]
- Kataria K, Dhar A, Srivastava A, et al. A systematic review of current understanding and management of mastalgia. Indian Journal of Surgery. 2014;76:217-22.
- Nirhale D, Dhende M, Shingade P, et al. A study on clinical profile and management of mastalgia. International Surgery Journal. 2018;5:1889-93.
- Hafiz SP, Barnes NLP, Kirwan CC. Clinical management of idiopathic mastalgia: a systematic review. Journal of Primary Health Care. 2018;10:312-23.
- Ozenli Y, Ozturk AB, Ozturk SB, Seydaoglu G. The effects of psycho-education on the health-related quality of life on mastalgia patients. Applied Research in Quality of Life. 2014;9:1097-105.
- Phan NQ, Blome C, Fritz F, et al. Assessment of pruritus intensity: prospective study on validity and reliability of the visual analogue scale, numerical rating scale and verbal rating scale in 471 patients with chronic pruritus. Actadermato-venereologica. 2012;92:502-7.
- Rezvani Amin M, Siratinayer M, Abadi A, Moradyan T. Correlation between visual analogue scale and short form of McGill questionnaire in patients with chronic low back pain. Qom University of Medical Sciences Journal. 2012;5:31-4. [In Persian]
- Gautam S, Srivastava A, Kataria K, et al. New breast pain chart for objective record of mastalgia. Indian Journal of Surgery. 2016;78:245-8.
- Group W. Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine. 1998;28:551-8.
- Nedjat S, Montazeri A, Holakouie K, et al. Psychometric properties of the Iranian interview-administered version of the World Health Organization’s Quality of Life Questionnaire (WHOQOL-BREF): a population-based study. BMC Health Services Research. 2008;8:61.
- Sukanya R, NagarathnaR, Sandhya, Nagendra HR. Integrated yoga therapy for mastalgia. International Journal of Medical Science and Public Health. 2016;5:162-70.
- Öztürk AB, Özenlı Y, Öztürk SB, et al. The effect of psychoeducation on anxiety and pain in patients with mastalgia. Nordic Journal of Psychiatry. 2015;69:380-5.
- Thicke LA, Hazelton JK, Bauer BA, et al. Acupuncture for Treatment of Noncyclic Breast Pain: A Pilot Study. The American Journal of Chinese Medicine. 2011;39:1117-29.
- Chase C, Wells J, Eley S. Caffeine and breast pain: revisiting the connection. Nursing for Women’s Health. 2011;15:286-94.
- Genc A, Tur BS, Aytur YK, et al. Does aerobic exercise affect the hypothalamic-pituitary-adrenal hormonal response in patients with fibromyalgia syndrome? Journal of Physical Therapy Science. 2015;27:2225-31.
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