KMAN Publication Inc. (KMANPUB) Psychology of Woman Journal 3041-8615 5 Serial Number 18 2024 04 01 A Randomized Controlled Trial on Cognitive Therapy’s Role in Enhancing Pain Self-Efficacy and Reducing Catastrophizing in Breast Cancer Patients A Randomized Controlled Trial on Cognitive Therapy’s Role in Enhancing Pain Self-Efficacy and Reducing Catastrophizing in Breast Cancer Patients 114 123 10.61838/kman.pwj.5.2.15 EN Journal Article <p><strong>Objective:</strong> To evaluate the effectiveness of cognitive therapy on pain self-efficacy, meta-emotions, and catastrophizing in women with breast cancer.</p> <p><strong>Methods and Materials: </strong>A randomized controlled trial was conducted with 30 women diagnosed with breast cancer experiencing chronic pain. Participants were randomly assigned to an intervention group (n = 15) or a control group (n = 15). The intervention group received a ten-week cognitive therapy program, while the control group received standard care. Data were collected at baseline, post-intervention, and five months follow-up using the Pain Self-Efficacy Questionnaire (PSEQ), Meta-Emotion Scale (MES), and Pain Catastrophizing Scale (PCS). Statistical analyses included ANOVA with repeated measures and Bonferroni post-hoc tests.</p> <p><strong>Findings: </strong>Descriptive statistics showed significant improvements in the intervention group compared to the control group. The intervention group had a mean pain self-efficacy score of 45.67 (SD = 6.23) versus 30.45 (SD = 5.89) in the control group. Meta-emotions scores were 52.89 (SD = 7.34) in the intervention group and 38.76 (SD = 6.45) in the control group. Catastrophizing scores were 20.23 (SD = 4.56) for the intervention group and 35.67 (SD = 5.78) for the control group. ANOVA results revealed significant differences for pain self-efficacy (F(1, 28) = 47.19, p &lt; .001), meta-emotions (F(1, 28) = 36.65, p &lt; .001), and catastrophizing (F(1, 28) = 67.98, p &lt; .001). Bonferroni post-hoc tests confirmed these differences with p-values &lt; .001 for all comparisons.</p> <p><strong>Conclusion: </strong>Cognitive therapy significantly enhances pain self-efficacy, improves meta-emotional regulation, and reduces catastrophizing in women with breast cancer. These findings support the integration of cognitive-behavioral and meta-emotional interventions into chronic pain management practices to improve psychological well-being and quality of life for breast cancer survivors.</p> https://www.journals.kmanpub.com/index.php/psywoman/article/download/2858/4126