Effect of Solution-focused Counseling on Depression and Quality of Life in Women under Mastectomy: A Randomized Clinical Trial

The Open Public Health Journal 06 Oct 2023 RESEARCH ARTICLE DOI: 10.2174/0118749445259180230921113303



This study was conducted with the objective of determining whether solution-focused counseling reduces depression and increases the quality of life in breast cancer women.


This study was a parallel randomized clinical trial on mastectomy women. A total of 100 volunteer participants completed the Beck's Depression Inventory (BDI) depression inventory and the WHO Quality of Life-Brief (WHOQOL- BREF) questionnaire. Fifty-six participants who scored less than the cut-off point in two questionnaires were randomly placed in two intervention and control groups. The participants in the intervention group received the solution-focused counseling method for six sessions (once a week). The control group received routine care. Then both groups filled out the questionnaires again. The results were analyzed by SPSS 22 using independent t-test, chi-square, Fisher’s exact, and ANOVA repeated measurement tests.


The results indicated that the post-intervention depression score in the intervention group decreased after adjusting the variables compared to the control group (p-value=0.001). Moreover, it was revealed that solution-focused counseling increased the post-intervention quality of life after adjusting variables compared to the control group (p=0.001).


The results of the present study showed that solution-focused counseling improved mood and quality of life. Therefore, it is necessary for midwives/nurses to provide counseling approaches for depression patients to help them pass the treatment process of cancer and have better psychological and physical health by improving their quality of life.

Keywords: Mastectomy, Breast cancer, Education, Counseling, Reproductive health, Beck's Depression Inventory (BDI).
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