The Role of Maladaptive Schemas in Pain Perception and Pain Acceptance in Patients with End‑Stage Cancer
Keywords:
pain perception, pain acceptance, maladaptive schemas, end‑stage cancerAbstract
The present study aimed to examine pain perception and pain acceptance in patients with end‑stage cancer based on maladaptive schemas. In terms of purpose, the study was applied research, and in terms of methodology it employed a correlational design. The statistical population of the present study consisted of all patients with end‑stage cancer at Imam Khomeini Hospital in Tehran, totaling 300 individuals. Using a random sampling method, 150 patients were selected as the study sample, and the questionnaires were distributed among them. The instruments used included the Young Schema Questionnaire (YSQ‑SF; Young, 1988) and the McGill Pain Questionnaire (MPQ; Melzack, 1975). The data were analyzed in two sections—descriptive and inferential—using SPSS version 23. The results of the statistical analyses indicated that there was a significant relationship between all maladaptive schema variables and pain perception and acceptance. The correlation coefficient between rejection and pain perception and acceptance was 0.674, which was statistically significant (p < .05). Furthermore, a significant relationship was found between other components and pain perception and acceptance. The raw and standardized coefficients in the regression analysis indicated that the standardized coefficient was 0.727 and the unstandardized coefficient was 0.17.
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1. Hartini S, Nisa N, Pranata S, Oktiningrum M, Kristiawati SP. Effect of Hypnotherapy on Paediatric Cancer Pain Management in Indonesia: A Quasi-Experimental Study. Bangabandhu Sheikh Mujib Medical University Journal. 2025;18(1):e75339. doi: 10.3329/bsmmuj.v18i1.75339.
2. Artan Y. From Pain Interference to Hope: Exploring Spiritual Well-Being as a Pathway for Patients With Cancer. Cancer Nursing. 2025. doi: 10.1097/ncc.0000000000001523.
3. Shimizu S, Yoshida S, Nerome Y. Knowledge and Practical Skills for Cancer Pain Management Among Nurses on Remote Islands in Japan and Related Factors Nationwide. Australian Journal of Rural Health. 2024;32(4):801-14. doi: 10.1111/ajr.13146.
4. Masiero M, Filipponi C, Fragale E, Pizzoli SFM, Munzone E, Milani A, et al. Support for chronic pain management for breast cancer survivors through novel digital health ecosystems: pilot usability study of the PainRELife mobile app. JMIR formative research. 2024;8:e51021. doi: 10.2196/51021.
5. Hamedi V, Hamid N, Beshlideh K, Marashi SA. Comparative study of the effectiveness of cognitive-behavioral pain management psychotherapy and its computerized version on pain intensity and anxiety reduction in children with cancer. Journal of Faculty of Medicine, Mashhad University of Medical Sciences. 2024;67(1).
6. García-Reyes M, Cruz-Martínez A, Figuerola-Escoto RP. Behavioral activation and mindfulness in the pain experience of women with breast cancer. Gaceta mexicana de oncología. 2024;23(1):3-12. doi: 10.24875/j.gamo.M23000256.
7. Saariaho A, Saariaho T, Mattila AK, Karukivi M, Joukamaa M. Alexithymia and Early Maladaptive Schemas in Chronic Pain Patients. Scandinavian Journal of Psychology. 2015;56(4):428-37. doi: 10.1111/sjop.12226.
8. Voderholzer U, Schwartz C, Thiel N, Kuelz AK, Hartmann A, Scheidt CE, et al. A Comparison of Schemas, Schema Modes and Childhood Traumas in Obsessive-Compulsive Disorder, Chronic Pain Disorder and Eating Disorders. Psychopathology. 2013;47(1):24-31. doi: 10.1159/000348484.
9. Goharrizi Zandi G, Ghorban Jahromi, Reza, Robatmili, Somaye, Zare Bahramabadi, Mahdi. Causal Model of Pain Intensity Based on Attachment Styles Mediated by Early Maladaptive Schemas in Patients with Chronic Pain. Psychological Achievements. 2023;30(1):315-32. doi: 10.22055/psy.2022.40920.2856.
10. Khanzadeh M, Aminimanesh S, Taheri M, Aghamohammadi S. The Relationship Between Emotional Schema and Pain Perception in the Elderly: The Mediation Role of Emotional Regulation. Aging. 2021;7(4):331-43.
11. Ardalani Farsa F, Shahabizadeh F, Hashemi SM, Dadkhah P. Mood/Anxiety Symptoms and Emotional Schemas in the Model of Spiritual Quality of Life in Patients with Chronic Low Back Pain with the Mediation of Cognitive Dimensions of Perfectionism. Anesthesiology and Pain. 2021;12(3):115-28.
12. Farsa FA, Shahabizadeh F, Hashemi M, Dadkhah P. Presenting a Model of Pain Outcomes in Patients With Chronic Low Back Pain Based on Mood and Anxiety Symptoms and Emotional Schemas: The Mediating Role of Experiential Avoidance and Self-Compassion. Shenakht Journal of Psychology and Psychiatry. 2022;9(5):40-54. doi: 10.32598/shenakht.9.5.40.
13. Arabkhradmand J. The Effect of Schema Therapy on Pain Acceptance, Pain Self-Efficacy, Pain Intensity, Emotion Regulation in Spinal Column Surgery Patients. J Anesth. 2021;11(4):19-29.
14. Yousefzadeh M, Hashemi SM, Talebi H, Neshat-Doost H, Taheri M, Momenzadeh S. Compare the Effectiveness of Cognitive- Behavior Therapy and Schema Therapy on reducing the cognitive error of pain catastrophizing and increase of pain self- efficacy in Tehranian Patients with Chronic Low Back Pain. 2020.
15. Changi Ashtiani M, Fattahi N, Balali D, Alavi SH, Mahmoudzadeh M. Effectiveness of Mindfulness-Based Schema Therapy on Mental Pain and Experiential Avoidance in Patients with Cardiovascular Diseases. Journal of Assessment and Research in Applied Counseling (JARAC). 2024;6(1):90-6. doi: 10.61838/kman.jarac.6.1.10.
16. Hosseini M, Ahadi H, Jamhari F, Kraskian Mujembari A, Ahadi M. Investigating the effectiveness of group therapy for emotional schemas on pain and depression in cancer patients. Quarterly Journal of Psychological Models and Methods. 2019;10(35):119-35.
17. Shirzadi Z, Abassian M, Taghilu S. The mediating role of cognitive emotion regulation in the relationship between sexual pain disorder based on maladaptive schemas and sexual schema: A structural equation modeling study. Journal of Family and Health. 2022;12(4).
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Copyright (c) 2026 Monir Cheraghi (Author); Javad Khalatbari ; Hasan Ahadi (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
