Mingxia Li
Sichuan University, China
Title: Application of meaning-centered group psychotherapy in patients with lung cancer: A randomized controlled trial
Biography
Biography: Mingxia Li
Abstract
Objective: To explore the intervention effect of Meaning Centered Group Psychotherapy (MCGP) on patients with lung cancer.
Method: A randomized controlled study was conducted. 240 patients who were admitted to the Department of Thoracic Oncology, West China Hospital, Sichuan University were randomly divided into two groups (n=160) and control group (n=80) by computer in a 2:1 ratio. The experimental group was given a group psychological intervention focusing on meaning once a week, about 90 minutes each time, 8 times in total. The control group received regular health education. Adopted by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ C30), perception of life scale (MLQ), Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) to all participants at baseline and after the intervention, compare the difference between patients with lung cancer before and after the intervention anxiety depression status and meaning of life, physical function, social function, changes of physiological indexes and compared with general health education group of patients.
Results: The final effective data were 136 people in the experimental group and 27 people in the control group, a total of 212 people. After the intervention, there were statistically significant differences in anxiety and depression between the significance-centered group psychotherapy group and the general health education group (P<0.001). There were statistically significant differences in the total score of sense of life significance, sense of having significance and sense of seeking significance (P<0.001). There was no significant difference in body function, dyspnea, diarrhea, constipation, decreased appetite, economic difficulties, fatigue, nausea and vomiting. There were statistically significant differences in role function, social function, emotional function, sleep disorders, and pain (P<0.001), but no statistically significant differences in the overall quality of life of patients with lung cancer.
Conclusion: This study shows that MCGP can improve lung cancer patients with anxiety, depression, helping lung cancer patients seek and have sense of life. Quality of life in patients with lung cancer in the improvement of the psychological and social dimensions and some physiological indexes has a significant effect, but for the majority of physiological indexes (such as: breathing difficulties, diarrhea, constipation, loss of appetite, etc.) the effect is not obvious.