Anxiety, depression, and quality of life in postoperative non-small cell lung cancer patients under the intervention of cognitive-behavioral stress management

Frontiers in Psychology

Psychology

Yuxiang Han¹  Shuyan Zhang²  Fengju Wang²  Bingbing Song³ 

[1] Department of Pain Medicine, Harbin Medical University Cancer Hospital, Harbin, China;Department of Thoracic Surgery, Harbin Medical University Cancer Hospital, Harbin, China;Department of Urology, Harbin Medical University Cancer Hospital, Harbin, China;

关键词: non-small cell lung cancer;    cognitive behavioral therapy;    anxiety;    depression;    quality of life;   

DOI  :  10.3389/fpsyg.2023.1138070

 received in 2023-01-05, accepted in 2023-05-02,  发布年份 2023

来源: Frontiers

【 摘 要 】

ObjectiveCognitive-behavioral stress management (CBSM) is a psychotherapy that helps patients cognize and manage stress to improve mental health and quality of life. This study aimed to explore the influence of CBSM on anxiety, depression, and quality of life in non-small cell lung cancer (NSCLC) patients.MethodsIn total, 172 NSCLC patients who received tumor resection were randomized 1:1 into the usual care (UC) group (N = 86) and CBSM group (N = 86) to receive 10-week UC and CBSM interventions. Moreover, all participants attended a 6-month follow-up.ResultsHospital Anxiety and Depression Scales (HADS)-anxiety score at 3rd month (M3) (P = 0.015) and 6th month (M6) (P = 0.018), HADS-depression score at M3 (P = 0.040) and M6 (P = 0.028), and depression rate at M6 (P = 0.035) were descended in CBSM group compared to UC group. Besides, depression severity was reduced at M6 (P = 0.041) in CBSM group compared to UC group, but anxiety severity only showed a decreased trend (P = 0.051). Additionally, Quality of Life Questionnaire-Core 30 (QLQ-C30) global health status score and QLQ-C30 function score at 1st month (M1), M3, and M6 were elevated (all P < 0.05), while QLQ-C30 symptoms score was declined at M1 (P = 0.031) and M3 (P = 0.014) in CBSM group compared to UC group. Notably, the efficacy of CBSM was impressive in patients with baseline depression or undergoing adjuvant therapy.ConclusionCBSM is a feasible intervention that effectively improves mental health and quality of life in postoperative NSCLC patients.

【 授权许可】

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Copyright © 2023 Wang, Zhang, Song and Han.