Abstract

Objective:To evaluate the effectiveness of cognitive behavior therapy on anxiety, depression, and quality of life of pre-diagnosed lung cancer patients. Methods:A total of 32 pre-diagnosed subjects were divided into 16 Cognitive behaviour theraphy (CBT)-intervention patients and 16 control subjects. The study subjects were pre-diagnosed lung cancer patients hospitalized at Regional Public Hospital Dr. Moewardi Surakarta. For the treatment group, CBT psychotherapy interventions were given for up to 6 sessions every 2 days. The patient was tested for Hamilton Anxiety Rating Scale (HARS)-based anxiety symptom criteria and Hamilton Depression Rating Scale (HRSD)-based depression and followed The World Health Organization Quality of Life- Brief version (WHOQOL-BREF)-based quality of life criteria. The effect of CBT intervention was measured using an independent t-test and the Mann–Whitney test.Results:There was a significant difference in the intervention group post-test: HARS criteria decreased by −8.38 ± 2.90, HRSD decreased by an average of −6.75 ± 3.30, and WHOQOL-BREF increased by an average of 16.80 ± 10.13 compared with the control group. Conclusion:CBT affects the improvement of anxiety, depression, and quality of life for pre-diagnosed lung cancer patients.

Highlights

  • Cancer is a serious and potentially life-threatening disease with negative physical and psychological effects on patients

  • There was a significant difference in the intervention group post-test: Hamilton Anxiety Rating Scale (HARS) criteria decreased by −8.38 ± 2.90, Hamilton Rating Scale for Depression (HRSD) decreased by an average of −6.75 ± 3.30, and WHOQOL-BREF increased by an average of 16.80 ± 10.13 compared with the control group

  • This study demonstrated the effect of Cognitive behaviour theraphy (CBT) administration on anxiety, depression, and quality of life in pre-diagnostic lung cancer patients

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Summary

Introduction

Cancer is a serious and potentially life-threatening disease with negative physical and psychological effects on patients. Long-term cancer treatment and the side effects of chemotherapy may have psychological effects on patients. The side effects of chemotherapy and the cancer itself will decrease the quality of life of the patients (Viriyasiri et al, 2020). Lung cancer is the most common cause of cancer death worldwide. According to the World Health Organization’s 2017 report, Lung cancer is a leading cause of 1.69 million cancer deaths. Lung cancer is the most common case of men and the fourth most common case in women, and is the main cause of death based on the results of a hundred-hospitalbased research study in Jakarta (Wahidin et al, 2012)

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