Abstract
We examined the effects of magnanimous therapy on psychological coping, adjustment, living function, and survival rate in patients with advanced lung cancer. Patients with advanced lung cancer (n = 145) matched by demographics and medical variables were randomly assigned to an individual computer magnanimous therapy group (ic-mt), a group computer magnanimous therapy group (gc-mt), or a control group (ctrl). Over 2 weeks, the ic-mt and gc-mt groups received eight 40-minute sessions of ic-mt or gc-mt respectively, plus usual care; the ctrl group received only usual care. The Cancer Coping Modes Questionnaire (ccmq), the Psychological Adjustment Scale for Cancer Patients (pascp), and the Functional Living Index-Cancer (flic) were assessed at baseline and 2 weeks later. The relationships of changes in those indicators were analyzed, and survival rates were compared. The psychological coping style, adjustment, and living function of the ic-mt and gc-mt groups improved significantly after the intervention (p < 0.01). After 2 weeks, significant (p < 0.01) differences between the treatment groups and the ctrl group in coping style, adjustment, and living function suggested successful therapy. The changes in living function were correlated with changes in psychological coping and adjustment. No difference in efficacy between ic-mt and gc-mt was observed. The survival rate was 31.84% in the ic-mt group and 9.375% in the ctrl group at 2 years after the intervention. In patients with advanced lung cancer, ic-mt and gc-mt were associated with positive short-term effects on psychological coping style, adjustment, and living function, although the magnitude of the effect did not differ significantly between the intervention approaches. The effects on living function are partly mediated by improvements in psychological coping and adjustment.
Highlights
People with advanced lung cancer often experience significant psychological distress[1,2,3]
The changes in living function were correlated with changes in psychological coping and adjustment
In patients with advanced lung cancer, ic-mt and gc-mt were associated with positive short-term effects on psychological coping style, adjustment, and living function, the magnitude of the effect did not differ significantly between the intervention approaches
Summary
People with advanced lung cancer often experience significant psychological distress[1,2,3]. These patients have a heavy burden of physical symptoms, poor prognosis, and high mortality, and compared with patients having other types of cancer, they experience increased rates of psychological distress[4,5,6,7]. Psychosocial interventions have been developed to ameliorate distress in cancer patients, and systematic reviews and meta-analyses confirm that such interventions improve depression, anxiety, fatigue, pain, coping, adjustment, functional ability, and quality of life[10,11,12,13,14,15,16,17,18]. Education or information provision, relaxation, self-care strategies, unstructured therapies, and group social support have been found to be effective e48
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