Abstract
ABSTRACT Introduction To study effectiveness of two cognitive- behavioral therapies(CBT), Guided-Mental-Imagery(GMI, Cognitive-Restructuring-Technique(CRT), in changing unhelpful thinking styles of colorectal-cancer survivors in developing-nation. Methods This was our Cancer-NGO's two-year longitudinal quasi-experimental research-design. Target was Colorectal-cancer-patients, 50-60 years, N=52, control N=30.With aid of inventory of negative thought scale, information collected pre/post training on: Occurrence/frequency of negative thoughts in response to diagnosis, Incidence of negative statements as result of automatic dysfunctional thoughts, underlying beliefs. Training/data collection took place NGO-clinic. An 11-item structured questionnaire containing items on characteristics and knowledge of respondents on risk factors, symptom, cancer outcomes, current stress levels, beliefs developed. Results Subjects who received GMI/CR training were able to notice/monitor their unhelpful thinking patterns than controls. they appeared to have higher frequency of negative thoughts, they were able to control them better when compared with control group. Experimental group reported they were better equipped to cope with trauma/stress of living with colorectal cancer. Conclusion CBT techniques in watering the seeds of happiness are efficacious in management of sufferings among patients with colorectal-cancer in India. This underscores need to train health care professionals these psychological techniques and provide enabling environment for practice. ability to cope: Bodily comfort Understanding Emotions & Self Blame Acceptance of Care Acceptance of Support Acceptance of Belief System. Recommendations Our study also calls for more psychological participation in end-of-life care research, assessment and treatment in developing nations because treatment modalities are limited to few resourceful patients. Hence our study helps patients in recovering from mental trauma & stress of colorectal cancer. After counseling/training such approach shall be helpful in improving QOL for colorectal cancer survivors.
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