Department of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China.
Shanghai Key Laboratory of Radiation Oncology (20dz2261000), Shanghai Proton Heavy Ion Hospital, Shanghai, China.
Palliat Support Care. 2023 Oct;21(5):773-781. doi: 10.1017/S1478951523000998.
Meaninglessness is one of the most common psychological problems in cancer patients, which can lead to anxiety, depression and psychological distress, and diminished quality of life. Recent evidence indicates that meaning-centered group psychotherapy (MCGP) effectively enhances the meaning in life among cancer patients. This study aimed to evaluate the impact of MCGP on the meaning in life, post-traumatic growth, psychological distress, and fear of recurrence among Chinese cancer patients with a favorable prognosis.
Sixty-six cancer patients were randomly assigned to either the MCGP group ( = 33) or the control group ( = 33). Participants in the MCGP group underwent a 4-week, 8-session MCGP, while those in the control group received usual care. Meaning in life, post-traumatic growth, psychological distress, and fear of recurrence were assessed at both baseline and postintervention to evaluate the impact of the intervention. The intervention outcomes were analyzed using paired -tests or analysis of covariance, as appropriate.
Patients in the MCGP group demonstrated significant improvements in meaning in life, post-traumatic growth, and fear of recurrence from baseline to postintervention. In comparison to the control group, the MCGP group displayed positive effects on meaning in life and post-traumatic growth following the intervention. However, no significant effects were observed in terms of psychological distress and fear of recurrence.
Our research offers evidence supporting the effectiveness of MCGP in enhancing meaning in life and post-traumatic growth among Chinese cancer patients with a favorable prognosis.
无意义感是癌症患者中最常见的心理问题之一，它可能导致焦虑、抑郁和心理困扰，降低生活质量。最近的证据表明，以意义为中心的团体心理治疗（MCGP）能有效地增强癌症患者的生活意义。本研究旨在评估 MCGP 对预后良好的中国癌症患者的生活意义、创伤后成长、心理困扰和复发恐惧的影响。
将 66 名癌症患者随机分为 MCGP 组（n=33）和对照组（n=33）。MCGP 组接受为期 4 周、共 8 次的 MCGP，对照组接受常规护理。在基线和干预后评估生活意义、创伤后成长、心理困扰和复发恐惧，以评估干预的效果。干预结果采用配对 t 检验或协方差分析进行分析。
MCGP 组患者在生活意义、创伤后成长和复发恐惧方面从基线到干预后均有显著改善。与对照组相比，MCGP 组在干预后生活意义和创伤后成长方面表现出积极的效果。然而，在心理困扰和复发恐惧方面没有观察到显著的效果。
我们的研究为 MCGP 能增强预后良好的中国癌症患者的生活意义和创伤后成长提供了证据。
