Effect of Cognitive Behavioral Nursing Intervention Program on Depression among Patients with Cancer

Document Type : Original Article

Authors

1 Psychatric and mental health nursing Faculty of nursing Port said university

2 Mental and Psychiatric Nursing Department, Faculty of Nursing Port-said university

3 Mental and Psychiatric Nursing Department , Faculty of Nursing , Portsaid University

4 Lecturer in Psychiatric Nursing and Mental Health, port said university

Abstract

Background: A cancer's diagnosis can have a substantial impact on mental health and wellbeing. Depression may hinder cancer treatment and recovery. Cognitive behavioral therapy is one of the most evidence-based psychological interventions for the treatment of several psychiatric disorders such as depression. Aim: This study aims to explore the effect of cognitive behavioral nursing intervention program on depression among cancer patients. Subjects and Method: Design:  A quazi- experimental design (pre, post, and follow-up evaluation) was used. Setting: Oncology unit at Al Shifa Medical Complex in Port Said city. Subjects: The study subjects included 63 patients with cancer. Tools: Two tools were utilized to collect the data, Beck Depression Inventory and Dealing with Illness Inventory; in addition to personal and clinical data sheet. Results: The study revealed less than half (41.7%) studied patients with cancer had mild level of depression at pre intervention, while more than one quadrant (26.7) had mild level of depression at post intervention. Also, less than half (45%) of the studied patients with cancer had moderate level of depression at pre intervention, while more than one third (36.6%) of them had moderate level of depression at post intervention.  Conclusion The cognitive behavioral nursing intervention program had significant lower level of depression among the studied cancer patients at post program compared to preprogram (P=0.000**). Recommendations: Therefore, cognitive behavioral interventions should be utilized in combination with standard care for cancer patients

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American Psychiatric Association. (2018). Practice guidelines for the treatment of patients with major depressive disorder: eight Editions. Arlington, VA: APA
Beck, A., Steer, R. & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.
Endeshaw, D., Walle, T., & Yohannes, S. (2022). Depression, anxiety and their associated factors among patients with cancer receiving treatment at oncology units in Amhara Region, Ethiopia: A cross-sectional study. BMJ open, 12(11), e063965.
Foad, A., Abdel Azzim, S., El Raee, L., & Bakry, A. (1999). Coping strategies in Egyptian cancer patients. Unpublished Master Thesis, Cairo University. Egypt.
García-Batista, Z., Guerra-Peña, K., Cano-Vindel, A., Herrera-Martínez, S. & Medrano, L. (2018). Validity and reliability of the Beck Depression Inventory (BDI-II) in general and hospital population of Dominican Republic. PloS one, 13(6), e0199750.
Gautam, M., Tripathi, A., Deshmukh, D. & Gaur, M. (2020). Cognitive behavioral therapy for depression. Indian journal of psychiatry, 62(Suppl 2), S223.
 Ghahari, S., Fallah, R., Rad, M. , Farrokhi, N., Bolhari, J., Mousavi, M & Akbari, M. (2017). Effect of cognitive-behavioral therapy and spiritual-religious intervention on improving coping responses and quality of life among women with breast cancer in Tehran. Bali Medical Journal, 6(2), 409-414.
Ghareeb, A. (2000). Manual of the Arabic BDI-II. Alongo Press. Cairo Inventory: The author’s twenty-five years of evaluation. Clinical Psychological Review, 8(3), 77-100.
Gibbons, A. & Groarke, A. (2018). Coping with chemotherapy for breast cancer: Asking women what works. European Journal of Oncology Nursing, 35(6), 85-91.
Kargar, S., Okati-Aliabad, H., Ansari-Moghaddam, A. & Mohammadi, M. (2022). Evaluation of Quality of Life, Social Support and Coping Strategies and Illness Adjustment in Patients with Breast Cancer: A Cross-sectional Study. Jundishapur Journal of Health Sciences, 14(4), e131088.
Kelkil, B., Atnafu, N., Dinegde, N. & Wassie, M. (2022). Coping strategies of stress and its associated factors among breast cancer patients in Tikur Anbesa specialized hospital, Ethiopia: Institution-based cross-sectional study. BMC Women's Health, 22(1), 1-8.
Lai, H., Chen, C., Lu, C & Huang, C. (2021). Cognitive behavioral therapy plus coping management for depression and anxiety on improving sleep quality and health for patients with breast cancer. Brain Sciences, 11(12), 1614.
Liu, F., Fu, S., Chen, Y., Yan, Y., Tong, F., Peng, L. & Liu, X. (2021). Effects of cognitive behavioral therapy for depression and anxiety, response rates and adverse events in patients with advanced nasopharyngeal carcinoma. Integrative cancer therapies, 20(15), 347.
Liu, T., Xu, J., Cheng, H., Zhang, Y., Wang, S., Lin, L., and Tian, L. (2022). Effects of internet-based cognitive behavioral therapy on anxiety and depression symptoms in cancer patients: A meta-analysis. General Hospital Psychiatry, 79(7), 135-145
Lucero, V., Villacreses, W. & Ecuador, Q. (2022). Coping strategies in cancer patients. A single-center study. Journal of Psychosocial Oncology. 32(2), 169-179
McKiernan, A., Steggles, S., Guerin, S., & Carr, A. (2010). A controlled trial of group cognitive behavior therapy for Irish breast cancer patients. Journal of Psychosocial Oncology, 28(2), 143-156.
Namir, S., Wolcott, D., Fawzy, F. & Alumbaugh, M. (1987). Coping with AIDS: Psychological and health implications. Journal of applied social psychology, 17(3), 309-328.
Niedzwiedz, C., Knifton, L., Robb, K., Katikireddi, S. & Smith, D. (2019). Anxiety and depression among people living with and beyond cancer: A growing clinical and research priority. BMC cancer, 19(1), 1-8.
Nipp, R., El-Jawahri, A., Fishbein, J., Eusebio, J., Stagl, J., Gallagher, E. & Temel, J. (2016). The relationship between coping strategies, quality of life, and mood in patients with incurable cancer. Cancer, 122(13), 2110-2116.
Noyes, K., Zapf, A., Depner, R., Flores, T., Huston, A., Rashid, H & Sahler, O. (2022). Problem-solving skills training in adult cancer survivors: Bright IDEAS-AC pilot study. Cancer Treatment and Research Communications, 31(4), 100552.
Onyedibe, M., Nkechi, A. & Ifeagwazi, C. (2020). Effectiveness of Group Cognitive Behavioral Therapy on Anxiety and Depression for Nigerian Breast Cancer Patients. International journal of psychology and psychological therapy, 20(2), 223-232.
Reavell, J., Hopkinson, M., Clarkesmith, D., & Lane, D. (2018). Effectiveness of cognitive behavioral therapy for anxiety and depression in patients with cardiovascular disease: a systematic review and meta-analysis. Psychosomatic medicine, 80(8), 742-753. ‏
Serfaty, M., King, M., Nazareth, I., Moorey, S., Aspden, T., Mannix, K & Jones, L. (2020). Effectiveness of cognitive–behavioral therapy for depression in advanced cancer: Can Talk randomised controlled trial. The British Journal of Psychiatry, 216(4), 213-221.
Singer, S. (2018). Psychosocial impact of cancer. Psycho-Oncology, 210(6), 1-11.
Sun, H., Huang, H., Ji, S., Chen, X., Xu, Y., Zhu, F. & Wu, J. (2019). The efficacy of cognitive behavioral therapy to treat depression and anxiety and improve quality of life among early-stage breast cancer patients. Integrative cancer therapies, 18(5), 153.
Sutanto, Y., Ibrahim, D., Septiawan, D., Sudiyanto, A. & Kurniawan, H. (2021). Effect of cognitive behavioral therapy on improving anxiety, depression, and quality of life in pre-diagnosed lung cancer patients. Asian Pacific Journal of Cancer Prevention APJCP, 22(11), 3455.
Thamposon, K. (2012).  Sampling .(3rd  ed.).  John Wiley & Sons. India.
Zamanian, H., Amini-Tehrani, M., Jalali, Z., Daryaafzoon, M., Ala, S., Tabrizian, S., & Foroozanfar, S. (2021). Perceived social support, coping strategies, anxiety and depression among women with breast cancer: Evaluation of a mediation model. European Journal of Oncology Nursing, 50(6), 101892.