A Novel CBGT Model for Anxiety and Depression in Patients with Pulmonary Nodules

With the widespread use of computerized tomography (CT) examinations, the annual detection rate of pulmonary nodules has been increasing. However, early non-surgical patients often experience anxiety and depression during follow-up. This study aims to develop a novel intervention model to address these psychological issues and evaluate its clinical efficacy.

Our research team designed a psychological intervention model tailored to pulmonary nodule patients with anxiety and depressive symptoms. A total of 160 participants were randomly divided into two groups: an experimental group (80 patients) receiving cognitive behavioral group therapy (CBGT), and a control group (80 patients) receiving no CBGT intervention. Anxiety, depression, sleep quality, and social functioning were evaluated using validated standardized scales, including the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Pittsburgh Sleep Quality Index (PSQI), and General Overall Quality of Life-74 (GOQL-74). Data were collected at four time points: before the intervention, at 8 weeks, at 3 months, and at 6 months.

The CBGT group showed significant improvements in anxiety symptoms, depressive symptoms, and sleep disturbances. Additionally, the CBGT group exhibited a superior psychological status in terms of social functioning, though no significant differences were observed in other indicators.

CBGT interventions positively contribute to the mental health of pulmonary nodule patients with anxiety and depression. The developed psychotherapy model is a relatively well-established protocol worthy of clinical application.