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Narrative therapy-based psychological intervention for oncology patients: Effects on mental health, somatic symptoms,
Ming-Juan He1, Zi-Li Wen1, Wei Wan1
1Department of Oncology, West China School of Medicine, Sichuan University, Sichuan University Affiliated Chengdu Second People's Hospital, Second People's Hospital, Chengdu, China.
Purpose:
The purpose of this study is to explore the impact of psychological intervention based on narrative therapy on the mental health and self-efficacy of patients in the oncology department.
Methods:
A randomized controlled trial was conducted. Patients with malignant tumors hospitalized from January 2022 to January 2024 were selected and randomly assigned to an intervention group or a control group. The intervention group received a narrative therapy-based psychological intervention comprising weekly sessions over one month, while the control group received conventional care only. Mental health, psychological resilience, somatic symptom severity, and self-efficacy were assessed at baseline and one month post-intervention using the SAS, SDS, CD-RISC, PHQ-15, and GSES scales.
Results:
A total of 180 patients were enrolled. After the one-month intervention period, the intervention group demonstrated statistically significant greater improvements compared to the control group on all outcomes. Specifically, the intervention group showed significantly greater reductions in SAS (t = -5.113, p < 0.001), SDS (t = -6.419, p < 0.001), and PHQ-15 scores (t = -2.926, p = 0.004), and significantly greater increases in CD-RISC (t = 7.326, p < 0.001) and GSES scores (t = 4.137, p < 0.001).
Conclusions:
A one-month narrative therapy-based psychological intervention was effective in mitigating anxiety and depression, enhancing psychological resilience, alleviating somatic symptoms, and improving self-efficacy in oncology inpatients. Integrating narrative practices into routine supportive care is recommended.
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