Effects of a mind map-based life review programme on psychospiritual well-being in cancer patients undergoing chemotherapy: A randomised controlled trial

Eur J Cancer Care (Engl). 2020 May;29(3):e13221. doi: 10.1111/ecc.13221. Epub 2020 Jan 7.

Abstract

Objectives: To evaluate the effects of a mind map-based life review programme (MBLRP) on psychological distress, hope, meaning in life and self-transcendence in cancer patients undergoing chemotherapy.

Methods: Eighty-four cancer patients undergoing chemotherapy from a university-affiliated hospital in Fujian, China. The participants were randomly allocated to a MBLRP group (n = 40) or usual care group (n = 44). Data were collected at baseline (T0), on the second day (T1) and four weeks after the programme (T2) using the Distress Thermometer, Meaning in Life Questionnaire, Herth Hope Scale and Self-transcendence Scale.

Results: No significant interaction effects for time and group membership were found for psychological distress either at T1 (t = -1.707, p = .090) or at T2 (t = -1.123, p = .263). The interaction effects for T1 and group membership were statistically significant for meaning in life (t = 3.487, p = .001) and hope (t = 5.313, p < .001), but not statistically significant for self-transcendence (t = 0.148, p = .882). The interaction effects for T2 and group membership were statistically significant for meaning in life (t = 2.592, p = .01), hope (t = 5.215, p < .001) and self-transcendence (t = 2.843, p = .005).

Conclusions: The MBLRP could improve hope, meaning in life and self-transcendence in cancer patients undergoing chemotherapy.

Keywords: cancer; hope; life review; meaning in life; psychological distress; self-transcendence.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antineoplastic Agents / therapeutic use
  • Female
  • Hope*
  • Humans
  • Male
  • Mental Health*
  • Middle Aged
  • Neoplasms / drug therapy
  • Neoplasms / psychology*
  • Patient Satisfaction
  • Psychological Distress*
  • Psychotherapy / methods*
  • Spirituality

Substances

  • Antineoplastic Agents