Comparing the Effectiveness of Positive Psychology and Gestalt Therapy on Psychological Well-Being of Patients with Lung Cancer

Authors

  • Mayada Abd Al-Manara College for Medical Sciences, Amarah, Iraq
  • Ayat Abd AlWahab Abd Alrazaq
  • Hassan Taher Braiber
  • Ali Abdulhussain Fadhil
  • Noora M. Hameed
  • Abdulmajeed A. Alsaadi
  • Salam Ahjel
  • Sudaif Mohammed Kamil
  • Noor Alhuda Deaa Kadhum
  • Ali Jalil Obaid
  • Shaker Holh Sabit

Abstract

Background: Lung cancer is one of the leading causes of death and is associated with a decline in social performance. The current study aimed to examine the impact of positive psychology and Gestalt methods on the psychological well-being of patients with lung cancer.

Methods: The current study was performed by quasi-experimental method with pre-test and post-test design. The statistical population included 187 patients with lung cancer referred to the oncology department of Al-Sadr Educational Hospital in Najaf, Iraq, in 2021 who were considered for this purpose. Simple random sampling was used to select 75 patients, divided into three groups: positive psychology, Gestalt, and control (each group included 25 patients). Positive psychology protocols and Gestalt therapy were implemented following psychotherapeutic principles, and their efficacy was assessed using the Ryff Psychological Well-being Scale. The data were analyzed using a multivariate covariance test via SPSS software.

Results: After controlling for the effect of the pre-test with the Wilks’ Lambda index, there was a significant difference in psychological well-being between the groups (P < 0.01). Analysis of covariance (ANCOVA) test showed that the intervention improved all aspects of psychological well-being (P < 0.01). Finally, the Bonferroni post-hoc test was used to compare the two methods and concluded that the variables of personal growth, self-acceptance, objective life, and mastery of the environment differed significantly between Gestalt and positive psychology groups (P < 0.001).

Conclusion: Both positive psychology intervention and gestalt therapy have a positive effect on improving the well-being of patients with lung cancer. Additionally, Gestalt therapy has been more effective than positive psychology.

References

Aryanto, E. R. , Suwarjo, S., & Kurniawan, D. S. (2021 Aug 30-31). Gestalt Counseling. Proceedings of the International Seminar on Innovative and Creative Guidance and Counseling Service (ICGCS 2021); Padang, Indonesia.

Askari, A., Tajeri, B., Sobhi-Gharamaleki, N., & Hatami, M. (2021). A comparative study on the effects of positive psychology and stress inoculation on depression among pregnant women with mitral valve prolapse. Int J Body, Mind Culture, 8(3), 193-202.

Bertisch, H., Rath, J., Long, C., Ashman, T., & Rashid, T. (2014). Positive psychology in rehabilitation medicine: A brief report. NeuroRehabilitation, 34(3), 573-585. doi:941846677J2748U0 [pii];10.3233/NRE-141059 [doi]. Retrieved from PM:24448878

Bourque, N., & Sherlock, E. (2017). Integrating Gestalt psychotherapy into social work practice with adult oncology patients. Soc Work Ment Health, 15(2), 143-158.

Goerling, U., Foerg, A., Sander, S., Schramm, N., & Schlag, P. M. (2011). The impact of short-term psycho-oncological interventions on the psychological outcome of cancer patients of a surgical-oncology department - a randomised controlled study. Eur J Cancer, 47(13), 2009-2014. doi:S0959-8049(11)00310-8 [pii];10.1016/j.ejca.2011.04.031 [doi]. Retrieved from PM:21612912

Greenberg, A., Anand, G., & Sinclair, G. (2020). Lung Cancer Treatment in COVID-19-Positive Patients: Guidelines and Gestalt. JCO Oncol.Pract., 16(9), 615-617. doi:10.1200/OP.20.00511 [doi]. Retrieved from PM:32780642

Guo, Y., Eichler, G. S., Feng, Y., Ingber, D. E., & Huang, S. (2006). Towards a holistic, yet gene-centered analysis of gene expression profiles: A case study of human lung cancers. J Biomed Biotechnol., 2006(5), 69141. doi:S1110724306691419 [pii];10.1155/JBB/2006/69141 [doi]. Retrieved from PM:17489018

Hancox, J., Ayling, K., Bedford, L., Vedhara, K., Roberston, J. F. R., Young, B. et al. (2022). Psychological impact of lung cancer screening using a novel antibody blood test followed by imaging: the ECLS randomized controlled trial. J Public Health (Oxf.). doi:6548102 [pii];10.1093/pubmed/fdac032 [doi]. Retrieved from PM:35285902

Khezri, E., Bagheri-Saveh, M. I., Kalhor, M. M., Rahnama, M., Roshani, D., & Salehi, K. (2022). Nursing care based on the Support-Based Spiritual Care Model increases hope among women with breast cancer in Iran. Support Care Cancer, 30(1), 423-429. doi:10.1007/s00520-021-06413-4 [doi];10.1007/s00520-021-06413-4 [pii]. Retrieved from PM:34302544

Kurita, K., Garon, E. B., Stanton, A. L., & Meyerowitz, B. E. (2013). Uncertainty and psychological adjustment in patients with lung cancer. Psychooncology., 22(6), 1396-1401. doi:10.1002/pon.3155 [doi]. Retrieved from PM:22887017

Lau, W. Y., Chan, C. K., Li, J. C., & Au, T. K. (2010). Effectiveness of group cognitive-behavioral treatment for childhood anxiety in community clinics. Behav Res Ther, 48(11), 1067-1077. doi:S0005-7967(10)00150-6 [pii];10.1016/j.brat.2010.07.007 [doi]. Retrieved from PM:20696421

Lyubomirsky, S., & Layous, K. (2022). Is Variety the Spice of Happiness? J Posit Psychol. [In Press].

Liu, Y., Liu, M., Liu, L., Zhang, S., Li, T., & Ma, F. (2022). Fear of cancer recurrence and hope level in patients receiving surgery for non-small cell lung cancer: A study on the mediation role of social support. Research Square.

Motamedi, M., & Arefi, M. (2018). Investigating Alexithymia among Women with and Without Thyroid Cancer in Isfahan. Int J Body Mind Culture, 5(2), 104-111.

Ochoa, C., Casellas-Grau, A., Vives, J., Font, A., & Borras, J. M. (2017). Positive psychotherapy for distressed cancer survivors: Posttraumatic growth facilitation reduces posttraumatic stress. Int J Clin Health Psychol, 17(1), 28-37. doi:10.1016/j.ijchp.2016.09.002 [doi];S1697-2600(16)30055-2 [pii]. Retrieved from PM:30487878

Pietrowsky, R., & Mikutta, J. (2012). Effects of positive psychology interventions in depressive patientsA randomized control study. Psychology, 3(12), 1067-1073.

Qiu, S., Wen, D., Cui, Y., & Feng, J. (2016). Lung nodules detection in ct images using gestalt-based algorithm. Chin J Electron., 25(4), 711-718.

Reilly, J., & Jacobus, V. (2007). Students evaluate carl rogers and his relationship with Gloria: A brief report. J Humanist Psychol, 48(1), 32-41.

Rouleau, C. R., Garland, S. N., & Carlson, L. E. (2015). The impact of mindfulness-based interventions on symptom burden, positive psychological outcomes, and biomarkers in cancer patients. Cancer Manag.Res, 7, 121-131. doi:10.2147/CMAR.S64165 [doi];cmar-7-121 [pii]. Retrieved from PM:26064068

Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. J Pers Soc Psychol, 57(6), 1069-1081.

Schuller, H. M. (2013). Effects of tobacco constituents and psychological stress on the beta-adrenergic regulation of non-small cell lung cancer and pancreatic cancer: implications for intervention. Cancer Biomark., 13(3), 133-144. doi:NT71W501W8817518 [pii];10.3233/CBM-130323 [doi]. Retrieved from PM:23912485

Sheikh-Wu, F. S. (2022). The effects of positive psychology on symptoms and quality of life among colorectal cancer survivors during acute cancer survivorship [PhD Thesis]. Coral Gables, FL: University of Miami.

Sheikh-Wu, S. F., Anglade, D., Gattamorta, K., Xiao, C., & Downs, C. A. (2022). Positive psychology mediates the relationship between symptom frequency and quality of life among colorectal cancer survivors during acute cancer survivorship. Eur J Oncol.Nurs., 58, 102136. doi:S1462-3889(22)00044-8 [pii];10.1016/j.ejon.2022.102136 [doi]. Retrieved from PM:35378393

Sin, N. L., & Lyubomirsky, S. (2009). Enhancing well-being and alleviating depressive symptoms with positive psychology interventions: a practice-friendly meta-analysis. J Clin Psychol, 65(5), 467-487. doi:10.1002/jclp.20593 [doi]. Retrieved from PM:19301241

Sollmann, U. (2019). (Body) Psychotherapy Regarding Tension between professionalization, occupationalization and professional ethics. Int J Body Mind Culture, 6(1), 3-13.

Vail, S., & Xenakis, N. (2007). Empowering women with chronic, physical disabilities:a pedagogical/experiential group model. Soc Work Health Care, 46(1), 67-87. doi:10.1300/J010v46n01_05 [doi]. Retrieved from PM:18032157

Valentine, T. R., Presley, C. J., Carbone, D. P., Shields, P. G., & Andersen, B. L. (2022). Illness perception profiles and psychological and physical symptoms in newly diagnosed advanced non-small cell lung cancer. Health Psychol, 41(6), 379-388. doi:2022-65050-001 [pii];10.1037/hea0001192 [doi]. Retrieved from PM:35604701

Yang, S., Zheng, L., Sun, Y., & Li, Z. (2022). Effect of Network-Based Positive Psychological Nursing Model Combined With Elemene Injection on Negative Emotions, Immune Function and Quality of Life in Lung Cancer Patients Undergoing Chemotherapy in the Era of Big Data. Front Public Health, 10, 897535. doi:10.3389/fpubh.2022.897535 [doi]. Retrieved from PM:35602129

Yang, Y. L., Liu, L., Wang, X. X., Wang, Y., & Wang, L. (2014). Prevalence and associated positive psychological variables of depression and anxiety among Chinese cervical cancer patients: a cross-sectional study. PLoS.One., 9(4), e94804. doi:10.1371/journal.pone.0094804 [doi];PONE-D-13-49000 [pii]. Retrieved from PM:24722558

Zhang, J. M., Zhang, M. R., Yang, C. H., & Li, Y. (2022). The meaning of life according to patients with advanced lung cancer: a qualitative study. Int J Qual.Stud Health Well.-being., 17(1), 2028348. doi:10.1080/17482631.2022.2028348 [doi]. Retrieved from PM:35103558

Zhou, C., Tang, J., Sun, F., Huang, L., Liu, M., & Kuang, D. (2022). Continuity of care plus whole process psychological intervention for lung cancer patients undergoing chemotherapy. Evid.Based.Complement.Alternat.Med, 2022, 4330059. doi:10.1155/2022/4330059 [doi]. Retrieved from PM:35497926

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Published

2022-07-24

How to Cite

Abd, M., Alrazaq, A. A. A. A. ., Braiber, H. T. ., Fadhil, A. A. ., Hameed, N. M. ., Alsaadi, A. A. ., Ahjel, S. ., Kamil, S. M. ., Kadhum, N. A. D. ., Obaid, A. J., & Sabit, S. H. . (2022). Comparing the Effectiveness of Positive Psychology and Gestalt Therapy on Psychological Well-Being of Patients with Lung Cancer. International Journal of Body, Mind and Culture, 9(sp). Retrieved from https://ijbmc.org/index.php/ijbmc/article/view/411

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Quantitative Study(ies)

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