Effect of Cognitive Behavioral Therapy on Improving Anxiety, Depression, and Quality of Life in Pre-Diagnosed Lung Cancer Patients

Document Type : Research Articles


1 Department of Pulmonology and Respiratory Medicine, University of Sebelas Maret, Surakarta, Central Java, 57126, Indonesia.

2 Dr Moewardi General Hospital, Surakarta, Central Java, 57126, Indonesia.

3 Department of Psychiatry, University of Sebelas Maret, Surakarta, Central Java, 57126, Indonesia.

4 Department of Public Health and Community Medicine, University of Syiah Kuala, Aceh, 23111, Indonesia.


Objective: To evaluate the effectiveness of cognitive behavior therapy on anxiety, depression, and quality of life of pre-diagnosed lung cancer patients. Methods: A total of 32 pre-diagnosed subjects were divided into 16 Cognitive behaviour theraphy (CBT)-intervention patients and 16 control subjects. The study subjects were pre-diagnosed lung cancer patients hospitalized at Regional Public Hospital Dr. Moewardi Surakarta. For the treatment group, CBT psychotherapy interventions were given for up to 6 sessions every 2 days. The patient was tested for Hamilton Anxiety Rating Scale (HARS)-based anxiety symptom criteria and Hamilton Depression Rating Scale (HRSD)-based depression and followed The World Health Organization Quality of Life- Brief version (WHOQOL-BREF)-based quality of life criteria. The effect of CBT intervention was measured using an independent t-test and the Mann–Whitney test. Results: There was a significant difference in the intervention group post-test: HARS criteria decreased by −8.38 ± 2.90, HRSD decreased by an average of −6.75 ± 3.30, and WHOQOL-BREF increased by an average of 16.80 ± 10.13 compared with the control group. Conclusion: CBT affects the improvement of anxiety, depression, and quality of life for pre-diagnosed lung cancer patients.


Volume 22, Issue 11
November 2021
Pages 3455-3460
  • Receive Date: 30 December 2020
  • Revise Date: 22 April 2021
  • Accept Date: 13 November 2021
  • First Publish Date: 13 November 2021