Problem Management Plus in the treatment of mental disorders in patients with multiple myeloma
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ORIGINAL ARTICLE
Problem Management Plus in the treatment of mental disorders in patients with multiple myeloma Hong Zhang 1 & Dongxiu Zhang 1 & Hailong Lin 1 & Leting Huang 1 Received: 3 October 2019 / Accepted: 29 December 2019 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Objectives In this study, Problem Management Plus (PM+) was used for patients with multiple myeloma (MM), to develop a care model of psychology and quality of life. Methods Forty cases received psychological management (PM+ group), and 40 cases underwent investigation without management (non-PM+ group). Patients were assessed using PSYCHLOPS, WHO DAS 2.0, and HADS (see Supplementary File 1). Results The results showed that the PM+ group showed reductions in Psychological Outcome Profile scores (6.3 ± 2.9) following program completion (preprogram scores: 16.0 ± 1.9, P < .05). The non-PM+ group showed differences between preprogram (16.7 ± 1.8) and postprogram scores (14.8 ± 2.6, P < .05). The effect size of the PM+ group exceeded that of the non-PM+ group (5.1 to 1.0). In the Hospital Anxiety and Depression Scale, the PM+ group showed reductions in anxiety (6.4 ± 1.8) and depression (5.4 ± 0.7) (preprogram scores: 14.7 ± 4.3, P < .05 and 10.9 ± 2.6, P < .05, respectively). In the Hospital Anxiety and Depression Scale, scores for mobility, self-care, getting along, life activities, and participation decreased in the PM+ group following program completion (all P’s < .05) but did not decrease in the non-PM+ group (all P > .05). Conclusion The PM+ strategy could help patients to alleviate symptoms of anxiety and depression and strengthen social support, to aid in the management of problems and improve mental disorders. Impact statement MM patients often experienced mental disorders and wished to participate in psychosocial interventions; the PM+ strategies should be as a wide to help patients manage their problems and alleviate the symptoms of anxiety and depression. Keywords Problem Management Plus . Multiple myeloma . Depression . Anxiety . Intervention
Introduction
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00520-019-05289-9) contains supplementary material, which is available to authorized users. * Leting Huang [email protected] Hong Zhang [email protected] Dongxiu Zhang [email protected] Hailong Lin [email protected] 1
The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, 109th Xueyuanxi Road, Wenzhou, Zhejiang Province, China
Multiple myeloma (MM), also known as plasma cell myeloma, is a cancer of plasma cells, a type of white blood cell normally responsible for producing antibodies [1, 2]. MM is considered treatable but generally incurable [3, 4]. It usually occurs at around the age of 61 years and is more common in men than it is in women. This provides a 5year survival rate of approximately 49% [5]. As a severe form of cancer, the psychosocial aspects of MM have not been examined adequately thus far, but research h
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