The Impact of Narrative Therapy Combined with Thought Field Therapy on Psychological Adaptability and Hope Levels in Newly Diagnosed Lymphoma Patients

doi:10.3969/j.issn.1674-3245.2025.05.038

Abstract：Objective To observe the effect of combining narrative therapy with thought field therapy on newly diagnosed lymphoma patients. Methods A total of 134 newly diagnosed lymphoma patients who visited the Department of Hematology at the First Affiliated Hospital of Air Force Medical University from January 2023 to January 2024 were prospectively selected as the study subjects. According to the time of their visit, they were divided into a control group (69 cases) and an observation group (65 cases) based on the cutoff point of July 2023, when the implementation of narrative therapy combined with thought field therapy began in the hematology department. The control group received standard treatment according to guidelines, with non-Hodgkin lymphoma treated using CHOP (cyclophosphamide + doxorubicin + vincristine + prednisone) and other chemotherapy regimens, while Hodgkin lymphoma was treated with ABVD (doxorubicin + bleomycin + vincristine + dacarbazine) and other regimens, along with enhanced education. The observation group received additional intervention with narrative therapy combined with thought field therapy on top of the control group's treatment. The changes in resilience [Chinese version of the Connor-Davidson Resilience Scale (CD-RISC)], self-acceptance [Self-Acceptance Questionnaire (SAQ)], psychological adaptability [Psychosocial Adjustment to Illness Scale - Short Revised (PAIS-SR)], and hope levels [Herth Hope Index (HHI) Chinese version] were compared between the two groups before and after the intervention. Results After the intervention, the PAIS-SR score of the observation group was (50.59±5.77), significantly lower than that of the control group (56.84±10.31) at the same time, with a statistically significant difference (t=4.294, P<0.05). After the intervention, the CD-RISC score (75.32±10.63), SAQ score (32.54±5.28), and HHI score (36.22±6.33) of the observation group were all significantly higher than those of the control group (57.58±8.97), (19.53±4.31), (25.20±4.19), with statistically significant differences (t=10.461, 15.664, 11.948, P<0.05). Conclusion The combination of narrative therapy and thought field therapy can help improve the psychological adaptability of lymphoma patients, enhance their resilience and self-acceptance, and increase their sense of hope, showing good application value.