Liver Cancer: A Psychological CBT Group Intervention Possibility Based on Scientific Review

Table 3. Five key themes related to QoL adapted from [26]

(1) the burden of physical symptoms and side effects of treatment	‘Nothing but just like dog tired. I just thought it was normal […] Just tired, exhausted’. [28, p. 6]
(2) the psychological impact and coping strategies	‘The psychological aspects of the cancer have affected me more than anything else’ [28, p. 9]
(3) social function and stigma	“Their attitude is like, "You are a drunk," or "You are a druggy." I do not have the high tech, good cancer, you know… like leukemia’ [29, p. 23]
(4) spiritual well-being, sense of self and the meaning of illness	‘That's my identity now, is being a cancer patient versus being who I was before …’ [28, p. 9]
(5) widespread uncertainty	'It is tough living with it in your head, like constantly you just don't know what is around the corner ' [30, p. 65]