000110573 001__ 110573
000110573 005__ 20240319080952.0
000110573 0247_ $$2doi$$a10.1017/S1478951521001486
000110573 0248_ $$2sideral$$a127420
000110573 037__ $$aART-2022-127420
000110573 041__ $$aeng
000110573 100__ $$aQuílez Bielsa E.
000110573 245__ $$aAn adaptation of meaning-centered psychotherapy integrating "essential care": A pilot study
000110573 260__ $$c2022
000110573 5060_ $$aAccess copy available to the general public$$fUnrestricted
000110573 5203_ $$aIntroduction There is a growing interest in the emotional state of cancer patients. The main objective of this pilot study is to assess the feasibility, acceptability, and preliminary efficacy of Meaning-Centered Psychotherapy and Essential Care (MCP-EC) in patients with advanced cancer compared with usual psychological support. We define "Essential Care"as the promotion of patient care and self-care through the recall of good care experiences and discussion of the concepts: responsibility, self-compassion, kindness, and attitude. Method Pilot, single-center, and prospective study of 30 patients with advanced cancer and emotional distress. Our adaptation consisted in three session Meaning-Centered Psychotherapy-Palliative Care, plus a fourth session named "Essential Care". The study was carried out in two phases. First, 20 patients were randomized to one of the two arms: individual MCP-EC (experimental, n = 10) or usual psychological supportive (control, n = 10). In a second phase, 10 patients were assigned consecutively to Group MCP-EC (n = 10). All patients were evaluated at baseline (pre-) and post-intervention with questionnaires for sociodemographic data and clinical scales. Results Nineteen patients completed the 4 sessions of MCP-EC, 9 individual format and 10 group format. Usual supportive intervention was delivered to 10 control patients. Total 28 patients completed pre- and post-treatment evaluations. There were no pre- vs. post-differences in the evaluations of the control group. In the experimental group, significant pre- vs. post-differences were found in EQ-5D-3L, HADS, FACIT, DM, HAI, SCS-SF, and TD questionnaires. These results indicated that MCP-EC reduced anxiety and depression symptoms, hopelessness, demoralization, as well as increased spiritual well-being and sense of meaning. Participants were satisfied and found the MCP-EC intervention positively. Conclusions This pilot study suggests that the MCP-EC has feasibility, acceptability, and preliminary efficacy reducing the emotional distress in advanced cancer patients. Larger studies are warranted to clarify the strengths and limitations of this psychotherapy. © The Author(s), 2021. Published by Cambridge University Press.
000110573 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc$$uhttp://creativecommons.org/licenses/by-nc/3.0/es/
000110573 590__ $$a2.2$$b2022
000110573 592__ $$a0.724$$b2022
000110573 591__ $$aHEALTH POLICY & SERVICES$$b61 / 87 = 0.701$$c2022$$dQ3$$eT3
000110573 593__ $$aNursing (miscellaneous)$$c2022$$dQ1
000110573 593__ $$aPsychiatry and Mental Health$$c2022$$dQ2
000110573 593__ $$aClinical Psychology$$c2022$$dQ2
000110573 593__ $$aMedicine (miscellaneous)$$c2022$$dQ2
000110573 594__ $$a4.0$$b2022
000110573 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000110573 700__ $$aBarrado-Moreno V.
000110573 700__ $$aLastra Del Prado R.
000110573 700__ $$aArbonés-Mainar J.M.
000110573 700__ $$aSebastian-Sanchez M.
000110573 700__ $$0(orcid)0000-0002-7470-7207$$aVentura Faci T.$$uUniversidad de Zaragoza
000110573 7102_ $$11007$$2745$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Psiquiatría
000110573 773__ $$g20, 4 (2022), 496 - 504$$pPALLIAT SUPPORT CARE$$tPalliative & supportive care$$x1478-9515
000110573 8564_ $$s550324$$uhttps://zaguan.unizar.es/record/110573/files/texto_completo.pdf$$yVersión publicada
000110573 8564_ $$s3326217$$uhttps://zaguan.unizar.es/record/110573/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000110573 909CO $$ooai:zaguan.unizar.es:110573$$particulos$$pdriver
000110573 951__ $$a2024-03-18-13:12:41
000110573 980__ $$aARTICLE