110573 20240319080952.0 doi 10.1017/S1478951521001486 sideral 127420 ART-2022-127420 eng Quílez Bielsa E. An adaptation of meaning-centered psychotherapy integrating "essential care": A pilot study 2022 Access copy available to the general public Unrestricted Introduction 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. info:eu-repo/semantics/openAccess by-nc http://creativecommons.org/licenses/by-nc/3.0/es/ 2.2 2022 HEALTH POLICY & SERVICES 61 / 87 = 0.701 2022 Q3 T3 0.724 2022 Nursing (miscellaneous) 2022 Q1 Psychiatry and Mental Health 2022 Q2 Clinical Psychology 2022 Q2 Medicine (miscellaneous) 2022 Q2 4.0 2022 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Barrado-Moreno V. Lastra Del Prado R. Arbonés-Mainar J.M. Sebastian-Sanchez M. Ventura Faci T. Universidad de Zaragoza (orcid)0000-0002-7470-7207 1007 745 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Area Psiquiatría 20, 4 (2022), 496 - 504 PALLIAT SUPPORT CARE Palliative & supportive care 1478-9515 550324 http://zaguan.unizar.es/record/110573/files/texto_completo.pdf Versión publicada 3326217 http://zaguan.unizar.es/record/110573/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:110573 articulos driver 2024-03-18-13:12:41 ARTICLE