An adaptation of meaning-centered psychotherapy integrating "essential care": A pilot study
Quílez Bielsa E. ; Barrado-Moreno V. ; Lastra Del Prado R. ; Arbonés-Mainar J.M. ; Sebastian-Sanchez M. ; Ventura Faci T. (Universidad de Zaragoza)
Resumen: 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.
Idioma: Inglés
DOI: 10.1017/S1478951521001486
Año: 2022
Publicado en: Palliative & supportive care 20, 4 (2022), 496 - 504
ISSN: 1478-9515
Factor impacto JCR: 2.2 (2022)
Categ. JCR: HEALTH POLICY & SERVICES rank: 61 / 87 = 0.701 (2022) - Q3 - T3
Factor impacto CITESCORE: 4.0 - Psychology (Q2) - Nursing (Q1) - Medicine (Q2)
Factor impacto SCIMAGO: 0.724 - Nursing (miscellaneous) (Q1) - Psychiatry and Mental Health (Q2) - Clinical Psychology (Q2) - Medicine (miscellaneous) (Q2)
Tipo y forma: Article (Published version)
Área (Departamento): Area Psiquiatría (Dpto. Medicina, Psiqu. y Derm.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes.
Exportado de SIDERAL (2024-03-18-13:12:41)
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Idioma: Inglés
DOI: 10.1017/S1478951521001486
Año: 2022
Publicado en: Palliative & supportive care 20, 4 (2022), 496 - 504
ISSN: 1478-9515
Factor impacto JCR: 2.2 (2022)
Categ. JCR: HEALTH POLICY & SERVICES rank: 61 / 87 = 0.701 (2022) - Q3 - T3
Factor impacto CITESCORE: 4.0 - Psychology (Q2) - Nursing (Q1) - Medicine (Q2)
Factor impacto SCIMAGO: 0.724 - Nursing (miscellaneous) (Q1) - Psychiatry and Mental Health (Q2) - Clinical Psychology (Q2) - Medicine (miscellaneous) (Q2)
Tipo y forma: Article (Published version)
Área (Departamento): Area Psiquiatría (Dpto. Medicina, Psiqu. y Derm.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. Exportado de SIDERAL (2024-03-18-13:12:41)
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Record created 2022-02-10, last modified 2024-03-19