Existential behavioural therapy for informal caregivers of palliative patients: a randomised controlled trial.

Détails

ID Serval
serval:BIB_5C6ABB2A89A3
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Existential behavioural therapy for informal caregivers of palliative patients: a randomised controlled trial.
Périodique
Psycho-oncology
Auteur(s)
Fegg M.J., Brandstätter M. , Kögler M., Hauke G., Rechenberg-Winter P., Fensterer V., Küchenhoff H. , Hentrich M., Belka C., Borasio G.D.
ISSN
1099-1611 (Electronic)
ISSN-L
1057-9249
Statut éditorial
Publié
Date de publication
2013
Peer-reviewed
Oui
Volume
22
Numéro
9
Pages
2079-2086
Langue
anglais
Notes
Publication types: Journal Article Publication Status: ppublish
Résumé
BACKGROUND: Existential behavioural therapy (EBT) was developed to support informal caregivers of palliative patients in the last stage of life and during bereavement as a manualised group psychotherapy comprising six sessions. We tested the effectiveness of EBT on mental stress and quality of life (QOL).
METHODS: Informal caregivers were randomly assigned (1:1) to EBT or a treatment-as-usual control group using computer-generated numbers in blocks of 10. Primary outcomes were assessed with the Brief Symptom Inventory (subscales somatisation, anxiety and depression), the Satisfaction with Life Scale (SWLS), the WHOQOL-BREF and a numeric rating scale for QOL (QOL-NRS, range 0-10). Data were collected at baseline, pre-treatment, post-treatment and follow-ups after 3 and 12âeuro0/00months. Treatment effects were assessed with a multivariate analysis of covariance.
RESULTS: Out of 160 relatives, 81 were assigned to EBT and 79 to the control group. Participants were 54.5âeuro0/00±âeuro0/0013.2âeuro0/00years old; 69.9% were female. The multivariate model was significant for the pre-/post-comparison (pâeuro0/00=âeuro0/000.005) and the pre-/12-month comparison (pâeuro0/00=âeuro0/000.05) but not for the pre-/3-month comparison. Medium to large effects on anxiety and QOL (SWLS, WHOQOL-BREF, QOL-NRS) were found at post-treatment; medium effects on depression and QOL (QOL-NRS) emerged in the 12-month follow-up. No adverse effects of the intervention were observed.
CONCLUSION: Existential behavioural therapy appears to exert beneficial effects on distress and QOL of informal caregivers of palliative patients. Further longitudinal evidence is needed to confirm these findings. Copyright © 2013 John Wiley & Sons, Ltd.
Pubmed
Web of science
Création de la notice
12/09/2013 17:22
Dernière modification de la notice
20/08/2019 14:14
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