The effects of Pythagorean Self-Awareness Intervention on breast cancer patients undergoing adjuvant therapy: A pilot randomized controlled trial

Autor: Flora Bacopoulou, Christina Darviri, Evaggelos Filopoulos, Konstantinos N. Syrigos, Maria Charalampopoulou, George P. Chrousos
Jazyk: angličtina
Rok vydání: 2019
Předmět:
HCC
Hair Cortisol Concentration
Pilot Projects
Anxiety
law.invention
0302 clinical medicine
Breast cancer
Randomized controlled trial
law
030212 general & internal medicine
DMN
Default Mode Network
Depression (differential diagnoses)
Mastectomy
Aged
80 and over
PSS
Perceived Stress Scale
PSAI
Pythagorean Self-Awareness Intervention
Depression
General Medicine
SD
Standard Deviation
Awareness
Middle Aged
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Management
Mental Health
Treatment Outcome
Chemotherapy
Adjuvant
030220 oncology & carcinogenesis
FACT-B
Functional Assessment in Cancer Treatment-Breast
Original Article
Female
medicine.symptom
Quality of life
Adult
medicine.medical_specialty
FWB
Functional Well-Being
PSQI
Pittsburgh Sleep Quality Index
SWB
Social Well-Being
Breast Neoplasms
CBT
Cognitive Behavioral Therapy
Stress
lcsh:RC254-282
Adjuvant therapy
03 medical and health sciences
Quality of life (healthcare)
Intervention (counseling)
Hair cortisol
medicine
Humans
Cognitive interventions
Life Style
Aged
BCC
Breast Cancer Concerns
Cognitive Behavioral Therapy
business.industry
HLPCQ
Healthy Lifestyle and Personal Control Questionnaire
medicine.disease
PWB
Physical Well-Being
Mental health
EWB
Emotional Well-Being
Self Concept
Physical therapy
Surgery
Radiotherapy
Adjuvant
BMI
Body Mass Index
business
Sleep
Stress
Psychological
Zdroj: The Breast : official journal of the European Society of Mastology
Breast, Vol 49, Iss, Pp 210-218 (2020)
ISSN: 1532-3080
0960-9776
Popis: Introduction Breast cancer patients undergo extended treatments that affect their psychological state and quality of life. There is a lack of studies examining the effects of holistic stress management interventions (that combine stress perception, cognitive and lifestyle interventions) on mental health and biological indices (e.g. cortisol concentrations) of breast cancer patients. Materials and methods This pilot randomized controlled trial provided the first assessment of the effects of a novel, cognitive-based intervention, the Pythagorean Self-Awareness Intervention (PSAI), on psychological symptoms, quality of life, sleep quality and lifestyle as well as on stress-related biological measures of breast cancer patients undergoing adjuvant therapy. Standardized questionnaires were administered at baseline and 8-weeksafter the intervention to evaluate quality of life, stress, depression, and anxiety (primary outcomes). Sleep quality, lifestyle and hair cortisol concentrations were also assessed (secondary outcomes). Results Forty-five breast cancer patients undergoing adjuvant therapy were randomly assigned to the PSAI group (n = 25) or the control group (n = 20).Women in the PSAI group reported significant improvements post-intervention in total Quality of Life, specific aspects of Quality of Life [Physical well-being, Social well-being, Emotional well-being, Functional well-being, Breast cancer concerns] as well as Perceived stress, depression, anxiety and stress. Improvements in secondary outcomes included increase in sleep quality, empowerment for healthy lifestyle and reduction of hair cortisol concentrations. Conclusions The PSAI was beneficial as complementary therapy in the women studied. Larger randomized controlled trials with longer follow-up are needed to ascertain these findings.
Highlights • Breast cancer patients face physical and psychological cancer-related stressors. • Pythagorean self-awareness is a novel stress-management intervention (PSAI). • Breast cancer patients were allocated to PSAI group and control group. • Mental health, quality of life and sleep were ameliorated in PSAI group. • Hair cortisol concentrations were reduced significantly in the PSAI group.
Databáze: OpenAIRE
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