Emotion regulation therapy for cancer caregivers-an open trial of a mechanism-targeted approach to addressing caregiver distress

Autor: Mia Skytte O'Toole, Douglas S. Mennin, Adam Garcia, Michael A. Hoyt, Kara Buda, Allison J. Applebaum, Aliza A. Panjwani, David M. Fresco
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
Male
6.6 Psychological and behavioural
Clinical Trials and Supportive Activities
Clinical Sciences
Oncology and Carcinogenesis
Psychological intervention
030209 endocrinology & metabolism
Anxiety
03 medical and health sciences
Behavioral Neuroscience
0302 clinical medicine
Clinical Research
Informed consent
Neoplasms
Behavioral and Social Science
Humans
Medicine
030212 general & internal medicine
Child
Applied Psychology
Depression (differential diagnoses)
Cancer
Depression
business.industry
Distress
Perseverative negative thinking
Evaluation of treatments and therapeutic interventions
Cognition
Cancer Outcomes
Caregiver burden
Middle Aged
Emotional Regulation
Informal caregivers
Mental Health
Caregivers
Female
Emotion regulation therapy
medicine.symptom
business
Mind and Body
Psychosocial
Clinical psychology
Zdroj: Applebaum, A J, Panjwani, A A, Buda, K, O'Toole, M S, Hoyt, M A, Garcia, A, Fresco, D M & Mennin, D S 2020, ' Emotion regulation therapy for cancer caregivers-an open trial of a mechanism-targeted approach to addressing caregiver distress ', Translational Behavioral Medicine, vol. 10, no. 2, pp. 413-422 . https://doi.org/10.1093/tbm/iby104
Transl Behav Med
Translational behavioral medicine, vol 10, iss 2
DOI: 10.1093/tbm/iby104
Popis: Informal caregivers (ICs) are integral to care provided to patients facing life-threatening or incurable illnesses. This responsibility causes considerable burden, as approximately one half of ICs report clinically significant symptoms of depression and/or anxiety that persist when left untreated. Psychosocial interventions containing efficacious treatment principles (e.g., cognitive behavior therapy [CBT]) show disappointing results in reducing anxiety and depression in ICs. This may reflect failure of these interventions to specifically target crucial mechanisms underlying the central feature of distress caused by the patient’s illness—notably, perseverative negative thinking (PNT). Emotion Regulation Therapy (ERT) is an efficacious CBT developed to explicitly target mechanisms underlying PNT and the emotional concomitants that arise in response to stressful situations. This open trial was conducted to evaluate the acceptability and initial efficacy of ERT adapted to the experience of cancer ICs (ERT-C). Thirty-one ICs provided informed consent and completed eight weekly individual sessions of ERT-C. Participants completed self-report measures of depression and anxiety symptoms, PNT, emotion regulation deficits, and caregiver burden before and after treatment. ERT-C was well tolerated as indicated by 22 treatment completers and feedback provided in exit interviews. ICs demonstrated reduced depression and anxiety symptoms, PNT, and emotion regulation deficits with moderate to large effect sizes (Hedge’s g range: 0.36–0.92). Notably, caregiver burden was not reduced but ICs expressed more ability to confront caregiving-related challenges. Findings offer promising but preliminary support for ERT-C as a conceptual model and treatment modality for distressed cancer ICs.
Databáze: OpenAIRE
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