The Long-term Effects of Body-mind-spirit Group Therapy
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Purpose
Aims and objectives: This study aims to examine the effects of the body-mind-spirit group therapy on marital close relationships, sleeping quality, depression, quality of life, meaning of life, and salivary cortisol levels in metastatic breast cancer survivors and partners.
Methods: The design adopts the randomized controlled trial (RCT). The metastatic breast cancer survivors will be recruited from outpatient department of surgical at hospital. The partners will be invited to participate in this study through the survivors. The 120 dyad survivors and spouse will be randomly assigned into an experimental group or a control group. Survivors and spouse partners in an experimental group will receive 2 months time body-mind-spirit group therapy while those in a control will receive usual care in the same period of time. The outcome measures include Experiences in close relationships scale, Moss sleeping scale, Short-form 12 health-related quality of life questionnaires, Meaning of life questionnaire, BDI-II depression scale and salivary cortisol levels. Measurement time-points include pre intervention, post intervention (after 8 weekly group therapy), & then 3, 6, 12 months after the end of intervention for the maintenance effect. Univariate analyses will be performed to explore the basic characteristics of participants. The hierarchical linear model will be used to test the hypothesis the improvement is higher in intervention group than the control group in the effects of marital close relationships, sleeping quality, depression, meaning of life, quality of life, and salivary cortisol levels in metastatic breast cancer survivors and partners.
| Condition | Intervention | Phase |
|---|---|---|
|
Depression Sleep |
Other: body-mind-spirit group therapy |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Single Blind (Investigator) Primary Purpose: Supportive Care |
| Official Title: | The Long-term Effects of Body-mind-spirit Group Therapy on Close Relationships, Sleeping Quality, Depression, Quality of Life, Meaning of Life, and Saliva Cortisol Responses in Breast Cancer Survivors and Partners |
- Diurnal Cortisol patterns [ Time Frame: pre, post, 3months, 6months and 1year after end of treatment ] [ Designated as safety issue: Yes ]
- The Experiences in Close Relationships-Revised questionnaire [ Time Frame: pre, post, 3months, 6months and 1year after end of treatment ] [ Designated as safety issue: Yes ]
- Beck Depression Inventory [ Time Frame: pre, post, 3months, 6months and 1year after end of treatment ] [ Designated as safety issue: Yes ]
- Quality of life [ Time Frame: pre, post, 3months, 6months and 1year after end of treatment ] [ Designated as safety issue: Yes ]
- MOS sleep scale [ Time Frame: pre, post, 3months, 6months and 1year after end of treatment ] [ Designated as safety issue: Yes ]
- Meaning in Life Questionnaire [ Time Frame: pre, post, 3months, 6months and 1year after end of treatment ] [ Designated as safety issue: No ]
| Enrollment: | 60 |
| Study Start Date: | October 2009 |
| Study Completion Date: | November 2011 |
| Primary Completion Date: | November 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: counseling
body-mind-spirit group therapy
|
Other: body-mind-spirit group therapy
8-session therapy
Other Name: group therapy
|
Detailed Description:
Aims and objectives: This study aims to examine the effects of the body-mind-spirit group therapy on marital close relationships, sleeping quality, depression, quality of life, meaning of life, and salivary cortisol levels in metastatic breast cancer survivors and partners. Methods: The design adopts the randomized controlled trial (RCT). The metastatic breast cancer survivors will be recruited from outpatient department of surgical at hospital. The partners will be invited to participate in this study through the survivors. The 120 dyad survivors and spouse will be randomly assigned into an experimental group or a control group. Survivors and spouse partners in an experimental group will receive 2 months time body-mind-spirit group therapy while those in a control will receive usual care in the same period of time. The outcome measures include Experiences in close relationships scale, Moss sleeping scale, Short-form 12 health-related quality of life questionnaires, Meaning of life questionnaire, BDI-II depression scale and salivary cortisol levels. Measurement time-points include pre intervention, post intervention (after 8 weekly group therapy), & then 3, 6, 12 months after the end of intervention for the maintenance effect. Univariate analyses will be performed to explore the basic characteristics of participants. The hierarchical linear model will be used to test the hypothesis the improvement is higher in intervention group than the control group in the effects of marital close relationships, sleeping quality, depression, meaning of life, quality of life, and salivary cortisol levels in metastatic breast cancer survivors and partners.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Inclusion criteria of Survivors:
- breast cancer patients who complete active treatments,
- those who are willing to participate in the research,
- those who currently do not receive any individual or group psychotherapy, AND
- aged between 18 and 65.
Inclusion criteria of Spouse partners:
- partners of breast cancer patient who complete active treatments,
- those who are willing to participate in the research,
- those who currently do not receive any individual or group psychotherapy, AND
- aged between 18 and 65.
Exclusion Criteria:
Exclusion criteria of Survivors:
- diagnosed as both breast cancer and other types of cancers,
- those with adrenal function disorders (for example, Cushing syndrome, Addison's disease, adrenal tumor, pituitary tumor), OR
- those who currently use antidepressants.
Exclusion criteria of Survivors:
- diagnosed as adrenal function disorders (for example, Cushing syndrome, Addison's disease, adrenal tumor, pituitary tumor), OR
- those who currently use antidepressants.
Contacts and Locations| Taiwan | |
| Department of Nursing, College of Medicine, National Taiwan University | |
| Taipei, Taiwan, 10051 | |
| Principal Investigator: | Fei Hsiao, PhD | National Taiwan University |
More Information
No publications provided
| Responsible Party: | National Taiwan University Hospital |
| ClinicalTrials.gov Identifier: | NCT01727635 History of Changes |
| Other Study ID Numbers: | 200909010R |
| Study First Received: | October 21, 2009 |
| Last Updated: | November 12, 2012 |
| Health Authority: | Taiwan: Department of Health |
Keywords provided by National Taiwan University Hospital:
|
Breast cancer, survivors, partners, group therapy |
Additional relevant MeSH terms:
|
Breast Neoplasms Depression Depressive Disorder Neoplasms by Site Neoplasms |
Breast Diseases Skin Diseases Behavioral Symptoms Mood Disorders Mental Disorders |
ClinicalTrials.gov processed this record on May 21, 2013