Existential behavioural therapy for informal caregivers of palliative patients: a randomised controlled trial
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 (...
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| Veröffentlicht in: | Psycho-oncology (Chichester, England) England), 2013-09, Vol.22 (9), p.2079-2086 |
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| creator | Fegg, M. J. Brandstätter, M. Kögler, M. Hauke, G. Rechenberg-Winter, P. Fensterer, V. Küchenhoff, H. Hentrich, M. Belka, C. Borasio, G. D. |
| description | 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 12 months. 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 54.5 ± 13.2 years old; 69.9% were female. The multivariate model was significant for the pre‐/post‐comparison (p = 0.005) and the pre‐/12‐month comparison (p = 0.05) 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. |
| doi_str_mv | 10.1002/pon.3260 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1520325857</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1466093532</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4530-4a84ffc29359af980d94e41ed5dce384afa2fe5fbaa9350aabece04649319c2d3</originalsourceid><addsrcrecordid>eNqNkV1rFDEUhoMotlbBXyAD3ngzNZ8zE-906VahtCKK3oWzmRObmpmMyWzt_nszdK0giN4kb8LDk4-XkKeMHjNK-cspjseCN_QeOWRU65o1jN1fsmprzaU-II9yvqK0wLp5SA64UIJ3Qh2S4eTG5xnH2UOoNngJ1z5uU8nzJSaYdpWLqfJjGYeyaSHhV3-NKVfRVROE4GEu6xJnXyT5VQVVgrGPg8_YVzaOc4ohlDincsJj8sBByPhkPx-RT-uTj6u39dnF6bvV67PaSiVoLaGTzlmuhdLgdEd7LVEy7FVvUXQSHHCHym0ACkIBNmiRykZqwbTlvTgiL269U4rft5hnU-5jMQQYMW6zYYpTwVWn2n-jsmmoXv7rP1Deta1kYrE-_wO9Kt86ljcXqjQl2kaK30KbYs4JnZmSHyDtDKNmKdaUYs1SbEGf7YXbzYD9HfiryQLUt8APH3D3V5F5f3G-F-75pf6bOx7SN9O0olXm8_mpUesPqy-teGPW4idoDbxp</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1432637643</pqid></control><display><type>article</type><title>Existential behavioural therapy for informal caregivers of palliative patients: a randomised controlled trial</title><source>MEDLINE</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Wiley Online Library All Journals</source><creator>Fegg, M. J. ; Brandstätter, M. ; Kögler, M. ; Hauke, G. ; Rechenberg-Winter, P. ; Fensterer, V. ; Küchenhoff, H. ; Hentrich, M. ; Belka, C. ; Borasio, G. D.</creator><creatorcontrib>Fegg, M. J. ; Brandstätter, M. ; Kögler, M. ; Hauke, G. ; Rechenberg-Winter, P. ; Fensterer, V. ; Küchenhoff, H. ; Hentrich, M. ; Belka, C. ; Borasio, G. D.</creatorcontrib><description>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 12 months. 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 54.5 ± 13.2 years old; 69.9% were female. The multivariate model was significant for the pre‐/post‐comparison (p = 0.005) and the pre‐/12‐month comparison (p = 0.05) 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.</description><identifier>ISSN: 1057-9249</identifier><identifier>EISSN: 1099-1611</identifier><identifier>DOI: 10.1002/pon.3260</identifier><identifier>PMID: 23532835</identifier><identifier>CODEN: POJCEE</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Anxiety - prevention & control ; Anxiety - therapy ; Anxiety-Depression ; Behavior modification ; Behavior Therapy - methods ; Behaviour therapy ; behavioural therapy ; Bereavement ; cancer ; Caregivers ; Caregivers - psychology ; Carers ; Clinical trials ; Depression - prevention & control ; Depression - therapy ; Emotional disorders ; existential ; Existentialism - psychology ; Female ; Humans ; Informal care ; informal caregivers ; Male ; Middle Aged ; Mindfulness - methods ; Neoplasms - nursing ; oncology ; Palliative care ; Palliative Care - psychology ; Psychotherapy ; Psychotherapy, Group - methods ; Quality of Life ; Stress, Psychological - prevention & control ; Stress, Psychological - therapy ; Treatment Outcome</subject><ispartof>Psycho-oncology (Chichester, England), 2013-09, Vol.22 (9), p.2079-2086</ispartof><rights>Copyright © 2013 John Wiley & Sons, Ltd.</rights><rights>Copyright Wiley Subscription Services, Inc. Sep 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4530-4a84ffc29359af980d94e41ed5dce384afa2fe5fbaa9350aabece04649319c2d3</citedby><cites>FETCH-LOGICAL-c4530-4a84ffc29359af980d94e41ed5dce384afa2fe5fbaa9350aabece04649319c2d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpon.3260$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpon.3260$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,30999,31000,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23532835$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fegg, M. J.</creatorcontrib><creatorcontrib>Brandstätter, M.</creatorcontrib><creatorcontrib>Kögler, M.</creatorcontrib><creatorcontrib>Hauke, G.</creatorcontrib><creatorcontrib>Rechenberg-Winter, P.</creatorcontrib><creatorcontrib>Fensterer, V.</creatorcontrib><creatorcontrib>Küchenhoff, H.</creatorcontrib><creatorcontrib>Hentrich, M.</creatorcontrib><creatorcontrib>Belka, C.</creatorcontrib><creatorcontrib>Borasio, G. D.</creatorcontrib><title>Existential behavioural therapy for informal caregivers of palliative patients: a randomised controlled trial</title><title>Psycho-oncology (Chichester, England)</title><addtitle>Psycho-Oncology</addtitle><description>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 12 months. 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 54.5 ± 13.2 years old; 69.9% were female. The multivariate model was significant for the pre‐/post‐comparison (p = 0.005) and the pre‐/12‐month comparison (p = 0.05) 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.</description><subject>Adult</subject><subject>Aged</subject><subject>Anxiety - prevention & control</subject><subject>Anxiety - therapy</subject><subject>Anxiety-Depression</subject><subject>Behavior modification</subject><subject>Behavior Therapy - methods</subject><subject>Behaviour therapy</subject><subject>behavioural therapy</subject><subject>Bereavement</subject><subject>cancer</subject><subject>Caregivers</subject><subject>Caregivers - psychology</subject><subject>Carers</subject><subject>Clinical trials</subject><subject>Depression - prevention & control</subject><subject>Depression - therapy</subject><subject>Emotional disorders</subject><subject>existential</subject><subject>Existentialism - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Informal care</subject><subject>informal caregivers</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mindfulness - methods</subject><subject>Neoplasms - nursing</subject><subject>oncology</subject><subject>Palliative care</subject><subject>Palliative Care - psychology</subject><subject>Psychotherapy</subject><subject>Psychotherapy, Group - methods</subject><subject>Quality of Life</subject><subject>Stress, Psychological - prevention & control</subject><subject>Stress, Psychological - therapy</subject><subject>Treatment Outcome</subject><issn>1057-9249</issn><issn>1099-1611</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkV1rFDEUhoMotlbBXyAD3ngzNZ8zE-906VahtCKK3oWzmRObmpmMyWzt_nszdK0giN4kb8LDk4-XkKeMHjNK-cspjseCN_QeOWRU65o1jN1fsmprzaU-II9yvqK0wLp5SA64UIJ3Qh2S4eTG5xnH2UOoNngJ1z5uU8nzJSaYdpWLqfJjGYeyaSHhV3-NKVfRVROE4GEu6xJnXyT5VQVVgrGPg8_YVzaOc4ohlDincsJj8sBByPhkPx-RT-uTj6u39dnF6bvV67PaSiVoLaGTzlmuhdLgdEd7LVEy7FVvUXQSHHCHym0ACkIBNmiRykZqwbTlvTgiL269U4rft5hnU-5jMQQYMW6zYYpTwVWn2n-jsmmoXv7rP1Deta1kYrE-_wO9Kt86ljcXqjQl2kaK30KbYs4JnZmSHyDtDKNmKdaUYs1SbEGf7YXbzYD9HfiryQLUt8APH3D3V5F5f3G-F-75pf6bOx7SN9O0olXm8_mpUesPqy-teGPW4idoDbxp</recordid><startdate>201309</startdate><enddate>201309</enddate><creator>Fegg, M. J.</creator><creator>Brandstätter, M.</creator><creator>Kögler, M.</creator><creator>Hauke, G.</creator><creator>Rechenberg-Winter, P.</creator><creator>Fensterer, V.</creator><creator>Küchenhoff, H.</creator><creator>Hentrich, M.</creator><creator>Belka, C.</creator><creator>Borasio, G. D.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201309</creationdate><title>Existential behavioural therapy for informal caregivers of palliative patients: a randomised controlled trial</title><author>Fegg, M. J. ; Brandstätter, M. ; Kögler, M. ; Hauke, G. ; Rechenberg-Winter, P. ; Fensterer, V. ; Küchenhoff, H. ; Hentrich, M. ; Belka, C. ; Borasio, G. D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4530-4a84ffc29359af980d94e41ed5dce384afa2fe5fbaa9350aabece04649319c2d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anxiety - prevention & control</topic><topic>Anxiety - therapy</topic><topic>Anxiety-Depression</topic><topic>Behavior modification</topic><topic>Behavior Therapy - methods</topic><topic>Behaviour therapy</topic><topic>behavioural therapy</topic><topic>Bereavement</topic><topic>cancer</topic><topic>Caregivers</topic><topic>Caregivers - psychology</topic><topic>Carers</topic><topic>Clinical trials</topic><topic>Depression - prevention & control</topic><topic>Depression - therapy</topic><topic>Emotional disorders</topic><topic>existential</topic><topic>Existentialism - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Informal care</topic><topic>informal caregivers</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mindfulness - methods</topic><topic>Neoplasms - nursing</topic><topic>oncology</topic><topic>Palliative care</topic><topic>Palliative Care - psychology</topic><topic>Psychotherapy</topic><topic>Psychotherapy, Group - methods</topic><topic>Quality of Life</topic><topic>Stress, Psychological - prevention & control</topic><topic>Stress, Psychological - therapy</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fegg, M. J.</creatorcontrib><creatorcontrib>Brandstätter, M.</creatorcontrib><creatorcontrib>Kögler, M.</creatorcontrib><creatorcontrib>Hauke, G.</creatorcontrib><creatorcontrib>Rechenberg-Winter, P.</creatorcontrib><creatorcontrib>Fensterer, V.</creatorcontrib><creatorcontrib>Küchenhoff, H.</creatorcontrib><creatorcontrib>Hentrich, M.</creatorcontrib><creatorcontrib>Belka, C.</creatorcontrib><creatorcontrib>Borasio, G. D.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Psycho-oncology (Chichester, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fegg, M. J.</au><au>Brandstätter, M.</au><au>Kögler, M.</au><au>Hauke, G.</au><au>Rechenberg-Winter, P.</au><au>Fensterer, V.</au><au>Küchenhoff, H.</au><au>Hentrich, M.</au><au>Belka, C.</au><au>Borasio, G. D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Existential behavioural therapy for informal caregivers of palliative patients: a randomised controlled trial</atitle><jtitle>Psycho-oncology (Chichester, England)</jtitle><addtitle>Psycho-Oncology</addtitle><date>2013-09</date><risdate>2013</risdate><volume>22</volume><issue>9</issue><spage>2079</spage><epage>2086</epage><pages>2079-2086</pages><issn>1057-9249</issn><eissn>1099-1611</eissn><coden>POJCEE</coden><abstract>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 12 months. 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 54.5 ± 13.2 years old; 69.9% were female. The multivariate model was significant for the pre‐/post‐comparison (p = 0.005) and the pre‐/12‐month comparison (p = 0.05) 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.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>23532835</pmid><doi>10.1002/pon.3260</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Aged Anxiety - prevention & control Anxiety - therapy Anxiety-Depression Behavior modification Behavior Therapy - methods Behaviour therapy behavioural therapy Bereavement cancer Caregivers Caregivers - psychology Carers Clinical trials Depression - prevention & control Depression - therapy Emotional disorders existential Existentialism - psychology Female Humans Informal care informal caregivers Male Middle Aged Mindfulness - methods Neoplasms - nursing oncology Palliative care Palliative Care - psychology Psychotherapy Psychotherapy, Group - methods Quality of Life Stress, Psychological - prevention & control Stress, Psychological - therapy Treatment Outcome |
| title | Existential behavioural therapy for informal caregivers of palliative patients: a randomised controlled trial |
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