scholarly journals Self-Administered Stress Management Training in Patients Undergoing Radiotherapy

2007 ◽  
Vol 25 (29) ◽  
pp. 4657-4662 ◽  
Author(s):  
Mindy M. Krischer ◽  
Ping Xu ◽  
Cathy D. Meade ◽  
Paul B. Jacobsen
Keyword(s):  
Psychological Distress ◽  
Usual Care ◽  
Stress Management ◽  
Management Training ◽  
Stress Management Training ◽  
Sf 36 ◽  
Summary Scale ◽  
To Receive ◽  
Radiotherapy Treatment

Purpose This study sought to continue research on psychosocial interventions for patients being treated with radiation therapy across multiple centers and to replicate positive findings of a single-center study of patients being treated with chemotherapy. The primary objective of this study was to determine if a stress management intervention was effective in improving quality of life and decreasing psychological distress in patients undergoing radiotherapy for cancer. Patients and Methods A total of 310 patients about to begin radiotherapy treatment were randomly assigned to receive usual care only or self-administered stress management training. Quality-of-life assessments occurred at baseline and for 3 weeks after the beginning of radiotherapy treatment. Results Overall, patients assigned to receive stress management training did not report significantly less psychological distress on the Medical Outcomes Study 36-Item Short Form (SF-36) Mental Component Summary Scale than did those assigned to usual care. When divided into subgroups based on the SF-36 Mental Component Summary Scale scores immediately after their first radiotherapy treatment, patients with above-average levels of psychological distress (scores ≤ 50) who were randomly assigned to the intervention condition reported significant improvement in their distress compared with those assigned to usual care only on the SF-36 Mental Health Subscale and the Center for Epidemiologic Studies Depression Scale. Conclusion This study found that self-administered stress management training is effective only in those radiotherapy patients with initially higher levels of psychological distress. Additional research should examine the benefits of stress management training targeted specifically to patients experiencing heightened distress.

scholarly journals Efficacy and Costs of Two Forms of Stress Management Training for Cancer Patients Undergoing Chemotherapy

2002 ◽  
Vol 20 (12) ◽  
pp. 2851-2862 ◽  
Author(s):  
Paul B. Jacobsen ◽  
Cathy D. Meade ◽  
Kevin D. Stein ◽  
Thomas N. Chirikos ◽  
Brent J. Small ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Usual Care ◽  
Stress Management ◽  
Cancer Patients ◽  
Psychosocial Interventions ◽  
Management Training ◽  
The Self ◽  
Chemotherapy Treatment ◽  
Stress Management Training

PURPOSE: Professionally administered psychosocial interventions have been shown to improve the quality of life of cancer patients undergoing chemotherapy. The present study sought to improve access to psychosocial interventions during chemotherapy treatment by evaluating the efficacy and costs of a patient self-administered form of stress management training that requires limited professional time or experience to deliver. PATIENTS AND METHODS: Four hundred eleven patients about to start chemotherapy were randomly assigned to receive usual psychosocial care only, a professionally administered form of stress management training, or a patient self-administered form of stress management training. Quality-of-life assessments were conducted before randomization and before the second, third, and fourth treatment cycles. Intervention costs were estimated from both payer and societal perspectives. RESULTS: Compared with patients who received usual care only, patients receiving the self-administered intervention reported significantly (P ≤ .05) better physical functioning, greater vitality, fewer role limitations because of emotional problems, and better mental health. In contrast, patients who received the professionally administered intervention fared no better in terms of quality of life than patients receiving usual care only. Costs of the self-administered intervention were estimated to be 66% (from a payer perspective) to 68% (from a societal perspective) less than the average costs of professionally administered psychosocial interventions for patients starting chemotherapy. CONCLUSION: Evidence regarding the efficacy and favorable costs of self-administered stress management training suggests that this intervention has the potential to greatly improve patient access to psychosocial intervention during chemotherapy treatment.

The “Promoting Resilience in Stress Management” (PRISM) intervention for adolescents and young adults: A pilot randomized controlled trial.

2017 ◽  
Vol 35 (31_suppl) ◽  
pp. 176-176 ◽  
Author(s):  
Abby R. Rosenberg ◽  
Miranda Bradford ◽  
Victoria Klein ◽  
Nicole Etsekson ◽  
Claire M Wharton ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Young Adults ◽  
Psychological Distress ◽  
Usual Care ◽  
Stress Management ◽  
Meaning Making ◽  
Psychosocial Outcomes ◽  
Adolescents And Young Adults ◽  
Patient Reported

176 Background: Adolescents and Young Adults (AYAs) with cancer are at risk for poor psychosocial outcomes, perhaps because they have yet to learn the skills needed to navigate the burdens of illness. We aimed to determine if a novel, brief, age-appropriate, skills-based intervention would improve psychosocial outcomes. Methods: “Promoting Resilience in Stress Management” (PRISM) is a manualized, brief intervention targeting stress management, goal-setting, cognitive reframing, and meaning-making. It consists of 4, 30-60 minute, in-person, 1:1 sessions plus a facilitated family-meeting. English-speaking AYAs (ages 12-25 years) with new or newly recurrent cancer were randomized to receive either PRISM or non-directive usual psychosocial care. Participants completed patient-reported outcome (PRO) surveys at the time of enrollment and 6 months later. We used mixed effects regression modeling to estimate associations between PRISM and the primary outcome (patient-reported resilience, measured by the Connor-Davidson Resilience Scale [CDRISC-10]) and secondary outcomes (health-related quality of life [PedsQL 4.0 Quality of Life Inventory], hope [Snyder Hope Scale], and psychological distress [Kessler-6 Psychological Distress Scale]) at 6 months. Results: N = 100 AYAs enrolled (78% of approached, n = 50 PRISM, n = 50 usual care) and 92 completed baseline responses (48 PRISM and 44 usual care). Of those who completed baseline, 73% were aged 13-17 years and 27% aged 18-25 years, and 43% were female. Attrition was similar in each arm and primarily due to medical complication and/or death; n = 36 (72%) PRISM and n = 38 (76%) usual care participants completed 6-month PROs. After adjusting for baseline scores, PRISM was associated with improvements in all instruments: Resilience (+2.3, 95% CI 0.7,4.0), quality of life (+6.3 (95% CI -0.8, 13.5), hope (+2.8, 95% CI 0.5, 5.1), and distress (-1.6, 95% CI -3.3, 0.0). Conclusions: A targeted intervention targeting skills for AYAs with cancer was effective in improving patient-centered outcomes. Clinical trial information: NCT02340884.

scholarly journals The Effectiveness of Teaching Stress Management on Self-Efficacy and Quality of Life in Divorcées

2016 ◽  
Vol 12 (2) ◽  
pp. 107
Author(s):  
Parvin Ehteshamzadeh ◽  
Zahra Dashtbozorgi ◽  
Rezvan Homaii ◽  
Zahra Zarei ◽  
Laleh Hamid
Keyword(s):  
Quality Of Life ◽  
Stress Management ◽  
Self Efficacy ◽  
Life Quality ◽  
Management Training ◽  
Control Group ◽  
Stress Management Training ◽  
Post Test ◽  
Experimental Group

<p>This research aims to study the influence of stress management training in self-efficacy and quality of life of the divorcées in Ahvaz. The research sample consists of 15 divorcées in a control group and 15 in an experimental group, selected by simple random sampling. The self-efficacy Rolandick and Life Quality SF_36 Questionnaires were used in this research. The research project was of pre-test and post-test type with control group. Pre-test was administered for both groups and then stress management teaching as the independent variable was administered on experimental group, after completion of, post-test was administered on both groups. The MANCOVA was used to analyze data. The results showed that compared to the control group, stress management training increased self-efficacy and quality of life beliefs of divorcées in the experimental group.</p>

Stress management training for dental students

1984 ◽  
Vol 48 (4) ◽  
pp. 196-202 ◽  
Author(s):  
DA Tisdelle ◽  
DJ Hansen ◽  
JS St Lawrence ◽  
JC Brown
Keyword(s):  
Stress Management ◽  
Management Training ◽  
Dental Students ◽  
Stress Management Training
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