A Pilot Study of a Spiritually-Focused Intervention

以精神为中心的干预的试点研究

• 批准号: 6933168
• 负责人: BRENDA COLE
• 金额: $ 19.26万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-08-09 至 2008-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6933168
• 关键词: alternative medicine; behavioral /social science research tag; clinical research; cognitive behavior therapy; coping; emotional adjustment; emotions; epidemiology; fatigue; human subject; human therapy evaluation; locus of control; longitudinal human study; melanoma; metastasis; pain; pathologic process; patient oriented research; psychological adaptation; psychological aspect of cancer; quality of life; questionnaires; religion

DESCRIPTION (provided by applicant): Empirical data on the spiritual lives of the seriously ill are sparse and this is specifically true for people diagnosed with metastatic melanoma. Researchers and practitioners know little about people confronting this illness in terms of their spiritual well-being; the effects of spiritual coping on psychological adjustment, spiritual adjustment, and physical health status outcomes; or the potential benefits of a spiritually-focused psychotherapeutic intervention in terms of psychological and spiritual well-being, and health status outcomes. Because spiritual well-being may be an important aspect of quality of life for the seriously ill, and because spiritually-focused interventions may be beneficial and important to include as part of complementary medicine practices, systematic investigation of spiritual and religious variables in advanced cancer populations is an urgent priority. The proposed study will address these gaps in the literature in two ways. First, it will collect descriptive data across a six-month period for people with metastatic melanoma to detect changes in spiritual and religious well-being. It is expected that involvement in organized religious practices will decrease across time due to illness variables like pain and fatigue. However, private practices and spiritual well-being are expected to increase across time due to shifts in perceived control, the need to adopt alternatives to problem-focused coping strategies, and an increase awareness of mortality and reliance on spiritual resources to cope. Second, this study will conduct one of the first random trials of a spiritually-focused intervention for people coping with cancer. Approximately 150 people diagnosed with metastatic melanoma will be randomly assigned to one of three conditions: spiritually-focused therapy (SFF), cognitive behavioral therapy (CBT), or usual-care control (UCC). Both the SFF and CBT interventions will include five one-hour sessions initiated upon diagnosis and extended across a two-month period. Outcomes will be measured in terms of psychological and spiritual well-being and health status (e.g., pain, fatigue, and disease progression) through a comprehensive questionnaire administered before and after the intervention, and two and four months latex as follow-up. The questionnaire will include both standardized widely used instruments and a few items designed for this study. The questionnaire will also connect data to control for stable burdens and resources (e.g., demographics and personal attitudes like optimism) and medical factors (e.g., treatments). It is expected that the SFT intervention will have a more positive effect on psychological and spiritual well-being and health status relative to the other two conditions.

描述（由申请人提供）：关于重病患者精神生活的经验数据很少，这对于被诊断患有转移性黑色素瘤的人来说尤其如此。研究人员和从业者对人们在精神健康方面面临这种疾病知之甚少;精神应对对心理调整，精神调整和身体健康状况结果的影响;或者以精神为重点的心理治疗干预在心理和精神健康方面的潜在好处，以及健康状况结果。因为精神健康可能是重病患者生活质量的一个重要方面，而且因为以精神为重点的干预措施可能是有益的，而且作为补充医学实践的一部分很重要，因此对晚期癌症人群的精神和宗教变量进行系统调查是当务之急。拟议的研究将以两种方式解决文献中的这些空白。首先，它将收集转移性黑色素瘤患者六个月内的描述性数据，以检测精神和宗教福祉的变化。由于疼痛和疲劳等疾病变量，预计参与有组织的宗教活动将随着时间的推移而减少。然而，随着时间的推移，私人执业和精神福祉预计将增加，由于感知控制的变化，需要采取以问题为中心的应对策略的替代方案，以及对死亡率和依赖精神资源来科普的认识增加。第二，这项研究将进行第一个随机试验，为应对癌症的人进行以精神为重点的干预。大约150名被诊断患有转移性黑色素瘤的人将被随机分配到三种情况之一：精神集中治疗（SFF），认知行为治疗（CBT）或常规护理控制（UCC）。SFF和CBT干预措施将包括五个一小时的会议，在诊断后开始，并延长到两个月。结果将根据心理和精神福祉和健康状况进行衡量（例如，疼痛，疲劳和疾病进展），通过干预前后进行的综合问卷调查，以及2个月和4个月的乳胶随访。调查问卷将包括标准化的广泛使用的工具和一些专为这项研究设计的项目。调查问卷还将连接数据以控制稳定的负担和资源（例如，人口统计学和个人态度如乐观）和医学因素（例如，治疗）。 预计SFT干预相对于其他两种情况将对心理和精神福祉以及健康状况产生更积极的影响。