Pilot Study of a Spiritually-Focused Intervention

以精神为中心的干预的试点研究

• 批准号: 6768317
• 负责人: BRENDA COLE
• 金额: $ 20.05万
• 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 2006-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6768317
• 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，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患有这种疾病的人们的精神健康状况知之甚少；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；或以精神为重点的心理治疗干预在心理和精神健康以及健康状况结果方面的潜在益处。因为精神健康可能是重病患者​​生活质量的一个重要方面，并且因为以精神为中心的干预措施作为补充医学实践的一部分可能是有益且重要的，所以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，预计随着时间的推移，参与有组织的宗教活动将会减少。然而，由于感知控制的转变，需要采取以问题为中心的应对策略的替代方案，以及对死亡和对精神资源的依赖的认识不断增强，私人实践和精神福祉预计会随着时间的推移而增加。其次，这项研究将针对癌症患者进行以精神为重点的干预措施的首批随机试验之一。大约 150 名被诊断患有转移性黑色素瘤的患者将被随机分配接受以下三种治疗方案之一：精神聚焦治疗 (SFF)、认知行为治疗 (CBT) 或常规护理控制 (UCC)。 SFF 和 CBT 干预措施都将包括在诊断后开始的五次一小时课程，并持续两个月。将通过干预前后进行的综合调查问卷以及两个月和四个月的乳胶随访来衡量心理和精神健康以及健康状况（例如疼痛、疲劳和疾病进展）的结果。调查问卷将包括广泛使用的标准化工具和为本研究设计的一些项目。调查问卷还将连接数据来控制稳定的负担和资源（例如，人口统计和乐观等个人态度）和医疗因素（例如，治疗）。 相对于其他两种情况，预计 SFT 干预将对心理和精神福祉以及健康状况产生更积极的影响。