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Döring, Michaela; Xemaire, Johanna; Werle, Dustin; Thiel, Stefanie; Schneider, Veronika; Michaelis, Sebastian; Schlösser, Manuel; Lang, Peter; Svaldi, Jennifer; Cabanillas Stanchi, Karin Melanie

Impact of a mental training program for pediatric cancer patients after allogeneic hematopoietic stem cell transplantation or high-dose chemotherapy – Results of a randomized controlled trial

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  • Medientyp: E-Artikel
  • Titel: Impact of a mental training program for pediatric cancer patients after allogeneic hematopoietic stem cell transplantation or high-dose chemotherapy – Results of a randomized controlled trial
  • Beteiligte: Döring, Michaela; Xemaire, Johanna; Werle, Dustin; Thiel, Stefanie; Schneider, Veronika; Michaelis, Sebastian; Schlösser, Manuel; Lang, Peter; Svaldi, Jennifer; Cabanillas Stanchi, Karin Melanie
  • Erschienen: Cambridge University Press (CUP), 2023
  • Erschienen in: Palliative and Supportive Care
  • Sprache: Englisch
  • DOI: 10.1017/s1478951523000986
  • ISSN: 1478-9523; 1478-9515
  • Schlagwörter: Psychiatry and Mental health ; Clinical Psychology ; General Medicine ; General Nursing
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  • Beschreibung: <jats:title>Abstract</jats:title> <jats:sec id="S1478951523000986_sec1a"> <jats:title>Objectives</jats:title> <jats:p>Hematopoietic stem cell transplantation (HSCT) or intensive chemotherapy for the treatment of malignant diseases is a highly distressing experience. The affected person’s resilience is crucial to coping with this challenging experience. Experience with resilience-enhancing interventions in children and young adults during cancer therapy is scarce. The major objective of this work was developing and evaluating an effective psycho-oncological mental training that complements the standard psychosocial care.</jats:p> </jats:sec> <jats:sec id="S1478951523000986_sec2b"> <jats:title>Methods</jats:title> <jats:p>In this prospective, randomized single-center study, a total of 30 patients (12 to 22 years of age) who underwent HSCT or high-dose chemotherapy received either the standard psychosocial care (control group [CG]) or additionally underwent a novel and specifically developed resilience-enhancing 14-session mental training (therapy group [TG]). The patients were observed over an 8-month period and were screened for distress, thyroid, and immune function parameters, as well as generalized anxiety, affect, and sports orientation.</jats:p> </jats:sec> <jats:sec id="S1478951523000986_sec3c"> <jats:title>Results</jats:title> <jats:p>Patients of the TG showed significantly greater improvements in all assessed mental aspects, including anxiety, affect, competitiveness, win orientation, goal orientation, self-optimization, self-blocking, and loss of focus, as well as cortisol levels within 8 months, as opposed to patients of the CG (effect size range <jats:italic>ξ</jats:italic>: 0.74–1.00).</jats:p> </jats:sec> <jats:sec id="S1478951523000986_sec4d"> <jats:title>Significance of results</jats:title> <jats:p>Patients who underwent the mental training displayed less anxiety, better affect, and improved mental performance with less self-blocking. This resulted in improved goal orientation, competitiveness, self-optimization, and focus when compared to the CG patients. However, larger prospective trials are necessary to substantiate these findings.</jats:p> </jats:sec>