ΠΜΣ Η Επιστήμη του Στρές και η Προαγωγή της Υγείας
Library of the School of Health Sciences

2018-04-26

2018

Seliniotaki Theodora

Χρούσος Γεώργιος, Καθηγητής, Ιατρική Σχολή Αθηνών, ΕΚΠΑ
Δαρβίρη Χριστίνα, Επισκέπτρια Καθηγήτρια, Ιατρική Σχολή Αθηνών, ΕΚΠΑ
Μπακοπούλου Φλώρα, Επίκουρη Καθηγήτρια , Ιατρική Σχολή Αθηνών, ΕΚΠΑ

Τυχαιοποιημένη κλινική μελέτη παρέμβασης με τεχνικές διαχείρισης του στρες και υιοθέτηση υγιεινού τρόπου ζωής σε γυναίκες με καρκίνο του μαστού

Greek

The Effects Of Stress Management On Women With Breast Cancer: Randomized Clinical Trial

Breast cancer (BC) is associated with mental and physical health impairments, partially countered
through stress management interventions. Previous stress management programs tested through
randomized controlled trials have demonstrated benefits for the patients. Yet, limitations concerning
their strict samples (e.g. including only patients on chemotherapy) and needing extensive resources,
such as a variety of different health professionals, might debar the adoption of these programs in
cancer care.
Aim: To search for the effect of a stress management program carried out by a single investigator in a
sample of breast cancer patients undergoing various treatment modalities through a randomized
controlled trial.
Materials and Methods: The intervention program included learning Diaphragm Breathing,
Progressive Muscle Relaxation, Guided Imagery, Nutritional Counseling and Adoption of Healthy
Habits, Cognitive Reconstruction, Qualitative Characteristics for Assessment of the Program. The
measurements were set at the beginning of the program and two months later and included
demographic, anthropometric and medical characteristics and questionnaires on health behaviors,
stress, anxiety, depression, rumination, quality of life, post-traumatic growth, current shame, guilt and
pride. All the questionnaires showed moderate to high internal consistency.
Results: Fifty three participants completed the program in both groups (27 in the intervention arm).
Parametric analysis revealed statistically significant differences post-intervention between the
intervention and the control group in body mass index (p=0.040) and quality of life including global
health status (0.019), emotional functioning (p=0.024), cognitive functioning (p=0.041) and diarrhea
(p=0.012). Furthermore, a statistically significant correlation was identified between role functioning
and the type of surgery (partial or total mastectomy) (p = 0.030) with major benefit seen in the
subgroup of patients having mastectomy with immediate reconstruction.
Conclusions: Carrying out a research with minimal human resources involvement in the study has
resulted in improved behaviors and health indicators in women of various stages of breast cancer.
Future programs should investigate the effectiveness of interventions in the light of cost-effectiveness
in order for programs non aggravating for public health, to the clinical oncology practice.

Health Sciences

Breast Cancer, Stress Management, Health Behaviors, Sleep, Health Center, Body Mass Index

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Yes

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https://pergamos.lib.uoa.gr/uoa/dl/object/2750673