The Assessment of Preoperative Psychological Intervention on Stress in Women With Gynecological Malignancies

NCT ID: NCT00726635

Last Updated: 2009-02-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-08-31

Study Completion Date

2009-08-31

Brief Summary

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The purpose of this study is to asses the impact of a tailored preoperative psychological intervention on women with gynecological malignancies on psychological, physiological and immunological parameters

Detailed Description

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Surgery is considered one of the most stressful events in human life. Research indicates that patients show high levels of stress from at least six days before surgery and up to a week post the operation. Stress levels return to normalcy only after several weeks. Research shows that psychological interventions given to women suffering from cancer can improve their coping abilities and overall function, decreases stress levels, enhances adherence to treatments,and increases quality of life and even life expectancy.

Women enrolled in this study will be divided into two groups: an experimental group and a control group. Both groups will receive standard care. The control group will interact with a nurse for one hour. The experimental group will receive one of two forms of psychological intervention: either a cognitive intervention, or a psychophysiological intervention (tailored to each woman).

Measurements and Instruments include: 1) Self-report questionnaires, such as:Profile of Mood States (POMS-SF),Coping Inventory (COPE), Life Orientation Test Revised (LOT- R),Stress Level Report, 2) Demographics, 3) Global assessment by the head nurse. 4)Physiological and behavioral measures, such as: vital signs and use of medicine. 5)Hormonal and immunological measures: levels of cortisol in saliva and plasma, levels of catecholamines in plasma, salivary levels of IgA1, and peripheral blood NK cells and lymphocyte phenotyping.6)levels of cytokines including IL-1,2,4,6,10,12, TNF-alpha, Interferon-gamma.

Time intervals for the collection of blood and saliva and the administration of the questionnaires:

During the first week after being given the diagnosis and prior to the intervention:Blood \& saliva, Stress Level Report, POMS-SF, COPE, LOT-R

A day prior to surgery:Blood \& saliva, Stress Level Report

On discharge from hospital:Blood \& saliva, Stress Level Report

30 days after surgery:Stress Level Report,POMS-SF,COPE,LOT-R.

Conditions

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Cancer of Cervix Ovarian Cancer Cancer of Endometrium

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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1

Women in this arm will not receive a psychological intervention but rather will have a conversation with a nurse for one hour (attention control).

Group Type ACTIVE_COMPARATOR

Control group

Intervention Type OTHER

A one hour conversation with a nurse

2

Cognitive intervention: Women in this arm will receive a cognitive psychological intervention(cognitive technique:self-talk)

Group Type EXPERIMENTAL

Cognitive intervention

Intervention Type BEHAVIORAL

The intervention will last one hour and will include cognitive technique (self-talk). The technique will be demonstrated to the woman, practiced with her, and taped so as to encourage further practice at home.

3

Psycho-physiological intervention: Women in this arm will receive a psycho-physiological intervention (relaxation and guided imagery)

Group Type EXPERIMENTAL

psycho-physiological intervention

Intervention Type OTHER

The intervention will last an hour and will include a psycho-physiological intervention (relaxation and guided imagery). The technique will be demonstrated to the woman, practiced with her, and taped so as to assure further practice at home

Interventions

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Cognitive intervention

The intervention will last one hour and will include cognitive technique (self-talk). The technique will be demonstrated to the woman, practiced with her, and taped so as to encourage further practice at home.

Intervention Type BEHAVIORAL

Control group

A one hour conversation with a nurse

Intervention Type OTHER

psycho-physiological intervention

The intervention will last an hour and will include a psycho-physiological intervention (relaxation and guided imagery). The technique will be demonstrated to the woman, practiced with her, and taped so as to assure further practice at home

Intervention Type OTHER

Other Intervention Names

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Tailored cognitive intervention tailored psycho-physiological intervention

Eligibility Criteria

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Inclusion Criteria

* Woman with ovarian, cervical or endometrial cancer/tumor
* Women who speak Hebrew
* Women who sign the consent form

Exclusion Criteria

* Women who have received neoadjuvant treatment
* Women suffering from any form of depression, anxiety or schizophrenia
* Women suffering from autoimmune or infectious diseases
* Women taking medications which have immunological effects (steroids ,beta-blockers)
* Women suffering from dementia or concentration problems
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Academic College of Tel Aviv-Jaffa

OTHER

Sponsor Role collaborator

Israel Cancer Association

OTHER

Sponsor Role collaborator

Rabin Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Rabin Medical Center

Principal Investigators

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Opher Caspi, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Director, Integrative Medicine - Rabin Medical Center

Locations

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Rabin Medical center

Petah Tikva, , Israel

Site Status RECRUITING

Countries

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Israel

Central Contacts

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Opher Caspi, MD PhD

Role: CONTACT

972-39377995

Facility Contacts

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Opher Caspi, MD PhD

Role: primary

972-3937795

Mira Livingstone, B.A

Role: backup

972-542562083

Other Identifiers

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0014-08-RMC

Identifier Type: -

Identifier Source: org_study_id

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