Journal of psychosocial oncology · 2026
Effects of CALM-based psycho-oncological counseling on the emotional well-being of relatives of people living with lung cancer: Results of a randomized controlled trial.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Dusel Julia, Meng Karin, Faßler Pauline, Reinhardt Franziska, Dankert Andrea, Gnecco Alessandra, Söll Tabea, Jentschke Elisabeth
Аннотация
BACKGROUND: Lung cancer is associated with substantial psychosocial burden for those affected and their relatives. This trial evaluates effects of CALM-based psycho-oncological counseling (Managing Cancer And Living Meaningfully) for relatives of lung cancer patients and explored indirect effects on patient outcomes.
METHODS: In this multi-center randomized controlled trial, patient-relative dyads were assigned to an intervention (IG; three to six CALM-based sessions) or control group (CG; usual care). All patients could access standard support. Assessments occurred at baseline and after six weeks. The primary outcome was relatives' anxiety; secondary outcomes were depression, distress, and quality of life. Patient outcomes included anxiety, depression, and distress. Effects were analyzed with ANCOVA, and within-group comparisons. Secondary analyses explored dyadic relationships using multilevel models.
RESULTS: Among 86 relatives (40 IG, 46 CG), no group-level effects emerged. Within the IG depression and distress decreased significantly (medium to large effect). Patients whose relatives attended at least one counseling session experienced reduced distress. There was strong dyadic dependence for couples across all outcomes.
DISCUSSION: Despite lacking group-level effects, individual improvements highlight the potential of CALM-based counseling and the importance of integrating relatives and dyadic counseling into psycho-oncological care.
METHODS: In this multi-center randomized controlled trial, patient-relative dyads were assigned to an intervention (IG; three to six CALM-based sessions) or control group (CG; usual care). All patients could access standard support. Assessments occurred at baseline and after six weeks. The primary outcome was relatives' anxiety; secondary outcomes were depression, distress, and quality of life. Patient outcomes included anxiety, depression, and distress. Effects were analyzed with ANCOVA, and within-group comparisons. Secondary analyses explored dyadic relationships using multilevel models.
RESULTS: Among 86 relatives (40 IG, 46 CG), no group-level effects emerged. Within the IG depression and distress decreased significantly (medium to large effect). Patients whose relatives attended at least one counseling session experienced reduced distress. There was strong dyadic dependence for couples across all outcomes.
DISCUSSION: Despite lacking group-level effects, individual improvements highlight the potential of CALM-based counseling and the importance of integrating relatives and dyadic counseling into psycho-oncological care.