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A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
Published on: July 10, 2017
A Self-Administered Stress Management Intervention for Hispanic Patients Undergoing Cancer Chemotherapy
Claudia X Aguado Loi1, Teresa M Nesman2, Ping Xu3
1Department of Health Sciences and Human Performace, University of Tampa, 401 W. Kennedy Blvd. Box 30F, Tampa, FL, 33606, USA. caguadoloi@ut.edu.
Abstract:
This study evaluated whether a self-administered stress management training (SSMT) could improve quality of life (QOL) and reduce distress among Hispanics receiving chemotherapy across multiple community clinical settings. Participants were randomized to receive SSMT (n = 106) or usual care (UCO) (n = 113). The primary outcome-QOL (SF-36) and secondary outcomes depression (CES-D), and anxiety (STAI) were assessed longitudinally over four chemotherapy cycles. Acculturation (BAS) and patients' intervention adherence were assessed. About 63% of participants reported distress after the initial chemotherapy cycle. Hispanics with lower acculturation reported greater STAI-Trait scores (p = .003). No significant treatment effects on outcomes measures were observed for participants receiving SSMT. SSMT intervention techniques were reported useful and improved mental health scores were observed with patients on a psychotropic agent (p = .04). Hispanics experience an elevated level of distress, yet SSMT did not significantly improve primary outcomes. SSMT may be potentially effective when combined with a psychotropic agent. SSMT enhancing strategies are discussed.
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