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1.
Psychooncology ; 22(9): 2079-86, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23532835

RESUMO

BACKGROUND: Existential behavioural therapy (EBT) was developed to support informal caregivers of palliative patients in the last stage of life and during bereavement as a manualised group psychotherapy comprising six sessions. We tested the effectiveness of EBT on mental stress and quality of life (QOL). METHODS: Informal caregivers were randomly assigned (1:1) to EBT or a treatment-as-usual control group using computer-generated numbers in blocks of 10. Primary outcomes were assessed with the Brief Symptom Inventory (subscales somatisation, anxiety and depression), the Satisfaction with Life Scale (SWLS), the WHOQOL-BREF and a numeric rating scale for QOL (QOL-NRS, range 0-10). Data were collected at baseline, pre-treatment, post-treatment and follow-ups after 3 and 12 months. Treatment effects were assessed with a multivariate analysis of covariance. RESULTS: Out of 160 relatives, 81 were assigned to EBT and 79 to the control group. Participants were 54.5 ± 13.2 years old; 69.9% were female. The multivariate model was significant for the pre-/post-comparison (p=0.005) and the pre-/12-month comparison (p=0.05) but not for the pre-/3-month comparison. Medium to large effects on anxiety and QOL (SWLS, WHOQOL-BREF, QOL-NRS) were found at post-treatment; medium effects on depression and QOL (QOL-NRS) emerged in the 12-month follow-up. No adverse effects of the intervention were observed. CONCLUSION: Existential behavioural therapy appears to exert beneficial effects on distress and QOL of informal caregivers of palliative patients. Further longitudinal evidence is needed to confirm these findings.


Assuntos
Terapia Comportamental/métodos , Cuidadores/psicologia , Existencialismo/psicologia , Neoplasias/enfermagem , Cuidados Paliativos/psicologia , Psicoterapia de Grupo/métodos , Estresse Psicológico/prevenção & controle , Adulto , Idoso , Ansiedade/prevenção & controle , Ansiedade/terapia , Luto , Depressão/prevenção & controle , Depressão/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Atenção Plena/métodos , Qualidade de Vida , Estresse Psicológico/terapia , Resultado do Tratamento
2.
FEBS Lett ; 245(1-2): 137-40, 1989 Mar 13.
Artigo em Inglês | MEDLINE | ID: mdl-2466696

RESUMO

The gene coding for the inhibitor subunit of the human plasma protein complex inter-alpha-trypsin inhibitor has been cloned. The exon structure of the gene corresponds with the organization of the protein in two distinct inhibitor domains. The exons coding for the inhibitor domains each comprise the complete information for a typical Kunitz-type proteinase inhibitor structure. In contrast to bovine aprotinin, the mature inhibitor protein contains amino acid residues flanking the inhibitor domains on both sides. These amino acid residues are encoded by additional exons.


Assuntos
alfa-Globulinas/genética , Éxons , Sequência de Aminoácidos , Aprotinina/genética , Sequência de Bases , Quimotripsina/antagonistas & inibidores , Clonagem Molecular , Desoxirribonuclease EcoRI , Humanos , Dados de Sequência Molecular , Hibridização de Ácido Nucleico , Sondas de Oligonucleotídeos , Inibidores da Tripsina
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