The interplay between emotion regulation, emotional well-being and cognitive functioning in brain tumor patients and their caregivers

2019 ◽  
Author(s):  
Hannelore Aerts ◽  
Tineke Van Vrekhem ◽  
Lara Stas ◽  
Daniele Marinazzo
Keyword(s):  
Quality Of Life ◽  
Emotion Regulation ◽  
Brain Tumor ◽  
Cognitive Functioning ◽  
Tumor Resection ◽  
Well Being ◽  
Emotion Regulation Strategies ◽  
Tumor Patients ◽  
Regulation Strategies

Objective: Brain tumor patients may suffer from a range of health-impairing problems reducing their quality of life. To identify potential targets for interventions, we examined the influence of different emotion regulation strategies on emotional well-being and cognitive functioning as indices of quality of life in patients and their caregivers in the early phase of treatment. Methods: To this end, we conducted a longitudinal study, measuring emotion regulation, emotional well-being and cognitive functioning on the day before each patient’s tumor resection (28 patients and 11 caregivers) and several months after neurosurgery (22 patients and 10 caregivers).Results: Results showed emotion regulation strategies are relatively stable from pre- to post-operative assessment. Nevertheless, several associations between emotion regulation strategies and quality of life indices were evident after tumor resection. In particular, our results were largely in line with previous research findings in healthy and other patient populations, corroborating the adaptive character of cognitive reappraisal, whereas suppression and expression of emotions were related to reduced cognitive and affective functioning, respectively.Conclusions: Based on these results, we suggest that further intervention or qualitative studies explore whether therapeutic interventions directed towards mastery of cognitive reappraisal techniques and appropriate expression of emotions could lead to improved long-term adjustment among brain tumor patients and their caregivers.

Phase II Study of Donepezil in Irradiated Brain Tumor Patients: Effect on Cognitive Function, Mood, and Quality of Life

2006 ◽  
Vol 24 (9) ◽  
pp. 1415-1420 ◽  
Author(s):  
Edward G. Shaw ◽  
Robin Rosdhal ◽  
Ralph B. D'Agostino ◽  
James Lovato ◽  
Michelle J. Naughton ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Brain Tumor ◽  
Cognitive Functioning ◽  
Phase Ii ◽  
Phase Ii Study ◽  
Acetylcholinesterase Inhibitor ◽  
Tumor Patients ◽  
Health Related Qol ◽  
Health Related

Purpose A prospective, open-label phase II study was conducted to determine whether donepezil, a US Food and Drug Administration–approved reversible acetylcholinesterase inhibitor used to treat mild to moderate Alzheimer’s type dementia, improved cognitive functioning, mood, and quality of life (QOL) in irradiated brain tumor patients. Patients and Methods Thirty-four patients received donepezil 5 mg/d for 6 weeks, then 10 mg/d for 18 weeks, followed by a washout period of 6 weeks off drug. Outcomes were assessed at baseline, 12, 24 (end of treatment), and 30 weeks (end of wash-out). All tests were administered by a trained research nurse. Results Of 35 patients who initiated the study, 24 patients (mean age, 45 years) remained on study for 24 weeks and completed all outcome assessments. All 24 patients had a primary brain tumor, mostly low-grade glioma. Scores significantly improved between baseline (pretreatment) and week 24 on measures of attention/concentration, verbal memory, and figural memory and a trend for verbal fluency (all P < .05). Confused mood also improved from baseline to 24 weeks (P = .004), with a trend for fatigue and anger (all P < .05). Health-related QOL improved significantly from baseline to 24 weeks, particularly, for brain specific concerns with a trend for improvement in emotional and social functioning (all P < .05). Conclusion Cognitive functioning, mood, and health-related QOL were significantly improved following a 24-week course of the acetylcholinesterase inhibitor donepezil. Toxicities were minimal. We are planning a double blinded, placebo-controlled, phase III trial of donepezil to confirm these favorable results.

scholarly journals The role of cognitive emotion regulation strategies in health related quality of life of breast cancer patients

2020 ◽  
Vol 77 (10) ◽  
pp. 1032-1040
Author(s):  
Aleksandra Kovac ◽  
Snezana Tovilovic ◽  
Vojislava Bugarski-Ignjatovic ◽  
Svetlana Popovic-Petrovic ◽  
Milanka Tatic
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Emotion Regulation ◽  
Health Related Quality ◽  
Emotion Regulation Strategies ◽  
Cognitive Emotion Regulation ◽  
Related Quality ◽  
Health Related ◽  
Regulation Strategies

Background/Aim. Breast cancer is often accompanied by patients? unpleasant emotional states, which can significantly affect both the undergoing treatment and the quality of life of patients. The aim of this study was to examine the mediating role of cognitive emotion regulation strategies in relation between emotional distress and various aspects of patients? quality of life, which would further indicate different psychotherapeutic interventions in psycho-oncological practice. Methods. The sample consisted of 97 breast cancer patients. Emotional distress was measured by the Depression Anxiety Stress Scale (DASS-21), cognitive emotion regulation strategies were measured using the Cognitive emotion Regulation Questionnaire (CERQ-36), while various aspects of health related quality of life were assessed using the Functional Assessment of Cancer Therapy-Breast (FACT-B) questionnaire. Multiple simultaneous mediations between variables were established using the process macro INDIRECT for SPSS. Results. Positive refocusing had positive effects both on physical [a = -0.83, b = 0.50, ab = - 0.42, standard error (SE) = 0.14; 95% confidence interval (CI) = 0.17 ? 0.83] and emotional well-being (a = -0.83, b = 0.29, ab = 0.24, SE = 0.13; 95% CI = -0.01 ? 0.58) of the patients. Rumination negatively affected emotional wellbeing (a = -0.75, b = -0.33, ab = -0.25, SE = 0.16; 95% CI = -0.71 ? -0.01) of the patients. Catastrophizing had a negative impact on social (a = 0.96, b = 0.12, ab = -0.12, SE = 0.13; 95% CI = -0.33 ? -0.13) and functional well-being of the patients (a = 0.96, b = -0.16, ab = -0.15, SE = 0.09; 95% CI = -0.32 ? -0.01). Conclusion. Positive refocusing, rumination and catastrophizing are significant cognitive coping strategies through which the intensity of emotional distress significantly changes, and this can be subsequently reflected in different aspects of patients? health related quality of life. The above mentioned implies potential benefits of implementation of cognitive-behavioral trainings and interventions directed towards acquiring adaptive cognitive emotion regulation strategies, in order to improve the quality of life of breast cancer patients.

Forgiveness and health-related quality of life in older people: Adaptive cognitive emotion regulation strategies as mediators

2016 ◽  
Vol 21 (12) ◽  
pp. 2944-2954 ◽  
Author(s):  
Lourdes Rey ◽  
Natalio Extremera
Keyword(s):  
Quality Of Life ◽  
Emotion Regulation ◽  
Health Related Quality ◽  
Emotion Regulation Strategies ◽  
Cognitive Emotion Regulation ◽  
Coping Process ◽  
Related Quality ◽  
Health Related ◽  
Regulation Strategies

This study examined whether adaptive cognitive emotion regulation strategies mediate the relationship between forgiveness and health-related quality of life in a sample of 350 Spanish people aged 55 years and older. Positive refocusing and positive reappraisal strategies partially mediated the relation between forgiveness and mental health. Thus, focusing on planning partially mediated the relation between forgiveness and physical health. Our findings contribute to an emerging understanding of the underlying coping process between forgiveness and health outcomes and might provide preliminary insight for potential intervention for increasing quality of life via the promotion of forgiveness and adaptive coping in the elderly.

Recharge: a preliminary evaluation of an emotion regulation enhanced CBT-i intervention for insomnia in early adolescence

2019 ◽  
Vol 48 (1) ◽  
pp. 121-126
Author(s):  
Luka Byrne ◽  
Caroline Donovan ◽  
Amy Shiels
Keyword(s):  
Quality Of Life ◽  
Emotion Regulation ◽  
Early Adolescence ◽  
Individual Therapy ◽  
Preliminary Evaluation ◽  
Sleep Onset Latency ◽  
Emotion Regulation Strategies ◽  
Regulation Strategies

AbstractBackground:Insomnia disorder in adolescence is prevalent, persistent and associated with adverse outcomes, including reduced quality of life. Cognitive behavioural therapy for insomnia (CBT-i) has shown promise as an effective treatment for adolescents. Recent research has highlighted the role of emotion regulation in insomnia, suggesting that the inclusion of emotion regulation techniques may enhance CBT-i.Aims:To evaluate the feasibility and preliminary effectiveness of a CBT-i treatment program for insomnia in early adolescence, augmented with emotion regulation strategies, using a case-series design.Method:Three participants (mean 11.67 years) completed the program that consisted of seven, weekly individual therapy sessions and parental participation. Participants monitored their sleep daily during the intervention, and insomnia diagnostic status and severity, use of emotion regulation strategies and quality of life were assessed at baseline, post-intervention and at 6-week follow-up.Results:At post-treatment, none of the participants met criteria for insomnia and all reported statistically reliable reductions in symptoms. Improvements were maintained at follow-up for two participants. Sleep onset latency was reduced and improvements in quality of life were evident. There were no changes in the use of emotion regulation strategies following treatment. Adolescents and parents reported high program satisfaction.Conclusions:This preliminary evaluation provides support for the effectiveness of the CBT-i program tested. However, given that emotion regulation did not change and yet improvements in sleep were evident, the usefulness of augmenting the program with emotion regulation strategies requires further evaluation.

scholarly journals QL-21 * SPIRITUAL WELL-BEING AND ITS ASSOCIATION WITH HEALTH-RELATED QUALITY OF LIFE IN PRIMARY BRAIN TUMOR PATIENTS

2014 ◽  
Vol 16 (suppl 5) ◽  
pp. v182-v183
Author(s):  
D. Randazzo ◽  
M. Affronti ◽  
E. Lipp ◽  
F. McSherry ◽  
J. Herndon ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Brain Tumor ◽  
Well Being ◽  
Primary Brain Tumor ◽  
Health Related Quality ◽  
Tumor Patients ◽  
Spiritual Well Being ◽  
Related Quality ◽  
Health Related

scholarly journals Quality of Life in Brain Tumor Patients and Their Relatives Heavily Depends on Social Support Factors during the COVID-19 Pandemic

Cancers ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1276
Author(s):  
Fabian M. Troschel ◽  
Franziska Ahndorf ◽  
Lisa-Marie Wille ◽  
Ralf Brandt ◽  
Johanna Jost ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Brain Tumor ◽  
Tertiary Care ◽  
Social Situation ◽  
Well Being ◽  
Living Conditions ◽  
Tumor Patients ◽  
Entire Family

The COVID-19 pandemic is associated with significant morbidity, mortality, and restrictions on everyday life worldwide. This may be especially challenging for brain tumor patients given increased vulnerability due to their pre-existing condition. Here, we aimed to investigate the quality of life (QoL) in brain tumor patients and relatives in this setting. Over twelve weeks during the first wave of the pandemic (04–07/2020), brain tumor patients and their families from two large German tertiary care centers were asked to complete weekly questionnaires for anxiety, depression, distress, and well-being. Information regarding social support and living conditions was also collected. One hundred participants (63 patients, 37 relatives) completed 729 questionnaires over the course of the study. Compared to relatives, patients showed more depressive symptoms (p < 0.001) and reduced well-being (p = 0.013). While acceptance of lockdown measures decreased over time, QoL remained stable. QoL measures between patients and their families were weakly or moderately correlated. The number of social contacts was strongly associated with QoL. Age, living conditions, ongoing therapy, employment, and physical activity were other predictors. QoL is correlated between patients and their families and heavily depends on social support factors, indicating the need to focus on the entire family and their social situation for QoL interventions during the pandemic.

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