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Clinical Trial Summary

This randomized clinical trial studies a cognitive-behavioral intervention to treat worry, uncertainty, and insomnia in cancer survivors. Counseling may reduce anxiety and insomnia as well as improve the well-being and quality of life of cancer survivors. This study also explores the neuro-immunologic correlates of anxiety and insomnia.


Clinical Trial Description

PRIMARY OBJECTIVES:

I. To complete a randomized pilot trial of a cognitive-behavioral anxiety-insomnia intervention to determine the impact of this intervention on patient worry, intolerance of uncertainty, and sleep efficiency.

II. Explore the underlying endocrine and immune mechanisms responsible for a specific symptom cluster (anxiety-insomnia-depression-pain-fatigue) observed among advanced cancer patients.

OUTLINE: Patients are randomized to 1 of 2 treatment arms.

ARM I: Patients wear a wrist actigraph, collect saliva samples, and complete a sleep diary and worry record daily in weeks 1 and 5. Patients also receive education on the components of anxiety (physical cognitive, and behavioral) and practice relaxation techniques and behavioral sleep strategies in weeks 2-5. Blood draw is optional.

ARM II: Patients wear a wrist actigraph, collect saliva samples, and complete a sleep diary and worry record daily in weeks 1 and 5. Blood draw is also optional. This is a wait-list control arm, so patients in this arm, after a six-week period of treatment as usual with their oncologist, then receive the intervention. ;


Study Design


Related Conditions & MeSH terms

  • Anxiety Disorder
  • Anxiety Disorders
  • Cognitive-behavioral Therapy
  • Colorectal Neoplasms
  • Depression
  • Disease
  • Esophageal Cancer
  • Esophageal Neoplasms
  • Fatigue
  • Glioblastoma
  • Glioblastoma Multiforme
  • Insomnia
  • Leukemia
  • Lung Cancer
  • Multiple Myeloma
  • Ovarian Neoplasm
  • Ovarian Neoplasms
  • Pain
  • Pancreatic Cancer
  • Pancreatic Neoplasms
  • Parasomnias
  • Psychological Intervention
  • Relapsed Lymphoma
  • Sleep Disorders
  • Sleep Initiation and Maintenance Disorders
  • Sleep Wake Disorders
  • Stage III or IV Cervical or Uterine Cancer
  • Stage III or IV Colorectal Cancer
  • Stage IIIB, IIIC, or IV Breast Cancer
  • Stage IIIC or IV Melanoma
  • Uncertainty
  • Uterine Neoplasms
  • Worry

NCT number NCT01929720
Study type Interventional
Source Ohio State University Comprehensive Cancer Center
Contact
Status Completed
Phase N/A
Start date August 2011
Completion date September 2014

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