Evaluation of the Added Value of Logotherapy in the Psychological Support of Patients With Primary Breast Cancer (AELO)
Randomized, Comparative Study to Evaluate the Added Value of Logotherapy in the Psychological Support of Patients With Primary Breast Cancer
The diagnosis of breast cancer in a woman can cause major psychological trauma with many destructive effects in all areas of life.
Dealing with this profound distress is often difficult, sometimes poorly defined between different professionals (psychiatrists, psychologists, psychotherapists, proponents of alternative therapies), leading to highly variable and difficult-to-measure results.
Since the first French cancer plan (2003/2007), facilities offering cancer care have been legally required to have a notification and support system in place. This consists of offering patients a range of supportive care throughout their cancer treatment (psychotherapy, physical activities, dietetics, pain management, etc.).
In recent years, logotherapy has been offered as part of psychological care. Logotherapy is a form of psychotherapy based on meaning, which has been offered for many years and aims to help patients create or discover meaning in their lives. Meaning serves as motivation to continue living despite illness by placing this ordeal in the context of existence.
Suffering can thus be transformed into opportunity. The use of logotherapy gives the suffering person the ability to take an active part in their treatment and helps them to mobilize their personal resources to keep the disease at bay, stabilize it, or cure it.
Several studies conducted on women with breast or gynecological cancer have shown that logotherapy can reduce the symptoms of traumatic stress and increase their ability to find meaning in their lives. However, these studies have certain limitations because they are not randomized.
In order to evaluate the short- and medium-term benefits of logotherapy in patients diagnosed with primary breast cancer, we propose a prospective, comparative, randomized study.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Emmanuelle MALHOMME
- Phone Number: +33 5 49 42 29 29
- Email: Emmanuelle.MALHOMME@elsan.care
Study Contact Backup
- Name: Charlène PY
- Phone Number: +33 5 56 00 30 48
- Email: charlene.py@elsan.care
Study Locations
-
-
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Poitiers, France, 86000
- Clinique du Fief de Grimoire
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Contact:
- Emmanuelle MALHOMME
- Phone Number: +33 5 49 42 29 29
- Email: Emmanuelle.MALHOMME@elsan.care
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Female patient:
- With a first diagnosis of histologically proven breast cancer,
- Affiliated to a health insurance scheme,
- Having been informed and having given her free and informed consent prior to any procedure specific to the study.
Exclusion Criteria:
Female patient:
- Unable to understand the study and to answer to the questionnaires
- With an indication for neoadjuvant chemotherapy
- Undergoing antidepressant treatment at the time of diagnosis
- Presenting with alcohol or drug addiction at the time of diagnosis
- Protected: adult under guardianship, curatorship, or other legal protection, deprived of liberty by judicial or administrative decision.
- Pregnant, breastfeeding, or in labor.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Support within the framework of the "announcement procedure" with logotherapy
|
Logotherapy consists of four individual sessions conducted by a nurse who is specialized and certified in logotherapy, at a rate of one session every two weeks, lasting approximately 60 minutes.
|
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Active Comparator: Support within the framework of the "announcement procedure" without logotherapy
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Supportive care offered as part of the patient notification process following the diagnosis of breast cancer.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Anxiety
Time Frame: 10 weeks
|
Anxiety score of the Hospital Anxiety and Depression Scale (HADS) score.
The HADS is a validated self-administered questionnaire consisting of 14 items allowing patients to assess their mood over the past week.
It is composed of two parts (anxiety and depression) The result ranges from 0 to 21.
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10 weeks
|
|
Depression
Time Frame: 10 weeks
|
Depression score of the HADS.
This score will be analysed on a second step (two-step hierarchical sequential analysis) only if a significative difference is observable on the first step (anxiety).
|
10 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Anxiety and depression
Time Frame: Baseline, 10 weeks, 6 months and 9 months
|
HADS score (anxiety and depression).
|
Baseline, 10 weeks, 6 months and 9 months
|
|
Perceived stress
Time Frame: Baseline, 10 weeks, 6 months and 9 months
|
Perceived Stress Scale (PSS) score.
It is a validated self-administered questionnaire, comprising 10 questions assessing a patient's individual stress level.
The result is expressed in a score between 0 (no perceived stress) and 40 (high perceived stress)
|
Baseline, 10 weeks, 6 months and 9 months
|
|
Quality of life assessment
Time Frame: Baseline, 10 weeks, 6 months and 9 months
|
EORTC QJQ-C30.
It is a general self-administered questionnaire comprising 30 questions to assess the quality of life of cancer patients participating in clinical trials.
The result is expressed in a score between 0 and 100.
|
Baseline, 10 weeks, 6 months and 9 months
|
|
Consultations of psychotherapists
Time Frame: Over 9 months
|
Number of consultations with a specialist in psychotherapy in relation to breast cancer management.
|
Over 9 months
|
|
Anxyolitic treatments consumption
Time Frame: 10 weeks, 6 months and 9 months
|
Number of anxyolitic treatments (type, dose and indication)
|
10 weeks, 6 months and 9 months
|
|
Anti-depressant treatments consumption
Time Frame: 10 weeks, 6 months and 9 months
|
Number of anti-depressant treatments (type, dose and indication)
|
10 weeks, 6 months and 9 months
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- AELO
- 2024-A02252-45 (Other Identifier: ANSM)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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