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study protocol - open access
Efficacy of a brief manualized intervention Managing Cancer and Living Meaningfully (CALM) adapted to German cancer care settings: study protocol for a randomized controlled trial
Background
Worldwide, eight million people died from cancer in 2010 - an increase of 38 % over
the last two decades [1]. Numerous studies have shown high levels of symptom burden and psychosocial distress
associated with advanced cancer [2]–[6]. Psychological distress can range from normal adaptive emotions through to higher
levels of severe and clinically significant symptoms that fulfill the standardized
diagnostic criteria for adjustment disorder, anxiety disorders, or depression [7]. Studies demonstrate a total prevalence for any mental disorder of 32 % across all
tumor settings and stages [8] and prevalence rates of 30–50 % for all mood disturbances including adjustment disorders
and depression in palliative care settings [9], [10].....
Discussion
Our study will contribute important statistical evidence on whether CALM can reduce
depression and existential distress in a German sample of advanced and highly distressed
cancer patients.
Trial registration
ClinicalTrials.gov NCT02051660
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