A Community-based Resilience Group Psychotherapy for Only-child Loss Parents in China

Study Overview
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Brief Summary
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Two communities in Changsha was selected, where principle investigators' institution located, to recruit 80 participants into intervention group and control group. Resilience therapy group was intervened by a psychotherapy developed by the researchers, which lasts 8 weeks. The themes of each week are start-up, mutual help, trust in yourself, thanksgiving feedback, care for yourself, emotional management, end-up. Measurement was conducted before the intervention, immediately after intervention, 3-month after intervention, and 12-month after intervention. A questionnaire was used during each measurement, including several scales in it, including resilience and depression.The saliva test of Dehydroepiandrosterone was also done in each measurement.

Official Title
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An 8-week Resilience-based Community Group Intervention Program for Parents Who Have Lost an Only Child in China

Conditions
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Depression

Intervention / Treatment
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* Behavioral: 8-week Resilience Group Psychotherapy
* Other: Usual care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: had only one child but now passed away; failed to have another children; volunteered to participate; the score of resilience was under 72 points indicating a lower or middle level Exclusion Criteria: in the acute bereavement period (<6 months); unable to participate in activities due to severe physical illness; receiving drug treatment for mental illness; receiving other psychological therapy

Ages Eligible for Study
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Minimum Age: 49 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Resilience group<br> | Behavioral: 8-week Resilience Group Psychotherapy<br>* Resilience Group Psychotherapy was intervened by a psychotherapy developed by the researchers. The resilience promotion therapy lasts 8 weeks, and also has a group intervention in each week. The themes of each week are start-up, mutual help, trust in yourself, thanksgiving feedback, care for yourself, emotional management, end-up.<br>|
| Active Comparator: Controlled group<br> | Other: Usual care<br>* Usual care means treating as usual, such as regular home visit.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of resilience | A kind of ability to bounce back from adversity measured by Connor-Davidson Resilience Scale, with higher score reflecting higher level of resilience, ranging from 0-100. | Change from before intervention, immediately after intervention,3-month after intervention, to 12-month after intervention | 
| Change of depression | Depressive mood in recent two weeks measured by Zung Self-rated Depression Scale, with higher score reflecting higher level of depression, ranging from 0-80. | Change from before intervention, immediately after intervention,3-month after intervention, to 12-month after intervention. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of subjective well-being | A feeling of happiness measured by Campbell Index of well-being, with higher score reflecting higher subjective well-being, ranging from 1.1 to 14.7. | Change from before intervention, immediately after intervention,3-month after intervention, to 12-month after intervention. | 
| Change of social avoidance | The phenomenon that a person is absent from normal social interaction with others measured by Social Avoidance and Distress Scale, with higher score reflecting higher social avoidance, ranging from 0 to 7. | Change from before intervention, immediately after intervention,3-month after intervention, to 12-month after intervention. | 
| Change of sleeping quality | Sleep quality in recent month measured by Pittsburgh sleep quality index, with higher score reflecting bad quality, ranging from 0 to 23. | Change from before intervention, immediately after intervention,3-month after intervention, to 12-month after intervention. | 
| Change of post traumatic growth | The positive growth after an adversity measured by Post Traumatic Growth Inventory, with higher score reflecting higher growth, ranging from 20 to 120. | Change from before intervention, immediately after intervention,3-month after intervention, to 12-month after intervention. | 
| Change of concentration of dehydroepiandrosterone in saliva | A kind of hormone that reflects the person's psychological stress collected by saliva collection tube by chewing the sterile cotton strips for 60 seconds, with higher concentration reflecting higher dehydroepiandrosterone level. The unit is pg/ml. | Change from before intervention, immediately after intervention,3-month after intervention, to 12-month after intervention. |