Eye Movement Desensitization and Reprocessing Treatment in Oncological Patients. Preliminary Research Project

M. Bonucci, Colistro Mcu, C. Fiorentini
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Abstract

Patients with Cancer (C) have an important risk of developing Post Traumatic Stress Disorder (PTSD), but few studies have assessed the efficiency of psychological interventions to treat it. Also, it is known that the presence of unprocessed traumatic experiences prior to diagnosis, represents a risk of the onset of a PTSD. Furthermore, no studies have analyzed the quality of such traumatic experiences during C patients life. The study has the threefold objective of assessing the effectiveness of Eye Movement Desensitization and Reprocessing therapy (EMDR) in C patients diagnosed with PTSD, examining the presence of unprocessed traumatic experiences in the pre-diagnosis lives of C patients and analyzing these clinical experience in relation to the localization of the primary cancer. Patients with C diagnosis at any stage of the disease were included, receiving either EMDR. Patients were assessed before and after (follow-up) treatments with clinical questionnaires. Patients at the first diagnosis undergo 10 sessions of psychotherapy, while patients with recurrence are subjected to 16 sessions. We had 3 patients, 2 at second stage of disease (just before to start therapy) and 1 at his third recurrence. Localization of primary cancer: Shoulder, breast, skin. Results show complete remission of PTSD in all patients, the presence of unprocessed traumatic experiences in the pre-diagnosis lives (mourning). Confirming the efficiency of EMDR in PTSD in C patients, would mean being able to rely on a powerful psychological tool in an area where the emotional aspect plays a key role in recovery patients’ psychophysical and quality of life. It is also impressive to assess the relationship between the presence of raw traumatic events prior to the communication of the diagnosis and onset of PTSD, as well as the nature of these experiences. These clinical data are essential both to plan increasingly detailed and specific treatments in terms of quality and time, and to think of a psychological prevention perspective dedicated to the person understood as a totality.
肿瘤患者的眼动脱敏和再处理治疗。初步研究项目
癌症(C)患者有发生创伤后应激障碍(PTSD)的重要风险,但很少有研究评估心理干预治疗它的效率。此外,众所周知,在诊断之前存在未处理的创伤经历,代表了PTSD发病的风险。此外,没有研究分析C患者生活中这种创伤经历的质量。本研究有三个目的:评估眼动脱敏和再加工治疗(EMDR)在诊断为PTSD的C患者中的有效性,检查C患者诊断前生活中未处理的创伤经历的存在,并分析这些临床经历与原发癌症定位的关系。在疾病的任何阶段诊断为C的患者被纳入,接受EMDR。采用临床问卷对患者进行治疗前后(随访)评估。首次确诊的患者接受10次心理治疗,复发的患者接受16次心理治疗。我们有3名患者,2名处于疾病的第二阶段(就在开始治疗之前),1名处于第三次复发。原发癌的定位:肩部、乳房、皮肤。结果显示所有患者的创伤后应激障碍完全缓解,在诊断前生活中存在未处理的创伤经历(哀悼)。确认EMDR在C型PTSD患者中的有效性,将意味着能够依靠一个强大的心理学工具,在这个领域,情绪方面在恢复患者的心理、生理和生活质量方面起着关键作用。同样令人印象深刻的是,在诊断与创伤后应激障碍的交流之前,原始创伤事件的存在与PTSD发病之间的关系,以及这些经历的本质。这些临床数据对于在质量和时间方面计划越来越详细和具体的治疗是必不可少的,并且对于将个人作为一个整体来理解的心理预防观点也是必不可少的。
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