Utilisation de la thérapie eye movement desensitization and Reprocessing (EMDR) pour le traitement du syndrome du sein fantôme : étude pilote Eye movement desensitization and reprocessing (EMDR) using for the treatment of the phantom breast syndrome: Pilot study
Description
Objectif:
Évaluer les effets de la psychothérapie EMDR dans la priseen charge de patientes souffrant du syndrome du sein fantôme (SSF)après mastectomie.
Méthode:
Huit patientes souffrant de SSF ont bénéficié d’une priseen charge EMDR. Il s’agissait d’évaluer (avant, après, à 3 et 6 mois)les intensités de douleur et de sensation perc¸ ue (entre 0 à 10) desseins amputés, ainsi que les scores d’anxiété-état (STAI-état) et dedépression (CES-D). La réalisation de dessins et de coloriages a per-mis de rendre compte de l’évolution de la représentation mentaledes seins mastectomisés.
Résultats:
On observe une baisse significative (p < .001) des percep-tions sensorielles et douloureuses, ainsi, qu’une baisse des scores d’anxiété (p < .001) et de dépression (p < .01). Ces résultats restentstables après 3 et 6 mois. En ce qui concerne les résultats qualitatifson observe un changement particulièrement manifeste du schémacorporel des seins mastectomisés.
Objective:
This study seeks to evaluate the beneficial effectsof EMDR (Eye Movement Desensitization and Reprocessing) psy-chotherapy in the treatment of Phantom Breast Syndrome (PBS)patients. The syndrome can be defined as the sensation of breast tis-sue including painful and non-painful sensations following removalby mastectomy.
Method:
Eight PBS patients took part in the research and weregiven treatment with EMDR psychotherapy. Quantitative evalua-tions were carried out before the first psychotherapy session, afterthe final session and then three and six months after the treatment.The evaluation addressed perceived pain intensity (on a scale from0 to 10) and perceived sensation (on a scale from 0 to 10) in theamputated breast or breasts, anxiety state (STAI-state) and depres-sion (CES-D). Additional qualitative evaluations were also carriedout with two of the patients through drawing and colouring of theirbreasts to express the change in mental representation of the ampu-tated breasts between the start and the end of the EMDR treatmentand of their perceptions of subjective sensations and pain in thebreasts themselves.
Results:
Non-parametric statistical analysis shows that followingEMDR treatment, there is a significant reduction (P < .001) in sen-sory and painful perceptions of amputated breasts. There is a similardecrease in anxiety (P < .001) and depression (P < .01) scores. Theresults all remain stable after 3 and 6 months. The qualitative resultsof the study of two of the participants show a particularly clearchange in the body image of the amputated breasts. While thesefindings are encouraging and show the benefit of EMDR in the treat-ment of PBS, they should be treated with caution due to the small sample
Évaluer les effets de la psychothérapie EMDR dans la priseen charge de patientes souffrant du syndrome du sein fantôme (SSF)après mastectomie.
Méthode:
Huit patientes souffrant de SSF ont bénéficié d’une priseen charge EMDR. Il s’agissait d’évaluer (avant, après, à 3 et 6 mois)les intensités de douleur et de sensation perc¸ ue (entre 0 à 10) desseins amputés, ainsi que les scores d’anxiété-état (STAI-état) et dedépression (CES-D). La réalisation de dessins et de coloriages a per-mis de rendre compte de l’évolution de la représentation mentaledes seins mastectomisés.
Résultats:
On observe une baisse significative (p < .001) des percep-tions sensorielles et douloureuses, ainsi, qu’une baisse des scores d’anxiété (p < .001) et de dépression (p < .01). Ces résultats restentstables après 3 et 6 mois. En ce qui concerne les résultats qualitatifson observe un changement particulièrement manifeste du schémacorporel des seins mastectomisés.
Objective:
This study seeks to evaluate the beneficial effectsof EMDR (Eye Movement Desensitization and Reprocessing) psy-chotherapy in the treatment of Phantom Breast Syndrome (PBS)patients. The syndrome can be defined as the sensation of breast tis-sue including painful and non-painful sensations following removalby mastectomy.
Method:
Eight PBS patients took part in the research and weregiven treatment with EMDR psychotherapy. Quantitative evalua-tions were carried out before the first psychotherapy session, afterthe final session and then three and six months after the treatment.The evaluation addressed perceived pain intensity (on a scale from0 to 10) and perceived sensation (on a scale from 0 to 10) in theamputated breast or breasts, anxiety state (STAI-state) and depres-sion (CES-D). Additional qualitative evaluations were also carriedout with two of the patients through drawing and colouring of theirbreasts to express the change in mental representation of the ampu-tated breasts between the start and the end of the EMDR treatmentand of their perceptions of subjective sensations and pain in thebreasts themselves.
Results:
Non-parametric statistical analysis shows that followingEMDR treatment, there is a significant reduction (P < .001) in sen-sory and painful perceptions of amputated breasts. There is a similardecrease in anxiety (P < .001) and depression (P < .01) scores. Theresults all remain stable after 3 and 6 months. The qualitative resultsof the study of two of the participants show a particularly clearchange in the body image of the amputated breasts. While thesefindings are encouraging and show the benefit of EMDR in the treat-ment of PBS, they should be treated with caution due to the small sample
Format
Journal
Language
French
Original Work Citation
Brennstuhl, M.-J., Tarquinio, C., Montel, S., Masson. J., Bassan, F., & Tarquinio, P. (2017). [Eye movement desensitization and reprocessing (EMDR) using for the treatment of the phantom breast syndrome: Pilot study]. Psychologie Française, 62, 107–119. doi:10.1016/j.psfr.2015.09.001
Citation
“Utilisation de la thérapie eye movement desensitization and Reprocessing (EMDR) pour le traitement du syndrome du sein fantôme : étude pilote Eye movement desensitization and reprocessing (EMDR) using for the treatment of the phantom breast syndrome: Pilot study,” Francine Shapiro Library, accessed May 1, 2024, https://francineshapirolibrary.omeka.net/items/show/25456.