Utilisation de la thérapie Eye Movement Desensitization and Reprocessing (EMDR) pour le traitement du syndrome du sein fantôme : étude pilote - Université de Lorraine Accéder directement au contenu
Article Dans Une Revue Psychologie Française Année : 2017

Eye Movement Desensitization and Reprocessing (EMDR) using for the treatment of the phantom breast syndrome: Pilot study

Utilisation de la thérapie Eye Movement Desensitization and Reprocessing (EMDR) pour le traitement du syndrome du sein fantôme : étude pilote

Résumé

ObjectiveThis study seeks to evaluate the beneficial effects of EMDR (Eye Movement Desensitization and Reprocessing) psychotherapy in the treatment of Phantom Breast Syndrome (PBS) patients. The syndrome can be defined as the sensation of breast tissue including painful and non-painful sensations following removal by mastectomy.MethodEight PBS patients took part in the research and were given treatment with EMDR psychotherapy. Quantitative evaluations were carried out before the first psychotherapy session, after the final session and then three and six months after the treatment. The evaluation addressed perceived pain intensity (on a scale from 0 to 10) and perceived sensation (on a scale from 0 to 10) in the amputated breast or breasts, anxiety state (STAI-state) and depression (CES-D). Additional qualitative evaluations were also carried out with two of the patients through drawing and colouring of their breasts to express the change in mental representation of the amputated breasts between the start and the end of the EMDR treatment and of their perceptions of subjective sensations and pain in the breasts themselves.ResultsNon-parametric statistical analysis shows that following EMDR treatment, there is a significant reduction (P < .001) in sensory and painful perceptions of amputated breasts. There is a similar decrease in anxiety (P < .001) and depression (P < .01) scores. The results all remain stable after 3 and 6 months. The qualitative results of the study of two of the participants show a particularly clear change in the body image of the amputated breasts. While these findings are encouraging and show the benefit of EMDR in the treatment of PBS, they should be treated with caution due to the small sample.
ObjectifÉvaluer les effets de la psychothérapie EMDR dans la prise en charge de patientes souffrant du syndrome du sein fantôme (SSF) après mastectomie.MéthodeHuit patientes souffrant de SSF ont bénéficié d’une prise en charge EMDR. Il s’agissait d’évaluer (avant, après, à 3 et 6 mois) les intensités de douleur et de sensation perçue (entre 0 à 10) des seins amputés, ainsi que les scores d’anxiété-état (STAI-état) et de dépression (CES-D). La réalisation de dessins et de coloriages a permis de rendre compte de l’évolution de la représentation mentale des seins mastectomisés.RésultatsOn observe une baisse significative (p < .001) des perceptions sensorielles et douloureuses, ainsi, qu’une baisse des scores d’anxiété (p < .001) et de dépression (p < .01). Ces résultats restent stables après 3 et 6 mois. En ce qui concerne les résultats qualitatifs on observe un changement particulièrement manifeste du schéma corporel des seins mastectomisés.
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Dates et versions

hal-01816676 , version 1 (15-06-2018)

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Citer

J. Brennstuhl, C. Tarquinio, S. Montel, Joanic Masson, F. Bassan, et al.. Utilisation de la thérapie Eye Movement Desensitization and Reprocessing (EMDR) pour le traitement du syndrome du sein fantôme : étude pilote. Psychologie Française, 2017, 62 (1), pp.107-119. ⟨10.1016/j.psfr.2015.09.001⟩. ⟨hal-01816676⟩
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