Quelles relations existe-t-il entre le fonctionnement neurocognitif, le type de stratégie mise en place et les attentes préopératoires chez des patients parkinsoniens candidats à la stimulation cérébrale profonde, et quel est l'impact de ces facteurs en postopératoire ?

Abstract : The purpose of this thesis was to determine the impact of different preoperative psychotherapies, particularly one based on cognitive restructuration, on the psychiatric and psychological profile of parkinson’s disease patients candidate to deep brain stimulation. On the one hand, we wanted to determine the impact of the restructurative therapy on psychiatric variables (depression, anxiety, apathy), disease perception, expectations for surgery, coping strategies, quality of life and social adjustment. On the other hand, we wanted to determine the possible interaction between neuropsychological variables and the impact of cognitiverestructuration. Parkinsonian patients can modulate their disease perception and their expectations toward the result of surgery, thanks to preoperative preparation, notably the restructurative one. Some quality of life variables, in particular the mental one, seem to be more improved after cognitive restructuration. The whole sample uses higher instrumental support preoperatively, whereas they use more accomodation strategy based on acceptation postoperatively. What is more, neuropsychological performances and impact of preoperative psychotherapy seem to be linked, as preservation of deducation, conceptualisation, feedback adaptation, working memory, are linked to a better impact of psychotherapy on disease perception and surgical expectations. No impact of preoperative preparation on psychiatric profile or social adjustment was observed.
Document type :
Theses
Complete list of metadatas

Cited literature [280 references]  Display  Hide  Download

https://hal.univ-lorraine.fr/tel-01750988
Contributor : Thèses Ul <>
Submitted on : Thursday, March 29, 2018 - 1:00:45 PM
Last modification on : Thursday, April 11, 2019 - 4:02:23 PM

File

DDOC_T_2013_0337_MEYER.pdf
Files produced by the author(s)

Identifiers

  • HAL Id : tel-01750988, version 1

Citation

Mylène Meyer - Schneider. Quelles relations existe-t-il entre le fonctionnement neurocognitif, le type de stratégie mise en place et les attentes préopératoires chez des patients parkinsoniens candidats à la stimulation cérébrale profonde, et quel est l'impact de ces facteurs en postopératoire ?. Psychologie. Université de Lorraine, 2013. Français. ⟨NNT : 2013LORR0337⟩. ⟨tel-01750988⟩

Share

Metrics

Record views

34

Files downloads

67