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

Format

Journal

Language

French

Author(s)

Marie-Jo Brennstuhl
Cyril Tarquinio
Sebastian Montel
Joanic Masson
Fanny Bassan
Pascale Tarquinio

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

Collection

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 October 22, 2018, https://emdria.omeka.net/items/show/25456.

Output Formats