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PSYCHOTHERAPIE

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Vivre sans l'autre - pour aider à vivre le deuil

CARTON DE WIART, Marie-Camille
Saint-Léger Editions , 08/2020 , 180 p.

Dignity therapy helps terminally ill patients maintain a sense of peace - early results of a randomized controlled trial

IANI, Luca ; DE VINCENZO, Francesco ; MARUELLI, Alice ; CHOCHINOV, Harvey Max ; RAGGHIANTI, Matilde ; DURANTE, Sieva ; LOMBARDO, Luigi
Frontiers in psychology, 2020, vol.11, p. 1-6

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Thème : Psychologie, psychanalyse. Cote : eD06.01.00

PSYCHOTHERAPIE ; DIGNITE ; QUALITE VIE ; ESSAI CONTROLE RANDOMISE

Introduction: Dignity Therapy (DT) is a brief, individualized, narrative psychotherapy developed to reduce psychosocial and existential distress, and promote dignity, meaning, and hope in end of life patients. Previous studies have shown that DT was effective in reducing anxiety and depression, and improving dignity-related distress. However, less is known about its efficacy on spiritual well-being. The aim of this study is to contribute to the existing literature by investigating the effects of DT on specific dimensions of spiritual well-being, demoralization and dignity-related distress in a sample of terminally ill patients.
Methods: A randomized, controlled trial was conducted with 64 terminally ill patients who were randomly assigned to the intervention group (DT + standard palliative care) or the control group (standard palliative care alone). The primary outcome measures were Meaning, Peace, and Faith whereas the secondary outcome measures were (loss of) Meaning and purpose, Distress and coping ability, Existential distress, Psychological distress, and Physical distress. All measures were assessed at baseline (before the intervention), 7-10 and 15-20 days after the baseline assessment. The trial was registered with ClinicalTrials.gov (Protocol Record NCT04256239).
Results: The MANOVA yielded a significant effect for the Group X Time interaction. ANOVA with repeated measures showed a significant effect of time on peace and a significant Group X Time interaction effect on peace. Post hoc comparisons revealed that, while there was a decrease in peace from pre-treatment to follow-up and from post-treatment to follow-up in the control group, there was no such trend in the intervention group. Discussion: This study provides initial evidence that patients in the DT intervention maintained similar levels of peace from pre-test to follow-up, whereas patients in the control group showed a decrease in peace during the same time period. We did not find significant longitudinal changes in measures of meaning, faith, loss of meaning and purpose, distress and coping ability, existential, psychological and physical distress. The findings of our study are of relevance in palliative care and suggest the potential clinical utility of DT, since they offer evidence for the importance of this intervention in maintaining peace of mind for terminally ill patients.

Origine : PubMed

A novel narrative e-writing intervention for parents of children with chronic life-threatening illnesses - protocol for a pilot, open-label randomized controlled trial

HO, Andy Hau Yan ; DUTTA, Oindrila ; TAN-HO, Geraldine ; TAN, Toh Hsiang Benny ; LOW, Casuarine Xinyi ; GANAPATHY, Sashikumar ; CAR, Josip ; HO, Ringo Moon-Ho ; MIAO, Chun Yan
JMIR research protocols, 07/2020, vol.9, n°7, 14 p.

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Economic evaluation of a combined screening and stepped-care treatment program targeting psychological distress in patients with metastatic colorectal cancer - a cluster randomized controlled trial

EL ALILI, Mohamed ; SCHUURHUIZEN, Claudia S. E. W. ; BRAAMSE, Annemarie M. J. ; BEEKMAN, Aartjan T. F. ; VAN DER LINDEN, Mecheline H. ; KONINGS, Inge R. ; DEKKER, Joost ; BOSMANS, Judith E.
PALLIATIVE MEDICINE, 07/2020, vol.34, n°7, p. 934-945

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Le temps des vieux et l'espace du grand âge - psychologie du vieillissement

WOLF-FEDIDA, Mareike
MJW Fédition , 03/2020 , 241 p.

Conversations regarding personhood - use of the patient dignity question in an outpatient psycho-oncology clinic

MEIER, Emily A. ; NAQVI, Jeanean B. ; XIAO, Jingyuan ; MONTROSS, Lori P.
JOURNAL OF PALLIATIVE MEDICINE, 12/2019, vol.22, n°12, p. 1575-1577

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Psychological intervention in patients with advanced cancer at home through individual meaning-centered psychotherapy-palliative care - a pilot study

FRAGUELL-HERNANDO, Clara ; LIMONERO, Joaquin T. ; GIL, Francisco
Supportive care in cancer, 23/01/2020, Pagination inconnue

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Effectiveness of dignity therapy for patients with advanced cancer - a systematic review and meta-analysis of 10 randomized controlled trials

LI, Yanfei ; LI, Xiuxia ; HOU, Liangying ; CAO, Liujiao ; LIU, Guanghua ; YANG, Kehu
Depression and anxiety, 06/12/2019, Pagination inconnue

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Psychotherapy at the end of life

SARACINO, Rebecca M. ; ROSENFELD, Barry ; BREITBART, William S. ; CHOCHINOV, Harvey Max
The American journal of bioethics, 01/01/2019, vol.19, n°12, p. 19-28

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Meaning-centered psychotherapy for Latino patients with advanced cancer - cultural adaptation process

COSTAS-MUNIZ, Rosario ; TORRES-BLASCO, Normarie ; CASTRO-FIGUEROA, Eida M. ; GONZALEZ, Carlos Javier ; BREITBART, William S. ; GANY, Francesca
JOURNAL OF PALLIATIVE MEDICINE, 04/2020, vol.23, n°4, p. 489-497

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Emotional disclosure as a therapeutic intervention in palliative care - a scoping review protocol

MCINNERNEY, Daisy ; KUPELI, Nuriye ; STONE, Patrick ; ANANTAPONG, Kanthee ; CHAN, Justin ; CANDY, Bridget
BMJ Open, 26/08/2019, vol.9, n°8, p. 1-8

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Thème : Psychologie, psychanalyse. Cote : eD06

EMOTION ; PSYCHOTHERAPIE ; DEMARCHE PALLIATIVE

INTRODUCTION: Emotional disclosure (ED) is a term used to describe the therapeutic expression of emotion. ED underlies a variety of therapies aimed at improving well-being for various populations, including people with palliative-stage disease and their family carers. Systematic reviews of ED-based psychotherapy have largely focused on expressive writing as a way of generating ED. However, heterogeneity in intervention format and outcome measures has made it difficult to analyse efficacy. There is also debate about the mechanisms proposed to explain the potential effects of ED.We present a scoping review protocol to develop a taxonomy of ED-based interventions to identify and categorise the spectrum of interventions that could be classified under the umbrella term of 'emotional disclosure' in the palliative care setting. By mapping these to associated treatment objectives, outcome measures and explanatory frameworks, the review will inform future efforts to design and evaluate ED-based therapies in this population.
METHODS AND ANALYSIS: The review will be guided by Arksey and O'Malley's five-stage scoping review framework and Levac's extension. The following electronic databases will be searched from database inception: CENTRAL, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Scopus, Web of Science and MEDLINE. We will include peer-reviewed studies and reviews. We will also check grey literature, including clinical trial registers, conference proceedings and reference lists, as well as contacting researchers. Articles will be screened by at least two independent reviewers and data charted using an extraction form developed for this review. Results will be analysed thematically to create a taxonomy of interventions, outcome measures and theoretical frameworks.
ETHICS AND DISSEMINATION: This review does not require ethical approval as it is a secondary analysis of pre-existing, published data. The results will inform future research in the development of ED-based interventions and evaluation of their efficacy in the palliative care setting. We will disseminate findings through peer-reviewed journals.

Origine : PubMed

The process and outcome of psychodynamic psychotherapy for pregnancy after loss - a case study analysis

MARKIN, Rayna D. ; MCCARTHY, Kevin S.
Psychotherapy, 26/08/2019, Pagination inconnue

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A pilot randomised controlled trial of metacognitive therapy for prolonged grief

WENN, Jenine Anne ; O'CONNOR, Moira ; KANE, Robert T. ; REES, Clare Samantha ; BREEN, Lauren J.
BMJ Open, 09/01/2019, vol.9, n°1, p. 1-11

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Identifying critical psychotherapy targets in serious cardiac conditions - the importance of addressing coping with symptoms, healthcare navigation, and social support

BEKELMAN, David B. ; KNOEPKE, Christopher E. ; TURVEY, Carolyn
Palliative and supportive care, 31/01/2019, p. 1-5

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Individual goal achievement in group psychotherapy - the roles of psychological mindedness and group process in interpretive and supportive therapy for complicated grief

KEALY, David ; PIPER, William E. ; OGRODNICZUK, John S. ; JOYCE, Anthony S. ; WEIDEMAN, Rene
Clinical psychology and psychotherapy, 04/12/2018, Pagination inconnue

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Mentalization in CALM psychotherapy sessions - helping patients engage with alternative perspectives at the end of life

SHAW, Chloe ; CHRYSIKOU, Vasiliki ; LANCELEY, Anne ; LO, Chris ; HALES, Sarah ; RODIN, Gary
Patient education and counseling, 03/10/2018, Pagination inconnue

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Children's artwork - its value in psychotherapy in pediatric palliative care

SOURKES, Barbara M.
Child and adolescent psychiatric clinics of North America, 10/2018, vol.27, n°4, p. 551-565

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The effects of psychological meaning-centered therapies on quality of life and psychological stress - a metaanalysis

VOS, Joël ; VITALI, Diego
Palliative and supportive care, 24/09/2018, p. 1-25

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Thème : Psychologie, psychanalyse.

QUALITE VIE ; STRESS ; SENS ; PSYCHOTHERAPIE

Objective: Many psychotherapists speak with clients about meaning in life. Meaning is an neutral evidence-based term for a subjective sense of purpose, values, understanding, self-worth, action-directed goals, and self-regulation. Since little is known about its effectiveness, our study aimed to determine the effects of meaning-centered therapies (MCTs) on improving quality of life and reducing psychological stress.
METHOD: Independent researchers selected and scored articles in multiple languages in multiple search engines. Weighted pooled mean effects were calculated following a random-effects model. Sensitivity analyses included moderators, study and sample characteristics, risk of bias, randomization, types of MCT, control condition, and outcome instruments.
RESULTS: Some 52,220 citations included 60 trials (total sample N = 3,713), of which 26 were randomized controlled trials (N = 1,975), 15 nonrandomized controlled trials (N = 709), and 19 nonrandomized noncontrolled trials with pre/post measurements (N = 1,029). Overall analyses showed large improvements from baseline to immediate posttreatment and follow-up on quality of life (Hedges' g = 1.13, SE = 0.12; g = 0.99, SE = 0.20) and psychological stress (g = 1.21, SE = 0.10; g = 0.67, SE = 0.20). As effects varied between studies, further analyses focused only on controlled trials: MCT had large effect sizes compared to control groups, both immediate and at follow-up, on quality of life (g = 1.02, SE = 0.06; g = 1.06, SE = 0.12) and psychological stress (g = 0.94, SE = 0.07, p < 0.01; g = 0.84, SE = 0.10). Immediate effects were larger for general quality of life (g = 1.37, SE = 0.12) than for meaning in life (g = 1.18, SE = 0.08), hope and optimism (g = 0.80, SE = 0.13), self-efficacy (g = 0.89, SE = 0.14), and social well-being (g = 0.81, SE = 13). The homogeneity of these results was validated by the lack of significance of moderators and alternative ways of selecting studies. Metaregression analyses showed that increases in meaning in life predicted decreases in psychological stress (ß = –0.56, p < 0.001).
SIGNIFICANCE OF RESULTS: MCT strongly improves quality of life and reduces psychological stress. MCT should be made more widely available, particularly to individuals in transitional moments in life or with a chronic or life-threatening physical illness as they explicitly report meaning-centered concerns.

Origine : PubMed

Psychothérapie en fin de vie assistée par des substances psychoactives

GASSER, P.
DEPENDANCES, 01/03/2018, n°62, p. 22-24

Treating prolonged grief disorder with prolonged grief-specific cognitive behavioral therapy - study protocol for a randomized controlled trial

ROSNER, Rita ; RIMANE, Eline ; VOGEL, Anna ; RAU, Jörn ; HAGL, Maria
Trials, 20/04/2018, vol.19, n°1, p. 1-12

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Thème : Psychologie, psychanalyse. Cote : eD06.01.01

DEUIL COMPLIQUE ; PSYCHOTHERAPIE ; PROTOCOLE RECHERCHE ; ESSAI CONTROLE RANDOMISE

BACKGROUND: Prolonged grief disorder (PGD) has emerged as a well-defined and relatively common mental disorder that will be included in the upcoming revision of the International Classification of Diseases. Recent trials with grief-specific, mostly cognitive behavioral interventions for patients with a clinically relevant diagnosis of PGD showed large effect sizes. However, a small trial suggested that non-specific behavioral activation might suffice to improve PGD. So, more evidence for the relative efficacy of grief-specific treatments is needed, as is more research on the predictors of treatment success. The purpose of the proposed trial is to evaluate a newly developed and successfully pilot-tested, prolonged grief-specific, integrative cognitive behavioral therapy (PG-CBT) compared to an active yet unspecific treatment, present-centered therapy (PCT).
METHODS: In a multicenter, randomized controlled trial with 204 adults with a primary diagnosis of PGD, PG-CBT is compared to PCT, assuming the superiority of PG-CBT. Both treatments consist of 20 to 24 individual sessions, with an overall treatment length of about 6 months. The primary outcome, grief symptom severity, is assessed by blinded interviewers 12 months after randomization. Secondary outcomes are grief symptom severity at post treatment, in addition to self-reported overall mental health symptoms, depressive and somatoform symptoms at post treatment and 12 months post randomization. Possible moderators and mediators of treatment success are also explored.
DISCUSSION: The trial is designed to avoid bias as much as possible (stratified randomization performed independently, blinded outcome assessment, intention-to-treat-analysis, balanced treatment dose, continuous supervision, control for allegiance effects) thereby enhancing internal validity. At the same time, some aspects of the trial will ensure clinical relevance (recruiting at outpatient clinics that are part of routine health care and keeping exclusion criteria to a minimum). Since the trial is powered adequately for the primary outcome, all secondary analyses including moderator analyses are exploratory by nature. The results will extend the knowledge on efficacious treatment of PGD and its predictors.
TRIAL REGISTRATION: German Clinical Trials Register, ID: DRKS00012317 . Registered on 6 September 2017.

Origine : PubMed

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