EMDR Therapy and Psycho-Oncology

2016 ◽  
Vol 10 (3) ◽  
pp. 135-137 ◽  
Author(s):  
Louise Maxfield

Cancer is not only a debilitating disease; it can also have devastating effects on a patient’s mental health and quality of life. Although the literature shows that mortality rates may be improved with the provision of effective treatment, most psychotherapy provided to patients with cancer tends to be quite generic and not always effective. Very few research studies have investigated the provision of trauma-focused therapies to this underserved population. Eye movement desensitization and reprocessing (EMDR) therapy has well-established efficacy in the treatment of traumatic stress and preliminary evidence in the treatment of depression and anxiety. It is a very effective and accessible treatment for patients with cancer. Because it does not require homework, it is less demanding than many other forms of treatment. It can be provided on an intensive (twice) daily basis, making it available to patients traveling from out of town for their cancer treatment. For those patients unable to manage trauma-focused treatment during a difficult time, it can be used to enhance personal resources. EMDR therapy can be administered in individual, group, and couple formats and is suitable for children as well as adults. New research provides promising results for the application of EMDR for patients with cancer.

2020 ◽  
Author(s):  
Maria Salvina Signorelli ◽  
Teresa Surace ◽  
Marcello Migliore ◽  
Eugenio Aguglia

Cancer is a leading cause of death worldwide. Literature reports depression and anxiety are the most common psychiatric symptoms in cancer patients. Notably, lung cancer is associated with major depressive disorder in 5–13% of cases. The present article aims to give an overview regarding the impact of mood disorders on the outcomes of patients affected by lung cancer. Our review showed that pharmacological treatment and psychotherapy can be useful to improve the quality of life of patients with lung cancer. Moreover, the treatment of depression and anxiety can be associated with a reduced mortality. In conclusion, it is important to consider psychiatric care as important as other adjuvant oncologic therapies in patients with cancer.


2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 19653-19653
Author(s):  
C. M. Bonini Colmano ◽  
S. Molnar ◽  
L. M. Salvano ◽  
G. Molina Barrios ◽  
M. Arevalo ◽  
...  

19653 Background: Malignant diseases have a strong influence in quality of life, being sexuality one of the most affected variables. The objetive is to determine the prevalence of sexual dysfunction in a cohort of patients with cancer and its relationship with the following: pain, fatigue, nausea, vomiting, mechanisms of adaptation to stress, anxiety and depression. Methods: Anonymous questionnaires were used, including: treatment, adverse events, Zimong and Snaith depression and anxiety scale, sexual dysfunction questionnaire, coping strategies of Tobin David, Hopwood body image scale and the analogical visual test for pain evaluation. Results: Between January and August 2006, sixty four patients were evaluated; 72% were women; median age: 50 years old. Libido was absent in 50%; this was associated with gender (better in men; p=0,05) and the presence of pain (p=0,05) and fatigue (p=0,05) but not with age. All patients who had intact libido also had arousal and orgasms; this was more prevalent in men than in women and in subjects younger than 60 years. Arousal was absent in 47% of cases. Forty four percent of men had erectile dysfunction; this was present in all patients older than 60 years. Frequency of intercourses was decreased in 75%. Fifty eight percent of patients said that their sexuality was better before the diagnosis of their disease. Interestingly, 85% didn’t talk to their doctors about their sexual problems. Conclusions: One out of 2 patients had sexual dysfunction, predominantly women. Sexuality was affected mainly by pain and fatigue. Although normal libido was present in all ages, subjects older than 60 years had less arousal and orgasms. No significant financial relationships to disclose.


Author(s):  
Mi-Sun Lee ◽  
Hyun Soo Kim ◽  
Eun Jin Park ◽  
Soo-Young Bhang

We aimed to evaluate the feasibility and preliminary efficacy of trauma-focused group psychotherapy in adolescents who experienced traumatic events in Korea. Participants were assigned and recruited from two sites in Korea. Children in Disaster: Evaluation and Recovery (CIDER) V1.0 is a trauma-focused group psychotherapy approach consisting of psychoeducation, normalization, stabilization, and techniques of managing the traumatic memory. The CIDER intervention consists of eight 50-minute-long sessions. The effectiveness of the intervention was evaluated using the Korean version of the Children’s Response to Traumatic Events Scale-Revised (K-CRTES-R), the Beck Depression Inventory (BDI), the State Anxiety Inventory for Children (SAIC), and the Pediatric Quality of Life Inventory (PedQL). Data were analyzed by Wilcoxon signed-rank test. We recruited 22 traumatized adolescents (mean age 16 years; SD 1.43; range 13–18 years old; 71.4% boys) in this pilot study. The K-CRTES-R scores were significantly improved (Z = −2.85, p < 0.01). The BDI demonstrated the effectiveness of the therapy (Z = −2.35, p < 0.05). The assessment of the PedQL supported the effect of CIDER (Z = −3.08, p < 0.01). However, there was no statistically significant differences in the SAIC scores (Z = −1.90, p > 0.05). The results show that there is preliminary evidence that CIDER intervention reduces post-traumatic stress and depressive symptoms and improves quality of life. Our findings indicate that CIDER is feasible for treating adolescents exposed to traumatic events. Larger controlled trials are needed to establish the efficacy of this trauma-focused group psychotherapy and examine its impact on post-traumatic stress disorder.


2020 ◽  
Vol 18 (5) ◽  
pp. 545-549
Author(s):  
M. M. Skugareuskaya ◽  
◽  
A. V. Shylava ◽  
A. V. Yaglouskaya ◽  
I. Yu. Bergel ◽  
...  

Objective. The effectiveness of structured physical activity in depressive disorders treatment depends on various factors. The aim of this paper is to evaluate the effect of exercise on anxiety, depression and quality of life and sleep in complex treatment of depressive disorders depending on the patient’s gender.Material and methods. A total of 187 patients with depression were examined and treated: 107 in the main group and 80 in the comparison group, among them 34 men (average age 38 ± 11.7 years) and 153 women (43.2 ± 13.2 years). The physical exercises program included cardio training as well as strength, endurance and flexibility exercises.Results and conclusions. Inclusion of structured physical activity in treatment allows reducing depression and anxiety symptoms in both men and women more effectively. In women the positive effect on emotional state and psychological component of quality of life was less pronounced, while quality of sleep (associated with breathing, snoring, temperature discomfort) improved to a greater extent.


2011 ◽  
Vol 13 (1) ◽  
pp. 101-108 ◽  

Patients with cancer and depression experience more physical symptoms, have poorer quality of life, and are more likely to have suicidal thoughts or a desire for hastened death than are cancer patients who are not depressed. Despite the ubiquity of depressive symptoms in cancer patients at the end of life, critical questions remain unanswered with respect to etiopathogenesis, diagnosis, and treatment of depression in these vulnerable patients. The pharmacotherapy of depression in patients with advanced cancer should be guided by a palliative care approach focused on symptom reduction, irrespective of whether the patient meets diagnostic criteria for major depression. Earlier and more intensive supportive care for patients with cancer reduces symptom burden and may prolong life for patients with advanced disease. Symptom-oriented clinical trials are needed to improve end-of-life cancer care.


2016 ◽  
Vol 10 (2) ◽  
pp. 59-69 ◽  
Author(s):  
Yasmeen Wajid Mauna Gauhar

This study investigated the efficacy of eye movement desensitization and reprocessing (EMDR) psychotherapy in treating the primary diagnosis of major depressive disorder by processing past or present trauma that was affecting the quality of life. The 26 diagnosed participants were randomly assigned to 6–8 sessions of EMDR treatment or the waiting list control. Beck Depression Inventory-II, Trauma Symptom Checklist-40, and Quality of Life Index Inventory were used at pre- and postassessment to measure depressive and trauma symptoms and quality of life of the participants for both groups. The targets for EMDR therapy were selected by the participants determining the negative cognitions most strongly associated with reduced functioning and then identifying a related disturbing event. Paired and independent sample t tests were applied for data analysis. Results showed significant improvements on all measures with large effect sizes. At 95% confidence interval, the results found EMDR as an effective treatment for depressive and trauma symptoms and for improving the quality of life of the participants. A generalization effect was found for the depressogenic cognitions, with the number and strength of negative beliefs markedly decreased at posttreatment, even for beliefs not targeted in the therapy. Three-month follow-up interview with the EMDR participants confirmed that the results had been maintained.


2013 ◽  
Vol 27 (3) ◽  
pp. 258-284 ◽  
Author(s):  
Maria Nenova ◽  
Loretta Morris ◽  
Laurie Paul ◽  
Yuelin Li ◽  
Allison Applebaum ◽  
...  

Background: Cancer-related traumatic stress symptoms, including posttraumatic stress disorder (PTSD), can significantly impact the quality of life and psychological adjustment of patients and survivors with cancer. Cognitive behavioral therapy (CBT) is an effective intervention previously shown to ameliorate non-cancer-related PTSD. Because of some of the unique aspects of cancer-related traumatic stress, such as the internal and ongoing nature of the traumatic stressor, it is important to review the overall efficacy of CBT interventions in populations with cancer. Objective: To review the findings of randomized clinical trials (RCTs) testing the efficacy of interventions with CBT components for cancer-related traumatic stress symptoms, including intrusion and avoidance, in adults with cancer. Methods: Eligible RCTs were identified via search of OVID, PubMed, EMBASE, and Scopus. Bayesian random effects analysis of treatment effect sizes (ES) was conducted in a portion of the studies for which data were available. Results: Nineteen RCTs met search criteria. Six trials reported reductions in traumatic stress symptoms as a result of the intervention and 13 studies reported null findings. Bayesian modeling based on 13 studies showed no overall discernible effect of interventions with CBT components on intrusion and avoidance symptoms. Conclusions: Most of the studies were not designed to target traumatic stress symptoms in highly distressed patients with cancer and did not include previously validated CBT components, such as cognitive restructuring and exposure. Thus, there was insufficient evidence from which to draw definitive conclusions about the efficacy of CBT interventions for the treatment of cancer-related traumatic stress symptoms, including PTSD. However, interventions with CBT components may have potential for the reduction of PTSD symptoms in highly distressed patients. Future research should focus on testing trauma-focused interventions in demographically and clinically diverse samples.


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