Psychological correction of phantom pain in cancer patients
Abstract
The article presents the results of clinical-psychological studies of the effectiveness of phantom pain psychological correction method in cancer patients using progressive muscle relaxation in combination with music and color rendering. Data analysis on a scale VAS before and after the correction showed a significant reduction in phantom pain in patients: respectively from 73,9±9 to 58,9±7,9 points, on a scale Wong–Baker intensity of phantom pain significantly decreased from 7.7±1,1 to 5,7±1,1 points. Along with a reduction in phantom pain, all patients noted improvement in sleep, mood, increasing physical activity.
About the Authors
G. A. Tkachenko
Federal State Budgetary Institution «N.N. Blokhin National Medical Research Center of Oncology» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Moscow
A. M. Stepanova
Federal State Budgetary Institution «N.N. Blokhin National Medical Research Center of Oncology» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Moscow
A. M. Merzlyakova
Federal State Budgetary Institution «N.N. Blokhin National Medical Research Center of Oncology» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Moscow
References
1. Оценка и ведение болевого синдрома у детей. М.: «Издательство Проспект». 2013, 96 с.
2. Ramesh I., Shukla N.K., Bhatnagar S. Phantom breast syndrome. Indian J. Palliat. Care. 2009, v. 15 (2), p. 103-107.
3. Mal R.K., Baldwin D.L. Phantom larynx: a clinical survey. Eur. Arch. Otorhinolaryngol. 2009, v. 266 (3), p. 397-401.
4. Chaturvedi P., Pawar P.V., Syed S. et al. A clinical survey of laryngectomy patients to detect presence of the false perception of an intact larynx or the «phantom larynx» phenomenon. Indian J. Med. Paediatr. Oncol. 2013, v. 34 (1), p. 3-7.
5. Данилов А.Б., Данилов Ал.Б. Боль: патогенез и лечение. Росс. журнал боли. 2010, № 2, с. 35-39.
6. Cárdenas K., Aranda M. Psychotherapies for the Treatment of Phantom Limb Pain. Rev. Colomb. Psiquiatr. 2017, v. 46 (3), p. 178-186.
7. Whyte A.S., Niven C.A. Psychological distress in amputees with phantom limb pain. J. Pain Symptom Manage. 2001, v. 22 (5), p. 938-946.
8. Padovani M.T., MartinsM.R., VenâncioA., Forni J.E. Anxiety, depression and quality of life in individuals with phantom limb pain. Abstract Acta Ortop. Bras. 2015, v. 23 (2), p. 107-110.
9. Зотов П.Б., Ральченко С.А., Хисматуллина А.Б. и соавт. Хронический болевой синдром в паллиативной онкологии: клинические аспекты лекарственной терапии. Тюменский медицинский журнал. 2015, т. 17, №3, с. 42-47.
10. Reuben S. Persistent postoperative pain: pharmacological treatment strategies in the postoperative setting, Pain 2008 – an Updated Review. Eds. Castro-Lopes J., Raja S., Scmelz M. IASP Press. Seattle. 2008, p. 159-169.
11. Sindrup S.H. Clinical pharmacology of antiepileptics and antidepressants in the management of neuropathic pain. Pain 2008 an Updated Review. Eds. Castro-Lopes J., Raja S., Schmelz M. JASP Press. Seattle. 2008, p. 217-223.
12. Castelnuovo G., GiustiE.M., Manzoni G.M. et al. Psychological Treatments and Psychotherapies in the Neurorehabilitation of Pain: Evidences and Recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation. Front Psychol. 2016, v. 19, 7, p. 115.
13. Diers M., Flor H. Phantom limb pain. Psychological treatment strategies. Schmerz. 2013, v. 27 (2), p. 205-211; quiz 212-3.
14. Brunelli S., Morone G., Iosa M. et al. Efficacy of progressive muscle relaxation, mental imagery, and phantom exercise training on phantom limb: a randomized controlled trial. Arch. Phys. Med. Rehabil. 2015, v. 96 (2), p. 181-187.
15. Jost L., Roila F. ESMO Guidelines Working Group. Management of cancer pain: ESMO Clinical Practice Guidelines. Ann. Oncol. 2010, v. 21 (Suppl 5), p. 257-260.
16. Wong D., Whaley L. Pain Rating Scale. Clinical handbook of pediatric nursing. 1986, ed. 2, p. 373.
17. Solomon G.F., Schmidt K.M. A burning issue. Phantom limb pain and psychological preparation of the patient for amputation. Arch. Surg. 1978, v. 113 (2), p. 185-186.
18. Кукшина А.А., Котельникова А.В., Верещагина Д.А., Ткаченко Г.А. Скрининговое использование опросников SCL-90-R, SF-36 и визуальной аналоговой шкалы в процессе психокоррекции у пациентов с нарушениями двигательных функций. Вестник психотерапии. 2017, № 62 (67), с. 110-122.
19. Щербинин К.А. Комплексное лечение фантомных болевых синдромов методами мануальной терапии и музыкотерапии. Рефлексология. М., 2008, с. 57-61.
20. Ткаченко Г.А. Психологическая коррекция кризисного состояния личности женщин, страдающих раком молочной железы. Сибирский психологический журнал. 2008, № 30, с. 97-101.
Review
For citations:
Tkachenko G.A., Stepanova A.M., Merzlyakova A.M. Psychological correction of phantom pain in cancer patients. Bone and soft tissue sarcomas, tumors of the skin. 2017;(3):38-42. (In Russ.)
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