Morfoanalitica Therapy as a therapeutic resource post breast cancer surgery for women
Pachioni, Fernanda Stellutti M.; Palma, Mariana Romanholi; Mantovani, Alessandra Madia; Fregonesi, Cristina Elena P. T.
Abstract
Introduction: Women with breast cancer may present, in addition to physical limitations, changes in emotional aspects. In physical therapy, it is unusual to consider the mind-body dialogue, even when it comes to diseases with great impact on bio-psychosocial aspects, such as breast cancer. However, therapies are emerging with a psychosomatic nature, such as morphonalitic therapy, which includes bodily, sensory, emotional and verbal aspects. Objective: To verify the effects of morphonalitic therapy on the treatment of anxiety, depression and self-esteem in women after breast cancer. Furthermore, it presents some verbal reports of sessions in order to include the feelings and sensations of these women and recognize, in addition to objective factors, the subjective factors that are an integral part of human stories. Method: Ten women participated in the study, undergoing 16 individual morphonalitic therapy sessions, once a week, lasting 60 minutes. They completed a scale on anxiety and depression and the Rosenberg self-esteem scale. The sessions were arranged through a structured therapeutic framework, which varied according to the therapeutic process of each participant. This included bodywork, empathetic touching contact, eye contact, stimulation of body awareness, and analysis of the patient’s body structure; during the session, the patients verbalized their feelings. Results: Depressive symptoms decreased (p = 0.0418) and self-esteem increased (p = 0.0020) after treatment. Conclusions: During the sessions, these women experienced various feelings, beyond the awakening of body awareness. It is hoped that morphonalitic therapy be applied on a larger scale as an adjunct therapy for women with breast cancer, as well as in other populations.
Keywords
References
1. Gouveia EC, Avila LA. Aspectos emocionais associados a disfunções gastroenterológicas. Psicol Estud. 2010;159(2):265-73. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-73722010000200005
2. Carvalho MM. Psico-oncologia: história, características e desafios. Psicol. USP. 2002;13(1):151-66. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-65642002000100008
3. Canto CREM, Simão LM. Relação Fisioterapeuta-Paciente e a Integração Corpo-mente: um Estudo de Caso. Psicol: Cienc Prof. 2009;29(2):306-17. http://www.scielo.br/scielo.php?pid=S141498932009000200008&script=sci_arttext
4. Siegel P, Barros NF. O que é a oncologia integrativa?. Cad Saúde Colet. 2013;21(3):348-54. http://www.scielo.br/pdf/cadsc/v21n3/v21n3a18. pdf
5. Paim FF, Kruel CS. Interlocução entre Psicanálise e Fisioterapia: Conceito de Corpo, Imagem Corporal e Esquema Corporal. Psicol: Cienc Prof. 2012;32(1):158-73. http://www.scielo.br/scielo.php?script=sci_arttext &pid=S1414-98932012000100012
6. Moura FMJSP, Silva MG, Oliveira SC, Moura LJSP. Os sentimentos das mulheres pós-mastectomizadas. Esc Anna Nery (impr.) 2010;14(3):47784. http://www.scielo.br/scielo.php?script=sci_arttext&pid =S1414-81452010000300007
7. Maass SW, Roorda C, Berendsen AJ, Verhaak PF, de Bock GH. The prevalence of long-term symptoms of depression and anxiety after breast cancer treatment: A systematic review. Maturitas. 2015 Apr 30. pii: S03785122(15)00650-7. http://www.ncbi.nlm.nih.gov/pubmed/25998574
8. Ho SS, So WK, Leung DY, Lai ET, Chan CW. Anxiety, depression and quality of life in Chinese women with breast cancer during and after treatment: a comparative evaluation. Eur J Oncol Nurs. 2013 Dec;17(6):877-82. http://www.ncbi.nlm.nih.gov/pubmed/23727448
9. Santos DB, Vieira EM. Imagem corporal de mulheres com câncer de mama: uma revisão sistemática da literatura. Ciênc Saúde Colet. 2011;16(5):251122. http://www.scielo.br/scielo.php?pid=S141381232011000500021&sc ript=sci_arttext
10. Coelho L. O método Mezieres ou a revolução na ginástica ortopédica: o manifesto anti-desportivo ou a nova metodologia de treino. Motri. 2008;4(2):22-40. http://www.scielo.mec.pt/scielo.php?pid=S1646107X 2008000200004&script=sci_arttext
11. Diefenbach N. O “Eu corporal” em Terapia Morfoanalítica. Fisioter Mov. 2003;16(2):73-82.
12. Peyrot S. Tensões musculares, postura e historia emocional. In: Revista Brasileira de Terapia Morfoanalitica: Movimento Morfoanalitico. 2006;3(1):11-26.
13. Mignard P. Da sensação de verticalidade ao sentimento de prumo na vida. Revista Brasileira de Terapia Morfoanalítica: movimento morfoanalítico. 2010;1:9-15.
14. Botega NJ, Bio MR, Zomignani MA, Garcia Jr C, Pereira WAB. Transtornos do humor em enfermaria de clínica médica e validação de escala de medida (HADS) de ansiedade e depressão. Rev Saúde Pública. 1995;29(5):359-63. http://www.revistas.usp.br/rsp/article/view/24135
15. Rosenberg M. Society and the adolescent self-image. Revised edition. Middletown, CT: Wesleyan University Press. 1989.
16. Hutz CS, Zanon C. Revisão da Adaptação, Validação e Normatização da Escala de Autoestima de Rosenberg. Aval Psicol. 2011;10(1):41-9. http://pepsic.bvsalud.org/scielo.php?pid=S167704712011000100005&script=s ci_arttext
17. Gomes NS, Silva SR. Avaliação da autoestima de mulheres submetidas à cirurgia oncológica mamária. Texto Contexto Enferm. 2013;22(2):509-16. http://www.scielo.br/scielo.php?pid=S010407072013000200029&scrip t=sci_arttext
18. Pachioni FSM, Fregonesi CEPT, Mantovani AM. Morfoanalitica therapy in quality of life, stress and flexibility of women af ter breast cancer surgery. MTP & Rehab Journal. 2014;12:95-114. http://submissionmtprehabjournal.com/revista/article/view/163/77
19. Reich M, Lesur A, Perdrizet-Chevallier C. Depression, quality of life and breast câncer: a review of the literature. Breast Cancer Res Treat. 2008;110(1):9-17. http://www.ncbi.nlm.nih.gov/pubmed/17674188
20. Saboonchi F, Petersson LM, Wennman-Larsen A, Alexanderson K, Brännström R, Vaez M. Changes in caseness of anxiety and depression in breast cancer patients during the first year following surgery: Patterns of transiency and severity of the distress response. Eur J Oncol Nurs. 2014;pii: S1462-3889(14):00083-0. http://www.ncbi.nlm.nih.gov/ pubmed/24997517
21. Coyne JC, Palmer SC, Shapiro PJ, Thompson R, DeMichele A. Distress, psychiatric morbidity, and prescriptions for psychotropic medication in a breast cancer waiting room sample. Gen Hosp Psychiatry. 2004;26(2):121–8. http://www.ncbi.nlm.nih.gov/pubmed/15038929
22. Avelar AMA, Derchain SFM, Camargo CPP, Lourenço LS, Sarian LOZ, Yoshida A. Qualidade de vida, ansiedade e depressão em mulheres com câncer de mama antes e após cirurgia. Rev Cienc Med. 2006;15(1):11-20. http://periodicos.puccampinas.edu.br/seer/index.php/cienciasmedicas/article/view/1131/1106
23. Alves MLM, Pimentel AJ, Guaratini AA, Marcolino JAM, Gozzani JL, Mathias LAST. Ansiedade no período pré-operatório de cirurgias de mama: estudo comparativo entre pacientes com suspeita de câncer e a serem submetidas a procedimentos cirúrgicos estéticos. Rev Bras Anestesiol. 2007; 57(2):147-56. http://www.scielo.br/scielo.php?pid=S003470942 007000200003&script=sci_arttext
24. Bernardi MLD, Amorim MHC, Zandonade E, Santaella DF, Barbosa JAN. Efeitos da intervenção Hatha-Yoga nos níveis de estresse e ansiedade em mulheres mastectomizadas. Ciênc saúde coletiva. 2013; 18(12):3621-32. http://www.scielo.br/scielo.php?pid=S141381232013001200018&scrip t=sci_arttext
25. Kovacic T, Kovacic M. Impact of relaxation training according to Yoga In Daily Life® system on self-esteem after breast cancer surgery. J Altern Complement Med. 2011;17(12):1157-64. http://www.ncbi.nlm.nih.gov/pubmed/22106845
26. Peres RS, Santos MA. Câncer de mama, pobreza e saúde mental: resposta emocional à doença em mulheres de camadas populares. Rev Latino-Am Enferm. 2007;15:786-91.
27. Silva LC. Câncer de mama e sofrimento psicológico: aspectos relacionados ao feminino. Psicol Estud. 2008;13(2):231-37. http://www.scielo.br/scielo.php?pid=S010411692007000700012&script=sci_arttext&tlng=pt
28. Cesnik VM, dos Santos MA. Mastectomia e Sexualidade: Uma Revisão Integrativa. Psicol Reflex Crit. 2012;25(2):339-349.
29. Mendonça ME. A teoria do amadurecimento pessoal de DW Winnicott e a fisioterapia. Winnicott e-prints. 2008;3(1):1-30.
30. Gard G. Body awareness therapy for patients with fibromyalgia and chronic pain. Disabil Rehabil. 2005;27:725–8.
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email