... le risque de survenue du cancer, les revues de la littérature concluent soit à l'absence... more ... le risque de survenue du cancer, les revues de la littérature concluent soit à l'absence de lien avec les facteurs psychosociaux, soit à une faible corrélation, mais jamais à une relation forte et claire ; et lorsque ... Butow PN, Hiller JE, Price MA, Thackway SV, Kricker A, Tennant CC. ...
Patients and families often put forward psychosocial determinants to explain occurring or progres... more Patients and families often put forward psychosocial determinants to explain occurring or progression of cancer disease. The idea of a psychogenesis in cancer is widely spread by the surrounding culture. Nevertheless, the scientific research in this field brought very contradictory results, and often rests on debatable methods. Some authors hypothesize that a type C personality predisposes to cancer. But so far, most of prospective studies analysing the association between C traits and this disease have been negative. Results of semi-prospective studies, in which patients are enlisted before a diagnostic investigation, are difficult to interpret, because the starting features can partly result from the stress of this investigation. The same problem interferes with most studies about the association between alexithymia and cancer. The reliable works analysing the impact of depression most often conclude in favour of a non-existent or a weak risk, and do not allow defining it as a wel...
In the controversy for alexithymia as a state or a trait dimension, recent studies showed that, w... more In the controversy for alexithymia as a state or a trait dimension, recent studies showed that, whereas absolute changes (i.e., extent of alexithymia scores change over time) were observed, alexithymia was relatively stable (i.e., extent to which relative differences among individuals remain the same over time). The present study extended this question by investigating a disease with highly threatening outcomes (breast cancer), by looking at changes in depression and anxiety, and by examining stability for total and factor alexithymia scores. One hundred twenty-two women in treatment for a first instance of breast cancer were assessed for alexithymia (TAS-20), depression, and anxiety (HADS) the day before surgery (T1) and six months later (T2). Alexithymia scores changed from baseline to follow-up (lack of absolute stability). Strong evidence of relative stability was also demonstrated, as alexithymia scores at baseline correlated significantly with alexithymia scores at follow-up a...
To compare ways of coping with breast cancer in acute and chronic periods and to approach their e... more To compare ways of coping with breast cancer in acute and chronic periods and to approach their efficiency on psychological adaptation at each time. Psychometric evaluation of 151 breast cancer women the day before surgery (T1), and of 107 of them 6 months later (T2), with self-rated questionnaires (CHIP Scale, HADS), "t Student" tests, correlation analyses and multiple regression analyses. The coping scores during the chronic period are related to those observed during the acute period, with a decrease of instrumental strategies and a stability of distraction and palliative coping. Relationships between CHIP and HADS plead for a deleterious impact of palliative coping on the mood in T2 and for a mood protecting effect of distraction in T1 and T2, without impact on anxiety and without effect of the instrumental coping. These hypotheses must take into account the fact that CHIP scores could be ambiguous measures assessing not only coping modes but also adaptation levels.
Author(s) : Vincent Jadoulle, Leila Rokbani, David Ogez, Johanna Maccioni, Guy Lories, Marilou Br... more Author(s) : Vincent Jadoulle, Leila Rokbani, David Ogez, Johanna Maccioni, Guy Lories, Marilou Bruchon-Schweitzer, Aymery Constant , Centre de guidance, de formations et de services ASBL, Université catholique de Louvain, Grand Place, 43, B-1348 Louvain-la-Neuve, ...
The growing interest for the human perspective in oncology within general hospitals implies a tra... more The growing interest for the human perspective in oncology within general hospitals implies a transdisciplinarian collaboration which deserves further examination of its interactions? How can the psychologist best contribute to this development? How should these specialists be integrated in oncology departments to support the human perspective in the treatment of cancer patients? With complete integration, could the psychologist be at risk of losing his or her specificities and independent authority? To answer these questions, we propose for psycho-oncologists to maintain a double affiliation to both oncology and psychiatrist departments that may allocate them a particular position within these departments. From that position, they will be able to both comment on the patient's psychological situation and provide answers and guidance to their fellow medical colleagues. We underline the importance of their affiliation to the psychiatry department, and support that persistent exchanges with psychologists and psychiatrists will help maintaining some distance with the oncology departments and from that specific place still be able to question the nature of the interaction with patients
Objective: Cancer patients consider the oncologist as their main resource insofar as the medical ... more Objective: Cancer patients consider the oncologist as their main resource insofar as the medical needs generally take precedence over psychological needs. Nevertheless, the psychological intervention is also important. The systematic consultation implemented in our hospital after a diagnosis of cancer is a manner to answer patients' psychological needs. In a survey, we assessed the satisfaction and expectations of the patients about this consultation. Methods: One year after a diagnosis of breast cancer, 104 patients answered a retrospective questionnaire assessing: socio-demographic data, cancer medical information, systematic consultation satisfaction, patients' expectations for a systematic intervention, and patients' characteristics who began a psychological follow-up. Results: 72.1% of the patients were satisfied with having the opportunity to consult a psychologist during a systematic consultation after cancer diagnosis. Their expectations were to have opportunities of emotional expression, reassurance, obtaining additional medical information , talking about their fear over additional treatments, and identifying further support. 28.8% of the patients re-contacted the psychologist for further help after the systematic consultation. They were significantly younger (p < 0.001) than the others. Conclusions: Besides the importance of support by medical specialists [1], offering the opportunity to breast cancer patients to discuss inner feelings and treatment expectations during a systematic psychological consultation was useful for most of them. About one third of the patients asked for a further consultation with a psychologist after a first systematic consultation, especially younger patients. This stressed the importance D. Ogez et al. 316 of the role of psychologists for psycho-social support of the patient after cancer treatment.
... le risque de survenue du cancer, les revues de la littérature concluent soit à l'absence... more ... le risque de survenue du cancer, les revues de la littérature concluent soit à l'absence de lien avec les facteurs psychosociaux, soit à une faible corrélation, mais jamais à une relation forte et claire ; et lorsque ... Butow PN, Hiller JE, Price MA, Thackway SV, Kricker A, Tennant CC. ...
Patients and families often put forward psychosocial determinants to explain occurring or progres... more Patients and families often put forward psychosocial determinants to explain occurring or progression of cancer disease. The idea of a psychogenesis in cancer is widely spread by the surrounding culture. Nevertheless, the scientific research in this field brought very contradictory results, and often rests on debatable methods. Some authors hypothesize that a type C personality predisposes to cancer. But so far, most of prospective studies analysing the association between C traits and this disease have been negative. Results of semi-prospective studies, in which patients are enlisted before a diagnostic investigation, are difficult to interpret, because the starting features can partly result from the stress of this investigation. The same problem interferes with most studies about the association between alexithymia and cancer. The reliable works analysing the impact of depression most often conclude in favour of a non-existent or a weak risk, and do not allow defining it as a wel...
In the controversy for alexithymia as a state or a trait dimension, recent studies showed that, w... more In the controversy for alexithymia as a state or a trait dimension, recent studies showed that, whereas absolute changes (i.e., extent of alexithymia scores change over time) were observed, alexithymia was relatively stable (i.e., extent to which relative differences among individuals remain the same over time). The present study extended this question by investigating a disease with highly threatening outcomes (breast cancer), by looking at changes in depression and anxiety, and by examining stability for total and factor alexithymia scores. One hundred twenty-two women in treatment for a first instance of breast cancer were assessed for alexithymia (TAS-20), depression, and anxiety (HADS) the day before surgery (T1) and six months later (T2). Alexithymia scores changed from baseline to follow-up (lack of absolute stability). Strong evidence of relative stability was also demonstrated, as alexithymia scores at baseline correlated significantly with alexithymia scores at follow-up a...
To compare ways of coping with breast cancer in acute and chronic periods and to approach their e... more To compare ways of coping with breast cancer in acute and chronic periods and to approach their efficiency on psychological adaptation at each time. Psychometric evaluation of 151 breast cancer women the day before surgery (T1), and of 107 of them 6 months later (T2), with self-rated questionnaires (CHIP Scale, HADS), "t Student" tests, correlation analyses and multiple regression analyses. The coping scores during the chronic period are related to those observed during the acute period, with a decrease of instrumental strategies and a stability of distraction and palliative coping. Relationships between CHIP and HADS plead for a deleterious impact of palliative coping on the mood in T2 and for a mood protecting effect of distraction in T1 and T2, without impact on anxiety and without effect of the instrumental coping. These hypotheses must take into account the fact that CHIP scores could be ambiguous measures assessing not only coping modes but also adaptation levels.
Author(s) : Vincent Jadoulle, Leila Rokbani, David Ogez, Johanna Maccioni, Guy Lories, Marilou Br... more Author(s) : Vincent Jadoulle, Leila Rokbani, David Ogez, Johanna Maccioni, Guy Lories, Marilou Bruchon-Schweitzer, Aymery Constant , Centre de guidance, de formations et de services ASBL, Université catholique de Louvain, Grand Place, 43, B-1348 Louvain-la-Neuve, ...
The growing interest for the human perspective in oncology within general hospitals implies a tra... more The growing interest for the human perspective in oncology within general hospitals implies a transdisciplinarian collaboration which deserves further examination of its interactions? How can the psychologist best contribute to this development? How should these specialists be integrated in oncology departments to support the human perspective in the treatment of cancer patients? With complete integration, could the psychologist be at risk of losing his or her specificities and independent authority? To answer these questions, we propose for psycho-oncologists to maintain a double affiliation to both oncology and psychiatrist departments that may allocate them a particular position within these departments. From that position, they will be able to both comment on the patient's psychological situation and provide answers and guidance to their fellow medical colleagues. We underline the importance of their affiliation to the psychiatry department, and support that persistent exchanges with psychologists and psychiatrists will help maintaining some distance with the oncology departments and from that specific place still be able to question the nature of the interaction with patients
Objective: Cancer patients consider the oncologist as their main resource insofar as the medical ... more Objective: Cancer patients consider the oncologist as their main resource insofar as the medical needs generally take precedence over psychological needs. Nevertheless, the psychological intervention is also important. The systematic consultation implemented in our hospital after a diagnosis of cancer is a manner to answer patients' psychological needs. In a survey, we assessed the satisfaction and expectations of the patients about this consultation. Methods: One year after a diagnosis of breast cancer, 104 patients answered a retrospective questionnaire assessing: socio-demographic data, cancer medical information, systematic consultation satisfaction, patients' expectations for a systematic intervention, and patients' characteristics who began a psychological follow-up. Results: 72.1% of the patients were satisfied with having the opportunity to consult a psychologist during a systematic consultation after cancer diagnosis. Their expectations were to have opportunities of emotional expression, reassurance, obtaining additional medical information , talking about their fear over additional treatments, and identifying further support. 28.8% of the patients re-contacted the psychologist for further help after the systematic consultation. They were significantly younger (p < 0.001) than the others. Conclusions: Besides the importance of support by medical specialists [1], offering the opportunity to breast cancer patients to discuss inner feelings and treatment expectations during a systematic psychological consultation was useful for most of them. About one third of the patients asked for a further consultation with a psychologist after a first systematic consultation, especially younger patients. This stressed the importance D. Ogez et al. 316 of the role of psychologists for psycho-social support of the patient after cancer treatment.
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Bereavement (and loss and cancer interven.) papers by David Ogez