دورية أكاديمية
أعرض في EDS

Therapeutic Alliance in a Single Versus Group Rehabilitative Setting After Breast Cancer Surgery: Psychological Profile and Performance Rehabilitation.

التفاصيل البيبلوغرافية
العنوان: Therapeutic Alliance in a Single Versus Group Rehabilitative Setting After Breast Cancer Surgery: Psychological Profile and Performance Rehabilitation.
المؤلفون: Paolucci T; Complex Unit of Physical Medicine and Rehabilitation, University Hospital Umberto I, Rome, Italy., Bernetti A; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy., Paoloni M; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy., Capobianco SV; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy., Bai AV; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy., Lai C; Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Rome, Italy., Pierro L; Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Rome, Italy., Rotundi M; Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Rome, Italy., Damiani C; Department of Neurorehabilitation, IRCCS San Raffaele Pisana, Rome, Italy., Santilli V; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy., Agostini F; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy., Mangone M; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy.
المصدر: BioResearch open access [Biores Open Access] 2019 Jul 03; Vol. 8 (1), pp. 101-110. Date of Electronic Publication: 2019 Jul 03 (Print Publication: 2019).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Mary Ann Liebert Country of Publication: United States NLM ID: 101579333 Publication Model: eCollection Cited Medium: Print ISSN: 2164-7844 (Print) Linking ISSN: 21647844 NLM ISO Abbreviation: Biores Open Access Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: New Rochelle, NY : Mary Ann Liebert
مستخلص: The survival rate of women after breast cancer has improved significantly worldwide. More attention should be paid to the rehabilitation intervention after surgery. Cancer rehabilitation helps breast cancer survivors maintain the highest possible physical, social, psychological, and vocational function in the limits that are imposed by the cancer and its treatments. The aim of our research was to determine the rehabilitative setting that promotes greater efficacy of the rehabilitation. A double-blind, randomized controlled trial with 45 patients enrolled was conducted. All participants were randomized into two groups: single rehabilitative training ( N  = 22) and group rehabilitative training ( N  = 23). Outcomes were assessed for each group before treatment (T0), after first 6 weeks of rehabilitative treatment (T1), and after 3 months (T2). All patients underwent the same rehabilitation treatment, but the setting differed between single and group rehabilitative training, which included four to five patients each and evaluated using Minnesota Multiphasic Personality Inventory (MMPI-2), Working Alliance Inventory Patient form (WAIP), Disabilities of Arm, Shoulder and Hand Questionnaire (DASH), and visual analog scale (VAS). Two patients dropped out in the single treatment group. In the within-group analysis at the three evaluation times, on the VAS, a significant reduction in pain was reported and maintained at the follow-up, as was observed for the DASH and WAIP scales. In the between-group analysis WAIP and Bond scale scores differed significantly in favor of the single treatment. In the group treatment, the Psychopathic Deviate, Masculine/Feminine, and Social Discomfort scales of the MMPI-2 correlated with WAIP Tot at T1. There was an association between the Correction, Hysteria, Paranoid, and Schizophrenia MMPI-2 scales and Δ VAS T0T1 in the total sample. Proposing the same rehabilitative intervention in both breast cancer groups, our results showed significant reduction in pain and good functional recovery of the upper limb, which did not depend on the setting (single or group). However, with single rehabilitation treatment, patients developed a better therapeutic alliance and experienced a more comfortable environment.
Competing Interests: No competing financial interests exist.
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فهرسة مساهمة: Keywords: MMPI-2 scale; breast cancer; exercise; quality of life; rehabilitation; setting
تواريخ الأحداث: Date Created: 20190706 Latest Revision: 20240723
رمز التحديث: 20240723
مُعرف محوري في PubMed: PMC6607049
DOI: 10.1089/biores.2019.0011
PMID: 31275735
قاعدة البيانات: MEDLINE
الوصف
تدمد:2164-7844
DOI:10.1089/biores.2019.0011