The Treatment of Anxious-Depressive Disorders among Breast Cancer Patients Integrating the EMDR Psychotherapy: From Pilot Study Results to the Development of a Randomized Trial — Oak Academic Publishing
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The Treatment of Anxious-Depressive Disorders among Breast Cancer Patients Integrating the EMDR Psychotherapy: From Pilot Study Results to the Development of a Randomized Trial
Université de Lorraine, APEMAC, Metz, France
,
Université de Lorraine, Centre Pierre Janet, Metz, France
,
Division of Medical Oncology, Metz-Thionville Regional Hospital, Metz, France
,
Université de Lorraine, APEMAC, Metz, France
,
Université de Lorraine, APEMAC, Metz, France
,
Université de Lorraine, Centre Pierre Janet, Metz, France
,
Clinical Epidemiology, Nancy University Hospital, Nancy, France
,
Clinical Research Support Unit, Metz-Thionville Regional Hospital, Metz, France
,
Université de Lorraine, Centre Pierre Janet, Metz, France
,
Université de Lorraine, APEMAC, Metz, France
1 Université de Lorraine, APEMAC, Metz, France
2 Université de Lorraine, Centre Pierre Janet, Metz, France
3 Division of Medical Oncology, Metz-Thionville Regional Hospital, Metz, France
4 Université de Lorraine, APEMAC, Metz, France
5 Université de Lorraine, APEMAC, Metz, France
6 Université de Lorraine, Centre Pierre Janet, Metz, France
7 Clinical Epidemiology, Nancy University Hospital, Nancy, France
8 Clinical Research Support Unit, Metz-Thionville Regional Hospital, Metz, France
9 Université de Lorraine, Centre Pierre Janet, Metz, France
In recent years, the literature has shown the efficacy of EMDR with cancer patients in reactional disorders such as post-traumatic, depressive and anxious symptoms. However, those studies have several methodological limitations. This pilot study aims to test the feasibility and acceptability of the EMDR approach among female patients with invasive breast cancer, in order to adjust the intervention to the target population, to validate and adopt the standardized protocol before any large-scale randomized trials. Fifteen patients were included between December 2017 and May 2018 and were treated by EMDR therapists. Following the feedback from therapists, patients and the medical team, adaptations were made regarding the organization of the sessions, patient inclusion criteria, measured variables and EMDR standard protocol. With that design, the aim is to implement a trial starting from the reality of clinical practice with a rigorous methodology. The randomized trial is ongoing.
KeywordsAnxious-Depressive DisordersBreast CancerEMDR PsychotherapyFeasibility Pilot Study
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