Vol. 17 No. 4 (2023)

  • Open Access

    Article

    Article ID: 3874

    L’hypnose en oncologie pédiatrique

    by Jennifer Marini, Audrey Vanhaudenhuyse, Marie Lacasse, Maud Jaspard, Marie-Elisabeth Faymonville, Hadrien Tasset, Christophe F. Chantrain, Charlotte Grégoire

    Psycho-Oncologie, Vol.17, No.4, 2023; 39 Views

    Hypnosis is a modified state of consciousness which showed its benefits to decrease different symptoms, mainly pain. During the last decade, this technique has also been proposed to adults with cancer to improve other symptoms, such as emotional distress, fatigue, or sleep difficulties. In pediatric oncology, hypnosis is also used to decrease disease-, treatment-, and procedure-related pain and anxiety. The learning of self-hypnosis and self-care techniques also improves the well-being of adults or children with cancer, their parents, and their siblings. Through several clinical cases, we will illustrate how hypnosis and self-care techniques have been implemented in the pediatric haemato-oncology department of the CHC MontLégia (Liège, Belgium) and will describe their benefits.

  • Open Access

    Article

    Article ID: 3875

    L’atteinte psychologique des patients marocains suivis pour hémopathie maligne et son impact sur leur qualité de vie

    by Maha Ouazzani, Zineb El Khammar, Nawal Oubelkacem, Youssef Aboussaleh, Hajar Masrour, Moncef Maiouak, Rhizlane Berrady

    Psycho-Oncologie, Vol.17, No.4, 2023; 9 Views

    Introduction:  The quality of life of patients with hematological malignancies depends not only on the type of disease and its clinical, biological, and therapeutic features but also on the patient’s mental health. The aim of our study is to assess the psychological state of these patients at diagnosis, to search for the factors contributing to its degradation determine its impact on their quality of life.  Method:  We conducted a monocentric cross-sectional study investigating depression, anxiety, and quality of life in a population of patients with lymphoproliferative diseases for a period of 22 months. Two questionnaires were used at the time of diagnosis: the HADS to test for depression and anxiety, and the SF12 scale to assess health-related quality of life.  Results:  The one hundred patients agreed to answer the questionnaires. They had non-Hodgkin’s malignant lymphomas, Hodgkin’s diseases, and chronic lymphocytic leukemia. The sex ratio is 1.08. The prevalence of anxiety symptoms is 70% with a 95% CI (61.01%; 78.99%) and of depression symptoms is 76% with a 95% CI (49.4%; 82.6%) of cases. In univariate analysis, female gender was associated with anxiety symptoms ( p  = 0.008) and with impaired mental quality of life ( p  = 0.02). In multivariate analysis, anxiety-depression symptoms are significantly associated with a low quality of life score, both mental and physical. In addition, anxiety symptoms are correlated with female gender (ORA = 20.50; 95% CI [1.58– 264.48]); and pain (ORA = 12.33; 95% CI [1.0–141.77]).  Conclusion:  the search for psychological comorbidities should be part of the initial diagnosis of this fragile population, for better quality of life.

  • Open Access

    Article

    Article ID: 3876

    Existe-t-il un profil spécifique de perception du risque de COVID-19 chez les personnes atteintes d’un cancer ? une étude transversale

    by Renaud Mabire-Yon, Arnaud Siméone, Thibaud Marmorat, Anne-Sophie Petit, Mathilde Perray, Costanza Puppo, Charlotte Bauquier, Claire Della Vecchia, Hervé Picard, Marie Préau

    Psycho-Oncologie, Vol.17, No.4, 2023; 13 Views

    Aims:  This study aimed to determine if people with cancer (PWC) exhibit a unique COVID-19 risk perception profile and identify psychosocial factors characterizing PWC who do not conform to the majority risk perception profile.  Procedure:  A cross-sectional online self-questionnaire study was conducted in France from April 25 to May 07, 2020, with a sample (n = 748) comprising PWC, individuals not currently receiving cancer treatment, and those without a history of cancer. Latent profiles of COVID-19 risk perception (PCRP) were established.  Methods:  A multivariate multinomial logistic regression was performed to assess the association between cancer status and PCRP membership. Characteristics of PWC across different profiles were compared. Results: Four profiles emerged, ranging from Low-Risk to High-Risk Perceivers. PWC were more likely to belong to the High-Risk Perceivers profile (aOR: 3.02; p < 0.001). PWC not conforming to this profile had a higher perceived socioeconomic level (PSL) (p < 0.05). The majority of PWC demonstrated a specific COVID-19 risk perception profile, mainly influenced by medical knowledge linking cancer to increased COVID-19 severity. PSL was a key determinant in shaping risk perception among PWC.  Conclusion:  Interventions targeting COVID-19 risk perception modification should consider these factors, with particular emphasis on addressing concerns related to SARS-CoV-2 infection.

  • Open Access

    Article

    Article ID: 3877

    Etude exploratoire de l’intolérance à l’incertitude et de ses processus cognitifs par la tâche du Stroop chez les parents d’un enfant en rémission de cancer

    by Marie Vander Haegen, Anne-Marie Etienne

    Psycho-Oncologie, Vol.17, No.4, 2023; 8 Views

    Introduction.  No study has examined the relationship between the factor of intolerance of uncertainty and its effects on the cognitive processes among parents of a childhood cancer survivor. Intolerance of uncertainty is a central factor in generalized anxiety disorder; an anxiety disorder in which impaired processing of cognitive information in the form of cognitive biases is also observed. The aim of the study was to measure, via a classical Stroop test and an emotional Stroop test, the orientation of selective attention in relation to the uncertainty intolerance factor.  Methods.  61 parents of a childhood cancer survivor (aged 4 to 6 years) were recruited from hospitals in the Province of Liege (Belgium). Parents completed questionnaires on intolerance of uncertainty and its associated factors (i.e., usefulness of worry, cognitive avoidance, problem-solving attitude, and ruminations) and performed a Stroop test and an emotional Stroop task. Spearman correlations and multiple linear regressions were performed.  Results.  The results indicated positive and significant correlations between the emotional Stroop (negative interference index) and intolerance to uncertainty but also with repetitive thoughts (ruminations) and worries. Linear regressions showed that depressive symptoms seem to contribute to explaining longer latencies for the interference condition (color word written in another color).  Conclusion.  Recommendations have been published to improve the management of parents of a childhood cancer survivor, but parent-centered neuropsychological studies are still needed and should be developed to improve prevention and detection initiatives for these families.

  • Open Access

    Article

    Article ID: 3878

    Evaluation du burnout du personnel soignant de l’Institut de Cancérologie d’Akanda

    by A. C. Filankembo Kava, B. C. Ndjengue Bengono, P. L. Nzamba Bissielou, C. Nziengui Tirogo, A. Kabena, T. Mpami, E. Belembaogo

    Psycho-Oncologie, Vol.17, No.4, 2023; 9 Views

    Aim:  Oncologists are particularly prone to developing burnout syndrome due to the demanding task of caring for cancer patients. Undiagnosed and incorrectly managed, burnout can have a negative impact on professional performance. The objective of the study is to measure the frequency of burnout among nursing staff at the Institut de Cancérologie d’Akanda (ICA) and to assess the main risk factors.  Procedure:  We conducted a cross-sectional study at the ICA during the month of January 2022. Burnout was assessed using the Maslach Burnout Inventory (MBI).  Results:  Between the 42 participants, there was a female predominance (57.1%) with a male to female sex ratio of 0.75. The mean age was 39.57 ± 8.13 years. Nurses represented more than half of the sample (52.5%). The average years of service at the ICA was 6.30 ± 4.80 years. Severe emotional exhaustion was found in 35.7% of subjects. As for severe depersonalization and severe loss of achievement, they were found in 14.3% and 31.0% of participants, respectively. Severe burnout was found in 14.3% of subjects. There was a significant association between emotional exhaustion, acts of violence and family support ( p  = 0.031;  p  = 0.042). Subjects who are victims of acts of violence are 5 times more likely to develop severe emotional exhaustion than subjects who are not victims. Subjects with family support had an 82.6% reduced risk of developing severe emotional exhaustion. There was no statistically significant association between the socio-demographic or professional variables of the sample and depersonalization as well as the loss of professional accomplishment.  Conclusion:  Burnout is relatively common at the ICA. It is important to be able to identify it in order to prevent the harmful effects it can have on the physical and mental health of staff, which may be responsible for a negative impact on the functioning of the service and the care of patients. A plea must be made against the director in order to set up awareness campaigns for the identification of the disorder and to offer psychological follow-up.

  • Open Access

    Review

    Article ID: 3873

    Revue narrative pour démêler les racines historiques des mythes entourant l’hypnose et discerner les faits

    by Dali Geagea

    Psycho-Oncologie, Vol.17, No.4, 2023; 11 Views

    Hypnosis, one of the earliest mind-body treatments, has been the subject of renewed interest in the last decade with research indicating its effectiveness for varied physiological and psychological ailments including pain, distress, and psychosomatic disorders. However, the adoption and acceptance of hypnosis are still hindered by myths and misconceptions that prevail among the general public and clinicians. Considering their significant role in promoting the successful delivery and acceptance of interventions, informing clinicians about hypnosis is crucial to promote balanced views, and thereby the adoption of this intervention when warranted. This narrative review traces the historical roots of myths surrounding hypnosis, while unravelling related misconceptions that have impeded its adoption in clinical and research settings. We hope that this review enhances the general public’s views and clinicians’ understanding of hypnosis in historical, theoretical and research contexts to promote its adoption in research and clinical settings and steer research toward an evidence-based practice of hypnosis.