Comprehensive rehabilitation and resocialization in mental health care after surgery of head and neck tumors
Introduction There is increasing number of head and neck tumors. Modern medical technologies allow to save lives, but lead to cosmetic and functional defects. DSM-V clarifies that “life threatening illness or debilitating medical condition is not necessarily considered a traumatic event”. However...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822015814/type/journal_article |
| _version_ | 1797617438454448128 |
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| author | M. Magomed-Eminov O. Orlova D. Uklonskaya D. Reshetov Y. Zborovskaya S. Matveeva E. Romanova M. Fedina |
| author_facet | M. Magomed-Eminov O. Orlova D. Uklonskaya D. Reshetov Y. Zborovskaya S. Matveeva E. Romanova M. Fedina |
| author_sort | M. Magomed-Eminov |
| collection | DOAJ |
| description |
Introduction
There is increasing number of head and neck tumors. Modern medical technologies allow to save lives, but lead to cosmetic and functional defects. DSM-V clarifies that “life threatening illness or debilitating medical condition is not necessarily considered a traumatic event”. However, cancer diagnosis and treatment influence on mental health. Patients after surgery of head and neck tumors need special rehabilitation, because of loss or impairment of speech function. This significantly reduces communicative potential, changes social status, reduces rehabilitation potential.
Objectives
During 6 years we have conducted studies to improve methods of psychological and pedagogical diagnostics, optimize speech therapy and psychological support for increasing effectiveness of speech rehabilitation.
Methods
Speech rehabilitation was carried out with correctional-pedagogical technologies and psychological support. We used Achieving Tendency Scale, Questionnaire measures of Affiliative Tendency and Sensitivity to Rejection, narrative interview, Scale of speech utterance implementation, rehabilitation potential evaluation, general condition assessment by ECOG and Karnovsky, auditory assessment. Speech therapy included methods for eliminating dysphagia, normalizing speech breathing, improving utterance realization. Psychological support kept meaning-narrative approach.
Results
Number of patients without difficulties or with slight difficulties in speech utterance implementation increased by 57.1%. Number of patients with high rehabilitation potential increased by 48.8%.
Conclusions
Psychological and pedagogical rehabilitation and resocialization after surgery of head and neck tumors has positive effect on mental health of patients, forms special rehabilitation motivation, helps to avoid disability and to transform life in new conditions.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:56:01Z |
| format | Article |
| id | doaj.art-c250b2afefd74af5be85da66f5e7d95a |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:56:01Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-c250b2afefd74af5be85da66f5e7d95a2023-11-17T05:05:48ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S617S61710.1192/j.eurpsy.2022.1581Comprehensive rehabilitation and resocialization in mental health care after surgery of head and neck tumorsM. Magomed-Eminov0O. Orlova1D. Uklonskaya2D. Reshetov3Y. Zborovskaya4S. Matveeva5E. Romanova6M. Fedina7Lomonosov Moscow State University, Department Of Psychological Help And Resocialization, Moscow, Russian FederationThe National Medical Research Center for Otorhinolaryngology of the FMBA of Russia, Phoniatrics Department, Moscow, Russian FederationCentral Clinical Hospital “RZD-Medicine”, Oncology Department №2 (head And Neck Tumors), Moscow, Russian FederationCentral Clinical Hospital “RZD-Medicine”, Oncology Department №2 (head And Neck Tumors), Moscow, Russian FederationLomonosov Moscow State University, Department Of Psychological Help And Resocialization, Moscow, Russian FederationCentral Clinical Hospital “RZD-Medicine”, Oncology Department №2 (head And Neck Tumors), Moscow, Russian FederationCentral Clinical Hospital “RZD-Medicine”, Oncology Department №2 (head And Neck Tumors), Moscow, Russian FederationCentral Clinical Hospital “RZD-Medicine”, Oncology Department №2 (head And Neck Tumors), Moscow, Russian Federation Introduction There is increasing number of head and neck tumors. Modern medical technologies allow to save lives, but lead to cosmetic and functional defects. DSM-V clarifies that “life threatening illness or debilitating medical condition is not necessarily considered a traumatic event”. However, cancer diagnosis and treatment influence on mental health. Patients after surgery of head and neck tumors need special rehabilitation, because of loss or impairment of speech function. This significantly reduces communicative potential, changes social status, reduces rehabilitation potential. Objectives During 6 years we have conducted studies to improve methods of psychological and pedagogical diagnostics, optimize speech therapy and psychological support for increasing effectiveness of speech rehabilitation. Methods Speech rehabilitation was carried out with correctional-pedagogical technologies and psychological support. We used Achieving Tendency Scale, Questionnaire measures of Affiliative Tendency and Sensitivity to Rejection, narrative interview, Scale of speech utterance implementation, rehabilitation potential evaluation, general condition assessment by ECOG and Karnovsky, auditory assessment. Speech therapy included methods for eliminating dysphagia, normalizing speech breathing, improving utterance realization. Psychological support kept meaning-narrative approach. Results Number of patients without difficulties or with slight difficulties in speech utterance implementation increased by 57.1%. Number of patients with high rehabilitation potential increased by 48.8%. Conclusions Psychological and pedagogical rehabilitation and resocialization after surgery of head and neck tumors has positive effect on mental health of patients, forms special rehabilitation motivation, helps to avoid disability and to transform life in new conditions. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822015814/type/journal_articlemental healthrehabilitationhead and neck tumorsresocialization |
| spellingShingle | M. Magomed-Eminov O. Orlova D. Uklonskaya D. Reshetov Y. Zborovskaya S. Matveeva E. Romanova M. Fedina Comprehensive rehabilitation and resocialization in mental health care after surgery of head and neck tumors European Psychiatry mental health rehabilitation head and neck tumors resocialization |
| title | Comprehensive rehabilitation and resocialization in mental health care after surgery of head and neck tumors |
| title_full | Comprehensive rehabilitation and resocialization in mental health care after surgery of head and neck tumors |
| title_fullStr | Comprehensive rehabilitation and resocialization in mental health care after surgery of head and neck tumors |
| title_full_unstemmed | Comprehensive rehabilitation and resocialization in mental health care after surgery of head and neck tumors |
| title_short | Comprehensive rehabilitation and resocialization in mental health care after surgery of head and neck tumors |
| title_sort | comprehensive rehabilitation and resocialization in mental health care after surgery of head and neck tumors |
| topic | mental health rehabilitation head and neck tumors resocialization |
| url | https://www.cambridge.org/core/product/identifier/S0924933822015814/type/journal_article |
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