Narcisse à l’épreuve de l’hémodialyse :quelle méta-morphose ?

Jean-Dit-Pannel, Romuald

doi:10.3917/cm.094.0257

Cited by 9 publications

(2 citation statements)

References 15 publications

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“…the third component of the SOC. These components can also be targeted through other approaches, such as psychodynamic therapy [ 67 ] and cognitive behavioral strategies [ 68 – 70 ].…”

Section: Discussionmentioning

confidence: 99%

The association between sense of coherence and quality of life: a cross-sectional study in a sample of patients on hemodialysis

Sawma

Sanjab

2022

BMC Psychol

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Background Patients on hemodialysis universally experience detriments in their general quality of life (QOL). Sense of coherence (SOC) is a long-standing factor that affects QOL. Nevertheless, the association between SOC and QOL in patients on hemodialysis was seldom investigated. Our research aims to study this association in a sample of Lebanese adult patients on hemodialysis. Methods In this cross-sectional study, SOC was measured using the short version of the “Orientation of Life" scale (SOC-13). QOL was assessed using the Kidney Disease Quality of Life- Short Form (KDQOL-SF). The association between SOC and QOL and its submodalities was first explored using Pearson Correlation and multivariate linear regression analyses, controlling for sociodemographic variables and medical variables. Results 157 patients on hemodialysis (mean(SD) age: 62.1(13.81) years; 58.6% males) were included. Mean QOL score was 51.65 and that of SOC was 48.06. SOC was strongly corrected with the total QOL (r = 0.832; p value < 0.001), as well as its physical functioning (r = 0.767; p value < 0.001), emotional functioning (r = 0.757; p value < 0.001), cognitive functioning (r = 0.740; p value < 0.001), and social functioning (r = 0.773; p value < 0.001) submodailties. SOC was moderately correlated with professional functioning submodality of QOL (r = 0.618; p value < 0.001), but not correlated with the satisfaction with the quality of care (r = 0.052; p = 0.520). Within the regression models accounting for sociodemographic and medical variables, SOC was significantly associated with the total QOL (unstandardized B = 0.803; 95% CI 0.714, 0.893), physical functioning (unstandardized B = 0.761; standardized B = 0.763; 95% CI 0.661, 0.861), emotional functioning (unstandardized B = 1.205; standardized B = 0.757; 95% CI 1.037, 1.372), professional functioning (unstandardized B = 1.142; standardized B = 0.498; 95% CI 0.843, 1.442), cognitive functioning (unstandardized B = 1.239; standardized B = 0.739; 95% CI 1.058, 1.420), and social functioning (unstandardized B = 0.912; standardized B = 0.768; 95% CI 0.790, 1.034). Conclusions In a sample of adult patients on hemodialysis, SOC was positively significantly associated with QOL and its submodalities, expect the satisfaction with the quality of care. The confirmation of the general hypothesis that relates the SOC with the QOL encourages more salutogenic research among this patient population.

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“…the third component of the SOC. These components can also be targeted through other approaches, such as psychodynamic therapy [ 67 ] and cognitive behavioral strategies [ 68 – 70 ].…”

Section: Discussionmentioning

confidence: 99%

The association between sense of coherence and quality of life: a cross-sectional study in a sample of patients on hemodialysis

Sawma

Sanjab

2022

BMC Psychol

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“…Psychologically, it should also be borne in mind that end-stage renal disease involves a possibly traumatic confrontation with invasive techniques without which the patient can no longer survive. She cannot preserve herself ( 26 ) and each dialysis conjures up an end-of-life situation ( 27 , 28 ). Confronted by all this, the patient's imaginary projections are crushed, subdued under an operative way of thinking, where discourse is usually merely factual and reverie is well-nigh impossible.…”

Section: Introductionmentioning

confidence: 99%

Becoming a mother when suffering from a chronic illness

Riazuelo

2023

Front. Psychiatry

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IntroductionThe critical period of early motherhood when facing serious health problems constitutes a major public health issue. The disease may interfere with, influence, and compound the difficulties experienced over the course of pregnancy and during the parenthood processes. These processes are to be understood as a passage involving so many changes and fraught with difficulties leading to a series of psychological mobilizations. Illness also needs to be considered as a moment of transition, sometimes of severance, marking the lives of the people concerned in a more or less lasting way. Various developments are possible, some of which can be envisaged as leading to more positive outcomes, while others appear as if blocked or doomed to failure.Clinical data and methodThis clinical study is the result of twelve analytically oriented psychotherapeutic follow-ups. The sessions took place weekly over periods ranging from 1 to 6 years. Some of the patients we met had become pregnant while they had a declared but not yet chronic nephropathy. The other patients were already on dialysis and had become mother before starting dialysis. There is also one instance of a pregnant patient on dialysis. In the background, there are also many women who talked about giving up fertility and motherhood. After an in-depth study of each follow-up, a cross-sectional study was conducted to identify the main themes.Results and discussionMain considerations on the psychotherapeutic treatment: We regularly observe people who find it impossible to muster the internal resources that would enable them to deal with the trials they undergo in such situations. For the psychologist, there is a need to listen to archaic remnants. Gradually, in the space of psychotherapeutic work, possibilities of “reanimation” of the psyche emerge, an internal space that renews fantasmatic activity as it begins to be able to project into the external space and into the space of the sessions.

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Machines de vie, machines de mort : la famille à l’épreuve des soins machinisés

Jean-Dit-Pannel

Thomas

2019

Perspectives Psy

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Des machines médicales tiennent en vie des sujets en soins intensifs, en hémodialyse. Le soin somatique est à la fois médical, technique, machinique/machinisé et robotique/robotisé. Ces machines de vie et de mort sont vécues comme des corps étranges et étrangers, par le sujet lui-même, par son entourage, notamment familial. Avec le cas d’une femme hémodialysée qui a perdu un fils en soins intensifs, nous illustrerons comment une famille tout entière peut se trouver dans l’engrenage de soins machinisés, machiniques, et le rester in(dé)finiment.

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Narcisse à l’épreuve de l’hémodialyse :quelle méta-morphose ?

Cited by 9 publications

References 15 publications

The association between sense of coherence and quality of life: a cross-sectional study in a sample of patients on hemodialysis

The association between sense of coherence and quality of life: a cross-sectional study in a sample of patients on hemodialysis

Becoming a mother when suffering from a chronic illness

Machines de vie, machines de mort : la famille à l’épreuve des soins machinisés

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