Evaluating interest in narrative therapy for decision making about pectus excavatum treatment

Davide Ticchi, Robert S Eisinger, Hans K Pilegaard, Michele Torre, Sergio B Sesia, Maurizio Infante, Emanuele Voulaz, Mauricio Arce Quesada, Merike Sisask

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: The decision to proceed with surgical treatment for pectus excavatum (PE) is rarely clear-cut. Patients interested in treatment are referred for evaluation by numerous different specialists, but psychosocial counselling is currently not included in this process. Our objective was to assess whether PE patients would be interested in formal assistance with the decision-making process surrounding PE surgery using narrative therapy principles.

METHODS: Ninety-seven untreated PE patients at 5 different institutions in 4 countries completed a questionnaire consisting of 13 questions, with 3 questions specifically evaluating interest in narrative therapy.

RESULTS: Eighty-two percent of participants were interested in narrative therapy to assist with the decision-making process surrounding PE surgery. Individuals most interested in narrative therapy tend to be more interested in correction (P < 0.05) to improve the way they feel about their body (P < 0.05).

CONCLUSIONS: The majority of PE patients are interested in narrative therapy to aid the decision-making process about treatment. We propose that narrative therapy should be offered to PE patients during the treatment evaluation process to address the psychosocial difficulties associated with PE and the surgical decision-making process overall. Future studies should assess the effectiveness of this interdisciplinary model.

Original languageEnglish
Pages (from-to)271-275
Number of pages5
JournalInteractive Cardiovascular and Thoracic Surgery
Volume26
Issue number2
DOIs
Publication statusPublished - Feb 1 2018

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Narrative Therapy
Funnel Chest
Decision Making
Therapeutics
Counseling

Keywords

  • Adolescent
  • Adult
  • Child
  • Decision Making
  • Female
  • Funnel Chest/psychology
  • Humans
  • Male
  • Middle Aged
  • Narrative Therapy
  • Patient Acceptance of Health Care
  • Surveys and Questionnaires
  • Young Adult

Cite this

Evaluating interest in narrative therapy for decision making about pectus excavatum treatment. / Ticchi, Davide; Eisinger, Robert S; Pilegaard, Hans K; Torre, Michele; Sesia, Sergio B; Infante, Maurizio; Voulaz, Emanuele; Quesada, Mauricio Arce; Sisask, Merike.

In: Interactive Cardiovascular and Thoracic Surgery, Vol. 26, No. 2, 01.02.2018, p. 271-275.

Research output: Contribution to journalArticle

Ticchi, Davide ; Eisinger, Robert S ; Pilegaard, Hans K ; Torre, Michele ; Sesia, Sergio B ; Infante, Maurizio ; Voulaz, Emanuele ; Quesada, Mauricio Arce ; Sisask, Merike. / Evaluating interest in narrative therapy for decision making about pectus excavatum treatment. In: Interactive Cardiovascular and Thoracic Surgery. 2018 ; Vol. 26, No. 2. pp. 271-275.
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abstract = "OBJECTIVES: The decision to proceed with surgical treatment for pectus excavatum (PE) is rarely clear-cut. Patients interested in treatment are referred for evaluation by numerous different specialists, but psychosocial counselling is currently not included in this process. Our objective was to assess whether PE patients would be interested in formal assistance with the decision-making process surrounding PE surgery using narrative therapy principles.METHODS: Ninety-seven untreated PE patients at 5 different institutions in 4 countries completed a questionnaire consisting of 13 questions, with 3 questions specifically evaluating interest in narrative therapy.RESULTS: Eighty-two percent of participants were interested in narrative therapy to assist with the decision-making process surrounding PE surgery. Individuals most interested in narrative therapy tend to be more interested in correction (P < 0.05) to improve the way they feel about their body (P < 0.05).CONCLUSIONS: The majority of PE patients are interested in narrative therapy to aid the decision-making process about treatment. We propose that narrative therapy should be offered to PE patients during the treatment evaluation process to address the psychosocial difficulties associated with PE and the surgical decision-making process overall. Future studies should assess the effectiveness of this interdisciplinary model.",
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AU - Ticchi, Davide

AU - Eisinger, Robert S

AU - Pilegaard, Hans K

AU - Torre, Michele

AU - Sesia, Sergio B

AU - Infante, Maurizio

AU - Voulaz, Emanuele

AU - Quesada, Mauricio Arce

AU - Sisask, Merike

N1 - © The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

PY - 2018/2/1

Y1 - 2018/2/1

N2 - OBJECTIVES: The decision to proceed with surgical treatment for pectus excavatum (PE) is rarely clear-cut. Patients interested in treatment are referred for evaluation by numerous different specialists, but psychosocial counselling is currently not included in this process. Our objective was to assess whether PE patients would be interested in formal assistance with the decision-making process surrounding PE surgery using narrative therapy principles.METHODS: Ninety-seven untreated PE patients at 5 different institutions in 4 countries completed a questionnaire consisting of 13 questions, with 3 questions specifically evaluating interest in narrative therapy.RESULTS: Eighty-two percent of participants were interested in narrative therapy to assist with the decision-making process surrounding PE surgery. Individuals most interested in narrative therapy tend to be more interested in correction (P < 0.05) to improve the way they feel about their body (P < 0.05).CONCLUSIONS: The majority of PE patients are interested in narrative therapy to aid the decision-making process about treatment. We propose that narrative therapy should be offered to PE patients during the treatment evaluation process to address the psychosocial difficulties associated with PE and the surgical decision-making process overall. Future studies should assess the effectiveness of this interdisciplinary model.

AB - OBJECTIVES: The decision to proceed with surgical treatment for pectus excavatum (PE) is rarely clear-cut. Patients interested in treatment are referred for evaluation by numerous different specialists, but psychosocial counselling is currently not included in this process. Our objective was to assess whether PE patients would be interested in formal assistance with the decision-making process surrounding PE surgery using narrative therapy principles.METHODS: Ninety-seven untreated PE patients at 5 different institutions in 4 countries completed a questionnaire consisting of 13 questions, with 3 questions specifically evaluating interest in narrative therapy.RESULTS: Eighty-two percent of participants were interested in narrative therapy to assist with the decision-making process surrounding PE surgery. Individuals most interested in narrative therapy tend to be more interested in correction (P < 0.05) to improve the way they feel about their body (P < 0.05).CONCLUSIONS: The majority of PE patients are interested in narrative therapy to aid the decision-making process about treatment. We propose that narrative therapy should be offered to PE patients during the treatment evaluation process to address the psychosocial difficulties associated with PE and the surgical decision-making process overall. Future studies should assess the effectiveness of this interdisciplinary model.

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KW - Child

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KW - Female

KW - Funnel Chest/psychology

KW - Humans

KW - Male

KW - Middle Aged

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KW - Patient Acceptance of Health Care

KW - Surveys and Questionnaires

KW - Young Adult

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JO - Interactive Cardiovascular and Thoracic Surgery

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