The autogenic training on dialysis as a mental place of serenity and well being
DOI:
https://doi.org/10.6092/2612-4033/0110-2335Abstract
Background: Chronic kidney failure (CKF) and consequent haemodialytical treatment envolve a particular viewpoint that has to include not only the purely physical and medical range, but also the psychological one. The complexity of sensations and feelings caused by this chronic condition are loss, wear, commitment, fear, resignation, rage, compulsion for a totally machine depending life. These factors create a considerable psychological damage that cannot be underrated because they express the whole body–mind involvement so much to affect, heavily, all lifestyle.
Methods: The autogenic training (AT) is a method to reduce psychological sensations such as anxiety, depression and distress. Introducing it in the two haemodialysis units belonging to the same private hospital has been an innovation.
Results: The great number of the treated persons has given us widely convincing results and a proved efficacy. As a matter of fact, the psychological symptoms of anxiety, depression and distress have significantly decreased in the experimental group [p<0,001], on the contrary they have increased in the control group [p<0,050]. The comparison between the groups has also pointed out this statistically meaningful data [p<0,001]. The present research project includes the psychological therapies into the nephrological context, and it verifies and analyses the previous projects which developed Psycho-nephrology.
Conclusions: The psycho-neuro-endocrine-immunology (PNEI) and the World Health Organisation (WHO) support these knowledges and invite health workers to do this experience (with the convinced evolvement of multidisciplinary team) preferring the holistic approach to the person considering his/her remarkable psychic pain. The use of the AT method reduces a lot not only the psychological pain but also the physical one. This is a kind of pain therapy for the patient well-being.
References
Agrò, F.E., Bertirotti, A., Li Petri, P., Micarelli, M. & Marra, M., Petruccelli,I.(2011). Usa il potere della tua mente: Corso teorico pratico di Training Autogeno. Taita press.
Alexander, F., (1950) Psychosomatic medicine. New York: Norton Company.
Beck, A.,Ward, Ch., Meldelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of general psychiatry, 4, 561-71. https://doi.org/10.1001/archpsyc.1961.01710120031004
Bottaccioli, F., (2005) Psiconeuroendocrinoimmunologia. Milano: Red.
Chong, V.H., & Tan, J. (2013) Prevalence of Gastrointestinal and Psychosomatic Symptoms among Asian Patients Undergoing Regular Hemodialysis. Nephrology, 18, 97-103. https://doi.org/10.1111/nep.12000
De Isabella, G., Biasanti, R., & Mazzola, A. (2003), Il paziente nefropatico: il contributo della psicologia. Giornale Italiano di Tecniche Nefrologiche e Dialitiche, XV (1), 5-10.
Eberlein, G., (1973). Il libro del Training Autogeno. Feltrinelli.
Gerbino, G., Dimonte, V., Albasi, C., Lasorsa, C., Vitale, C., Marangella, M., et al. (2011). Adesione alla terapia del paziente in emodialisi. Giornale Italiano Nefrologia.28 (4), 416-424.
Knuth, B., Radtke, V., Rocha, P., Dalsóglio, F., Gazal, M., Jansen, K., et al (2014). Prevalence of depression symptoms and serum levels of interleukin-6 in hemodialysis patients. Psychiatry and Clinical Neurosciences, 68, 275-82. https://doi.org/10.1111/pcn.12130
Levy, N.B. (2008). What is psychonephrology? Journal of Nephrology, 21 (13) S51-3 https://www.ncbi.nlm.nih.gov/pubmed/18446732
Lopes, G.B., Silva, L. F., Pinto, G.B., Catto, L.F., Martins, M.T., Dutra, M.M., et al. (2014). Patient's response to a simple question on recovery after hemodialysis session strongly associated with scores of comprehensive tools for quality of life and depression symptoms. Quality of Life Research, 23, 2247-56. https://doi.org/10.1007/s11136-014-0666-z
Lucarelli, A.M., & Di Landro,D., (1982) Il Training Autogeno come terapia complementare nell’ipertensione arteriosa instabile dell’uremico cronico in dialisi periodica. Minerva Medica, 73.
Mazzacchi, M., (2015). Quanto l'emodialisi influisce sulle relazioni sociali e sulla vita quotidiana del paziente nefropatico del Canton Ticino. Bachelor thesis, Scuola universitaria professionale della Svizzera italiana (SUPSI).
Minutoli, A., Pontoriero, A., Sacco,T.,Ricciardi, C.A., &Ricciardi, B.R. (5 Ottobre 2016). Compliance a lungo termine, alla dietoterapia e dalla terapia farmacologica domiciliare, nei pazienti emodializzati. Wookycongress, il congresso medico…online.
Nicolini, M., Persegani, C., Russo, P., &Tortini, M. (1997). I vissuti di ansia in pazienti emodializzati. Un contributo preliminare. Medicina psicosomatica,42 (2), Roma: Società Editrice Universo.
Perri, S. (2005) L’ABC della dialisi. Suggerimenti per un paziente protagonista di sé. Milano: FrancoAngeli.
Ratti, M. M., Delli Zotti G. B., Spotti, D., & Sarno, L. (2014). L’inserimento della figura dello psicologo all’interno dell’Unità Operativa di Nefrologia-Dialisi Ipertensione. Giornale Italiano di Nefrologia, 31 (5), 1-17
Ricciardi B. Minutoli A. Fuduli A. et al. Analisi dei livelli di ansia e depressione nel paziente dializzato. XV Congresso della Società Campano Siciliana di Nefrologia, Trapani 22-23 maggio 2015.
Robertson, I.H. (2003) Intelligenza visiva. Rizzoli
Schultz, J.H. (1968). Il Training Autogeno: esercizi inferiori. Feltrinelli.
Stetter, F., & Kupper, S. (2002). Autogenic Training: A Meta-Analysis of Clinical Outcome Studies. Applied Psychophysiology and Biofeedback, 27, (1). https://doi.org/10.1023/a:1014576505223
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