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Comprehensive rehabilitation and resocialization in mental health care after surgery of head and neck tumors

Published online by Cambridge University Press:  01 September 2022

M. Magomed-Eminov ,
O. Orlova ,
D. Uklonskaya ,
D. Reshetov ,
Y. Zborovskaya ,
S. Matveeva ,
E. Romanova  and
M. Fedina
M. Magomed-Eminov
Affiliation:
Lomonosov Moscow State University, Department Of Psychological Help And Resocialization, Moscow, Russian Federation
O. Orlova
Affiliation:
The National Medical Research Center for Otorhinolaryngology of the FMBA of Russia, Phoniatrics Department, Moscow, Russian Federation
D. Uklonskaya*
Affiliation:
Central Clinical Hospital “RZD-Medicine”, Oncology Department №2 (head And Neck Tumors), Moscow, Russian Federation
D. Reshetov
Affiliation:
Central Clinical Hospital “RZD-Medicine”, Oncology Department №2 (head And Neck Tumors), Moscow, Russian Federation
Y. Zborovskaya
Affiliation:
Lomonosov Moscow State University, Department Of Psychological Help And Resocialization, Moscow, Russian Federation
S. Matveeva
Affiliation:
Central Clinical Hospital “RZD-Medicine”, Oncology Department №2 (head And Neck Tumors), Moscow, Russian Federation
E. Romanova
Affiliation:
Central Clinical Hospital “RZD-Medicine”, Oncology Department №2 (head And Neck Tumors), Moscow, Russian Federation
M. Fedina
Affiliation:
Central Clinical Hospital “RZD-Medicine”, Oncology Department №2 (head And Neck Tumors), Moscow, Russian Federation
*
*Corresponding author.

Abstract

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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.

Keywords

mental healthrehabilitationhead and neck tumorsresocialization
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S617
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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