Psychological Aspects of the Phenomenon of the Phantom Limb in Cancer Patients Undergoing Amputation Surgery: Integrative Literature Review
DOI:
https://doi.org/10.32635/2176-9745.RBC.2022v68n1.1602Keywords:
phantom limb/psychology, amputation, amputees/psychology, neoplasmsAbstract
Introduction: Many patients affected by bone and soft tissue tumors, undergo amputation surgery and report the sensation and/or pain of the phantom limb. Objective: Identify, summarize and discuss studies on the psychological aspects of the phantom limb phenomenon in oncological patients who underwent amputation surgery. Method: Integrative review of the literature published in the last 25 years. Experimental studies, clinical trials and literature review were searched in the databases MEDLINE, LILACS and Embase. Results: Seven articles were selected for this review. Three studies established correlations between psychological factors and the occurrence of the phantom limb phenomenon after amputation, four addressed psychological and emotional aspects involved in the amputation surgery and psychological aspects involved in the phantom limb phenomenon, however, they did not establish relationships among them. Some authors defend the correlation between psychological aspects and the occurrence of the phantom limb phenomenon in amputee patients. Its neurophysiological explanation remains unknown to the scientific community. Conclusion: The phantom limb phenomenon can be influenced by psychological and emotional aspects caused by the illness and its treatment. Further studies about the phenomenon in cancer patients are necessary, especially about the psychological aspects, given its relevance in cancer care.
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References
Instituto Nacional de Câncer José Alencar Gomes da Silva. Estimativas 2020: incidência de câncer no Brasil [Internet]. Rio de Janeiro: INCA; 2019 [acesso 2020 abr 15]. Disponível em: https://www.inca.gov.br/sites/ufu.sti.inca.local/files//media/document//estimativa-2020-incidencia-de-cancer-no-brasil.pdf
Instituto Nacional de Câncer José Alencar Gomes da Silva [Internet]. Rio de Janeiro: INCA; [data desconhecida]. O que é câncer?; [modificado 2020 nov 31; acesso 2020 abr 17]. Disponível em: https://www.inca.gov.br/o-que-e-cancer
Sociedade Brasileira de Ortopedia e Traumatologia [Internet]. São Paulo: SBOT; [data desconhecida]. Tumores ósseos malignos; [acesso 2020 abr 30]. Disponível em: https://sbot.org.br/tumores-osseos-malignos/
Instituto Nacional de Câncer. Abordagem inicial dos tumores ósseos [Internet]. Rio de Janeiro: INCA; 2004 [acesso 2020 mar 03]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/inca/abordagem_inicial_tumores_osseos.pdf
Ottaviani G, Robert RS, Huh WW, et al. Functional, psychosocial and professional outcomes in long-term survivors of lower-extremity osteosarcomas: amputation versus limb salvage. Cancer Treat Res. 2009;152:421-36. doi: https://doi.org/10.1007/978-1-4419-0284-9_23 DOI: https://doi.org/10.1007/978-1-4419-0284-9_23
Davis AM, Devlin M, Griffin AM, et al. Functional outcome in amputation versus limb sparing of patients with lower extremity sarcoma: a matched case-control study. Arch Phys Med Rehabil. 1999;80(6):615-8. doi: https://doi.org/10.1016/S0003-9993(99)90161-2 DOI: https://doi.org/10.1016/S0003-9993(99)90161-2
Flor H. Phantom-limb pain: characteristics, causes, and treatment. Lancet Neurol. 2002;1(3):182-9. doi: https://doi.org/10.1016/S1474-4422(02)00074-1 DOI: https://doi.org/10.1016/S1474-4422(02)00074-1
Demidoff AO, Pacheco FG, Sholl-Franco A. Membro-fantasma: o que os olhos não vêem, o cérebro sente. Ciênc Cogn [Internet]. 2007 [acesso 2020 mar 22];12:234-9. Disponível em: http://pepsic.bvsalud.org/pdf/cc/v12/v12a22.pdf
Gallagher P, Allen D, Maclachlan M. Phantom limb pain and residual limb pain following lower limb amputation: a descriptive analysis. Disabil Rehabil. 2001;23(12):522-30. doi: https://doi.org/10.1080/09638280010029859 DOI: https://doi.org/10.1080/09638280010029859
Conselho Nacional de Secretários de Saúde (BR). Política Nacional de Atenção Oncológica [Internet]. Brasília (DF): CONASS; 2005 [acesso 2020 jan 05]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_atencao_oncologica.pdf. Nota técnica 26a, revisada após CT de Atenção á Saúde.
Reis AH, Schwab JA, Neufeld CB. Relato de experiência de terapia cognitivo-comportamental em grupo com pacientes amputados. Rev Bras Ter Comport Cogn. 2014;16(2):148-64. doi: https://doi.org/10.31505/rbtcc.v16i2.695 DOI: https://doi.org/10.31505/rbtcc.v16i2.695
Horgan O, MacLachlan M. Psychosocial adjustment to lower-limb amputation: a review. Disabil Rehabil. 2004;26(14-15):837-50. doi: https://doi.org/10.1080/09638280410001708869 DOI: https://doi.org/10.1080/09638280410001708869
Barbosa LNF, Francisco AL. A subjetividade do câncer na cultura: implicações na clínica contemporânea. Rev SBPH [Internet]. 2007 [acesso 2021 jan 05];10(1):9-24. Disponível em: http://pepsic.bvsalud.org/pdf/rsbph/v10n1/v10n1a03.pdf
Souza MT, Silva MD, Carvalho R. Integrative review: What is it? How to do it? Einstein (São Paulo). 2010;8(1):102-6. doi: https://doi.org/10.1590/s1679-45082010rw1134 DOI: https://doi.org/10.1590/s1679-45082010rw1134
Tomeno B, Anract P, Ouaknine M. Psychological management, prevention and treatment of phantom pain after amputations for tumours. Int Orthop. 1998;22(3):205-8. doi: https://doi.org/10.1007/s002640050243 DOI: https://doi.org/10.1007/s002640050243
Wittig JC, Bickels J, Kollender Y, et al. Palliative forequarter amputation for metastatic carcinoma to the shoulder girdle region: indications, preoperative evaluation, surgical technique, and results. J Surg Oncol. 2001;77(2):105-13. doi: https://doi.org/10.1002/jso.1079 DOI: https://doi.org/10.1002/jso.1079
Probstner D, Thuler LCS, Ishikawa NM, et al. Phantom limb phenomena in cancer amputees. Pain Pract. 2010;10(3):249-56. doi: https://doi.org/10.1111/j.1533-2500.2009.00340.x DOI: https://doi.org/10.1111/j.1533-2500.2009.00340.x
Furtado S, Grimer RJ, Cool P, et al. Physical functioning, pain and quality of life after amputation for musculoskeletal tumours: a national survey. Bone Joint J. 2015;97-B(9):1284-90. doi: https://doi.org/10.1302/0301-620X.97B9.35192 DOI: https://doi.org/10.1302/0301-620X.97B9.35192
Ahmed A, Bhatnagar S, Mishra S et al. Prevalence of phantom limb pain, stump pain, and phantom limb sensation among the amputated cancer patients in India: a prospective, observational study. Indian J Palliat Care. 2017;23(1):24-35. doi: https://doi.org/10.4103/0973-1075.197944 DOI: https://doi.org/10.4103/0973-1075.197944
Bornemann-Cimenti H, Dorn C, Rumpold-Seitlinger G. Early onset and treatment of phantom limb pain following surgical amputation. Pain Med. 2017;18(12):2510-2. doi: https://doi.org/10.1093/pm/pnx111 DOI: https://doi.org/10.1093/pm/pnx111
Nikolajsen L, Jensen TS. Phantom limb pain. Br J Anaesth. 2001;87(1):107-16. doi: https://doi.org/10.1093/bja/87.1.107 DOI: https://doi.org/10.1093/bja/87.1.107
Venâncio JL, Leal VMS. Importância da atuação do psicólogo no tratamento de mulheres com câncer de mama. Rev Bras Cancerol. 2004:50(1):55-63. doi: https://doi.org/10.32635/2176-9745.RBC.2004v50n1.2059 DOI: https://doi.org/10.32635/2176-9745.RBC.2004v50n1.2059
Pimenta CAM, Koizumi MS, Teixeira MJ. Dor no doente com câncer: características e controle. Rev Bras Cancerol [Internet]. 1997 [acesso 2021 jan 15];43(1). Disponível em: https://rbc.inca.gov.br/site/arquivos/n_43/v01/artigo2_completo.html DOI: https://doi.org/10.32635/2176-9745.RBC.1997v43n1.2835
Teston EF, Fukumori EFC, Benedetti GMS, et al. Feelings and difficulties experienced by cancer patients along the diagnostic and therapeutic itineraries. Esc Anna Nery. 2018;22(4). doi: http://doi.org/10.1590/2177-9465-ean-2018-0017 DOI: https://doi.org/10.1590/2177-9465-ean-2018-0017
Ministério da Saúde (BR), Secretaria de Atenção à Saúde, Departamento de Ações Programáticas Estratégicas. Diretrizes de atenção à pessoa amputada [Internet]. Brasília (DF): Ministério da Saúde; 2013 [acesso 2021 jan 05]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/diretrizes_atencao_pessoa_amputada.pdf
Vargas MAO, Ferrazzo S, Schoeller SD, et al. Rede de atenção à saúde à pessoa amputada. Acta Paul Enferm. 2014;27(6):526-32. doi: https://doi.org/10.1590/1982-0194201400086 DOI: https://doi.org/10.1590/1982-0194201400086
Marques CCO, Stolt LROG. Perfil clínico de amputados de membro inferior provenientes do programa de saúde da família e sua percepção sobre o serviço de saúde. Rev APS [Internet]. 2012 [acesso 2021 mar 03];15(2):164-70. Disponível em: https://periodicos.ufjf.br/index.php/aps/article/view/14954
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