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Giordano A, Boffano M, Piana R, et al. Body Schema Self-Awareness and Related Dream Content Modifications in Amputees Due to Cancer. Brain Sci. 2021;11(12)doi: 10.3390/brainsci11121625.
Giordano, A., Boffano, M., Piana, R., Mutani, R., & Cicolin, A. (2021). Body Schema Self-Awareness and Related Dream Content Modifications in Amputees Due to Cancer. Brain sciences, 11(12), . https://doi.org/10.3390/brainsci11121625
Giordano, Alessandra, et al. "Body Schema Self-Awareness and Related Dream Content Modifications in Amputees Due to Cancer." Brain sciences vol. 11,12 (2021). doi: https://doi.org/10.3390/brainsci11121625
Giordano A, Boffano M, Piana R, Mutani R, Cicolin A. Body Schema Self-Awareness and Related Dream Content Modifications in Amputees Due to Cancer. Brain Sci. 2021 Dec 09;11(12). doi: 10.3390/brainsci11121625. PMID: 34942926; PMCID: PMC8699339.
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Brain Sci. 2021 Dec 09;11(12). doi: 10.3390/brainsci11121625.

Body Schema Self-Awareness and Related Dream Content Modifications in Amputees Due to Cancer.

Brain sciences

Alessandra Giordano, Michele Boffano, Raimondo Piana, Roberto Mutani, Alessandro Cicolin

Affiliations

  1. Centro di Medicina del Sonno, Dipartimento di Neuroscienze, Università di Torino, 10126 Torino, Italy.
  2. SC Chirurgia Oncologica Ortopedica, AOU Città della Salute e della Scienza di Torino, Presidio CTO, 10126 Torino, Italy.

PMID: 34942926 PMCID: PMC8699339 DOI: 10.3390/brainsci11121625

Abstract

PURPOSE: the evaluation of body image perception, pain coping strategies, and dream content, together with phantom limb and telescoping phenomena in patients with sarcoma who underwent surgery for limb amputation.

MATERIAL AND METHODS: consecutive outpatients were evaluated at T0 (within 3 weeks after surgery) and T1 (4-6 months after surgery) as follows: demographic and clinical data collection; the Groningen Questionnaire Problems after Arm Amputation; the West Haven-Yale Multidimensional Pain Inventory; the Body Image Concern Inventory, a clinical trial to identify telescoping; and a weekly diary of dreams. Dream contents were coded according to the Hall and Van de Castle coding system.

RESULTS: Twenty patients completed the study (15 males and 5 females, mean age: 53.9 ± 24.6, education: 7.8 ± 3.4). All subjects experienced phantom limb and 35% of them experienced telescoping soon after surgery, and 25% still after 4-6 months. Both at T0 and T1, that half of the subjects reported dreams about still having their missing limbs. At T1 the patients' perceptions of being able to deal with problems were lower, and pain and its interference in everyday life were higher yet associated with significant engagement in everyday activities and an overall good mood. The dream content analysis highlighted that males were less worried about health problems soon after amputation, and women showed more initial difficulties that seemed to be resolved after 4-6 months after surgery.

CONCLUSIONS: The dream content analysis may improve clinicians' ability to support their patients during their therapeutic course.

Keywords: amputation; body image; body schema; cancer; dream; dream content; sarcoma; self-perception

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