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Cancer patient empowerment through group work based on anthroposophical medicine and other complementary interventions
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Oral Presentations / European Journal of Integrative Medicine 4S (2012) 9–123
with progressive disease. All patients were assessed at 0, 1, 2 and 3 months. In particular, in all patients we have assessed haematological parameters regarding blood count, liver function (GOT, GPT, gamma-GT and bilirubin), the inflammatory state (Ves, fibrinogen and C-reactive protein (CRP)), the setimmune (immunoglobulin, DHEA-S and lymphocytic typing), ferritin, lactate dehydrogenase (LDH) and lipid profile. Conclusions: All the parameters concerning the state of wellness and the diagnostic-instrumental parameters will be evaluated. http://dx.doi.org/10.1016/j.eujim.2012.07.506 OP-012 Cancer patient empowerment through group work based on anthroposophical medicine and other complementary interventions Portalupi Emanuela Associazione di Ricerca e Studio per la Medicina Antroposofica (ARESMA), Milan, Italy Anthroposophical medicine (AM) focusses on patients’ empowerment through specific pharmacological, nonpharmacological treatments together with learning of new lifestyle and coping skills, in a patient-centred approach. The AM treatments in Italy are mainly given in private practices, therapeutic centres and in a thermal medical centre, where patients find access out of their own choice or medical referral, so as to receive complementary care. The need for integrated care is highly expressed by patients suffering from chronic diseases and cancer. Studies have reported that a high proportion (73%) of cancer patients in Italy refer themselves to complementary and alternative medicine (CAM)„ higher than in the rest of Europe. AM has developed an original experience of treatments applied to oncological care such as Viscum album L. extracts and non-pharmacological therapies (e.g., curative eurythmy, art therapies, rhythmical massage and biographical counselling). At the same time, empowerment groups are widespread among cancer patients and cancer survivors (psycho-oncology, mind–body approach, art and diet). Therefore, a group intervention model has been developed in Milan, by ARESMA and coworkers, to extend the opportunity of learning about AM-specific treatment opportunities and to have an introductory experience to lifestyle and self-knowledge improvement, also outside the anthroposophical therapeutic settings. The modules have been offered to small groups of 7–15 cancer patients in a model mixing AM and non-AM approaches. A theoretical introduction to AM methods is followed by practical experimenting of curative eurythmy, art therapy and counselling, together with nutritional information from the Diana programme of the Milan National Cancer Institute, with Gestalt-based group work on resources and self-esteem and with mindfulness exercises. The eight weekly sessions’ modules and the single weekend events were held by an anthroposophical oncologist, a Gestalt psychotherapist, a Gestalt counsellor, two curative eurythmists, an art therapist, a
psychosomatic rehabilitation therapist and some other experts. The groups have been evaluated with interviews or questionnaires before and after the interventions and with an inquiry concerning the impact for the patient who lives at a distance. away. http://dx.doi.org/10.1016/j.eujim.2012.07.507 OP-013 Acupuncture as an Integrated intervention for the control of symptoms of climacteric syndrome in patients affected by breast cancer: the AcCliMaT projects Lesi Grazia 1 , Razzini Giorgia 2 , Petrucci Chiara 3 , Pandolfi Paolo 3 , Artioli Fabrizio 4 , Rondini Ermanno 5 , Ligabue Maria Bernadette 6 , Scaltriti Laura 7 , Botti Alberto 8 , Gramenzi Annagiulia 9 , Benedetti Benedetta 4 , Colombi Cristina 10 , Cardini Francesco 11 1 Primary
Care and Family Planning Clinic Departments, Bologna Local Health Unit, Bologna 2 Division of Medical Oncology Ramazzini Hospital, Carpi, AUSL di Modena, Carpi 3 Department of Epidemiology and Statistics, AUSL di Bologna, Bologna 4 Division of Medical Oncology Ramazzini Hospital, Carpi, AUSL di Modena, Modena 5 Medical Oncology Hospital - Reggio Emilia/Correggio/ Guastalla, Reggio Emilia 6 Medical Oncology Hospital - Reggio Emilia/Correggio/ Guastalla, Correggio 7 Medical Oncology Hospital - Reggio Emilia/Correggio/ Guastalla, Guastalla 8 Department of Anaesthesia, resuscitation, pain management and surgical field, AUSL di Piacenza, Piacenza 9 Department of Clinical Medicine, University of Bologna, Bologna 10 General practitioner, AUSL di Bologna, Bologna 11 ASSR - Emilia Romagna (Health and Social Agency of Emilia Romagna Region), Verona, Italy Background: Hot flushes and climacteric syndrome (HFCS) affect 65–85% of women after breast cancer treatment and are distressing and decrease quality of life. To help these women manage HFCS, a need exists for safe, acceptable, well-tolerated and effective non-hormonal treatments. Previous research, together with our previous pilot study, suggests that acupuncture is an effective and safe option. Aim: To confirm these data on March 2010 we started the AcCliMaT study, a multicentric randomised, controlled trial sponsored by Osservatorio Medicine non Convenzionali (OMNC) of Emilia-Romagna Region (Italy). Patients and Methods: Women with breast cancer with menopausal symptoms recruited in five different gynaecological or oncology departments are 1:1 randomly allocated to receive either self-care (SC) or self-care plus acupuncture (SCA). Randomisation is performed by a computer-generated sequence stratifying by LH-RH antagonist use. The SCA group received
Oral Presentations / European Journal of Integrative Medicine 4S (2012) 9–123
with progressive disease. All patients were assessed at 0, 1, 2 and 3 months. In particular, in all patients we have assessed haematological parameters regarding blood count, liver function (GOT, GPT, gamma-GT and bilirubin), the inflammatory state (Ves, fibrinogen and C-reactive protein (CRP)), the setimmune (immunoglobulin, DHEA-S and lymphocytic typing), ferritin, lactate dehydrogenase (LDH) and lipid profile. Conclusions: All the parameters concerning the state of wellness and the diagnostic-instrumental parameters will be evaluated. http://dx.doi.org/10.1016/j.eujim.2012.07.506 OP-012 Cancer patient empowerment through group work based on anthroposophical medicine and other complementary interventions Portalupi Emanuela Associazione di Ricerca e Studio per la Medicina Antroposofica (ARESMA), Milan, Italy Anthroposophical medicine (AM) focusses on patients’ empowerment through specific pharmacological, nonpharmacological treatments together with learning of new lifestyle and coping skills, in a patient-centred approach. The AM treatments in Italy are mainly given in private practices, therapeutic centres and in a thermal medical centre, where patients find access out of their own choice or medical referral, so as to receive complementary care. The need for integrated care is highly expressed by patients suffering from chronic diseases and cancer. Studies have reported that a high proportion (73%) of cancer patients in Italy refer themselves to complementary and alternative medicine (CAM)„ higher than in the rest of Europe. AM has developed an original experience of treatments applied to oncological care such as Viscum album L. extracts and non-pharmacological therapies (e.g., curative eurythmy, art therapies, rhythmical massage and biographical counselling). At the same time, empowerment groups are widespread among cancer patients and cancer survivors (psycho-oncology, mind–body approach, art and diet). Therefore, a group intervention model has been developed in Milan, by ARESMA and coworkers, to extend the opportunity of learning about AM-specific treatment opportunities and to have an introductory experience to lifestyle and self-knowledge improvement, also outside the anthroposophical therapeutic settings. The modules have been offered to small groups of 7–15 cancer patients in a model mixing AM and non-AM approaches. A theoretical introduction to AM methods is followed by practical experimenting of curative eurythmy, art therapy and counselling, together with nutritional information from the Diana programme of the Milan National Cancer Institute, with Gestalt-based group work on resources and self-esteem and with mindfulness exercises. The eight weekly sessions’ modules and the single weekend events were held by an anthroposophical oncologist, a Gestalt psychotherapist, a Gestalt counsellor, two curative eurythmists, an art therapist, a
psychosomatic rehabilitation therapist and some other experts. The groups have been evaluated with interviews or questionnaires before and after the interventions and with an inquiry concerning the impact for the patient who lives at a distance. away. http://dx.doi.org/10.1016/j.eujim.2012.07.507 OP-013 Acupuncture as an Integrated intervention for the control of symptoms of climacteric syndrome in patients affected by breast cancer: the AcCliMaT projects Lesi Grazia 1 , Razzini Giorgia 2 , Petrucci Chiara 3 , Pandolfi Paolo 3 , Artioli Fabrizio 4 , Rondini Ermanno 5 , Ligabue Maria Bernadette 6 , Scaltriti Laura 7 , Botti Alberto 8 , Gramenzi Annagiulia 9 , Benedetti Benedetta 4 , Colombi Cristina 10 , Cardini Francesco 11 1 Primary
Care and Family Planning Clinic Departments, Bologna Local Health Unit, Bologna 2 Division of Medical Oncology Ramazzini Hospital, Carpi, AUSL di Modena, Carpi 3 Department of Epidemiology and Statistics, AUSL di Bologna, Bologna 4 Division of Medical Oncology Ramazzini Hospital, Carpi, AUSL di Modena, Modena 5 Medical Oncology Hospital - Reggio Emilia/Correggio/ Guastalla, Reggio Emilia 6 Medical Oncology Hospital - Reggio Emilia/Correggio/ Guastalla, Correggio 7 Medical Oncology Hospital - Reggio Emilia/Correggio/ Guastalla, Guastalla 8 Department of Anaesthesia, resuscitation, pain management and surgical field, AUSL di Piacenza, Piacenza 9 Department of Clinical Medicine, University of Bologna, Bologna 10 General practitioner, AUSL di Bologna, Bologna 11 ASSR - Emilia Romagna (Health and Social Agency of Emilia Romagna Region), Verona, Italy Background: Hot flushes and climacteric syndrome (HFCS) affect 65–85% of women after breast cancer treatment and are distressing and decrease quality of life. To help these women manage HFCS, a need exists for safe, acceptable, well-tolerated and effective non-hormonal treatments. Previous research, together with our previous pilot study, suggests that acupuncture is an effective and safe option. Aim: To confirm these data on March 2010 we started the AcCliMaT study, a multicentric randomised, controlled trial sponsored by Osservatorio Medicine non Convenzionali (OMNC) of Emilia-Romagna Region (Italy). Patients and Methods: Women with breast cancer with menopausal symptoms recruited in five different gynaecological or oncology departments are 1:1 randomly allocated to receive either self-care (SC) or self-care plus acupuncture (SCA). Randomisation is performed by a computer-generated sequence stratifying by LH-RH antagonist use. The SCA group received