Skip to main content
Erschienen in: Neurological Sciences 7/2022

14.02.2022 | Original Article

Psychoeducational groups for people with Amyotrophic Lateral Sclerosis and their caregiver: a qualitative study

verfasst von: Vittoria Anita Bilenchi, Paolo Banfi, Francesco Pagnini, Eleonora Volpato

Erschienen in: Neurological Sciences | Ausgabe 7/2022

Einloggen, um Zugang zu erhalten

Abstract

Objective

The current study aimed to describe the implementation of a structured psychoeducational intervention in Amyotrophic Lateral Sclerosis (ALS), identifying the needs of both patients and their caregivers.

Methods

Five patients and thirteen caregivers attended eight psychoeducational group meetings at the Respiratory Rehabilitation Unit of IRCCS Santa Maria Nascente of Fondazione Don Carlo Gnocchi, Milan (Italy) and eight participants underwent semi-structured interviews once the group sessions ended. Group sessions and semi-structured interviews were audio-recorded and transcribed verbatim. Then, data obtained by group meetings’ transcripts have been analysed using the grounded theory (GT) paradigm, while those obtained by interviews have been analysed using the interpretative phenomenological analysis (IPA).

Results

The analysis of the meetings allowed us to identify seven main themes: “practical advice”, “explanation of the pathology”, “recognition of emotions”, “adaptation”, “family and relationships”, “being caregiver of oneself”, and “sharing”. Twenty-one sub-themes also emerged from the transcripts’ analysis. The analysis of the interviews allowed us to deduce the main reasons to participate (i.e., to have information and to be able to share experiences), the positive and negative aspects of the experiences. These results suggested the usefulness of psychoeducational groups in the regular clinical practise to allow patients and caregivers to share advice, emotions, and experiences with others in the same situation.

Conclusions

This study displays the utility of psychoeducational group intervention in supporting people with ALS and their caregivers because of two main reasons: first for the psychoeducation provided by professionals; second for the possibility of sharing experiences and emotions with people in the same situation.
Literatur
1.
Zurück zum Zitat Zarei S, Carr K, Reiley L, Diaz K, Guerra O, Altamirano P et al (2015) A comprehensive review of amyotrophic lateral sclerosis. Surg Neurol Int 6(1):171CrossRef Zarei S, Carr K, Reiley L, Diaz K, Guerra O, Altamirano P et al (2015) A comprehensive review of amyotrophic lateral sclerosis. Surg Neurol Int 6(1):171CrossRef
2.
Zurück zum Zitat Chiò A, Benzi G, Dossena M, Mutani R, Mora G (2005) Severely increased risk of amyotrophic lateral sclerosis among Italian professional football players. Brain 128(3):472–476CrossRef Chiò A, Benzi G, Dossena M, Mutani R, Mora G (2005) Severely increased risk of amyotrophic lateral sclerosis among Italian professional football players. Brain 128(3):472–476CrossRef
3.
Zurück zum Zitat Chiò A, Logroscino G, Hardiman O, Swingler R, Mitchell D, Beghi E et al (2009) Prognostic factors in ALS: a critical review. Amyotroph Lateral Scler 10(5–6):310–323CrossRef Chiò A, Logroscino G, Hardiman O, Swingler R, Mitchell D, Beghi E et al (2009) Prognostic factors in ALS: a critical review. Amyotroph Lateral Scler 10(5–6):310–323CrossRef
4.
Zurück zum Zitat Mitchell JD, Borasio GD (2007) Seminar Amyotrophic lateral sclerosis. Lancet 369(9578):2031–2041CrossRef Mitchell JD, Borasio GD (2007) Seminar Amyotrophic lateral sclerosis. Lancet 369(9578):2031–2041CrossRef
5.
Zurück zum Zitat Brown RH, AlChalabi A. Amyotrophic lateral sclerosis. N Engl J Med. 2017;377,2. Brown RH, Al­Chalabi A. Amyotrophic lateral sclerosis. N Engl J Med. 2017;377,2.
6.
Zurück zum Zitat Pagnini F (2013) Amyotrophic lateral sclerosis : a review 48(3):194–205 Pagnini F (2013) Amyotrophic lateral sclerosis : a review 48(3):194–205
7.
Zurück zum Zitat Wicks P, Abrahams S, Masi D, Hejda-Forde S, Leigh PN, Goldstein LH (2007) Prevalence of depression in a 12-month consecutive sample of patients with ALS. Eur J Neurol 14(9):993–1001CrossRef Wicks P, Abrahams S, Masi D, Hejda-Forde S, Leigh PN, Goldstein LH (2007) Prevalence of depression in a 12-month consecutive sample of patients with ALS. Eur J Neurol 14(9):993–1001CrossRef
8.
Zurück zum Zitat Kurt A, Nijboer F, Matuz T, Kübler A (2007) Illness trajectories in patients with amyotrophic lateral sclerosis: how illness progression is related to life narratives and interpersonal relationships. CNS Drugs 21(4):279–291CrossRef Kurt A, Nijboer F, Matuz T, Kübler A (2007) Illness trajectories in patients with amyotrophic lateral sclerosis: how illness progression is related to life narratives and interpersonal relationships. CNS Drugs 21(4):279–291CrossRef
9.
Zurück zum Zitat Cipolletta S, Gammino GR, Palmieri A (2017) Illness trajectories in patients with amyotrophic lateral sclerosis: how illness progression is related to life narratives and interpersonal relationships. J Clin Nurs 26(21–24):5033–5043CrossRef Cipolletta S, Gammino GR, Palmieri A (2017) Illness trajectories in patients with amyotrophic lateral sclerosis: how illness progression is related to life narratives and interpersonal relationships. J Clin Nurs 26(21–24):5033–5043CrossRef
10.
Zurück zum Zitat Caputo A (2019) of Clinical Psychology sclerosis : a qualitative phenomenological study. Mediterr J Clin Psychol 7(2):1–15 Caputo A (2019) of Clinical Psychology sclerosis : a qualitative phenomenological study. Mediterr J Clin Psychol 7(2):1–15
11.
12.
Zurück zum Zitat Palmieri A, Sorarù G, Albertini E, Semenza C, Vottero-Ris F, D’Ascenzo C et al (2010) Psychopathological features and suicidal ideation in amyotrophic lateral sclerosis patients. Neurol Sci 31(6):735–740CrossRef Palmieri A, Sorarù G, Albertini E, Semenza C, Vottero-Ris F, D’Ascenzo C et al (2010) Psychopathological features and suicidal ideation in amyotrophic lateral sclerosis patients. Neurol Sci 31(6):735–740CrossRef
13.
Zurück zum Zitat Hogden A, Foley G, Henderson RD, James N. Amyotrophic lateral sclerosis : improving care with a multidisciplinary approach. J Multidiscip Healthc. 2017;205–15. Hogden A, Foley G, Henderson RD, James N. Amyotrophic lateral sclerosis : improving care with a multidisciplinary approach. J Multidiscip Healthc. 2017;205–15.
14.
Zurück zum Zitat Aoun SM, Connors S, Priddis L, Breen LJ, Colyer S. Motor neurone disease family carers ’ experiences of caring , palliative care and bereavement : an exploratory qualitative study. 2015;26(6):842–50 Aoun SM, Connors S, Priddis L, Breen LJ, Colyer S. Motor neurone disease family carers ’ experiences of caring , palliative care and bereavement : an exploratory qualitative study. 2015;26(6):842–50
15.
Zurück zum Zitat Cipolletta S, Amicucci L (2015) The family experience of living with a person with amyotrophic lateral sclerosis : a qualitative study. Int J Psychol 50(4):288–294CrossRef Cipolletta S, Amicucci L (2015) The family experience of living with a person with amyotrophic lateral sclerosis : a qualitative study. Int J Psychol 50(4):288–294CrossRef
16.
Zurück zum Zitat de Wit J, Beelen A, van den Heerik MS, van den Berg LH, Visser-Meily JMA, Schröder CD. Psychological distress in partners of patients with amyotrophic lateral sclerosis and progressive muscular atrophy: what’s the role of care demands and perceived control? Psychol Heal Med [Internet]. 2020;25(3):319–30. Available from: https://doi.org/10.1080/13548506.2019.1686646 de Wit J, Beelen A, van den Heerik MS, van den Berg LH, Visser-Meily JMA, Schröder CD. Psychological distress in partners of patients with amyotrophic lateral sclerosis and progressive muscular atrophy: what’s the role of care demands and perceived control? Psychol Heal Med [Internet]. 2020;25(3):319–30. Available from: https://​doi.​org/​10.​1080/​13548506.​2019.​1686646
17.
Zurück zum Zitat Pagnini F, Lunetta C, Banfi P, Rossi G, Gorni K, Molinari E. Anxiety and depression in patients with amyotrophic lateral sclerosis and their caregivers. 2012;79–87. Pagnini F, Lunetta C, Banfi P, Rossi G, Gorni K, Molinari E. Anxiety and depression in patients with amyotrophic lateral sclerosis and their caregivers. 2012;79–87.
18.
Zurück zum Zitat Gauthier A, Vignola A, Calvo A, Cavallo E, Moglia C, Sellitti L, et al. A longitudinal study on quality of life and depression in ALS patient – caregiver couples. 2007;15–9. Gauthier A, Vignola A, Calvo A, Cavallo E, Moglia C, Sellitti L, et al. A longitudinal study on quality of life and depression in ALS patient – caregiver couples. 2007;15–9.
19.
Zurück zum Zitat Rabkin JG, Wagner GJ, Del Bene M (2000) Resilience and distress among amyotrophic lateral sclerosis patients and caregivers. Psychosom Med 62(2):271–279CrossRef Rabkin JG, Wagner GJ, Del Bene M (2000) Resilience and distress among amyotrophic lateral sclerosis patients and caregivers. Psychosom Med 62(2):271–279CrossRef
20.
Zurück zum Zitat Pagnini F, Simmons Z, Corbo M, Molinari E (2012) Amyotrophic lateral sclerosis: time for research on psychological intervention? Amyotroph Lateral Scler 13(5):416–417CrossRef Pagnini F, Simmons Z, Corbo M, Molinari E (2012) Amyotrophic lateral sclerosis: time for research on psychological intervention? Amyotroph Lateral Scler 13(5):416–417CrossRef
21.
Zurück zum Zitat Gould RL, Coulson MC, Brown RG, Goldstein LH, Al-Chalabi A, Howard RJ (2015) Psychotherapy and pharmacotherapy interventions to reduce distress or improve well-being in people with amyotrophic lateral sclerosis: a systematic review. Amyotroph Lateral Scler Front Degener 16(5–6):293–302CrossRef Gould RL, Coulson MC, Brown RG, Goldstein LH, Al-Chalabi A, Howard RJ (2015) Psychotherapy and pharmacotherapy interventions to reduce distress or improve well-being in people with amyotrophic lateral sclerosis: a systematic review. Amyotroph Lateral Scler Front Degener 16(5–6):293–302CrossRef
22.
Zurück zum Zitat Bentley B, O’Connor M, Kane R, Breen LJ (2014) Feasibility, acceptability, and potential effectiveness of dignity therapy for people with motor neurone disease. PLoS ONE 9(5):1–8CrossRef Bentley B, O’Connor M, Kane R, Breen LJ (2014) Feasibility, acceptability, and potential effectiveness of dignity therapy for people with motor neurone disease. PLoS ONE 9(5):1–8CrossRef
23.
Zurück zum Zitat Palmieri A, Kleinbub JR, Calvo V, Sorarù G, Grasso I, Messina I, et al. Efficacy of hypnosis-based treatment in amyotrophic lateral sclerosis: a pilot study. Front Psychol. 2012;3(NOV):1–6. Palmieri A, Kleinbub JR, Calvo V, Sorarù G, Grasso I, Messina I, et al. Efficacy of hypnosis-based treatment in amyotrophic lateral sclerosis: a pilot study. Front Psychol. 2012;3(NOV):1–6.
24.
Zurück zum Zitat Kleinbub JR, Palmieri A, Broggio A, Pagnini F. Hypnosis-based psychodynamic treatment in ALS : a longitudinal study on patients and their caregivers. 2015;6(June):1–14 Kleinbub JR, Palmieri A, Broggio A, Pagnini F. Hypnosis-based psychodynamic treatment in ALS : a longitudinal study on patients and their caregivers. 2015;6(June):1–14
26.
Zurück zum Zitat Jensen MP, Smith AE, Bombardier CH, Yorkston KM, Mir J, Molton IR (2013) Social support, depression, and physical disability : age and diagnostic group effects. Disabil Health J 7(2):164–172CrossRef Jensen MP, Smith AE, Bombardier CH, Yorkston KM, Mir J, Molton IR (2013) Social support, depression, and physical disability : age and diagnostic group effects. Disabil Health J 7(2):164–172CrossRef
27.
Zurück zum Zitat Parkyn H, Coveney J (2011) Child : An exploration of the value of social interaction in a boys ’ group for adolescents with muscular dystrophy. Child Care Health Dev 39(1):1–9 Parkyn H, Coveney J (2011) Child : An exploration of the value of social interaction in a boys ’ group for adolescents with muscular dystrophy. Child Care Health Dev 39(1):1–9
28.
Zurück zum Zitat Kirk S, Milnes L (2016) An exploration of how young people and parents use online support in the context of living with cystic fibrosis. Heal Expect 19(2):309–321CrossRef Kirk S, Milnes L (2016) An exploration of how young people and parents use online support in the context of living with cystic fibrosis. Heal Expect 19(2):309–321CrossRef
29.
Zurück zum Zitat Macdonald K, Greggans A (2010) ‘ Cool friends ’: an evaluation of a community befriending programme for young people with cystic fibrosis. J Clin Nurs 19(17–18):2406–2414CrossRef Macdonald K, Greggans A (2010) ‘ Cool friends ’: an evaluation of a community befriending programme for young people with cystic fibrosis. J Clin Nurs 19(17–18):2406–2414CrossRef
30.
Zurück zum Zitat Meade O, Buchanan H, Coulson N. The use of an online support group for neuromuscular disorders : a thematic analysis of message postings analysis of message postings. 2017;8288(June) Meade O, Buchanan H, Coulson N. The use of an online support group for neuromuscular disorders : a thematic analysis of message postings analysis of message postings. 2017;8288(June)
31.
Zurück zum Zitat Cipolletta S, Gammino GR, Francescon P, Palmieri A. Mutual support groups for family caregivers of people with amyotrophic lateral sclerosis in Italy : a pilot study. 2018;(January):556–63 Cipolletta S, Gammino GR, Francescon P, Palmieri A. Mutual support groups for family caregivers of people with amyotrophic lateral sclerosis in Italy : a pilot study. 2018;(January):556–63
33.
Zurück zum Zitat Madsen LS, Jeppesen J, Handberg C. “ Understanding my ALS ”. Experiences and reflections of persons with amyotrophic lateral sclerosis and relatives on participation in peer group rehabilitation. Disabil Rehabil [Internet]. 2018;0(0):1–9. Available from: https://doi.org/10.1080/09638288.2018.1429499 Madsen LS, Jeppesen J, Handberg C. “ Understanding my ALS ”. Experiences and reflections of persons with amyotrophic lateral sclerosis and relatives on participation in peer group rehabilitation. Disabil Rehabil [Internet]. 2018;0(0):1–9. Available from: https://​doi.​org/​10.​1080/​09638288.​2018.​1429499
34.
Zurück zum Zitat De Wit J, Beelen A, Drossaert CHC, Kolijn R, Van Den Berg LH, SchrÖder CD et al (2020) Blended psychosocial support for partners of patients with ALS and PMA: results of a randomized controlled trial. Amyotroph Lateral Scler Front Degener 21(5–6):344–354CrossRef De Wit J, Beelen A, Drossaert CHC, Kolijn R, Van Den Berg LH, SchrÖder CD et al (2020) Blended psychosocial support for partners of patients with ALS and PMA: results of a randomized controlled trial. Amyotroph Lateral Scler Front Degener 21(5–6):344–354CrossRef
35.
Zurück zum Zitat Corbin J, Strauss A. Basics of qualitative research: techniques and procedures for developing grounded theory. Sage Publications; Corbin J, Strauss A. Basics of qualitative research: techniques and procedures for developing grounded theory. Sage Publications;
36.
Zurück zum Zitat Pietkiewicz I, Smith JA, Pietkiewicz I, Smith JA. A practical guide to using interpretative phenomenological analysis in qualitative research psychology. 2014;(2012):7–14 Pietkiewicz I, Smith JA, Pietkiewicz I, Smith JA. A practical guide to using interpretative phenomenological analysis in qualitative research psychology. 2014;(2012):7–14
37.
Zurück zum Zitat Brooks BR, Miller RG, Swash M, Munsat TL (2000) El Escorial revisited: revised criteria for the diagnosis of amyotrophic lateral sclerosis. Amyotroph Lateral Scler 1(5):293–299 Brooks BR, Miller RG, Swash M, Munsat TL (2000) El Escorial revisited: revised criteria for the diagnosis of amyotrophic lateral sclerosis. Amyotroph Lateral Scler 1(5):293–299
38.
Zurück zum Zitat Siciliano M, Trojano L, Trojsi F, Greco R, Santangelo G (2017) Edinburgh Cognitive and Behavioural ALS Screen ( ECAS ) - Italian version : regression based norms and equivalent scores. Neurol Sci 38(6):1059–1068CrossRef Siciliano M, Trojano L, Trojsi F, Greco R, Santangelo G (2017) Edinburgh Cognitive and Behavioural ALS Screen ( ECAS ) - Italian version : regression based norms and equivalent scores. Neurol Sci 38(6):1059–1068CrossRef
39.
Zurück zum Zitat Measso G, Cavarzeran F, Zappalà G, Lebowitz BD, Crook TH, Pirozzolo FJ et al (1993) The Mini-Mental State Examination: normative study of an Italian random sample. Dev Neuropsychol 9(2):77–85CrossRef Measso G, Cavarzeran F, Zappalà G, Lebowitz BD, Crook TH, Pirozzolo FJ et al (1993) The Mini-Mental State Examination: normative study of an Italian random sample. Dev Neuropsychol 9(2):77–85CrossRef
40.
Zurück zum Zitat Charmaz K. Constructing grounded theory: a practical guide through Qualitative. 2014379. Charmaz K. Constructing grounded theory: a practical guide through Qualitative. 2014379.
42.
Zurück zum Zitat Marconi A, Gragnano G, Lunetta C, Gatto R, Fabiani V, Tagliaferri A et al (2016) The experience of meditation for people with amyotrophic lateral sclerosis and their caregivers – a qualitative analysis. Psychol Heal Med 21(6):762–768CrossRef Marconi A, Gragnano G, Lunetta C, Gatto R, Fabiani V, Tagliaferri A et al (2016) The experience of meditation for people with amyotrophic lateral sclerosis and their caregivers – a qualitative analysis. Psychol Heal Med 21(6):762–768CrossRef
44.
Zurück zum Zitat Hsieh S, Leyton CE, Caga J, Flanagan E, Kaizik C, OConnor CM, et al. The evolution of caregiver burden in frontotemporal dementia with and without amyotrophic lateral sclerosis. J Alzheimer’s Dis. 2015;49(3):875–85. Hsieh S, Leyton CE, Caga J, Flanagan E, Kaizik C, OConnor CM, et al. The evolution of caregiver burden in frontotemporal dementia with and without amyotrophic lateral sclerosis. J Alzheimer’s Dis. 2015;49(3):875–85.
45.
Zurück zum Zitat Bungener C (2012) Les émotions et la sclérose latérale amyotrophique : une perspective psychopathologique. Geriatr Psychol Neuropsychiatr Vieil 10(1):57–64PubMed Bungener C (2012) Les émotions et la sclérose latérale amyotrophique : une perspective psychopathologique. Geriatr Psychol Neuropsychiatr Vieil 10(1):57–64PubMed
46.
Zurück zum Zitat Walklet E, Muse K, Meyrick J, Moss T (2016) Do psychosocial interventions improve quality of life and wellbeing in adults with neuromuscular disorders? A systematic review and narrative synthesis. J Neuromuscul Dis 3(3):347–362CrossRef Walklet E, Muse K, Meyrick J, Moss T (2016) Do psychosocial interventions improve quality of life and wellbeing in adults with neuromuscular disorders? A systematic review and narrative synthesis. J Neuromuscul Dis 3(3):347–362CrossRef
47.
Zurück zum Zitat Abrahams S, Borasio GD, Carvalho M De, Chio A, Damme V, Hardiman O, et al. EFNS GUIDELINES EFNS guidelines on the clinical management of amyotrophic lateral sclerosis ( MALS ) – revised report of an EFNS task force. 2012; Abrahams S, Borasio GD, Carvalho M De, Chio A, Damme V, Hardiman O, et al. EFNS GUIDELINES EFNS guidelines on the clinical management of amyotrophic lateral sclerosis ( MALS ) – revised report of an EFNS task force. 2012;
Metadaten
Titel
Psychoeducational groups for people with Amyotrophic Lateral Sclerosis and their caregiver: a qualitative study
verfasst von
Vittoria Anita Bilenchi
Paolo Banfi
Francesco Pagnini
Eleonora Volpato
Publikationsdatum
14.02.2022
Verlag
Springer International Publishing
Erschienen in
Neurological Sciences / Ausgabe 7/2022
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-022-05930-2

Weitere Artikel der Ausgabe 7/2022

Neurological Sciences 7/2022 Zur Ausgabe

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Frühe Alzheimertherapie lohnt sich

25.04.2024 AAN-Jahrestagung 2024 Nachrichten

Ist die Tau-Last noch gering, scheint der Vorteil von Lecanemab besonders groß zu sein. Und beginnen Erkrankte verzögert mit der Behandlung, erreichen sie nicht mehr die kognitive Leistung wie bei einem früheren Start. Darauf deuten neue Analysen der Phase-3-Studie Clarity AD.

Viel Bewegung in der Parkinsonforschung

25.04.2024 Parkinson-Krankheit Nachrichten

Neue arznei- und zellbasierte Ansätze, Frühdiagnose mit Bewegungssensoren, Rückenmarkstimulation gegen Gehblockaden – in der Parkinsonforschung tut sich einiges. Auf dem Deutschen Parkinsonkongress ging es auch viel um technische Innovationen.

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.