Evaluating interest in narrative therapy for decision making about pectus excavatum treatment

Publikation: Forskning - peer reviewTidsskriftartikel


  • Davide Ticchi
    Davide TicchiSchool of Governance, Law and Society, Tallinn University, Tallinn, Estonia.
  • Robert S Eisinger
    Robert S EisingerDepartment of Radiation Oncology, University of Florida College of Medicine, Gainesville, USA.
  • Hans K Pilegaard
  • Michele Torre
    Michele TorreUnit of Pediatric Surgery and Airway Team, Istituto Giannina Gaslini, Genova, Italy.
  • Sergio B Sesia
    Sergio B SesiaDivision of General Thoracic Surgery, University Hospital Berne/Inselspital, Berne, Switzerland.
  • Maurizio Infante
    Maurizio InfanteDepartment of Thoracic Surgery, University Hospital Borgo Trento, Verona, Italy.
  • Emanuele Voulaz
    Emanuele VoulazDepartment of Thoracic Surgery, Humanitas Research Hospital, Rozzano, Italy.
  • Mauricio Arce Quesada
    Mauricio Arce QuesadaHospital CIMA-San José, Hospital La Catolica, San Jose, Costa Rica.
  • Merike Sisask
    Merike SisaskEstonian-Swedish Mental Health and Suicidology Institute, Tallinn, Estonia.

OBJECTIVES: The decision to proceed with surgical treatment for pectus excavatum (PE) is rarely clear-cut. Patients interested in treatment are referred for evaluation by numerous different specialists, but psychosocial counselling is currently not included in this process. Our objective was to assess whether PE patients would be interested in formal assistance with the decision-making process surrounding PE surgery using narrative therapy principles.

METHODS: Ninety-seven untreated PE patients at 5 different institutions in 4 countries completed a questionnaire consisting of 13 questions, with 3 questions specifically evaluating interest in narrative therapy.

RESULTS: Eighty-two percent of participants were interested in narrative therapy to assist with the decision-making process surrounding PE surgery. Individuals most interested in narrative therapy tend to be more interested in correction (P < 0.05) to improve the way they feel about their body (P < 0.05).

CONCLUSIONS: The majority of PE patients are interested in narrative therapy to aid the decision-making process about treatment. We propose that narrative therapy should be offered to PE patients during the treatment evaluation process to address the psychosocial difficulties associated with PE and the surgical decision-making process overall. Future studies should assess the effectiveness of this interdisciplinary model.

TidsskriftInteractive cardiovascular and thoracic surgery
Sider (fra-til)271-75
Antal sider5
StatusUdgivet - 2018

Se relationer på Aarhus Universitet Citationsformater

ID: 120549092