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

Ticchi, Davide; Eisinger, Robert S; Pilegaard, Hans K; Torre, Michele; Sesia, Sergio Bruno; Infante, Maurizio; Voulaz, Emanuele; Quesada, Mauricio Arce; Sisask, Merike (2018). Evaluating interest in narrative therapy for decision making about pectus excavatum treatment. Interactive cardiovascular and thoracic surgery, 26(2), pp. 271-275. Oxford University Press 10.1093/icvts/ivx308

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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.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Thoracic Surgery

UniBE Contributor:

Sesia, Sergio Bruno


600 Technology > 610 Medicine & health




Oxford University Press




Thomas Michael Marti

Date Deposited:

10 Apr 2018 09:50

Last Modified:

24 Nov 2019 10:58

Publisher DOI:


PubMed ID:


Uncontrolled Keywords:

Decision making Interdisciplinary assessment model Narrative therapy Pectus excavatum Psychosocial counselling





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