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Psychosocial Morbidity and its Correlates in Cancer Patients of the Mediterranean Area: Findings from the Southern European Psycho-Oncology Study

dc.contributor.authorGrassi, L
dc.contributor.authorTravado, L
dc.contributor.authorMoncayo, F
dc.contributor.authorSabato, S
dc.contributor.authorRossi, E
dc.date.accessioned2011-05-27T14:54:07Z
dc.date.available2011-05-27T14:54:07Z
dc.date.issued2004
dc.description.abstractBACKGROUND: A few and partial data are available on psychosocial morbidity among cancer patients in Mediterranean countries. As a part of a more general investigation (Southern European Psycho-Oncology Study-SEPOS), the rate of psychosocial morbidity and its correlation with clinical and cultural variables were examined in cancer patients in Italy, Portugal and Spain. METHODS: A convenience sample of cancer outpatients with good performance status and no cognitive impairment were approached. The Hospital Anxiety-Depression scale (HAD-S), the Mini-Mental Adjustment to Cancer scale (Mini-MAC), and the Cancer Worries Inventory (CWI) were used to measure psychological morbidity, coping strategies and concerns about illness. RESULTS: Of 277 patients, 34% had pathological scores ("borderline cases" plus "true cases") on HAD-S Anxiety and 24.9% on HAD-S Depression. Total psychiatric "caseness" was 28.5% and 16.6%, according to different HAD cut-offs (14 and 19, respectively). Significant relationships of HAD-S Anxiety, HAD-S Depression, HAD-S Total score, with Mini-MAC Hopeless and Anxious Preoccupation, and CWI score were found. No differences emerged between countries on psychosocial morbidity, while some differences emerged between the countries on coping mechanisms. Furthermore, Fatalism, Avoidance and marginally Hopeless were higher compared to studies carried out in English-speaking countries. LIMITATIONS: The relatively small sample size and the good performance status prevent us to generalize data on patients with different cancer sites and advanced phase of illness. CONCLUSIONS: One-third of the patients presented anxiety and depressive morbidity, with significant differences in characteristics of coping in Mediterranean countries in comparison with English-speaking countries.por
dc.identifier.citationJ Affect Disord. 2004 Dec;83(2-3):243-8.por
dc.identifier.urihttp://hdl.handle.net/10400.17/215
dc.language.isoengpor
dc.publisherElsevierpor
dc.subjectAdaptação Psicológicapor
dc.subjectAdultopor
dc.subjectIdosopor
dc.subjectTranstornos de Ansiedadepor
dc.subjectComparação Transculturalpor
dc.subjectMecanismos de Defesapor
dc.subjectDepressãopor
dc.subjectInquéritos de Saúdepor
dc.subjectItáliapor
dc.subjectSuiçapor
dc.subjectPortugalpor
dc.subjectEspanhapor
dc.subjectNeoplasiaspor
dc.subjectPsicologiapor
dc.subjectEquipa de Assistência ao Doentepor
dc.subjectInventário de Personalidadepor
dc.subjectReferência e Consultapor
dc.subjectEstatísticapor
dc.subjectReplicação de Resultadospor
dc.subjectPapel do Doentepor
dc.titlePsychosocial Morbidity and its Correlates in Cancer Patients of the Mediterranean Area: Findings from the Southern European Psycho-Oncology Studypor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage248por
oaire.citation.startPage243por
oaire.citation.titleJournal of Affective Disorderspor
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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