Assessing psychological needs in female cancer patients: a tailored model Psychosocial assessment for female cancer

Main Article Content

Alessandra Miraglia Raineri
Rosapia Lauro Grotto
Giulia Fioravanti
Silvia Casale
Francesco Rotella
Leonardo Fei
Alessandro Villanucci
Gianni Amunni
Carlo Faravelli

Keywords

Stressful Life Events;, Female Cancer, Psychosocial Factors, Psychoncology

Abstract

Background and aim of the work. Psychosocial needs in cancer patients seem to be underestimated and undertreated. The present research was designed to explore under-considered psychosocial needs (e.g., stressful life events, perceived social support, sense of mastery and depressive/anxious symptoms) of a female cancer group. The aim of the study was to test an assessment psycho-oncological model for female cancer patients. An assessment model of psychosocial needs and Stressful Life Events was operationalized and tests its predictive power. Methods. We used Discriminant Analysis to test predictive power of the model and of the single variables included in it. 236 oncological patients (mean age 55.50 ± 13.09) were matched with 232 healthy control groups in the study. The following instruments were chosen: the Florence Psychiatric Interview, Hospital Anxiety Depression Scale, Multidimensional Scale of Perceived Social Support, Beck Depression Inventory I, and Sense of Mastery. Results. The model satisfied the assumption criteria and was significant (Ʌ= .680, X2 = 109.73, p< .001). Conclusions. Stressful events, depression and anxiety were adequate markers of the assessment psycho-oncological model proposed for female cancer patients. The present study provides contributions in a clinical perspective: the results support the relevance of considering an assessment psychosocial model to use in female oncology for an accurate estimation of the women’s needs. Women affected by female cancer with an history of Stressful Early and Recent life events and high level of anxiety and depression could positively benefit from a psychotherapy treatment.

Downloads

Download data is not yet available.
Abstract 84 | PDF Downloads 59

References

1. Senf B, Brandt H, Dignass A, Kleinschmidt R, Kaiser J. Correction to: Psychosocial distress in acute cancer patients assessed with an expert rating scale. Sup Ca Can. 2020 May;28(5):24-33
2. Betchen M, Grunberg VA, Gringlas M, Cardonick E. Being a mother after a cancer diagnosis during pregnancy: Maternal psychosocial functioning and child cognitive development and behavior. Psychoonc 2020; 13 (29): 1148-1155.
3. Di Meglio A, Michiels S, Jones LW, et al. Changes in weight, physical and psychosocial patient-reported outcomes among obese women receiving treatment for early-stage breast cancer: A nationwide clinical study. Breast. 2020 Apr 11(52): 23-32.
4. Aamir D, Waseem Y, Patel MS. Psychosocial implications in breast cancer. J Pak Med Assoc 2020 Feb;70(2):386.
5. Sah GS. Psychosocial and Functional Distress of Cancer Patients in A Tertiary Care Hospital: A Descriptive Cross-sectional Study. Jou Nep Medi Assoc 2019, 57(218): 252-258.
6. Kugbey N, Oppong Asante K, Meyer-Weitz A. Depression, anxiety, and quality of life among women living with breast cancer in Ghana: mediating roles of social support and religiosity. Sup Ca Can. 2020 Jun;28(6):2581-2588.
7. Cho E, Docherty SL. Beyond Resilience: A Concept Analysis of Human Flourishing in Adolescents and Young Adults with Cancer. Adv Nur Sci 2020, 43(2), 172-189.
8. Tsaras K, Papathanasiou IV, Mitsi D, et al. Assessment of Depression and Anxiety in Breast Cancer Patients: Prevalence and Associated Factors. Asian Pac J Cancer Prev. 2018 Jun 25;19(6):1661-1669.
9. Faravelli C, Miraglia Raineri A, Fioravanti G, Pietrini F, Alterini R, Rotella F. Childhood adverse events in Hodgkin and non-Hodgkin lymphomas: a discriminant function. Drugs Cell Ther Hem 2015, 3(2), 92-99.
10. Faravelli C, Fioravanti G, Casale S, et al. Early life events and gynaecological cancer: A pilot study. Psycho psychos 2011, 81(1), 56.
11. Sievert LL, Jaff N, Woods NF. Stress and midlife women's health. Wome Midl Hea. 2018, 16;4 (1): 1-5.
12. Dohrenwend BS, Krasnoff L, Askenasy AR, Dohrenwend BP. The Psychiatric Epidemiology Research Interview Life Events Scale. In: Goldberger L, Breznitz S, (editors). Handbook of stress: Theoretical and clinical aspects. New York: Free Press, 1982:332–63.
13. Seiler A, Jenewein J. Resilience in Cancer Patients. Front Psychiatry. 2019, 5;(10): 208.
14. Almigbal TH, Almutairi KM, Fu JB, et al. Assessment of psychological distress among cancer patients undergoing radiotherapy in Saudi Arabia. Psychol Res Behav Manag 2019, 20;12: 691-700.
15. Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psych bul 1985, 98(2), 310.
16. Dohrenwend BS, Dohrenwend BP: Life stress and illness Formulation of the issues. In: Dohrenwend BS, Dohrenwend BP, editors. Stressful life events and their contexts. New York: Prodist, 1981:1–27.
17. Ozdemir D, Tas Arslan F. An investigation of the relationship between social support and coping with stress in women with breast cancer. Psychooncol. 2018; 27(9):2214-2219.
18. Yeung NCY, Lu Q. Perceived Stress as a Mediator Between Social Support and Posttraumatic Growth Among Chinese American Breast Cancer Survivors. Cancer Nurs. 2018;41(1):53-61.
19. Thoits PA. Conceptual, methodological, and theoretical problems in studying social support as a buffer against life stress. J Health Soc Behav 1982; (23):145–59.
20. Osuji PN, & Onu JU. Feeding behaviors among incident cases of schizophrenia in a psychiatric hospital: Association with dimensions of psychopathology and social support. Clin nutr ESP 2019, 34, 125-129.
21. Price M, Lancaster, CL, Gros, DF, Legrand, AC, Van Stolk-Cooke K, & Acierno, R. An examination of social support and PTSD treatment response during prolonged exposure. Psychiat 2018, 81(3), 258-270.
22. Van Oostrom MA, Tijhuis MA, De Haes JC, Tempelaar R, Kromhout D. A measurement of social support in epidemiological research: the social experiences checklist tested in a general population in The Netherlands. Jou epide comm heal 1995, 49(5), 518-524.
23. Waliston BS, Alagna SW, DeVellis BM, DeVelfis RF. Reviews. Social support and physical health. Helth Psychol. 1983 2, 367.
24. Chida Y, Hamer M, Wardle J, Steptoe A. Do stress-related psychosocial factors contribute to cancer incidence and survival? Nat clin pract Onco 2008, 5(8), 466-475.
25. Mansourabadi A, Moogooei M, Nozari S. Evaluation of Distress and Stress in Cancer Patients in AMIR Oncology Hospital in Shiraz. Irania Jour Pedi Hem Onc 2014, 4(4), 131.
26. Carpenter KM, Fowler JM, Maxwell GL, Andersen BL. Direct and buffering effects of social support among gynecologic cancer survivors. Ann Beh Med 2010, 39(1), 79-90.
27. Faravelli C, Bartolozzi D, Cimminiello L, et al. The Florence psychiatric interview. Inter Jour Meth Psychi Rese 2001, 10(4), 157-171.
28. Pearlin LI, Schooler C. The structure of coping. Journal of health and social behaviour 1978, 2-21.
29. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta psyc scan 1983, 67(6), 361-370.
30. Beck AT, Steer RA, & Brown GK. Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation, 1996.
31. Zimet GD, Dahlem NW, Zimet SG, & Farley GK. The multidimensional scale of perceived social support. Jour of pers assess 1988, 52(1), 30-41.
32. Bonacchi A, Miccinesi G, Galli S, Chiesi F, Martire M, Guazzini M, Toccafondi A, Fazzi L, Balbo V, Vanni D, Rosselli M, Primi C. The Dimensionality of Antonovsky’s Sense of Coherence Scales. An Investigation with Italian Samples.TM 2012,19(2,115-134).
33. Bjelland I, Dahl AA, Haug TT, Neckelmann, D. The validity of the Hospital Anxiety and Depression Scale: an updated literature review. Jou psychos res 2002, 52(2), 69-77.
34. Costantini M, Musso M, Viterbori P, Bonci F, Del Mastro L, Garrone O, Venturini M, Morasso G. Detecting psychological distress in cancer patients: validity of the Italian version of the Hospital Anxiety and Depression Scale. Supp Care Canc 1999;7(3):121-127.
35. Di Fabio A, & Busoni L. Misurare il supporto sociale percepito: Proprietà psicometriche della Multidimensional Scale of Perceived Social Support (MSPSS) in un campione di studenti universitari. Risorsa Uomo. Riv Psic Lav Organiz 2008, 14, 339-350.
36. Sica C, & Ghisi M. The Italian versions of the Beck Anxiety Inventory and the Beck Depression Inventory-II: Psychometric properties and discriminant power. In M. A. Lange (Ed.), Leading-edge psychological tests and testing research (p. 27–50). Nova Science Publishers, 2007.
37. Leech NL, Barrett KC, & Morgan GA. Logistic Regression and Discriminant Analysis (pp 109-128). In SPSS for intermediate statistics: Use and interpretation. Psycho Press, 2007.
38. Chen CC, David AS, Nunnerley H, et al. Adverse life events and breast cancer: case-control study. Bmj 1995, 311(7019), 1527-1530.
39. McGregor BA, Antoni MH. Psychological intervention and health outcomes among Women treated for Breast Cancer: a review of stress pathways and biological mediators. Brain beh immu 2009, 23(2), 159-166.
40. Hann D, Baker F, Denniston M, et al. The influence of social support on depressive symptoms in cancer patients: age and gender differences. Jour of psych rese 2002, 52(5), 279-283.
41. Slevin ML, Nichols SE, Downer SM, Wilson P, Lister TA, Arnott S, Cody M. Emotional support for cancer patients: what do patients really want? Brit jou of canc 1996, 74(8), 1275-1279.
42. Neuling SJ, Winefield H. R. Social support and recovery after surgery for breast cancer: frequency and correlates of supportive behaviours by family, friends and surgeon. Soc scie & medi 1988, 27(4), 385-392.
43. Trask PC, Paterson AG, Trask, CL, Bares CB, Birt J, Maan C. Parent and adolescent adjustment to pediatric cancer: Associations with coping, social support, and family function. Jour of ped oncol nurs 2003, 20(1), 36-47.
44. Pehlivan S, Ovayolu O, Ovayolu N, Sevinc A, Camci C. Relationship between hopelessness, loneliness, and perceived social support from family in Turkish patients with cancer. Supp Car Canc 2012, 20(4), 733-739.
45. Kazak, A. E., & Meadows, A. T. Families of young adolescents who have survived cancer: Social-emotional adjustment, adaptability, and social support. Jour of Pedia Psycho 1989, 14(2), 175-191.
46. Kornblith AB, Herndon JE, Zuckerman E, et al. Social support as a buffer to the psychological impact of stressful life events in Women with Breast Cancer. Canc 2001, 91(2), 443-454.
47. Trevino KM, Stern A, Prigerson HG. Adapting psychosocial interventions for older adults with cancer: A case example of Managing Anxiety from Cancer (MAC). J Geriatr Oncol. 2020 3: S1879-4068(20)30152-1.

Most read articles by the same author(s)