Hopelessness and Related Variables Among Cancer Patients in the Southern European Psycho-Oncology Study (SEPOS)

Grassi, Luigi; Travado, Luzia; Gil, Francisco; Sabato, Silvana; Rossi, Elena; Tomamichel, Michele; Marmai, Luciana; Biancosino, Bruno; Nanni, Maria Giulia

doi:10.1016/s0033-3182(10)70686-1

Cited by 31 publications

(24 citation statements)

References 42 publications

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“…A few data related to this hypothesis have been provided by Koller et al [44] and Badger et al [45] , who found that negative affect and depression influence cancer patients' reporting of somatic symptoms. Since hopelessness and helplessness have also been related to higher levels of depression in previous studies [22,46] , a negative perception of somatic symptoms and a reduction of QoL [47] , a further explanation is that a concomitant depressive condition may have contributed to increase the subjective perception of postinfusional CINV. Since we did not measure depression in our study, more research is needed with respect to this.…”

Section: Discussionmentioning

confidence: 99%

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Role of Psychosocial Variables on Chemotherapy-Induced Nausea and Vomiting and Health-Related Quality of Life among Cancer Patients: A European Study

Grassi

Berardi

Ruffilli

et al. 2015

Psychother Psychosom

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Background: Chemotherapy-induced nausea and vomiting (CINV) continue to be a distressing problem still reported by cancer patients, with negative consequences on quality of life (QoL). Aims: To prospectively explore the association of psychosocial variables, including emotional distress, maladaptive coping styles and the doctor-patient relationship, with CINV and QoL among cancer outpatients. Methods: A prospective study was conducted on 302 consecutive cancer patients (response rate 80.9%) in Austria, Italy and Spain. The Distress Thermometer (DT), the Mini-Mental Adjustment to Cancer (Mini-MAC), and the Patient Satisfaction with Doctor Questionnaire (PSQ) were used to assess psychosocial variables before chemotherapy. In the 5 days after chemotherapy, CINV was examined by using a daily diary, and the Functional Living Index for Emesis (FLIE) was used to assess QoL. Results: More than half of the patients reported nausea (54%), and a small percentage reported vomiting (14%). CINV had a negative impact on QoL (FLIE caseness, p < 0.01). Maladaptive coping (i.e. hopelessness-helplessness and anxious preoccupation) and emotional distress were associated with CINV (p < 0.05) and poorer QoL (p < 0.05). In logistic regression analysis, nausea was predicted by Mini-MAC/H (OR = 1.1, p = 0.03) and younger age (OR = 0.97, p = 0.04); negative impact on QoL was predicted by grade of chemotherapy emetogenesis (OR = 1.7, p < 0.01) and Mini-MAC/H (OR = 1.2, p = 0.04). Conclusions: Screening and assessment of psychological variables, especially coping, could help in identifying cancer patients at risk for chemotherapy-induced nausea, in spite of the use of antiemetic treatment.

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Section: Discussionmentioning

confidence: 99%

“…However, the way in which patients cope with cancer in terms of cognitive and behavioral responses, which have been shown to influence several aspects of cancer experience (e.g. QoL, psychological distress, physical symptoms and pain) [22,23] , has not been studied, with respect to CINV.…”

Section: Introductionmentioning

confidence: 99%

Role of Psychosocial Variables on Chemotherapy-Induced Nausea and Vomiting and Health-Related Quality of Life among Cancer Patients: A European Study

Grassi

Berardi

Ruffilli

et al. 2015

Psychother Psychosom

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“…Cronbach α showed good levels of internal consistency (HADS‐Anxiety, IT: α = 0.81, PT: α = 0.86; HADS‐Depression, IT: α = 0.80, PT: α = 0.82; HADS‐Total, IT: α = 0.86; PT: α = 0.87). The scale had been used in a previous Southern European psycho‐oncology study …”

Section: Methodsmentioning

confidence: 99%

Relationship of demoralization with anxiety, depression, and quality of life: A Southern European study of Italian and Portuguese cancer patients

et al. 2018

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“…The details of the project and its main results are presented elsewhere (Grassi et al, 2004(Grassi et al, , 2010Gil et al, 2005;Travado et al, 2005). In summary, the study was conducted in three countries of the European Union (EU), namely Italy (Hospital S. Anna, Ferrara), Spain (Hospital Duran I Reynalds, Barcelona) and Portugal (Hospital S. José, Lisbon), and in a non-EU country (Switzerland, Lugano Hospital).…”

Section: Methods Subjects and Proceduresmentioning

confidence: 99%

Do spirituality and faith make a difference? Report from the Southern European Psycho-Oncology Study Group

et al. 2010

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Objective: In the last decade, some attention has been given to spirituality and faith and their role in cancer patients' coping. Few data are available about spirituality among cancer patients in Southern European countries, which have a big tradition of spirituality, namely, the Catholic religion. As part of a more general investigation (Southern European Psycho-Oncology Study -SEPOS), the aim of this study was to examine the effect of spirituality in molding psychosocial implications in Southern European cancer patients.Method: A convenience sample of 323 outpatients with a diagnosis of cancer between 6 to 18 months, a good performance status (Karnofsky Performance Status . 80), and no cognitive deficits or central nervous system (CNS) involvement by disease were approached in university and affiliated cancer centers in Italy, Spain, Portugal, and Switzerland (Italian speaking area). Each patient was evaluated for spirituality (Visual Analog Scale 0-10), psychological morbidity (Hospital Anxiety and Depression Scale-HADS), coping strategies (Mini-Mental Adjustment to Cancer -Mini-MAC) and concerns about illness (Cancer Worries Inventory -CWI).Results. The majority of patients (79.3%) referred to being supported by their spirituality/ faith throughout their illness. Significant differences were found between the spirituality and non-spirituality groups ( p 0.01) in terms of education, coping styles, and psychological morbidity. Spirituality was significantly correlated with fighting spirit (r ¼ 20.27), fatalism (r ¼ 0.50), and avoidance (r ¼ 0.23) coping styles and negatively correlated with education (r ¼ 20.25), depression (r ¼ 20.22) and HAD total (r ¼ 20.17).Significance of results: Spirituality is frequent among Southern European cancer patients with lower education and seems to play some protective role towards psychological morbidity, specifically depression. Further studies should examine this trend in Southern European cancer patients.

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Hopelessness and Related Variables Among Cancer Patients in the Southern European Psycho-Oncology Study (SEPOS)

Cited by 31 publications

References 42 publications

Role of Psychosocial Variables on Chemotherapy-Induced Nausea and Vomiting and Health-Related Quality of Life among Cancer Patients: A European Study

Role of Psychosocial Variables on Chemotherapy-Induced Nausea and Vomiting and Health-Related Quality of Life among Cancer Patients: A European Study

Relationship of demoralization with anxiety, depression, and quality of life: A Southern European study of Italian and Portuguese cancer patients

Do spirituality and faith make a difference? Report from the Southern European Psycho-Oncology Study Group

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