Hostility in cancer patients as an underexplored facet of distress

Grassi, Luigi; Murri, Martino Belvederi; Riba, Michelle; Padova, Silvia De; Bertelli, Tatiana; Sabato, Silvana; Nanni, Maria Giulia; Caruso, Rosangela; Ounalli, Heifa; Zerbinati, Luigi

doi:10.1002/pon.5594

Cited by 10 publications

(11 citation statements)

References 75 publications

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“…This might be related to the hostility associated with thinking about cancer related concerns, low Economic status, maladaptive coping with the disease especially the tendency to adopt a pessimistic attitude about the illness (hopelessness) and the current study revealed that more than half of the studied women had low score in self-efficacy, moderate hopelessness and insufficient income. This finding was similar to the study conducted in Italy who found that higher percentage of cancer patient showed high hostility score (36) .…”

Section: Discussionsupporting

confidence: 91%

Self-Efficacy, Pain and Suicidal Thoughts among Women with Breast Cancer Undergoing Chemotherapy

Abd-Elrhman

Abdelkhalek

Hady

2022

Zagazig Nursing Journal

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Background: Breast cancer continues to be the most frequently diagnosed cancer in women worldwide. Its diagnosis and treatment often results in a stressful life event and high levels of psychological distress. Pain, hopelessness, and suicidal ideation are common in patient with breast cancer. Aim of the study: To identify self-efficacy, pain and suicidal thoughts among women with breast cancer undergoing chemotherapy .Subjects and method: Research design: A Cross sectional descriptive design was used. Setting: The present study was done at oncology outpatient clinic at Zagazig university hospitals, Subjects: 305 patients were selected for the study by systemic random sampling technique. Tools of data collection: Three tools were used, the first tool composed of two parts: socio-demographic data sheet, and Symptom-Management Self-Efficacy Scale-Breast Cancer The second tool was the Numerical Rating Scale and the third tool was Suicide Probability Scale. Results: The study findings showed that 51.1% of breast cancer women had low score regarding self-efficacy, 68.2% had moderate pain and 54.8%had moderate score regarding suicide probability .Higher percentage of them who had severe score of suicide probability and severe pain aged 40-60 years, were not working, had moderate education, were widow, had not enough income and at fourth degree of cancer. The findings also indicated that there was statistically significant relation between total score of self-efficacy, pain intensity and suicide probability. Conclusions: The Study results proven that more than half of breast cancer patients had low score regarding self-efficacy and moderate score regarding suicide probability. Additionally, more than two third of breast cancer patients had moderate pain. Moreover, reduced self-efficacy among breast cancer patients is particularly associated with pain experience and current suicidal thoughts. Recommendations: Developing Psycho-educational program focus on preventing suicidal thought, reducing pain and increasing self-efficacy in breast cancer women.

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Section: Discussionsupporting

confidence: 91%

Self-Efficacy, Pain and Suicidal Thoughts among Women with Breast Cancer Undergoing Chemotherapy

Abd-Elrhman

Abdelkhalek

Hady

2022

Zagazig Nursing Journal

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“…While some research within oncology has shown that younger patients experience more anger, other research has found no relationship with age, nor with education or financial strain. 18,36 This study reveals and clarifies relationships between anger and these demographic characteristics of interest.…”

Section: Discussionmentioning

confidence: 60%

“…10,13,14 However, these studies are limited conceptually in that none incorporated the third widely accepted domain of emotional distress-anger. [16][17][18] People often feel anger in response to frustration and pain, 18,19 common experiences in cancer, and anger can detrimentally affect attitudes, communication, relationships, and care utilization. 3,18 Whereas depression and anxiety tend to foster passive avoidance and withdrawal, anger uniquely motivates individuals to approach problems, often in a conflictual manner that actively angers others and deters them from offering support.…”

Section: Introductionmentioning

confidence: 99%

“…Prior research suggests that two commonly examined domains of emotional distress—depression and anxiety—are associated with less favorable attitudes toward palliative care 10,13,14 . However, these studies are limited conceptually in that none incorporated the third widely accepted domain of emotional distress—anger 16–18 . People often feel anger in response to frustration and pain, 18,19 common experiences in cancer, and anger can detrimentally affect attitudes, communication, relationships, and care utilization 3,18 .…”

Section: Introductionmentioning

confidence: 99%

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Emotional distress predicts palliative cancer care attitudes: The unique role of anger

et al. 2023

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Objective: Although palliative care can mitigate emotional distress, distressed patients may be less likely to engage in timely palliative care. This study aims to investigate the role of emotional distress in palliative care avoidance by examining the associations of anger, anxiety, and depression with palliative care attitudes.Methods: Patients (N = 454) with heterogeneous cancer diagnoses completed an online survey on emotional distress and palliative care attitudes. Emotional distress was measured using the Patient-Reported Outcomes Measurement Information System anger, anxiety, and depression scales. The Palliative Care Attitudes Scale was used to measure palliative care attitudes. Regression models tested the impact of a composite emotional distress score calculated from all three symptom measures, as well as individual anger, anxiety, and depression scores, on palliative care attitudes. All models controlled for relevant demographic and clinical covariates.Results: Regression results revealed that patients who were more emotionally distressed had less favorable attitudes toward palliative care (p < 0.001). In particular, patients who were angrier had less favorable attitudes toward palliative care (p = 0.013) while accounting for depression, anxiety, and covariates. Across analyses, women had more favorable attitudes toward palliative care than men, especially with regard to beliefs about palliative care effectiveness. Conclusions:Anger is a key element of emotional distress and may lead patients to be more reluctant toward timely utilization of palliative care. Although psychooncology studies routinely assess depression or anxiety, more attention to anger is warranted. More research is needed on how best to address anger and increase timely utilization of palliative cancer care.

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“…From the BSI-18, the Anxiety subscale (BSI-ANX), consisting of 6 items (α=0.92), was extrapolated to assess anxiety. In order to find clinically significant cases on the BSI-ANX, the recommended case-rule system (conversion of the raw score in standardized T scores, cases =T ≥ 63) was used, as done in other studies [ 36 ].…”

Section: Methodsmentioning

confidence: 99%

Association between Type-D Personality and Affective (Anxiety, Depression, Post-traumatic Stress) Symptoms and Maladaptive Coping in Breast Cancer Patients: A Longitudinal Study

Grassi¹,

Caruso²,

Murri³

et al. 2021

CPEMH

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Background: Type-D (distressed) personality has not been prospectively explored for its association with psychosocial distress symptoms in breast cancer patients. Objective: The objective of the study was to test the hypothesis that Type-D personality can be associated with psychosocial distress variables in cancer over a 2-point period (6 month-follow-up). Aims: The aim of the study was to analyze the role of Type-D personality in relation to anxiety, depression, post-traumatic stress symptoms, general distress, and maladaptive coping among cancer patients. Methods: 145 breast cancer patients were assessed within 6 months from diagnosis (T0) and again 6 months later (T1). The Type-D personality Scale, the Hospital Anxiety and Depression Scale, Depression subscale (HAD-D), the Brief Symptom Inventory (BSI-18) Anxiety subscale, the Distress Thermometer (DT), the Post-traumatic Symptoms (PTS) Impact of Event Scale (IES), and the Mini Mental Adjustment to Cancer (Mini-MAC) Anxious Preoccupation and Hopelessness scales were individually administered at T0 and T1. Results: One-quarter of cancer patients met the criteria for Type-D personality, which was stable over the follow-up time. The two main constructs of Type-D personality, namely social inhibition (SI) and negative affectivity (NA), were related to anxiety, depression, PTS, BSI-general distress and maladaptive coping (Mini-MAC anxious preoccupation and hopelessness). In regression analysis, Type-D SI was the most significant factor associated with the above-mentioned psychosocial variables, both at T0 and T1. Conclusion: Likewise other medical disorders (especially cardiology), Type-D personality has been confirmed to be a construct significantly related to psychosocial distress conditions and maladaptive coping that are usually part of assessment and intervention in cancer care. More attention to personality issues is important in oncology.

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Hostility in cancer patients as an underexplored facet of distress

Cited by 10 publications

References 75 publications

Self-Efficacy, Pain and Suicidal Thoughts among Women with Breast Cancer Undergoing Chemotherapy

Self-Efficacy, Pain and Suicidal Thoughts among Women with Breast Cancer Undergoing Chemotherapy

Emotional distress predicts palliative cancer care attitudes: The unique role of anger

Association between Type-D Personality and Affective (Anxiety, Depression, Post-traumatic Stress) Symptoms and Maladaptive Coping in Breast Cancer Patients: A Longitudinal Study

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