Quality of life and psychological functioning in postmenopausal women undergoing aromatase inhibitor treatment for early breast cancer

Martino, Gabriella; Catalano, Antonino; Agostino, Rita Maria; Bellone, Federica; Morabito, Nunziata; Lasco, Carmen; Vicario, Carmelo M.; Schwarz, Peter; Feldt‐Rasmussen, Ulla

doi:10.1371/journal.pone.0230681

Cited by 42 publications

(41 citation statements)

References 82 publications

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“…Interestingly, similar findings were shown in recent studies concerning the key role of defense mechanisms and related psychological functions in chronic illness ( Di Giuseppe et al, 2018 , 2019b , 2020b ; Catalano et al, 2019 ; Conversano, 2019 ; Merlo, 2019 ; Marchi et al, 2019 ; Lenzo et al, 2020 ; Martino et al, 2019a , b , 2020a ). In particular, mood disorders seem to negatively affect physical and psychological response to treatment in chronic patients ( Marazziti et al, 2008 ; Mula et al, 2008 ; Dell’Osso et al, 2012 ; Piccinni et al, 2012 ; Veltri et al, 2012 ; Martino et al, 2019c , 2020b ). Recent studies demonstrated that mindfulness disposition is related to anxiety and depression and this is observable among different clinical populations ( Idusohan-Moizer et al, 2015 ; Zhang et al, 2015 ; Lam et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Mindfulness, Age and Gender as Protective Factors Against Psychological Distress During COVID-19 Pandemic

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Objective: Mindfulness disposition is associated with various psychological factors and prevents emotional distress in chronic diseases. In the present study, we analyzed the key role of mindfulness dispositions in protecting the individual against psychological distress consequent to COVID-19 social distancing and quarantining. Methods: An online survey was launched on March 13, 2020, with 6,412 responses by April 6, 2020. Socio-demographic information, exposure to the pandemic, and quarantining were assessed together with psychological distress and mindfulness disposition. Multivariate linear regression analysis was performed to study the influence of predictive factors on psychological distress and quality of life in Italian responders during the early days of lockdown. Pearson correlations were calculated to study the relationship between mindfulness and psychiatric symptoms. Results: Multivariate linear regression run on socio-demographics, COVID-19-related variables, and mindfulness disposition as moderators of overall psychological distress showed that mindfulness was the best predictor of psychological distress (β = −0.504; p < 0.0001). High negative correlations were found between mindfulness disposition and the overall Global Severity Index (r = −0.637; p < 0.0001), while moderate to high associations were found between mindfulness and all SCL-90 sub-scales. Discussion: Findings showed that high dispositional mindfulness enhances wellbeing and helps in dealing with stressful situations such as the COVID-19 pandemic. Mindfulness-based mental training could represent an effective intervention to stem post-traumatic psychopathological beginnings and prevent the onset of chronic mental disorders.

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Section: Introductionmentioning

confidence: 99%

Mindfulness, Age and Gender as Protective Factors Against Psychological Distress During COVID-19 Pandemic

et al. 2020

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“…Mindfulness is a theoretical instance that finds its implementation in a set of meditation and psycho educational exercises aimed at understanding certain fundamental themes such as stress, attachment and dependence on internal and external content and therefore the importance of subjective observation of thoughts, emotions, and physical sensations (Kabat-Zinn, 2009 ; Rosa et al, 2019 ). Mindfulness propensity is known as facilitators of well-being and adaptation for healthcare professionals, together with high adaptive defense mechanisms (Catalano et al, 2019 ; Di Giuseppe et al, 2019a , 2020a , c ; Martino et al, 2020a ). Moreover, mindfulness interventions proved to be very helpful in reducing the psychopathological symptomatology of chronic conditions (Bonadonna, 2003 ; Catalano et al, 2017 ; Poli et al, 2017 , 2019 ; Conversano and Marchi, 2018 ; Marchini et al, 2018 ; Conversano, 2019 ; Di Giuseppe et al, 2019b , 2020b ; Martino et al, 2019a , b , 2020b ; Merlo, 2019 ; Conversano et al, 2020a ; Lenzo et al, 2020 ; Poli et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Mindfulness, Compassion, and Self-Compassion Among Health Care Professionals: What's New? A Systematic Review

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Health care professionals (HCPs) are a population at risk for high levels of burnout and compassion fatigue. The aim of the present systematic review was to give an overview on recent literature about mindfulness and compassion characteristics of HCPs, while exploring the effectiveness of techniques, involving the two aspects, such as MBSR or mindfulness intervention and compassion fatigue-related programs. A search of databases, including PubMed and PsycINFO, was conducted following the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines and the methodological quality for this systematic review was appraised using AMSTAR-2 (A MeaSurement Tool to Assess systematic Reviews-2). The number of articles that met the inclusion criteria was 58 (4 RCTs, 24 studies with pre-post measurements, 12 cross-sectional studies, 11 cohort studies and 7 qualitative studies). MBSR intervention was effective at improving, and maintaining, mindfulness and self-compassion levels and to improve burnout, depression, anxiety, stress. The most frequently employed interventional strategies were mindfulness-related trainings that were effective at improving mindfulness and self-compassion, but not compassion fatigue, levels. Compassion-related interventions have been shown to improve self-compassion, mindfulness and interpersonal conflict levels. Mindfulness was effective at improving negative affect and compassion fatigue, while compassion satisfaction may be related to cultivation of positive affect. This systematic review summarized the evidence regarding mindfulness-and compassion-related qualities of HCPs as well as potential effects of MBSR, mindfulness-related and compassion-related interventions on professionals' psychological variables like mindfulness, self-compassion and quality of life. Combining structured mindfulness and compassion cultivation trainings may enhance the effects of interventions, limit the variability of intervention protocols and improve data comparability of future research.

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“…T2DM is a common chronic illness and it is considered a major health concern due to its prevalence and outcomes. T2DM may involve a serious impact on both morbidity and mortality, compromising individuals' health and perceived quality of life and provoking a very thoughtful social burden to society (Perry et al, 2015 ; Craparo et al, 2016 ; Catalano et al, 2019 ; Conversano, 2019 ; Di Giuseppe et al, 2019 , 2020 ; Martino et al, 2019c , 2020b ; Merlo, 2019 ; Zimmerman et al, 2019 ; Lenzo et al, 2020 ). T2DM is a pandemic chronic metabolic disease, due to insulin deficit and resistance, which affects more than 280 million people worldwide and within the next decade it is expected that more than 430 million people will suffer T2DM (American Diabetes Association, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Alexithymia and Type 2 Diabetes: A Systematic Review

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Background: This systematic review analyzed the relationship between alexithymia, considered as the inability to recognize and express thoughts and emotions, and type 2 diabetes mellitus (T2DM), one of the most common chronic illness, characterized by a metabolic disorder burdened by high morbidity and mortality worldwide due to its outcomes. Methods: PRISMA guidelines were followed throughout this systematic review of the recent literature indexed in the databases PubMed, PsycInfo, Scopus, and Web of Science. Search terms for eligible studies were: “Type 2 diabetes” OR “T2DM” AND “Toronto Alexithymia Scale” OR “TAS-20”[All Fields]. Results: The initial search identified 61 indexed scientific publications. After screening we found that seven publications met the established scientific inclusion and exclusion criteria. It emerged that alexithymic patients ranged from 25 to 50% across the examined publications and it appeared that patients with T2DM generally reflected greater values of alexithymia, revealing particular differences among TAS domains. Moreover, emlpoyed participants were alexithymic to a greater extent compared to non-working participants (77.8 vs. 35.4%) and alexithymia was 2.63 times more severe among working participants when examining predictors of alexithymia. When evaluating the correlations between alexithymia and HbA1c or fasting blood glucose levels we found strong associations equal to 0.75 and 0.77 for TAS-20 total scores, respectively. While alexithymic participants showed significantly higher levels of HbA1c and blood glucose when compared to the non-alexithymic participants. Conclusions: The results of this systematic review of the current literature highlight the need of alexithymia evaluation in patients with T2DM. The high prevalence in T2DM and strong associations with poorly regulated diabetes and psychological distress, indicate a significant relationship between poor glycemic control and psychological distress, such as anxiety and depression, and quality of life. Further studies are needed focusing on age and gender differences in order to be able to improve clinical psychological care and prevention.

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Quality of life and psychological functioning in postmenopausal women undergoing aromatase inhibitor treatment for early breast cancer

Cited by 42 publications

References 82 publications

Mindfulness, Age and Gender as Protective Factors Against Psychological Distress During COVID-19 Pandemic

Mindfulness, Age and Gender as Protective Factors Against Psychological Distress During COVID-19 Pandemic

Mindfulness, Compassion, and Self-Compassion Among Health Care Professionals: What's New? A Systematic Review

The Relationship Between Alexithymia and Type 2 Diabetes: A Systematic Review

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