The psychological distress and care needs of mesothelioma patients and asbestos‐exposed subjects: A systematic review of published studies

Bonafede, Michela; Ghelli, Monica; Corfiati, Marisa; Rosa, Valentina Lucia La; Guglielmucci, Fanny; Granieri, Antonella; Branchi, Claudia; Iavicoli, Sergio; Marinaccio, Alessandro

doi:10.1002/ajim.22831

Cited by 23 publications

(52 citation statements)

References 35 publications

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“…Of the quantitative, Henson et al 37 was rated low, and Dooley et al 36 unclear. All three reviews 6,12,29 were rated unclear.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Four studies 6,12,15,30 identified the first time‐period: pre‐diagnosis. For mesothelioma, there is an extra dimension around causality, and the ‘Damocles syndrome’ (retrospective awareness of personal risk from asbestos exposure was identified as a cause of anxiety and distress 6,12,15,30 . These feelings could also be generated by awareness that the patient's own contact with asbestos may have led to the second‐hand exposure of family members, for example, by washing work clothes 12 …”

Section: Resultsmentioning

confidence: 99%

“…After the initial period, the speed and unpredictability of disease progression caused intense anxiety, as three studies showed 6,12,30 . Sometimes, lack of continuity with medical staff left patients unsure about the next treatment steps, with an inability to plan ahead accompanied by distrust of medical interventions and HPCs 12,15 . In a study examining the communication of a mesothelioma diagnosis Taylor et al 32 aimed to understand how a diagnosis can be communicated well and distress can be minimised.…”

Section: Resultsmentioning

confidence: 99%

“…To cope, they engaged in a wide range of strategies. Avoidance/denial was identified as the main mechanism 12 . Strategies included deciding that statistics do not apply; limiting information 33 ; trying to live normally 6 ; and denying negative emotions 15 .…”

Section: Resultsmentioning

confidence: 99%

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What are the psychological effects of mesothelioma on patients and their carers? A scoping review

et al. 2020

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Objective: Despite recent advances in research, malignant mesothelioma remains an incurable and devastating disease, typically bringing shock and emotional distress to patients and carers. Little research has addressed the psychological impact on either group. This scoping review examines the current state of evidence on the psychological effects of mesothelioma on patients and carers, and identifies areas for further research. Methods: We searched PubMed, PsychINFO, CINAHL, the Cochrane Library and Web of Science for English-language peer-reviewed research articles published 1981 to 2019 reporting studies focussing on the psychological effects of mesothelioma on patients and carers. Following data extraction and quality appraisal, reflexive thematic analysis was used to identify themes. Results: Seventeen articles met the inclusion criteria. Carers' experiences were generally amalgamated with patients'. Three themes were developed. The Passing of Time included the importance of timing of interventions; delays in the medical journey; awareness of different time-phases in mesothelioma; and uncertainty/certainty. Dealing with Difficult Feelings reflected ubiquitous negative emotions, feelings about identity and states of being and associated coping strategies. Craving Good Communication covered issues related to sharing of information and to positive/negative aspects of communication. Conclusions: Though limited, the evidence indicates that mesothelioma, with its high symptom-burden, incurability, rarity and asbestos-related causation, leads to complex and interrelating psychological effects on patients and carers. These effects are both negative and positive. The sparse literature gives a partial picture and demonstrates an urgent need for more nuanced research. Studies exploring the experiences of specific groups are recommended, with particular attention required to carers.

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“…Of the quantitative, Henson et al 37 was rated low, and Dooley et al 36 unclear. All three reviews 6,12,29 were rated unclear.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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What are the psychological effects of mesothelioma on patients and their carers? A scoping review

et al. 2020

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Quality of life in retired workers with past exposure to asbestos

Siefert,

Delva,

Paris

et al. 2024

American J Industrial Med

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BackgroundAsbestos causes cancer and non‐cancerous lung and pleural diseases and can also have a negative psychological impact but little is known about its effect on health‐related quality of life.ObjectivesThe aim of this study is to describe the health‐related quality of life (HRQoL) of retired men with a history of occupational exposure to asbestos and examine factors linked with low HRQoL.MethodsRetired male workers of the French Asbestos‐Related Disease Cohort (ARDCO) completed self‐questionnaires that included SF‐36v2 and HAD scales, questions about their perception of asbestos (perceived dangers and level of exposure, expectations to fall ill, or knowing someone who is) and their respiratory symptoms. Asbestos exposure was assessed by industrial hygienists. A perceived risk score was created using factorial analysis. Multivariable regressions were performed for all SF‐36 subscales.ResultsA total of 1266 of 2075 questionnaires (61%) were returned complete and included in analysis. After adjustment for potential confounders, an increase in perceived risk score resulted in a decrease in physical component summary score (PCS), up to 10.7 points (p = 0.048) and in mental component summary score (MCS) (p = 0.044). Presence of respiratory symptoms was also associated with significantly decreased PCS and MCS (p < 0.001). Poor HRQoL was linked to higher perceived risk score with p ≤ 0.01 for all SF‐36 dimensions. Asbestos exposure assessed by an expert was not associated with any outcome.ConclusionsAll dimensions of HRQoL appear to be affected by the perceived risk of incurring asbestos‐related disease and respiratory symptoms.

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Preliminary validation of a questionnaire assessing psychological distress in caregivers of patients with malignant mesothelioma: Mesothelioma Psychological Distress Tool—Caregivers

et al. 2021

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Objective: To develop a short, flexible, and comprehensive tool to measure psychological distress in caregivers of malignant mesothelioma (MM) patients: the Mesothelioma Psychological Distress Tool-Caregivers version (MPDT-C).Methods: Based on a systematic review of the relevant literature, aspects associated with caregiver distress were derived. Expert researchers/clinicians developed a pool of items for each identified aspect. Content validity was assessed through a multiple mixed-methods approach. A multicenter study was conducted to explore the factorial structure of the 47-item MPDT-C through Bayesian factor analysis. Results:The Bayesian exploratory factor analysis revealed an underlying threefactor structure. Factors were labeled Secondary Traumatic Stress, Engagement in Caring, and Meaningful Cognitive Restructuring. All scales showed sufficient reliability and corrected item-total correlations. Females scored higher than males for Engagement in Caring. Conclusions:Taking care of malignant mesothelioma patients is a stressful process that influences the caregiver's physical, emotional, and social wellbeing. Our study offers preliminary evidence in support of the adequate psychometric properties of the MPDT-C, and these should now be replicated. Results suggest that the MPDT-C 122 -

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The psychological distress and care needs of mesothelioma patients and asbestos‐exposed subjects: A systematic review of published studies

Cited by 23 publications

References 35 publications

What are the psychological effects of mesothelioma on patients and their carers? A scoping review

What are the psychological effects of mesothelioma on patients and their carers? A scoping review

Quality of life in retired workers with past exposure to asbestos

Preliminary validation of a questionnaire assessing psychological distress in caregivers of patients with malignant mesothelioma: Mesothelioma Psychological Distress Tool—Caregivers

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