Subjective expectations from radiotherapy and chemotherapy in patients with oncological illnesses
Introduction Expectations and fears about chemotherapy and radiotherapy in patients with oncological illness may not only affect their subjective well-being (Shaverdian et al., 2018) but also treatment satisfaction and complaints of side effects (Guidolin et al., 2018, Dong et al., 2014, Colagiuri...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822016911/type/journal_article |
| _version_ | 1797617054366302208 |
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| author | E. Rasskazova M. Kovyazina M. Karakurchi |
| author_facet | E. Rasskazova M. Kovyazina M. Karakurchi |
| author_sort | E. Rasskazova |
| collection | DOAJ |
| description |
Introduction
Expectations and fears about chemotherapy and radiotherapy in patients with oncological illness may not only affect their subjective well-being (Shaverdian et al., 2018) but also treatment satisfaction and complaints of side effects (Guidolin et al., 2018, Dong et al., 2014, Colagiuri et al., 2013).
Objectives
The aim was to compare beliefs about treatment in patients referred to radiation therapy and chemotherapy, and to reveal their relationship to health anxiety and subjective well-being.
Methods
53 patients referred to radiation therapy and 63 patients referred to chemotherapy completed the Treatment Perception in Oncological Illnesses Scale (Kovyazina et al., 2021), Illness and Treatment Self-Regulation Questionnaire (Kovyazina et al., 2019), Satisfaction with Life Scale (Diener et al., 1985) and Scale of Positive and Negative Experiences (Diener et al., 2009).
Results
Compared to radiation therapy, with chemotherapy, patients tend to be more doubtful about the effectiveness of treatment and more anxious about the need for it (p<.05). Moderated mediation analysis demonstrated that lack of understanding, doubts about the effectiveness and anxiety about radiation and chemotherapy are associated with subjective ill-being indirectly - through a higher level of health anxiety (β=-.79--.35, SE=.17-.26, 95% CI [-1.42 - -.75 – -.37 - -0,08]). Feelings of helplessness regarding treatment mediated the relationship between doubts and confidence about treatment effectiveness and well-being in both groups.
Conclusions
Results demonstrated that some fears and expectations about chemo- and radiotherapy could provoke health anxiety and helplessness regarding treatment that is related to poorer well-being.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:50:21Z |
| format | Article |
| id | doaj.art-2d0e8c95b91b44068693ae87c23e53d9 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:50:21Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-2d0e8c95b91b44068693ae87c23e53d92023-11-17T05:06:53ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S658S65910.1192/j.eurpsy.2022.1691Subjective expectations from radiotherapy and chemotherapy in patients with oncological illnessesE. Rasskazova0M. Kovyazina1M. Karakurchi2Mental Health Research Center, Medical Psychology, Moscow, Russian Federation Moscow State University, Clinical Psychology, Moscow, Russian FederationLomonosov Moscow State University, Faculty Of Psychology, Moscow, Russian Federation Research Center of Neurology, Department Of Neurorehabilitation And Physiotherapy, Moscow, Russian FederationLomonosov Moscow State University, Faculty Of Psychology, Московская обл, г Реутов, Russian Federation Introduction Expectations and fears about chemotherapy and radiotherapy in patients with oncological illness may not only affect their subjective well-being (Shaverdian et al., 2018) but also treatment satisfaction and complaints of side effects (Guidolin et al., 2018, Dong et al., 2014, Colagiuri et al., 2013). Objectives The aim was to compare beliefs about treatment in patients referred to radiation therapy and chemotherapy, and to reveal their relationship to health anxiety and subjective well-being. Methods 53 patients referred to radiation therapy and 63 patients referred to chemotherapy completed the Treatment Perception in Oncological Illnesses Scale (Kovyazina et al., 2021), Illness and Treatment Self-Regulation Questionnaire (Kovyazina et al., 2019), Satisfaction with Life Scale (Diener et al., 1985) and Scale of Positive and Negative Experiences (Diener et al., 2009). Results Compared to radiation therapy, with chemotherapy, patients tend to be more doubtful about the effectiveness of treatment and more anxious about the need for it (p<.05). Moderated mediation analysis demonstrated that lack of understanding, doubts about the effectiveness and anxiety about radiation and chemotherapy are associated with subjective ill-being indirectly - through a higher level of health anxiety (β=-.79--.35, SE=.17-.26, 95% CI [-1.42 - -.75 – -.37 - -0,08]). Feelings of helplessness regarding treatment mediated the relationship between doubts and confidence about treatment effectiveness and well-being in both groups. Conclusions Results demonstrated that some fears and expectations about chemo- and radiotherapy could provoke health anxiety and helplessness regarding treatment that is related to poorer well-being. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822016911/type/journal_articleoncologyradiotherapychemotherapy |
| spellingShingle | E. Rasskazova M. Kovyazina M. Karakurchi Subjective expectations from radiotherapy and chemotherapy in patients with oncological illnesses European Psychiatry oncology radiotherapy chemotherapy |
| title | Subjective expectations from radiotherapy and chemotherapy in patients with oncological illnesses |
| title_full | Subjective expectations from radiotherapy and chemotherapy in patients with oncological illnesses |
| title_fullStr | Subjective expectations from radiotherapy and chemotherapy in patients with oncological illnesses |
| title_full_unstemmed | Subjective expectations from radiotherapy and chemotherapy in patients with oncological illnesses |
| title_short | Subjective expectations from radiotherapy and chemotherapy in patients with oncological illnesses |
| title_sort | subjective expectations from radiotherapy and chemotherapy in patients with oncological illnesses |
| topic | oncology radiotherapy chemotherapy |
| url | https://www.cambridge.org/core/product/identifier/S0924933822016911/type/journal_article |
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