Cancer Anxiety Mediates the Association Between Satisfaction With Medical Communication and Psychological Quality of Life After Prophylactic Bilateral Salpingo-Oophorectomy
BackgroundProphylactic Bilateral Salpingo-Oophorectomy (PBSO) reduces the risk of developing ovarian cancer. However, the psychological mechanisms that may affect post-surgery Quality of Life (QoL) among patients who underwent PBSO are still largely unknown. Thus, this study aimed at exploring the d...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-03-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.840931/full |
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| author | Cristina Zarbo Agostino Brugnera Luigi Frigerio Chiara Celi Angelo Compare Valentina Dessì Rosalba Giordano Chiara Malandrino Federica Paola Sina Maria Grazia Strepparava Maria Grazia Strepparava Isadora Vaglio Tessitore Mariangela Ventura Robert Fruscio Robert Fruscio |
| author_facet | Cristina Zarbo Agostino Brugnera Luigi Frigerio Chiara Celi Angelo Compare Valentina Dessì Rosalba Giordano Chiara Malandrino Federica Paola Sina Maria Grazia Strepparava Maria Grazia Strepparava Isadora Vaglio Tessitore Mariangela Ventura Robert Fruscio Robert Fruscio |
| author_sort | Cristina Zarbo |
| collection | DOAJ |
| description | BackgroundProphylactic Bilateral Salpingo-Oophorectomy (PBSO) reduces the risk of developing ovarian cancer. However, the psychological mechanisms that may affect post-surgery Quality of Life (QoL) among patients who underwent PBSO are still largely unknown. Thus, this study aimed at exploring the direct and indirect associations of satisfaction with medical communication and cancer anxiety on post-surgery QoL among women at high risk of developing ovarian cancer.MethodFifty-nine women (mean age: 50.64 ± 6.7 years) who underwent PBSO took part in this cross-sectional study, filling out a sociodemographic and clinical questionnaire, a battery of validated psychological measures and an ad hoc developed scale for the assessment of cancer anxiety. We first examined the correlations among all variables of interest, and then tested if cancer anxiety mediated the association between satisfaction with medical communication and post-surgery psychological QoL, controlling both for time from surgery and education.ResultsPost-surgery psychological QoL was unrelated from any sociodemographic or clinical variable. Cancer anxiety had a significant direct negative effect on psychological QoL, while satisfaction with medical communication had a significant positive direct effect on it. Finally, cancer anxiety significantly mediated the association between satisfaction with medical communication and post-surgery psychological QoL.DiscussionResults suggest that post-surgery psychological QoL of patients who underwent PBSO may be increased with interventions, delivered in a genetic counselling setting, targeting quality of medical communication and cancer anxiety. |
| first_indexed | 2024-12-21T03:14:22Z |
| format | Article |
| id | doaj.art-5f43e0ab63154cc8a183d645720e06e0 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-12-21T03:14:22Z |
| publishDate | 2022-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-5f43e0ab63154cc8a183d645720e06e02022-12-21T19:17:53ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-03-011310.3389/fpsyg.2022.840931840931Cancer Anxiety Mediates the Association Between Satisfaction With Medical Communication and Psychological Quality of Life After Prophylactic Bilateral Salpingo-OophorectomyCristina Zarbo0Agostino Brugnera1Luigi Frigerio2Chiara Celi3Angelo Compare4Valentina Dessì5Rosalba Giordano6Chiara Malandrino7Federica Paola Sina8Maria Grazia Strepparava9Maria Grazia Strepparava10Isadora Vaglio Tessitore11Mariangela Ventura12Robert Fruscio13Robert Fruscio14Unit of Epidemiological and Evaluation Psychiatry, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, ItalyDepartment of Human and Social Sciences, University of Bergamo, Bergamo, ItalyDepartment of Obstetrics & Gynaecology, Hospital Papa Giovanni XXIII, Bergamo, ItalyClinical Psychology Unit, ASST-Monza, Monza, ItalyDepartment of Human and Social Sciences, University of Bergamo, Bergamo, ItalyDepartment of Human and Social Sciences, University of Bergamo, Bergamo, ItalyDepartment of Obstetrics & Gynaecology, Hospital Papa Giovanni XXIII, Bergamo, ItalyDepartment of Obstetrics & Gynaecology, Hospital Papa Giovanni XXIII, Bergamo, ItalyGynaecologic Surgery Unit, ASST-Monza, Monza, ItalyClinical Psychology Unit, ASST-Monza, Monza, ItalyDepartment of Medicine and Surgery, University of Milan-Bicocca, Milan, ItalyDepartment of Medicine and Surgery, University of Milan-Bicocca, Milan, ItalyPrivate Practitioner, Bergamo, ItalyGynaecologic Surgery Unit, ASST-Monza, Monza, ItalyDepartment of Medicine and Surgery, University of Milan-Bicocca, Milan, ItalyBackgroundProphylactic Bilateral Salpingo-Oophorectomy (PBSO) reduces the risk of developing ovarian cancer. However, the psychological mechanisms that may affect post-surgery Quality of Life (QoL) among patients who underwent PBSO are still largely unknown. Thus, this study aimed at exploring the direct and indirect associations of satisfaction with medical communication and cancer anxiety on post-surgery QoL among women at high risk of developing ovarian cancer.MethodFifty-nine women (mean age: 50.64 ± 6.7 years) who underwent PBSO took part in this cross-sectional study, filling out a sociodemographic and clinical questionnaire, a battery of validated psychological measures and an ad hoc developed scale for the assessment of cancer anxiety. We first examined the correlations among all variables of interest, and then tested if cancer anxiety mediated the association between satisfaction with medical communication and post-surgery psychological QoL, controlling both for time from surgery and education.ResultsPost-surgery psychological QoL was unrelated from any sociodemographic or clinical variable. Cancer anxiety had a significant direct negative effect on psychological QoL, while satisfaction with medical communication had a significant positive direct effect on it. Finally, cancer anxiety significantly mediated the association between satisfaction with medical communication and post-surgery psychological QoL.DiscussionResults suggest that post-surgery psychological QoL of patients who underwent PBSO may be increased with interventions, delivered in a genetic counselling setting, targeting quality of medical communication and cancer anxiety.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.840931/fullprophylactic bilateral salpingo-oophorectomyquality of lifecommunicationBRCAovarian cancer |
| spellingShingle | Cristina Zarbo Agostino Brugnera Luigi Frigerio Chiara Celi Angelo Compare Valentina Dessì Rosalba Giordano Chiara Malandrino Federica Paola Sina Maria Grazia Strepparava Maria Grazia Strepparava Isadora Vaglio Tessitore Mariangela Ventura Robert Fruscio Robert Fruscio Cancer Anxiety Mediates the Association Between Satisfaction With Medical Communication and Psychological Quality of Life After Prophylactic Bilateral Salpingo-Oophorectomy Frontiers in Psychology prophylactic bilateral salpingo-oophorectomy quality of life communication BRCA ovarian cancer |
| title | Cancer Anxiety Mediates the Association Between Satisfaction With Medical Communication and Psychological Quality of Life After Prophylactic Bilateral Salpingo-Oophorectomy |
| title_full | Cancer Anxiety Mediates the Association Between Satisfaction With Medical Communication and Psychological Quality of Life After Prophylactic Bilateral Salpingo-Oophorectomy |
| title_fullStr | Cancer Anxiety Mediates the Association Between Satisfaction With Medical Communication and Psychological Quality of Life After Prophylactic Bilateral Salpingo-Oophorectomy |
| title_full_unstemmed | Cancer Anxiety Mediates the Association Between Satisfaction With Medical Communication and Psychological Quality of Life After Prophylactic Bilateral Salpingo-Oophorectomy |
| title_short | Cancer Anxiety Mediates the Association Between Satisfaction With Medical Communication and Psychological Quality of Life After Prophylactic Bilateral Salpingo-Oophorectomy |
| title_sort | cancer anxiety mediates the association between satisfaction with medical communication and psychological quality of life after prophylactic bilateral salpingo oophorectomy |
| topic | prophylactic bilateral salpingo-oophorectomy quality of life communication BRCA ovarian cancer |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.840931/full |
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