Indicators of distress in newly diagnosed breast cancer patients

Background. The diagnosis, treatment, and long-term management of cancer can present individuals with a multitude of stressors at various points in that trajectory. Psychosocial distress may appear early in the diagnostic process and have negative effects on compliance with treatment and subsequent...

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Main Authors: Andrea Chirico, Fabio Lucidi, Luca Mallia, Massimiliano D’Aiuto, Thomas V. Merluzzi
Format: Article
Language:English
Published: PeerJ Inc. 2015-07-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/1107.pdf
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author Andrea Chirico
Fabio Lucidi
Luca Mallia
Massimiliano D’Aiuto
Thomas V. Merluzzi
author_facet Andrea Chirico
Fabio Lucidi
Luca Mallia
Massimiliano D’Aiuto
Thomas V. Merluzzi
author_sort Andrea Chirico
collection DOAJ
description Background. The diagnosis, treatment, and long-term management of cancer can present individuals with a multitude of stressors at various points in that trajectory. Psychosocial distress may appear early in the diagnostic process and have negative effects on compliance with treatment and subsequent quality of life.Purpose. The aim of the study was to determine early-phase predictors of distress before any medical treatment.Method. Consistent with the goals of the study, 123 newly diagnosed breast cancer patients (20 to 74 years old) completed multiple indicators of knowledge about breast cancer management and treatment, attitudes toward cancer, social support, coping efficacy, and distress.Results. SEM analysis confirmed the hypothesized model. Age was negatively associated with the patient’s knowledge (β = − 0.22), which, in turn, was positively associated with both attitudes toward breast cancer (β = 0.39) and coping self-efficacy (β = 0.36). Self-efficacy was then directly related to psychological distress (β = − 0.68).Conclusions. These findings establish indicators of distress in patients early in the cancer trajectory. From a practical perspective, our results have implications for screening for distress and for the development of early interventions that may be followed by healthcare professionals to reduce psychological distress.
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spelling doaj.art-ca62b37ce41e4f2b86bf363760bab2182023-12-03T10:34:10ZengPeerJ Inc.PeerJ2167-83592015-07-013e110710.7717/peerj.1107Indicators of distress in newly diagnosed breast cancer patientsAndrea Chirico0Fabio Lucidi1Luca Mallia2Massimiliano D’Aiuto3Thomas V. Merluzzi4Breast Cancer Department, National Cancer Institute Fondazione “G.Pascale,”, Naples, ItalyDepartment of Psychology of Developmental and Socialisation Processes, “Sapienza” University of Rome, Rome, ItalyDepartment of Psychology of Developmental and Socialisation Processes, “Sapienza” University of Rome, Rome, ItalyBreast Cancer Department, National Cancer Institute Fondazione “G.Pascale,”, Naples, ItalyDepartment of Psychology, Notre Dame University, Notre Dame, USABackground. The diagnosis, treatment, and long-term management of cancer can present individuals with a multitude of stressors at various points in that trajectory. Psychosocial distress may appear early in the diagnostic process and have negative effects on compliance with treatment and subsequent quality of life.Purpose. The aim of the study was to determine early-phase predictors of distress before any medical treatment.Method. Consistent with the goals of the study, 123 newly diagnosed breast cancer patients (20 to 74 years old) completed multiple indicators of knowledge about breast cancer management and treatment, attitudes toward cancer, social support, coping efficacy, and distress.Results. SEM analysis confirmed the hypothesized model. Age was negatively associated with the patient’s knowledge (β = − 0.22), which, in turn, was positively associated with both attitudes toward breast cancer (β = 0.39) and coping self-efficacy (β = 0.36). Self-efficacy was then directly related to psychological distress (β = − 0.68).Conclusions. These findings establish indicators of distress in patients early in the cancer trajectory. From a practical perspective, our results have implications for screening for distress and for the development of early interventions that may be followed by healthcare professionals to reduce psychological distress.https://peerj.com/articles/1107.pdfDistressBreast cancerNewly diagnosedPreventionPsychologyKnowledge
spellingShingle Andrea Chirico
Fabio Lucidi
Luca Mallia
Massimiliano D’Aiuto
Thomas V. Merluzzi
Indicators of distress in newly diagnosed breast cancer patients
PeerJ
Distress
Breast cancer
Newly diagnosed
Prevention
Psychology
Knowledge
title Indicators of distress in newly diagnosed breast cancer patients
title_full Indicators of distress in newly diagnosed breast cancer patients
title_fullStr Indicators of distress in newly diagnosed breast cancer patients
title_full_unstemmed Indicators of distress in newly diagnosed breast cancer patients
title_short Indicators of distress in newly diagnosed breast cancer patients
title_sort indicators of distress in newly diagnosed breast cancer patients
topic Distress
Breast cancer
Newly diagnosed
Prevention
Psychology
Knowledge
url https://peerj.com/articles/1107.pdf
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