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Evaluation of a screening programme for psychological distress in cancer survivors
Authors:Gabriella Morasso  Silvia Di Leo  Anita Caruso  Andrea Decensi  Monica Beccaro  Laura Berretta  Laura Bongiorno  Maurizio Cosimelli  Stefania Finelli  Gabriella Rondanina  Wissya Santoni  Vittoria Stigliano  Massimo Costantini
Institution:1. Psycho-Oncology Unit, National Cancer Research Institute, L.go R. Benzi 10, 16132, Genoa, Italy
2. Regional Palliative Care Network, National Cancer Research Institute, L.go R. Benzi 10, 16132, Genoa, Italy
3. Prevention and Training Activities in Psycho-Oncology, Regina Elena Institute for Cancer Research, Via E. Chianesi 53, 00144, Rome, Italy
4. Medical Oncology Unit, Galliera Hospital, Mura delle Cappuccine 14, 16128, Genoa, Italy
5. Department of Surgery, Regina Elena Institute for Cancer Research, Via E. Chianesi 53, 00144, Rome, Italy
6. Gastroenterology and Digestive Endoscopic Unit, Regina Elena Institute for Cancer Research, Via E. Chianesi 53, 00144, Rome, Italy
Abstract:

Purpose

This study is aimed at evaluating the feasibility of a screening procedure for psychological distress in cancer survivors.

Methods

Consecutive series of 339 cancer patients from three centres were requested to fill in two questionnaires measuring psychological distress (PDI) and social support (MOSS). Psychological intervention was offered to patients with significant degree of distress.

Results

Most patients accepted to be screened (72.0%; n?=?244), and a subgroup (16.0%) showed high psychological distress. A higher ratio of distressed patients was observed among those with lower social support (P?=?0.017). A significant (P?<?0.01) negative correlation between psychological distress and social support was observed. A psychological intervention was offered to patients with high psychological distress, but only 15.6% completed it.

Conclusions

Results from this study provide both some insights into the characteristics of psychological distress and some input on issues that may arise when implementing a screening procedure for psychological distress in cancer survivors. Further research is needed to assess both the clinical significance of distress and the most appropriate tools to carry out screening procedures within the target population.
Keywords:
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