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Cited by 123Psychosomatic Disorders and Their TreatmentsCancer survivorship and careAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Use of the diagnostic criteria for psychosomatic research in oncology

Grassi, Luigi, Sabato, Silvana, Rossi, Elena, Biancosino, Bruno, Marmai, Luciana·2005·Psychotherapy and Psychosomatics
DOI 10.1159/000083168
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Abstract

BACKGROUND: Psycho-oncology literature has shown that 30-50% of cancer patients meet the criteria for a psychiatric diagnosis, according to the usual nosographic classification (e.g. DSM). The Diagnostic Criteria for Psychosomatic Research (DCPR) have been shown to be useful in identifying psychological constellations in patients with medical illness. The aims of the study were to compare the DSM-IV and the DCPR in their application to cancer patients. METHOD: One hundred and forty-six patients with cancer underwent semistructured interviews to assess psychiatric morbidity and psychosocial syndromes according to the DSM-IV and the DCPR, respectively. The Brief Symptom Inventory (BSI) was also used to assess psychological stress symptoms. RESULTS: Sixty-five subjects (44.5%) met the criteria for a DSM-IV diagnosis (DSM cases), while 104 patients (71.2%) presented symptoms meeting the criteria for at least one DCPR syndrome. Three DCPR dimensions were more frequent than others, specifically Health Anxiety (37.7%), Demoralization (28.8%) and Alexithymia (26%). Among the subjects with no formal DSM-IV diagnosis (n = 81), 58% had at least one DCPR syndrome. DSM-IV cases had higher scores on several BSI subscales in comparison with patients with only one DCPR syndrome, while no difference was found in patients with more than one DCPR diagnosis. CONCLUSIONS: The DCPR system was found to be useful in oncology in investigating psychological conditions which are not identified by the DSM-IV alone. Assessment of more specific constructs, other than intensity of general stress symptoms, may give more specific information and help in tailoring psychological intervention for patients with cancer.

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Authors
Grassi, L., Sabato, S., Rossi, E., Biancosino, B., & Marmai, L.
Affiliations
University of Ferrara (IT)
ORCID
Venue
Psychotherapy and Psychosomatics
Publisher
S. Karger AG
Published
2005
Volume
74
Issue
2
Pages
100-107
ISSN
  • 0033-3190 (ISSN-L)
  • 1423-0348
DOI
10.1159/000083168
OpenAlex
W2010676279
Cited by
123
References
41
Citations by year
2026: 2 · 2025: 2 · 2024: 6 · 2023: 8 · 2022: 3 · 2021: 5 · 2020: 7 · 2019: 5 · 2018: 6 · 2017: 10 · 2016: 3 · 2015: 7 · 2014: 6 · 2013: 10 · 2012: 5
FWCI
3.41
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Psychotherapy and Psychosomatics (publishedVersion)
  • PubMed (publishedVersion)
  • Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion)
Funders
National Institute of Mental Health
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
DSM-IV, cancer patients, psychiatric morbidity, health anxiety, demoralization, alexithymia, psychological stress, Brief Symptom Inventory, psychiatric diagnosis
MeSH terms
Adult, Aged, Mental Disorders, Diagnosis, Differential, Female, Humans, Interview, Psychological, Male, Medical Oncology, Middle Aged, Morbidity, Neoplasms, Outpatients, Psychiatric Status Rating Scales, Psychology, Sensitivity and Specificity, Diagnostic and Statistical Manual of Mental Disorders

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