Diagnostic criteria for psychosomatic research and psychosocial variables in breast cancer patients
Abstract
The aim of the study was to examine the relationship of the Diagnostic Criteria for Psychosomatic Research (DCPR) with psychosocial variables and quality of life among cancer patients. Of 105 women with breast cancer who participated in the study, 40 (38.1%) had symptoms meeting the criteria for at least one DCPR syndrome, and 30 (28.6%) had more than one DCPR syndrome. Health anxiety, demoralization, and alexithymia were the most frequent DCPR syndromes. Patients who were diagnosed with DCPR syndromes reported higher levels of cancer-related worries and poorer quality of life than those without a DCPR diagnosis. Analysis of the single DCPR clusters and coping with cancer indicated that health anxiety was related to higher scores on the Mini-Mental Adjustment to Cancer (Mini-MAC) anxious preoccupation subscale, DCPR demoralization was related to higher scores on the Mini-MAC hopelessness subscale, and DCPR alexithymia was related to higher scores on the Mini-MAC avoidance subscale. The study indicates the usefulness of the application of the DCPR in breast cancer, although further research is needed to improve the feasibility and internal validity of DCPR constructs.
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Across two studies (n = 233), there is a negative association between activity level and demoralization.
“there is a negative association between activity level and demoralization (two studies, n = 233).”
From A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: a decade of research (2015) · cites this paper as [25]
Across four studies (n = 1153 subjects), there was consistent evidence of a relationship between a higher level of demoralization and reduced social support and social functioning.
“There was also consistent evidence for a relationship across four studies (n = 1153 subjects) between a higher level of demoralization and reduced social support and social functioning.”
From A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: a decade of research (2015) · cites this paper as [25]
Across four studies (n = 770), there is no association between demoralization and stage of disease.
“stage of disease (four studies, n = 770)”
From A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: a decade of research (2015) · cites this paper as [25]
In the five studies (n = 959 subjects) using the DCPR, the prevalence of demoralization ranged from 20.6% to 33.3%.
“In the five studies (n = 959 subjects) in which the DCPR was used, prevalence of demoralization ranged from 20.6% to 33.3%”
From A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: a decade of research (2015) · cites this paper as [25]
When the DCPR was used as a categorical measure, rates of demoralization ranged from 21% to 33%.
“When the DCPR was used as a categorical measure, rates of demoralization ranged from 21% to 33%.24–28”
From A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: a decade of research (2015) · cites this paper as [25]
There was a positive relationship between demoralization and cancer-related concerns.
“cancer-related concerns”
From A systematic review of the demoralization syndrome in individuals with progressive disease and cancer: a decade of research (2015) · cites this paper as [25]
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- Authors
- Grassi, L., Rossi, E., Sabato, S., Cruciani, G., & Zambelli, M.
- Affiliations
- University of Ferrara (IT)
- Corresponding author
- Grassi, Luigi
- Venue
- Psychosomatics
- Publisher
- Elsevier BV
- Published
- 2004-11
- Volume
- 45
- Issue
- 6
- Pages
- 483-491
- ISSN
- 0033-3182 (ISSN-L)
- OpenAlex
- W1973975800
- Cited by
- 133
- References
- 59
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 6 · 2023: 6 · 2022: 6 · 2021: 7 · 2020: 6 · 2019: 5 · 2018: 4 · 2017: 6 · 2016: 3 · 2015: 9 · 2014: 6 · 2013: 27 · 2012: 5
- FWCI
- 1.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatics (publishedVersion)
- PubMed (publishedVersion)
- Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- breast cancer, psychosocial factors, quality of life, health anxiety, demoralization, alexithymia, cancer-related worry, coping with cancer, anxious preoccupation, hopelessness, avoidance
- MeSH terms
- Anxiety, Breast Neoplasms, Feasibility Studies, Female, Humans, Middle Aged, Psychology, Psychophysiologic Disorders, Quality of Life, Surveys and Questionnaires, Research, Risk Factors, Reproducibility of Results, Prevalence, Patient Selection
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