The DOI matches its Crossref record; 58 of the 59 references it cites were found in a registry or an index.
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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In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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 citing paper
“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]
In the citing paper
“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]
In the citing paper
“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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Sorted by citations
Robinson, S., Kissane, D. W., Brooker, J., & Burney, S. (2015) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2014.07.008 · Cited by 401
“Furthermore, evidence suggests that there is a negative association between activity level and demoralization (two studies, n 1⁄4 233).(25,29) There were inconsistent findings regarding the association between cancer site and demoralization, with head and neck cancer more frequently associated with demoralization than…”
BackgroundResultInfluentialThe burden of psychosocial morbidity related to cancer: patient and family issues
Caruso, R., Nanni, M. G., Riba, M. B., Sabato, S., & Grassi, L. (2017) · International Review of Psychiatry · doi:10.1080/09540261.2017.1288090 · Cited by 244
Self-citationDemoralization: a systematic review on its clinical characterization
Tecuta, L., Tomba, E., Grandi, S., & Fava, G. A. (2014) · Psychological Medicine · doi:10.1017/s0033291714001597 · Cited by 201
“…(Rafanelli et al. 2012), endocrine diseases (Sonino et al. 2004, 2007), primary aldosteronism (Sonino et al. 2006, 2011), oncological diseases (Grassi et al. 2004, 2005), primary care (Ferrari et al. 2008), consultation liaison psychiatry patients (Galeazzi et al. 2004; Porcelli et al. 2009),…”
BackgroundInterdependent anxiety and psychological distress in women with breast cancer and their partners
Segrin, C. G., Badger, T. A., Dorros, S. M., Meek, P., & López, A. M. (2006) · Psycho-Oncology · doi:10.1002/pon.1111 · Cited by 162
A Systematic Review and Meta-Analysis of Demoralization and Depression in Patients With Cancer
Tang, P., Wang, H., & Chou, F. (2015) · Psychosomatics · doi:10.1016/j.psym.2015.06.005 · Cited by 142
Stress, self‐efficacy and quality of life in cancer patients
Kreitler, S., Peleg, D., & Ehrenfeld, M. (2006) · Psycho-Oncology · doi:10.1002/pon.1063 · Cited by 140
Symptom burden, loss of dignity, and demoralization in patients with cancer: a mediation model
Vehling, S., & Mehnert, A. (2013) · Psycho-Oncology · doi:10.1002/pon.3417 · Cited by 135
“Evidence suggests that existential distress in terms of demoralization is associated with a higher physical symptom burden in patients with cancer [15,18–20].”
BackgroundAnxiety, depression, and pain: differences by primary cancer
Fischer, D. J., Villines, D. C., Kim, Y. O., Epstein, J. B., & Wilkie, D. J. (2009) · Supportive Care in Cancer · doi:10.1007/s00520-009-0712-5 · Cited by 127
“Furthermore, ineffective coping mechanisms and inability to control pain have been found to relate to functional interference [27, 39] and inappropriate health behaviors in cancer patients [21, 22].”
BackgroundDemoralization, anhedonia and grief in patients with severe physical illness.
Clarke, D. M., Kissane, D. W., Trauer, T., & Smith, G. C. (2005) · PubMed Central · Cited by 118
Alexithymia and Health-Related Quality of Life in a General Population
Mattila, A. K., Saarni, S. I., Salminen, J. K., Huhtala, H., Sintonen, H., & Joukamaa, M. I. (2009) · Psychosomatics · doi:10.1176/appi.psy.50.1.59 · Cited by 115
Epidemiology of Hypochondriasis and Health Anxiety: Comparison of Different Diagnostic Criteria
Weck, F., Richtberg, S., & Neng, J. (2014) · Current Psychiatry Reviews · doi:10.2174/1573400509666131119004444 · Cited by 100
“For example, in a sample of cancer patients more than one third (38%) of the patients showed an elevated level of health anxiety [52, 53].”
BackgroundIllness Anxiety Disorder: Psychopathology, Epidemiology, Clinical Characteristics, and Treatment.
Scarella, T. M., Boland, R. J., & Barsky, A. J. (2019) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000691 · Cited by 102
Meggiolaro, E., Berardi, M. A., Andritsch, E., Nanni, M. G., Sirgo, A., Samorì, E., Farkas, C., Ruffilli, F., Caruso, R., Bellé, M., et al. (2015) · Palliative & Supportive Care · doi:10.1017/s1478951515000760 · Cited by 86
“Unlike other cross-cultural studies carried out in different parts of the world (e.g., Europe vs. Asia), a few differences were found between Southern (Italy, Spain) and Middle European (Austria) centers, confirming what already shown in a previous European study (Grassi et al., 2004).”
BackgroundMethodResultInfluentialDiagnostic criteria for psychosomatic research and somatic symptom disorders
Sirri, L., & Fava, G. A. (2013) · International Review of Psychiatry · doi:10.3109/09540261.2012.726923 · Cited by 86
“Maladaptive illness denial according to the DCPR was found to be a non-marginal phenomenon in patients with serious medical diseases, with prevalence rates of 9.5% in women with breast cancer (Grassi et al., 2004) and 4.6% in cardiac recipients (Grandi et al., 2001).”
BackgroundInfluentialCriteria for Psychosomatic Research (DCPR) in the Medical Setting
Porcelli, P., & Rafanelli, C. (2010) · Current Psychiatry Reports · doi:10.1007/s11920-010-0104-z · Cited by 82
“In oncology patients, DCPR cases scored significantly higher on maladaptive disease-related coping than noncases, in particular patients with health anxiety to anxious preoccupation and fatalism, with demoralization to hopelessness, and with alexithymia to avoidance [45].”
BackgroundNanni, M. G., Caruso, R., Travado, L., Ventura, C., Palma, A., Berardi, A. M., Meggiolaro, E., Ruffilli, F., Martins, C., Kissane, D., et al. (2018) · Psycho-Oncology · doi:10.1002/pon.4824 · Cited by 78
Psychosocial screening and assessment in oncology and palliative care settings
Grassi, L. G., Caruso, R., Sabato, S., Massarenti, S., Nanni, M. G., & the UniFe Psychiatry Working Group Coauthors (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2014.01485 · Cited by 81
“…style is also a significant area to be explored in the assessment phase both in oncology and palliative care, since the way in which the patient has experienced early relations with caregiving figures in the past relates to her view of herself and to the expectation she has from the health…”
Alexithymia in Cancer Patients: Review of the Literature
Vries, A. M. M. D., Forni, V., Voellinger, R., & Stiefel, F. (2012) · Psychotherapy and Psychosomatics · doi:10.1159/000330888 · Cited by 77
Frequent Attenders in Primary Care: Impact of Medical, Psychiatric and Psychosomatic Diagnoses
Ferrari, S., Galeazzi, G. M., Mackinnon, A. J., & Rigatelli, M. (2008) · Psychotherapy and Psychosomatics · doi:10.1159/000142523 · Cited by 77
Distress, demoralization and psychopathology: Diagnostic boundaries
de Figueiredo, J. M. (2013) · The European Journal of Psychiatry · doi:10.4321/s0213-61632013000100008 · Cited by 76
The Clinical Utility of the Diagnostic Criteria for Psychosomatic Research: A Review of Studies
Porcelli, P., & Guidi, J. (2015) · Psychotherapy and Psychosomatics · doi:10.1159/000430788 · Cited by 72
“In a convenience sample of 105 women with a recent diagnosis of breast cancer (within 18 months) and a good level of functioning [51] , the impairment of the quality of life was more severe in patients meeting the DCPR for demoralization, irritability, and alexithymia, namely those patients who…”
BackgroundDepressive Spectrum Disorders in Cancer: Diagnostic Issues and Intervention. A Critical Review
Caruso, R., GiuliaNanni, M., Riba, M. B., Sabato, S., & Grassi, L. G. (2017) · Current Psychiatry Reports · doi:10.1007/s11920-017-0785-7 · Cited by 75
Ross, S., Agrawal, M., Griffiths, R. R., Grob, C. S., Berger, A. M., & Henningfield, J. E. (2022) · Neuropharmacology · doi:10.1016/j.neuropharm.2022.109174 · Cited by 76
Use of the Diagnostic Criteria for Psychosomatic Research (DCPR) in a Community Sample
Mangelli, L., Semprini, F., Sirri, L., Fava, G. A., & Sonino, N. (2006) · Psychosomatics · doi:10.1176/appi.psy.47.2.143 · Cited by 62
Baudic, S., Jayr, C., Albi-Feldzer, A., Fermanian, J., Masselin-Dubois, A., Bouhassira, D., & Attal, N. (2015) · Journal of Pain · doi:10.1016/j.jpain.2015.10.001 · Cited by 66
Alexithymia, coping, and illness behavior correlates of pain experience in cancer patients
Porcelli, P., Tulipani, C., Maiello, E., Cilenti, G., & Todarello, O. (2006) · Psycho-Oncology · doi:10.1002/pon.1115 · Cited by 66
“Dysfunctional coping mechanisms of hopelessness and anxious preoccupations have been recently found to relate to psychosocial morbidity of cancer patients [11] and inappropriate health behaviors to many measures of maladaptive coping, psychological distress, and psychiatric diagnoses in cancer patients [12].”
Understanding health anxiety following breast cancer diagnosis
Jones, S. L., Hadjistavropoulos, H. D., & Gullickson, K. M. (2013) · Psychology Health & Medicine · doi:10.1080/13548506.2013.845300 · Cited by 60
“Identification of health anxiety is important in breast cancer patients as it is associated with reduced quality of life and increased disability (Grassi et al., 2004) as well as medical reassurance-seeking and unnecessary use of health care services (Stark et al., 2004).”
BackgroundResultInfluentialDemoralization syndrome: New insights in psychosocial cancer care
Grassi, L. G., & Nanni, M. G. (2016) · Cancer · doi:10.1002/cncr.30022 · Cited by 60
“6% of the whole sample) reported poorer quality of life and higher levels of worries and preoccupation related to cancer (eg, the illness itself, feeling different from others, the impact on sexual life) compared with nondemoralized women, along with less effective coping styles, including a tendency to adopt a pessim…”
BackgroundVehling, S., Oechsle, K., Koch, U., & Mehnert, A. (2013) · PLoS ONE · doi:10.1371/journal.pone.0059417 · Cited by 58
“Previous studies examining predictors of demoralization have found positive associations with the number of physical problems and negative associations with social support and partnership [12,16–18].”
BackgroundPsychological Factors Affecting Oncology Conditions
Grassi, L. G., Biancosino, B., Marmai, L., Rossi, E. G., & Sabato, S. (2007) · KARGER eBooks · doi:10.1159/000106797 · Cited by 49
Distress in palliative care patients: Developing patient-centred approaches to clinical management
Lloyd‐Williams, M., Reeve, J. L., & Kissane, D. W. (2008) · European Journal of Cancer · doi:10.1016/j.ejca.2008.02.032 · Cited by 51
Clinical utility of demoralization: A systematic review of the literature
Woźniewicz, A., & Cosci, F. (2023) · Clinical Psychology Review · doi:10.1016/j.cpr.2022.102227 · Cited by 44
Somatization and somatic symptom presentation in cancer: A neglected area
Grassi, L. G., Caruso, R., & Nanni, M. G. (2013) · International Review of Psychiatry · doi:10.3109/09540261.2012.731384 · Cited by 46
“…patients found that 38.1% were positive for at least one DCPR cluster, with particular reference to AIB (e.g. health anxiety), demoralization and alexithymia, and that these dimensions were related to higher levels of cancer-related worries and to a poorer quality of life (Grassi et al., 2004).”
BackgroundInfluentialThe factor structure and use of the Demoralization Scale ( DS‐IT ) in Italian cancer patients
Grassi, L. G., Costantini, A., Kissane, D. W., Brunetti, S., Caruso, R., Piazza, G. G., Marchetti, P., Sabato, S., & Nanni, M. G. (2017) · Psycho-Oncology · doi:10.1002/pon.4413 · Cited by 46
Porcelli, P., Bellomo, A., Quartesan, R., Altamura, M., Iuso, S., Ciannameo, I., Piselli, M., & Elisei, S. (2009) · Psychotherapy and Psychosomatics · doi:10.1159/000235739 · Cited by 45
Integration of Multiple Criteria for Psychosomatic Assessment of Dermatological Patients
Picardi, A., Porcelli, P., Pasquini, P., Fassone, G., Mazzotti, E., Lega, I., Ramieri, L., Sagoni, E., ABENI, D. D., Tiago, A., et al. (2006) · Psychosomatics · doi:10.1176/appi.psy.47.2.122 · Cited by 45
Belar, A., Arantzamendi, M., Rodríguez-Núñez, A., Santesteban, Y., Martínez, M., López-Saca, J. M., Consigli, S., López–Fidalgo, J., & Centeno, C. (2018) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2018.11.016 · Cited by 43
Grassi, L. G., Mezzich, J. E., Nanni, M. G., Riba, M., Sabato, S., & Caruso, R. (2017) · International Review of Psychiatry · doi:10.1080/09540261.2017.1294558 · Cited by 42
Murri, M. B., Zerbinati, L., Ounalli, H., Kissane, D. W., Casoni, B., Leoni, M., Rossi, G., Dall'Olio, R., Caruso, R., Nanni, M. G., et al. (2019) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2019.109889 · Cited by 40
Irritable Mood in Italian Patients With Medical Disease
Mangelli, L., Fava, G. A., Grassi, L. G., Ottolini, F., Paolini, S., Porcelli, P., Rafanelli, C., Rigatelli, M., & Sonino, N. (2006) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000202511.21925.a2 · Cited by 40
“The centers included had ongoing studies concerned with the application of DCPR criteria (Grassi et al., 2004; Ottolini et al., 2005; Porcelli et al., 2004; Rafanelli et al., 2003, 2005; Sonino et al., 2004).”
BackgroundChang, T., Huang, P.-C., Hsu, C., & Yen, T. (2022) · Health and Quality of Life Outcomes · doi:10.1186/s12955-022-01962-6 · Cited by 39
Distinguishing and treating demoralization syndrome in cancer: A review
D, M. F. M., Sorg, E. M., Jacobs, J. M., Leadbetter, R. A., & Guidi, J. (2023) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2023.10.004 · Cited by 38
Julião, M., Nunes, B., & Barbosa, A. (2016) · Palliative and Supportive Care · doi:10.1017/s1478951515001364 · Cited by 36
“These results confirm various studies that have shown this particular clinical association (Kissane et al., 2004; Vehling et al., 2012; Mullane et al., 2009; Grassi et al., 2004), indicating a high degree of influence between these two psychiatric conditions (Robinson et al., 2015).”
ResultWang, Y., Sun, H., Ji, Q., Wu, Q., Wei, J., & Zhu, P. (2023) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/10499091231154887 · Cited by 37
“Cancer patients with demoralization have more severe depression, poorer social skills, and poorer adjustment.(11) It is easy to understand that demoralization is also associated with poorer quality of life in cancer patients.”
BackgroundGrassi, L. G., Travado, L., Gil, F., Sabato, S., Rossi, E. G., Tomamichel, M., Marmai, L., Biancosino, B., Nanni, M. G., & t. S. Group (2010) · Psychosomatics · doi:10.1016/s0033-3182(10)70686-1 · Cited by 34
Health anxiety in women with early-stage breast cancer: What is the relationship to social support?
Jones, S. L., Hadjistavropoulos, H. D., & Sherry, S. (2012) · Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement · doi:10.1037/a0027526 · Cited by 33
Psychosocial Predictors of Quality of Life in Hematological Cancer
Pulgar, Á., Alcalá, A., & del Paso, G. A. R. (2013) · Behavioral Medicine · doi:10.1080/08964289.2013.833083 · Cited by 32
“Specifically, cancer can damage some aspects of QOL through the psychosocial impact of its diagnosis, prognosis, and treatment.(2) Anxiety, depression, lack of energy, sexual dysfunctions, work difficulties, and feelings of loneliness are just some of the problems cancer patients have.”
BackgroundKoranyi, S., Hinz, A., Hufeld, J. M., Hartung, T. J., Garzón, L. Q., Fendel, U., Letsch, A., Rose, M., Esser, P., & Mehnert, A. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.789793 · Cited by 30
“, 2016a), stage of disease (Grassi et al., 2004; Boscaglia and Clarke, 2007; Lee et al., 2012; Vehling et al., 2012; Robinson et al., 2016a), type of treatment (Grassi et al.”
BackgroundResultInfluentialSocio-demographic and clinical features associated with demoralization in medically ill in-patients
Marchesi, C., & Maggini, C. (2007) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-007-0230-z · Cited by 27
“In the last years, demoralization has been particularly investigated in medically ill patients because a chronic illness, reducing social roles and personal efficacy, together with an uncertain prognosis, easily induces demoralization [11, 12, 23, 27, 29, 33, 41].”
BackgroundResultCheng, J., Chen, J., Zhang, Y., Kissane, D. W., & Yan, J. (2019) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2019.09.001 · Cited by 25
Assessing Somatization With Various Diagnostic Criteria
Mangelli, L., Bravi, A., Fava, G. A., Ottolini, F., Porcelli, P., Rafanelli, C., Rigatelli, M., & Sonino, N. (2009) · Psychosomatics · doi:10.1176/appi.psy.50.1.38 · Cited by 24
Exploring and assessing demoralization in patients with non-psychotic affective disorders
Grassi, L. G., Pasquini, M., Kissane, D. W., Zerbinati, L., Caruso, R., Sabato, S., Nanni, M. G., Ounalli, H., Maraone, A., Roselli, V., et al. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.05.043 · Cited by 23
Alexithymia in Finnish General Population
Mattila, A. K. (2009) · Tampere University Institutional Repository (Tampere University) · Cited by 22
Grassi, L. G., Sabato, S., Rossi, E. G., Marmai, L., & Biancosino, B. (2009) · Psychotherapy and Psychosomatics · doi:10.1159/000259416 · Cited by 22
“Furthermore, a DCPR diagnosis was associated with maladaptive coping styles, poor quality of life and a high level of cancer-related worries [”
BackgroundThe Use of Demoralization Scale in Italian Kidney Transplant Recipients
Battaglia, Y., Zerbinati, L., Piazza, G. G., Martino, E., Massarenti, S., Provenzano, M., Esposito, P. B., Andreucci, M., Storari, A., & Grassi, L. G. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9072119 · Cited by 20
Reuter, K., Raugust, S., Marschner, N. W., & Härter, M. C. (2007) · European Journal of Cancer Care · doi:10.1111/j.1365-2354.2006.00744.x · Cited by 18
Hostility in cancer patients as an underexplored facet of distress
Grassi, L. G., Murri, M. B., Riba, M., Padova, S. D., Bertelli, T., Sabato, S., Nanni, M. G., Caruso, R., Ounalli, H., & Zerbinati, L. (2020) · Psycho-Oncology · doi:10.1002/pon.5594 · Cited by 17
“irritable mood in the whole sample was 27%, and 14% among breast cancer patients, in whom it was also associated with poorer quality of life (leisure activity, adjustment, support) and increase of cancer‐ related worries.(27) These data are in line with a previous Italian study of patients with solid tumors who were s…”
ResultLife Stressors, Emotional Avoidance and Breast Cancer
Cardenal, V., Ortiz‐Tallo, M., Frías, I. M., & Lozano, J. M. (2008) · The Spanish Journal of Psychology · doi:10.1017/s1138741600004522 · Cited by 17
Subtyping demoralization in the medically ill by cluster analysis
Rafanelli, C., Guidi, J., Gostoli, S., Tomba, E., Porcelli, P., & Grandi, S. (2013) · The European Journal of Psychiatry · doi:10.4321/s0213-61632013000100002 · Cited by 17
Body Composition Early Identifies Cancer Patients With Radiotherapy at Risk for Malnutrition
Tang, P., Wang, H., Lin, H., Liu, W., Chen, L.-M., & Chou, F. (2017) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2017.10.005 · Cited by 14
Diagnostik psychischer Belastungen und Störungen bei körperlichen Erkrankungen
Reuter, K., & Härter, M. (2007) · Psychische Störungen bei körperlichen Erkrankungen · doi:10.1007/978-3-540-28450-5_2 · Cited by 12
Block, A. R., Marek, R. J., Ben‐Porath, Y. S., & Ohnmeiss, D. D. (2014) · Journal of Applied Biobehavioral Research · doi:10.1111/jabr.12028 · Cited by 14
Self‐concept and health anxiety relate to psychological outcomes for BRCA1 /2 carriers
Butler, E., Collier, S., Boland, M., Hanhauser, Y. P., Connolly, E. M., & Hevey, D. (2020) · Psycho-Oncology · doi:10.1002/pon.5483 · Cited by 13
“Those who underwent a risk-reducing mastectomy found that the surgery reduced the uncertainty related to their breast cancer risk31; this is in line with carriers' efforts to maintain their sense of self as they manage the consequences of their BRCA1/2 mutations.32 Beliefs about the negative impact of BRCA1/2 and leve…”
BackgroundInfluentialAlexithymia and Health-Related Quality of Life in Patients with Dizziness
von Rimscha, S., Moergeli, H., Weidt, S., Straumann, D., Hegemann, S. C. A., & Rufer, M. (2012) · Psychopathology · doi:10.1159/000345357 · Cited by 13
Quam bene vivas referre: curing and caring in psycho‐oncology
Grassi, L. G. (2013) · Psycho-Oncology · doi:10.1002/pon.3333 · Cited by 12
Cozzolongo, R., Porcelli, P., Lanzilotta, E., Giannuzzi, V., & Leandro, G. (2015) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2015.04.010 · Cited by 11
“Also, alexithymia has been found to negatively affect HRQL in medical populations [14–22].”
BackgroundZerbinati, L., Folesani, F., Caruso, R., Murri, M. B., Nanni, M. G., Righetti, S., Chiefari, L., Muscettola, A., Toffanin, T., Costantini, A., et al. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1338193 · Cited by 10
“These observations confirm what reported in a previous study on breast cancer patients, highlighting the association of health anxiety with anxious preoccupation, and hopelessness with demoralization (Grassi et al., 2004).”
ResultAnger in health, benign breast disease and breast cancer: a prospective case-control study.
Bruno, A., Pandolfo, G., Scimeca, G., Leonardi, V., Cedro, C., Racchiusa, S., Zoccali, R. A., & Muscatello, M. R. A. (2014) · PubMed · Cited by 10
Renzi, C., Perinel, G., Arnaboldi, P., Gandini, S., Vadilonga, V., Rotmensz, N., Tagini, A., Didier, F., & Pravettoni, G. (2017) · BMC Psychology · doi:10.1186/s40359-017-0206-z · Cited by 12
“Dysfunctional coping mechanisms are related to less adaptive illness behaviors and psychological distress in cancer patients [7, 8].”
Grassi, L. G., & Nanni, M. G. (2013) · Psycho-Oncologie · doi:10.1007/s11839-013-0436-4 · Cited by 9
“In a different study on breast cancer patients, the same authors [27] showed that one third of the subjects presented symptoms meeting the criteria for at least one DCPR syndrome and a further one quarter had more than one DCPR syndrome.”
BackgroundPsychosocial Dimensions in Hemodialysis Patients on Kidney Transplant Waiting List: Preliminary Data
Battaglia, Y., Zerbinati, L., Martino, E., Piazza, G. G., Massarenti, S., Storari, A., & Grassi, L. G. (2020) · Transplantology · doi:10.3390/transplantology1020012 · Cited by 8
“If examined with respect to specific medical disorders, WKTs were found to have similar rates to those reported in other studies of cardiac and endocrine patients [21,55], although higher than those found in cancer patients [24,25].”
BackgroundResultConfirmatory Factor Analysis of the Childhood Illness Attitude Scales
Delparte, C. A., Wright, K. D., Walker, J. R., Feldgaier, S., Furer, P., Reiser, S. J., & Sharpe, D. (2015) · Children s Health Care · doi:10.1080/02739615.2014.948158 · Cited by 8
“Individualized Care” From the Viewpoint of Turkish Patients and Oncology Nurses
Altinisik, M., & Arikan, F. (2022) · Cancer Nursing · doi:10.1097/ncc.0000000000001057 · Cited by 7
“In the study carried out in European and Asian countries, it was concluded that, in the great majority of patients, although age, gender, education, diagnosis, stage, and metastasis status had no effect, cancer caused them to feel intense anxiety.(35) In this case, it may be that the anxiety felt by cancer patients in…”
BackgroundVenditti, F., Cosci, F., Bernini, O., & Montiel, C. B. (2013) · Psychotherapy and Psychosomatics · doi:10.1159/000353601 · Cited by 7
Stepanchuk, E., Zhirkov, A., & Yakovleva, A. (2013) · Procedia - Social and Behavioral Sciences · doi:10.1016/j.sbspro.2013.08.559 · Cited by 7
Tülüce, D., Köktürk, N., Geniş, B., Kayalar, A., Gürhan, N., & Kutlutürkan, S. (2021) · Turkish Thoracic Journal · doi:10.5152/turkthoracj.2021.0004 · Cited by 6
(2013) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378258 · Cited by 6
Porcelli, P., & Mangelli, L. (2005) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2004.09.008 · Cited by 6
Psychological Resilience in Newly Diagnosed Prostate Cancer Survivors: A Longitudinal Study.
Chien, C.-H., Liu, K.-L., Chuang, C., Wu, C.-T., Pang, S., Yu, K.-J., & Lin, P. (2025) · Cancer Nursing · doi:10.1097/ncc.0000000000001491 · Cited by 5
Alexithymia May Be Associated With Depression in Early-Stage Breast Cancer Patients
Eraslan, P., İlhan, A. H., Karaçin, C., & Öksüzoğlu, B. Ç. (2022) · Cureus · doi:10.7759/cureus.29519 · Cited by 5
“01) for patients meeting the Diagnostic Criteria for Psychosomatic Research cluster of alexithymia [30].”
BackgroundA tale of two constructs: combined assessment of demoralization and subjective incompetence
Murri, M. B., Folesani, F., Azzolina, D., Muscettola, A., Bobevski, I., Triolo, F., Farkas, G., Braccia, F., Gavesi, M., Toffanin, T., et al. (2024) · Psychology Health & Medicine · doi:10.1080/13548506.2024.2405749 · Cited by 5
“It hampers quality of life, coping and the individual sense of dignity (Grassi et al., 2004, 2005; Vehling & Mehnert, 2014).”
Modeling of demoralization in breast cancer
de Figueiredo, J. M., Kohn, R., Chung, J. Y., & Gostoli, S. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1554128 · Cited by 5
“They also tended to use less effective coping strategies, often adopting a pessimistic and helpless attitude toward their condition (19).”
Chapter 3. Communicating With Cancer Patients and Their Families
Baile, W. F., & Costantini, A. (2013) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378258.lg03 · Cited by 5
Grassi, L. G. (2013) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378258.lg12 · Cited by 5
Dolbeault, S. (2009) · HAL · Cited by 5
Mohammadinia, N., Department of psychology, I. A. U. O. S., Nasehi, A., Department of Medicine Educational and Rehabilitation, I.-H. I. O. A. S. A. T., Niusha, B., & Department of psychology, I. A. U. O. S. (2023) · Iranian Journal of Breast Diseases · doi:10.30699/ijbd.16.3.65 · Cited by 4
Shayeghian, Z., Amiri, P., Hajati, E., & Gharibzadeh, S. (2020) · Journal of Research and Health · doi:10.32598/jrh.10.1.27 · Cited by 4
“Numerous studies also reported that alexithymia is related to a low quality of life in different medical diseases, especially diabetes [20-22].”
BackgroundAdvances in the Understanding of Demoralization in Oncology and Palliative Care
Grass, L., & de Figueiredo, J. M. (2018) · Psycho-Oncologie · doi:10.3166/pson-2018-0049 · Cited by 4
Huang, Y., Zhuang, P., Guan, A., Ren, X., & Xu, L. (2024) · Nursing Open · doi:10.1002/nop2.70130 · Cited by 3
“However, 30% of patients with breast cancer appear to have high demoralisation levels (Grassi et al. 2004).”
Zhou, D., Shi, F., Yang, J., Jiang, L., Yang, L., & Wen, J. (2025) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-025-06206-w · Cited by 3
“Previous has reported that the prevalence of DS were 29% in breast cancer (Grassi et al. 2004), 33% in metastatic non-small cell lung cancer (Eggen et al. 2020), and 21.3% in prostate cancer (Scandurra et al. 2022).”
InfluentialAlexithymie et psychopathologie de patients atteints de cancer
Forni, V., Stiefel, F., Krenz, S., Rezaee, M. G., Leyvraz, S., & Ludwig, G. (2011) · Psycho-Oncologie · doi:10.1007/s11839-011-0334-2 · Cited by 3
“Les études investiguant le rôle de l’alexithymie chez les patients atteints de cancer demeurent contradictoires : l’alexithymie est-elle un facteur de vulnérabilité (alexithymie primaire) favorisant le développement du cancer [21–23] ou une réaction protectrice (alexithymie secondaire) face au diagnostic ? Quant à la…”
BackgroundYong, H. W., Zailina, H., Zubaidah, J. O., & Saidi, M. (2012) · Journal of Cancer Therapy · doi:10.4236/jct.2012.325088 · Cited by 3
Konsiliar- und Liaisondienste für psychische Störungen
Diefenbacher, A., Burian, R., Klesse, C., & Härter, M. C. (2012) · Elsevier eBooks · doi:10.1016/b978-3-437-22483-6.10029-4 · Cited by 3
Diagnostic Criteria for Psychosomatic Research and Psychosocial Functioning in Multiple Sclerosis
Caro, M. F. D., Laera, D., Robertis, F. D., & Taurino, A. (2016) · Psychotherapy and Psychosomatics · doi:10.1159/000446706 · Cited by 3
Pollo, D. R., Rubiales, Á. S., Aragón, M. L. V., Canedo, J. A. M., Alonso‐Sardón, M., & Sagrado, M. G. (2018) · Medicina Paliativa · doi:10.1016/j.medipa.2017.05.006 · Cited by 3
Li, Y., Liu, Z., Lu, X., Chai, X., Bai, N., & Chen, Y. (2025) · Patient Preference and Adherence · doi:10.2147/ppa.s535288 · Cited by 2
“These results are similar to those of previous studies 19 but higher than those reported in studies by Vehling et al 20 and Grassi et al. 21 These differences may be attributable to variations in study populations, as well as regional and cultural factors.”
Mousavi, N., Piryaei, M., Nooripour, R., Kissane, D. W., Hooshyari, Z., Effatpanah, M., & Ghanbari, N. (2024) · Palliative & Supportive Care · doi:10.1017/s1478951524000129 · Cited by 2
Mini-mac - escala de ajustamento mental para o câncer: estrutura fatorial
Gandini, R. D. C., Martins, M. D. C. F., & Pedrosa, E. C. M. (2008) · Psicologia em Estudo · doi:10.1590/s1413-73722008000100020 · Cited by 2
Basińska, M. A., & Woźniewicz, A. (2021) · Psychiatria i Psychologia Kliniczna · doi:10.15557/pipk.2021.0013 · Cited by 2
Depression, demoralization, and suicidality
Kissane, D. W. (2021) · doi:10.1093/med/9780198821328.003.0072 · Cited by 2
Metadata
- 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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