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]
Citations
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Kissane, D. W., Clarke, D. M., & Street, A. F. (2001) · Journal of Palliative Care · doi:10.1177/082585970101700103 · Cited by 624
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Clarke, D. M., & Kissane, D. W. (2002) · Australian & New Zealand Journal of Psychiatry · doi:10.1046/j.1440-1614.2002.01086.x · Cited by 590
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1 of the 59 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- Mangelli L, Rafanelli C, Porcelli P, Fava GA: Interview for the Diagnostic Criteria of Psychosomatic Research (DCPR). Psychother Psychosom (in press).
- Rafanelli, 2003, Psychological assessment in cardiac rehabilitation, Psychother Psychosom, 72, 343, 10.1159/000073031 · DOI
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Items 101–132 of 132
Poppito, S. R., & Tait, G. R. (2013) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378258.lg08 · Cited by 3
Machin, L., Walshe, C., & Dunleavy, L. (2021) · Journal of Palliative Care · doi:10.1177/08258597211064016 · Cited by 1
Mousavi, N., Piryaei, M., Nooripour, R., Kissane, D. W., Hooshyari, Z., Effatpanah, M., & Ghanbari, N. (2024) · Brain and Behavior · doi:10.1002/brb3.3589 · Cited by 1
“Studies have further revealed that the existential stress arising from demoralization is correlated with physical symptoms in cancer patients (Grassi et al., 2004; Vehling et al., 2013).”
BackgroundAlexithymia and psychopathology of patients with cancer
Forni, V., Stiefel, F., Krenz, S., Rezaee, M., Leyvraz, S., & Ludwig, G. (2011) · Cited by 1
Irritability (Proneness to Anger) in Cancer Patients
Grassi, L. G., Folesani, F., McFarland, D. C., & Riba, M. (2023) · Springer eBooks · doi:10.1007/978-3-031-31547-3_47 · Cited by 1
Sokoliuk, M. A. (2024) · Вісник Національного університету оборони України · doi:10.33099/2617-6858-2024-79-3-134-140 · Cited by 1
Chapter 7. Dimensional Psychopharmacology of the Cancer Patient
Biondi, M., & Pasquini, M. (2013) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378258.lg07 · Cited by 1
Chapter 2. Cancer: A Family Affair
Baider, L. (2013) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378258.lg02 · Cited by 1
Chapter 10. The Value of Quality of Life Assessment in Cancer Patients
Holzner, B., Giesinger, J. M., & Efficace, F. (2013) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378258.lg10 · Cited by 1
Chapter 5. Counseling and Specific Psychological Treatments in Common Clinical Settings: An Overview
Pitceathly, C., Watson, M., & Cawthorn, A. (2013) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378258.lg05 · Cited by 1
Gigante, G., Gostoli, S., Dettori, C., Montecchiarini, M., Urgese, A., Polifemo, A. M., Guolo, F., Ferrara, F., Cennamo, V., & Rafanelli, C. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14227944 · Cited by 1
“These constructs have shown substantial clinical relevance across a range of medical populations, including patients with cardiovascular disease [7,8], cancer [9,10], and chronic pain [11].”
Depression, demoralization, and suicidality
Kissane, D. W., & Doolittle, M. N. (2015) · doi:10.1093/med/9780199656097.003.0173 · Cited by 1
Aral, G., & Arslan, F. C. (2019) · Journal of Clinical Psychiatry · doi:10.5505/kpd.2019.93898 · Cited by 1
Diefenbacher, A., Burian, R., Klesse, C., & Härter, M. C. (2009) · Elsevier eBooks · doi:10.1016/b978-343722481-2.50033-7 · Cited by 1
Chaturvedi, S. K., Ieraci, V., & Torta, R. (2014) · Springer eBooks · doi:10.1007/978-3-642-40134-3_10
Konsiliar- und Liaisondienste für psychische Störungen
Diefenbacher, A., Burian, R., Klesse, C., & Härter, M. C. (2015) · Elsevier eBooks · doi:10.1016/b978-3-437-22484-3.00029-3
Psychiatric aspects of care in the cancer patient
BREITBART, W. S., Alici, Y., & Kurzrok, M. (2022) · Elsevier eBooks · doi:10.1016/b978-0-12-821976-8.00026-8
Examining health anxiety among Lynch syndrome carriers
Albiani, J. J. (2021) · doi:10.32920/ryerson.14655069.v1
Konsiliar- und Liaisondienste für psychische Störungen
Diefenbacher, A., Burian, R., & Härter, M. C. (2019) · Elsevier eBooks · doi:10.1016/b978-3-437-22485-0.00029-4
Irritability (Proneness to Anger) in Cancer Patients
Grassi, L. G., Folesani, F., McFarland, D. C., & Riba, M. (2023) · Springer eBooks · doi:10.1007/978-3-030-98711-4_47-1
Quality of life and affecting factors in myelofibrosis patientsPreprint
Cho, Y.-R., Yoo, Y., & Lee, S. (2023) · Research Square · doi:10.21203/rs.3.rs-3300553/v1
(2013) · Psycho-Oncology · doi:10.1176/appi.books.9781615378258.fm01
Chapter 1. The Crisis of Discovery: Psychological and Psychopathological Reaction to the Disease
Costantini, A., Levenson, J. A., & Bersani, F. S. (2013) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378258.lg01
Chapter 6. Genetic Counseling and Testing for Hereditary Cancers: Psychosocial Considerations
Burton-Chase, A. M., Gritz, E. R., & Peterson, S. K. (2013) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378258.lg06
Chapter 4. Demoralization and Depression in Cancer
Kissane, D. W., & Doolittle, M. N. (2013) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378258.lg04
(2013) · Psycho-Oncology · doi:10.1176/appi.books.9781615378258.index
Chapter 9. Rapid Psychometric Assessment of Distress and Depression
Mitchell, A. J. (2013) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378258.lg09
Chapter 11. Support of the Dying Patient: Psychological Issues and Communication
Stiefel, F. (2013) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615378258.lg11
Demoralization and Mental Disorders in Community-Dwelling Older Adults: Cluster Analysis
Onofrio, A., Ferrara, M., Domenicano, I., Murri, M. B., Toffanin, T., Nanni, M. G., Canuto, A., Weber, K., Volkert, J., Schulz, H., et al. (2025) · Neuroscience Applied · doi:10.1016/j.nsa.2025.105418
Uncovering Relationships Between Demoralization, Attachment, and Social Support in Oncology Patients
Nikoloudi, M., Chatzigeorgiou, E., Galanis, P., Tsatsou, I., & Mystakidou, K. (2025) · Journal of Cancer Education · doi:10.1007/s13187-025-02740-w
“These findings align with Grassi et al., who found that demoralization increased with more severe physical symptoms in a study of 105 breast cancer patients aged 27–70 [19].”
InfluentialPredicting Health Anxiety Based on Mindfulness and Mental Toughness in Women with Breast Cancer
Hatami, A., Shokrgozar, A., & Hidaji, M. B. (2026) · Iranian Journal of Breast Diseases · doi:10.66224/ijbd.19.2.5
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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