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Emotional “Patient-Oriented” Support in Young Patients With I–II Stage Breast Cancer: Pilot Study

Objective: The recent increased survival rate after breast cancer (BC) diagnosis and treatment is mostly related to early screening in younger age. Evidence gained from newly detected assessed psychological needs as well as certain emotional regulatory patterns in younger survivors has been related...

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Autores principales: Di Giacomo, D., Ranieri, J., Donatucci, E., Perilli, E., Cannita, K., Passafiume, D., Ficorella, C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290028/
https://www.ncbi.nlm.nih.gov/pubmed/30568627
http://dx.doi.org/10.3389/fpsyg.2018.02487
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author Di Giacomo, D.
Ranieri, J.
Donatucci, E.
Perilli, E.
Cannita, K.
Passafiume, D.
Ficorella, C.
author_facet Di Giacomo, D.
Ranieri, J.
Donatucci, E.
Perilli, E.
Cannita, K.
Passafiume, D.
Ficorella, C.
author_sort Di Giacomo, D.
collection PubMed
description Objective: The recent increased survival rate after breast cancer (BC) diagnosis and treatment is mostly related to early screening in younger age. Evidence gained from newly detected assessed psychological needs as well as certain emotional regulatory patterns in younger survivors has been related in the literature to an extremely low rate of adherence to the psychological therapies offered. Tailored psychological support is necessary. The aim of the present study was to verify the preliminary efficacy of supportive psychological intervention with an innovative orientation: the Early BC Psychological Intervention (EBC-Psy). Methods: A controlled study design was used to investigate the efficacy of EBC-Psy intervention. Preliminary data involved twenty-four patients in the age range of 35–50 years, diagnosed with cancer at the early stage (I–II), who were exposed to the EBC-Psy intervention. To address the effect of intervention, emotional variables were tested before the treatment (Time 1) and then again after 6 months of the treatment (Time 2); evaluated emotional dimensions were anxiety, anger, depression, and psychological distress. Results: EBC-Psy intervention appears to be effective on both depression (p = 0.02) and psychological distress (p = 0.01), even in a short time, highlighting the strength of a reinforced positive psychological conceptual approach to deal with the “disease condition” in younger patients; on the contrary, the control group evidenced an increase in the same emotional variables in timing. Conclusion: Our findings, even if limited by this small-scale protocol, seemed to confirm the role of positive psychotherapy after BC diagnosis and treatment through the impact of cognitive processes, coping strategies, and psychological resilience. Future theoretical framework could boost the intervention to design an innovative survivorship model.
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spelling pubmed-62900282018-12-19 Emotional “Patient-Oriented” Support in Young Patients With I–II Stage Breast Cancer: Pilot Study Di Giacomo, D. Ranieri, J. Donatucci, E. Perilli, E. Cannita, K. Passafiume, D. Ficorella, C. Front Psychol Psychology Objective: The recent increased survival rate after breast cancer (BC) diagnosis and treatment is mostly related to early screening in younger age. Evidence gained from newly detected assessed psychological needs as well as certain emotional regulatory patterns in younger survivors has been related in the literature to an extremely low rate of adherence to the psychological therapies offered. Tailored psychological support is necessary. The aim of the present study was to verify the preliminary efficacy of supportive psychological intervention with an innovative orientation: the Early BC Psychological Intervention (EBC-Psy). Methods: A controlled study design was used to investigate the efficacy of EBC-Psy intervention. Preliminary data involved twenty-four patients in the age range of 35–50 years, diagnosed with cancer at the early stage (I–II), who were exposed to the EBC-Psy intervention. To address the effect of intervention, emotional variables were tested before the treatment (Time 1) and then again after 6 months of the treatment (Time 2); evaluated emotional dimensions were anxiety, anger, depression, and psychological distress. Results: EBC-Psy intervention appears to be effective on both depression (p = 0.02) and psychological distress (p = 0.01), even in a short time, highlighting the strength of a reinforced positive psychological conceptual approach to deal with the “disease condition” in younger patients; on the contrary, the control group evidenced an increase in the same emotional variables in timing. Conclusion: Our findings, even if limited by this small-scale protocol, seemed to confirm the role of positive psychotherapy after BC diagnosis and treatment through the impact of cognitive processes, coping strategies, and psychological resilience. Future theoretical framework could boost the intervention to design an innovative survivorship model. Frontiers Media S.A. 2018-12-05 /pmc/articles/PMC6290028/ /pubmed/30568627 http://dx.doi.org/10.3389/fpsyg.2018.02487 Text en Copyright © 2018 Di Giacomo, Ranieri, Donatucci, Perilli, Cannita, Passafiume and Ficorella. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Di Giacomo, D.
Ranieri, J.
Donatucci, E.
Perilli, E.
Cannita, K.
Passafiume, D.
Ficorella, C.
Emotional “Patient-Oriented” Support in Young Patients With I–II Stage Breast Cancer: Pilot Study
title Emotional “Patient-Oriented” Support in Young Patients With I–II Stage Breast Cancer: Pilot Study
title_full Emotional “Patient-Oriented” Support in Young Patients With I–II Stage Breast Cancer: Pilot Study
title_fullStr Emotional “Patient-Oriented” Support in Young Patients With I–II Stage Breast Cancer: Pilot Study
title_full_unstemmed Emotional “Patient-Oriented” Support in Young Patients With I–II Stage Breast Cancer: Pilot Study
title_short Emotional “Patient-Oriented” Support in Young Patients With I–II Stage Breast Cancer: Pilot Study
title_sort emotional “patient-oriented” support in young patients with i–ii stage breast cancer: pilot study
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290028/
https://www.ncbi.nlm.nih.gov/pubmed/30568627
http://dx.doi.org/10.3389/fpsyg.2018.02487
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