Perception and Expression of Emotional Suffering in Cancer Patients: The Role of Somatic Depressive Symptoms
Author(s) / Creator(s)
Binaschi, Luca
Castelli, Lorys
Varetto, Antonella
Leombruni, Paolo
Torta, Riccardo
Abstract / Description
To date there is no agreement on the usefulness of physical symptoms to express a mood disorder diagnosis in psychoncology. The aim of this study was to evaluate the relevance of somatic, affective and cognitive clusters in mood disorders in oncological comorbidity. 151 consecutive in-patients of the Surgical Oncology Unit of S. Giovanni Battista Hospital (Turin, Italy) were evaluated for depression using the HADS and the MADRS. In addition, behavioural, somatic and cognitive clusters of the MADRS were analysed, comparing depressed and non-depressed patients, subdivided according to the HADS-D scores. Since the HADS does not consider the somatic symptoms of depression this comparison allowed us to evaluate the relevance of the three different clusters for depressive symptoms. According to the HADS, 57.4% of patients scored above the cut-off (≥ 8) for depression and 47,3% scored above the cut-off (≥ 8) for anxiety. As for the MADRS, 44% of patients scored between 0-9, indicating the absence of depression, 43.7% were found to have mild/moderate depressive symptoms and 12.3% showed severe mood depression. Comparison between patients above and below the cut-off of HADS-D showed significant differences in all the three clusters (p < 0.01). In addition, more relevant differences were observed in the affective and somatic clusters than in the cognitive cluster. Results of the present study suggest the importance of somatic symptoms in the perception and expression of psychological suffering in cancer patients.
Keyword(s)
depression somatic symptoms psychoncology psychopathology clinical psychologyPersistent Identifier
Date of first publication
2013-08-30
Journal title
Europe's Journal of Psychology
Volume
9
Issue
3
Page numbers
597–606
Publisher
PsychOpen GOLD
Publication status
publishedVersion
Review status
peerReviewed
Is version of
Citation
Binaschi, L., Castelli, L., Varetto, A., Leombruni, P., & Torta, R. (2013). Perception and Expression of Emotional Suffering in Cancer Patients: The Role of Somatic Depressive Symptoms. Europe's Journal of Psychology, 9(3), 597–606. https://doi.org/10.5964/ejop.v9i3.529
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Author(s) / Creator(s)Binaschi, Luca
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Author(s) / Creator(s)Castelli, Lorys
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Author(s) / Creator(s)Varetto, Antonella
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Author(s) / Creator(s)Leombruni, Paolo
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Author(s) / Creator(s)Torta, Riccardo
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PsychArchives acquisition timestamp2018-11-21T10:01:07Z
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Made available on2018-11-21T10:01:07Z
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Date of first publication2013-08-30
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Abstract / DescriptionTo date there is no agreement on the usefulness of physical symptoms to express a mood disorder diagnosis in psychoncology. The aim of this study was to evaluate the relevance of somatic, affective and cognitive clusters in mood disorders in oncological comorbidity. 151 consecutive in-patients of the Surgical Oncology Unit of S. Giovanni Battista Hospital (Turin, Italy) were evaluated for depression using the HADS and the MADRS. In addition, behavioural, somatic and cognitive clusters of the MADRS were analysed, comparing depressed and non-depressed patients, subdivided according to the HADS-D scores. Since the HADS does not consider the somatic symptoms of depression this comparison allowed us to evaluate the relevance of the three different clusters for depressive symptoms. According to the HADS, 57.4% of patients scored above the cut-off (≥ 8) for depression and 47,3% scored above the cut-off (≥ 8) for anxiety. As for the MADRS, 44% of patients scored between 0-9, indicating the absence of depression, 43.7% were found to have mild/moderate depressive symptoms and 12.3% showed severe mood depression. Comparison between patients above and below the cut-off of HADS-D showed significant differences in all the three clusters (p < 0.01). In addition, more relevant differences were observed in the affective and somatic clusters than in the cognitive cluster. Results of the present study suggest the importance of somatic symptoms in the perception and expression of psychological suffering in cancer patients.en_US
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Publication statuspublishedVersion
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Review statuspeerReviewed
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CitationBinaschi, L., Castelli, L., Varetto, A., Leombruni, P., & Torta, R. (2013). Perception and Expression of Emotional Suffering in Cancer Patients: The Role of Somatic Depressive Symptoms. Europe's Journal of Psychology, 9(3), 597–606. https://doi.org/10.5964/ejop.v9i3.529
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ISSN1841-0413
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Persistent Identifierhttps://hdl.handle.net/20.500.12034/1198
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Persistent Identifierhttps://doi.org/10.23668/psycharchives.1390
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Language of contenteng
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PublisherPsychOpen GOLD
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Is version ofhttps://doi.org/10.5964/ejop.v9i3.529
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Keyword(s)depressionen_US
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Keyword(s)somatic symptomsen_US
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Keyword(s)psychoncologyen_US
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Keyword(s)psychopathologyen_US
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Keyword(s)clinical psychologyen_US
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Dewey Decimal Classification number(s)150
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TitlePerception and Expression of Emotional Suffering in Cancer Patients: The Role of Somatic Depressive Symptomsen_US
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DRO typearticle
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Issue3
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Journal titleEurope's Journal of Psychology
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Page numbers597–606
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Volume9
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Visible tag(s)Version of Record