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Hostility in cancer patients as an underexplored facet of distress

dc.contributor.authorGrassi, Luigi
dc.contributor.authorBelvederi Murri, Martino
dc.contributor.authorRiba, Michelle
dc.contributor.authorde Padova, Silvia
dc.contributor.authorBertelli, Tatiana
dc.contributor.authorSabato, Silvana
dc.contributor.authorNanni, Maria Giulia
dc.contributor.authorCaruso, Rosangela
dc.contributor.authorOunalli, Heifa
dc.contributor.authorZerbinati, Luigi
dc.date.accessioned2021-05-12T17:24:46Z
dc.date.available2022-05-12 13:24:45en
dc.date.available2021-05-12T17:24:46Z
dc.date.issued2021-04
dc.identifier.citationGrassi, Luigi; Belvederi Murri, Martino; Riba, Michelle; de Padova, Silvia; Bertelli, Tatiana; Sabato, Silvana; Nanni, Maria Giulia; Caruso, Rosangela; Ounalli, Heifa; Zerbinati, Luigi (2021). "Hostility in cancer patients as an underexplored facet of distress." Psycho‐Oncology 30(4): 493-503.
dc.identifier.issn1057-9249
dc.identifier.issn1099-1611
dc.identifier.urihttps://hdl.handle.net/2027.42/167492
dc.description.abstractObjectiveIn the present study, we aimed to assess hostility and to examine its association with formal psychiatric diagnosis, coping, cancer worries, and quality of life in cancer patients.MethodsThe World Health Organization (WHO) Composite International Diagnostic Interview (CIDI) to make an ICD‐10 (International Classification of Disease) psychiatric diagnosis was applied to 516 cancer outpatients. The patients also completed the Brief Symptom Inventory‐53 to assess hostility (BSI‐HOS), and the Mini‐Mental Adjustment to cancer scale (Mini‐MAC). A subset of patients completed the Cancer Worries Inventory (CWI), the Openness Scale, and the Quality of Life Index.ResultsBy analyzing the distribution of the responses 25% of the patients had moderate and 11% high levels of hostility, with about 20% being BSI‐HOS “cases.” Hostility was higher in patients with a formal ICD‐10 psychiatric diagnosis (mainly major depression, other depressive disorders, anxiety disorders) than patients without ICD‐10 diagnosis. However, about 25% of ICD‐10‐non cases also had moderate‐to‐high hostility levels. Hostility was associated with Mini‐MAC hopelessness and anxious preoccupation, poorer quality of life, worries (mainly problems sin interpersonal relationships), and inability to openly discuss these problems within the family.ConclusionsHostility and its components should be considered as dimensions to be more carefully explored in screening for distress in cancer clinical settings for its implications in negatively impacting on quality of life, coping and relationships with the family, and possibly the health care system.
dc.publisherWiley Periodicals, Inc.
dc.publisherCanadian Partnership Against Cancer and the Canadian Association of Psychosocial Oncology
dc.subject.otherpsycho‐oncology
dc.subject.otherscreening
dc.subject.othercancer
dc.subject.otheremotional distress
dc.subject.otherhostility
dc.titleHostility in cancer patients as an underexplored facet of distress
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelHematology and Oncology
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/167492/1/pon5594_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/167492/2/pon5594.pdf
dc.identifier.doi10.1002/pon.5594
dc.identifier.sourcePsycho‐Oncology
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