The clinical utility of a comprehensive psychosomatic assessment in the program for colorectal cancer prevention: a cross-sectional study

Abstract Few studies have investigated psychosocial characteristics and lifestyle behaviors of participants at programs for secondary prevention of colorectal cancer (CRC). This study aimed, through a comprehensive psychosomatic assessment based on clinimetric principles, to evaluate psychosocial ch...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Sara Gostoli, Maria Montecchiarini, Alessia Urgese, Francesco Ferrara, Anna Maria Polifemo, Liza Ceroni, Asia Gasparri, Chiara Rafanelli, Vincenzo Cennamo
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
Materias:
R
Q
Acceso en línea:https://doaj.org/article/d4013391dd074b98967ae4844bf1edb1
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:d4013391dd074b98967ae4844bf1edb1
record_format dspace
spelling oai:doaj.org-article:d4013391dd074b98967ae4844bf1edb12021-12-02T18:49:36ZThe clinical utility of a comprehensive psychosomatic assessment in the program for colorectal cancer prevention: a cross-sectional study10.1038/s41598-021-95171-82045-2322https://doaj.org/article/d4013391dd074b98967ae4844bf1edb12021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-95171-8https://doaj.org/toc/2045-2322Abstract Few studies have investigated psychosocial characteristics and lifestyle behaviors of participants at programs for secondary prevention of colorectal cancer (CRC). This study aimed, through a comprehensive psychosomatic assessment based on clinimetric principles, to evaluate psychosocial characteristics and lifestyle behaviors in participants at CRC secondary prevention program, and to investigate the associations between these variables and endoscopic outcomes. In this cross-sectional study, the first 150 consecutive asymptomatic participants at the CRC prevention program who resulted positive to fecal occult blood test (FOBT) and were thus referred to colonoscopy, underwent a psychosomatic assessment including psychiatric diagnoses (DSM-5), psychosomatic syndromes (DCPR-R), psychological distress, psychological well-being and lifestyle behaviors. Whereas only 5.3% of the sample showed at least one DSM-5 diagnosis, 51.3% showed at least one DCPR syndrome, such as allostatic overload, alexithymia, Type A behavior, and demoralization. Patients affected by psychosomatic syndromes presented with significantly higher psychological distress, lower psychological well-being and unhealthy lifestyle behaviors, such as tobacco smoking and unhealthy diet, in comparison with patients without DCPR syndromes. Among endoscopic outcomes, the presence of adenomas was significantly associated with DCPR irritable mood. In a clinical context of secondary prevention addressing asymptomatic patients with positive FOBT, a comprehensive psychosomatic assessment may provide relevant clinical information for those patients who present certain psychosomatic syndromes associated with high psychological distress, impaired psychological well-being, unhealthy lifestyle behaviors and colorectal precancerous lesions. The results of the present study indicate a road to the practice of “preventive” medicine at CRC screening program.Sara GostoliMaria MontecchiariniAlessia UrgeseFrancesco FerraraAnna Maria PolifemoLiza CeroniAsia GasparriChiara RafanelliVincenzo CennamoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Sara Gostoli
Maria Montecchiarini
Alessia Urgese
Francesco Ferrara
Anna Maria Polifemo
Liza Ceroni
Asia Gasparri
Chiara Rafanelli
Vincenzo Cennamo
The clinical utility of a comprehensive psychosomatic assessment in the program for colorectal cancer prevention: a cross-sectional study
description Abstract Few studies have investigated psychosocial characteristics and lifestyle behaviors of participants at programs for secondary prevention of colorectal cancer (CRC). This study aimed, through a comprehensive psychosomatic assessment based on clinimetric principles, to evaluate psychosocial characteristics and lifestyle behaviors in participants at CRC secondary prevention program, and to investigate the associations between these variables and endoscopic outcomes. In this cross-sectional study, the first 150 consecutive asymptomatic participants at the CRC prevention program who resulted positive to fecal occult blood test (FOBT) and were thus referred to colonoscopy, underwent a psychosomatic assessment including psychiatric diagnoses (DSM-5), psychosomatic syndromes (DCPR-R), psychological distress, psychological well-being and lifestyle behaviors. Whereas only 5.3% of the sample showed at least one DSM-5 diagnosis, 51.3% showed at least one DCPR syndrome, such as allostatic overload, alexithymia, Type A behavior, and demoralization. Patients affected by psychosomatic syndromes presented with significantly higher psychological distress, lower psychological well-being and unhealthy lifestyle behaviors, such as tobacco smoking and unhealthy diet, in comparison with patients without DCPR syndromes. Among endoscopic outcomes, the presence of adenomas was significantly associated with DCPR irritable mood. In a clinical context of secondary prevention addressing asymptomatic patients with positive FOBT, a comprehensive psychosomatic assessment may provide relevant clinical information for those patients who present certain psychosomatic syndromes associated with high psychological distress, impaired psychological well-being, unhealthy lifestyle behaviors and colorectal precancerous lesions. The results of the present study indicate a road to the practice of “preventive” medicine at CRC screening program.
format article
author Sara Gostoli
Maria Montecchiarini
Alessia Urgese
Francesco Ferrara
Anna Maria Polifemo
Liza Ceroni
Asia Gasparri
Chiara Rafanelli
Vincenzo Cennamo
author_facet Sara Gostoli
Maria Montecchiarini
Alessia Urgese
Francesco Ferrara
Anna Maria Polifemo
Liza Ceroni
Asia Gasparri
Chiara Rafanelli
Vincenzo Cennamo
author_sort Sara Gostoli
title The clinical utility of a comprehensive psychosomatic assessment in the program for colorectal cancer prevention: a cross-sectional study
title_short The clinical utility of a comprehensive psychosomatic assessment in the program for colorectal cancer prevention: a cross-sectional study
title_full The clinical utility of a comprehensive psychosomatic assessment in the program for colorectal cancer prevention: a cross-sectional study
title_fullStr The clinical utility of a comprehensive psychosomatic assessment in the program for colorectal cancer prevention: a cross-sectional study
title_full_unstemmed The clinical utility of a comprehensive psychosomatic assessment in the program for colorectal cancer prevention: a cross-sectional study
title_sort clinical utility of a comprehensive psychosomatic assessment in the program for colorectal cancer prevention: a cross-sectional study
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/d4013391dd074b98967ae4844bf1edb1
work_keys_str_mv AT saragostoli theclinicalutilityofacomprehensivepsychosomaticassessmentintheprogramforcolorectalcancerpreventionacrosssectionalstudy
AT mariamontecchiarini theclinicalutilityofacomprehensivepsychosomaticassessmentintheprogramforcolorectalcancerpreventionacrosssectionalstudy
AT alessiaurgese theclinicalutilityofacomprehensivepsychosomaticassessmentintheprogramforcolorectalcancerpreventionacrosssectionalstudy
AT francescoferrara theclinicalutilityofacomprehensivepsychosomaticassessmentintheprogramforcolorectalcancerpreventionacrosssectionalstudy
AT annamariapolifemo theclinicalutilityofacomprehensivepsychosomaticassessmentintheprogramforcolorectalcancerpreventionacrosssectionalstudy
AT lizaceroni theclinicalutilityofacomprehensivepsychosomaticassessmentintheprogramforcolorectalcancerpreventionacrosssectionalstudy
AT asiagasparri theclinicalutilityofacomprehensivepsychosomaticassessmentintheprogramforcolorectalcancerpreventionacrosssectionalstudy
AT chiararafanelli theclinicalutilityofacomprehensivepsychosomaticassessmentintheprogramforcolorectalcancerpreventionacrosssectionalstudy
AT vincenzocennamo theclinicalutilityofacomprehensivepsychosomaticassessmentintheprogramforcolorectalcancerpreventionacrosssectionalstudy
AT saragostoli clinicalutilityofacomprehensivepsychosomaticassessmentintheprogramforcolorectalcancerpreventionacrosssectionalstudy
AT mariamontecchiarini clinicalutilityofacomprehensivepsychosomaticassessmentintheprogramforcolorectalcancerpreventionacrosssectionalstudy
AT alessiaurgese clinicalutilityofacomprehensivepsychosomaticassessmentintheprogramforcolorectalcancerpreventionacrosssectionalstudy
AT francescoferrara clinicalutilityofacomprehensivepsychosomaticassessmentintheprogramforcolorectalcancerpreventionacrosssectionalstudy
AT annamariapolifemo clinicalutilityofacomprehensivepsychosomaticassessmentintheprogramforcolorectalcancerpreventionacrosssectionalstudy
AT lizaceroni clinicalutilityofacomprehensivepsychosomaticassessmentintheprogramforcolorectalcancerpreventionacrosssectionalstudy
AT asiagasparri clinicalutilityofacomprehensivepsychosomaticassessmentintheprogramforcolorectalcancerpreventionacrosssectionalstudy
AT chiararafanelli clinicalutilityofacomprehensivepsychosomaticassessmentintheprogramforcolorectalcancerpreventionacrosssectionalstudy
AT vincenzocennamo clinicalutilityofacomprehensivepsychosomaticassessmentintheprogramforcolorectalcancerpreventionacrosssectionalstudy
_version_ 1718377592911822848