Annunziata Maria Antonietta, Muzzatti Barbara, Flaiban Cristiana, Giovannini Lorena, Carlucci Matilde
Unit of Oncological Psychology, Centro di Riferimento Oncologico, IRCCS Istituto Nazionale Tumori, Via F. Gallini, 2, 33081, Aviano, PN, Italy.
Health Care Directorate, Centro di Riferimento Oncologico, National Cancer Institute, Aviano, Italy.
Support Care Cancer. 2016 Jul;24(7):3157-64. doi: 10.1007/s00520-016-3134-1. Epub 2016 Mar 1.
Since long-term survivorship is now a reality for an increasing number of people with cancer, understanding their mood states (i.e., transient subjective emotional states) can inform health-care policy as well as help support individual patients. This study described the mood states of Italian long-term cancer survivors, compared them with normative data, and tested their association with the main clinical and socio-demographic sample's characteristics.
One hundred and fifty-eight Italian adults free from cancer and its treatments for at least 5 years were administered the Profile of Mood States (POMS) and two ad hoc 0-10-point visual-analogue scales on personal health-related worry and risk perception for a personal relapse, respectively.
In comparison with the Italian normative sample, the current sample displayed a higher score in Vigor-Activity (p = 0.003) and a lower score in Confusion-Bewilderment (p = 0.008). In Tension-Anxiety, Confusion-Bewilderment, Depression-Dejection, Anger-Hostility, Fatigue-Inertia, and Vigor-Activity, 14.6, 15.9, 17.1, 17.8, 19.7, and 13.3 % of the sample, respectively, displayed meaningful scores (i.e., scores above or below 1 standard deviation from the normative mean score). The mood state profile POMS-provided was associated with gender (p = 0.002), occupational status (p = 0.003), reported health issues (p < 0.001), and quality of sleep (p < 0.001). In personal health-related worry and risk perception for a personal relapse, the average scores were 4.8 (SD = 3.0) and 4.1 (SD = 2.9), respectively.
These data encourage a multidimensional assessment of emotional functioning of this specific population.
鉴于长期生存如今已成为越来越多癌症患者的现实情况，了解他们的情绪状态（即短暂的主观情绪状态）可为医疗保健政策提供参考，并有助于为个体患者提供支持。本研究描述了意大利长期癌症幸存者的情绪状态，将其与标准数据进行比较，并测试了它们与主要临床和社会人口统计学样本特征之间的关联。
对158名至少5年未患癌症且未接受过癌症治疗的意大利成年人进行了情绪状态量表（POMS）以及两个专门设计的0至10分视觉模拟量表的测试，分别用于评估个人与健康相关的担忧以及对个人复发的风险认知。
与意大利标准样本相比，当前样本在活力-活动方面得分较高（p = 0.003），在困惑-迷茫方面得分较低（p = 0.008）。在紧张-焦虑、困惑-迷茫、抑郁-沮丧、愤怒-敌意、疲劳-惰性和活力-活动方面，分别有14.6%、15.9%、17.1%、17.8%、19.7%和13.3%的样本显示出有意义得分（即高于或低于标准平均得分1个标准差的得分）。POMS提供的情绪状态概况与性别（p = 0.002）、职业状况（p = 0.003）、报告的健康问题（p < 0.001）和睡眠质量（p < 0.001）相关。在个人与健康相关的担忧以及对个人复发的风险认知方面，平均得分分别为４.8（标准差 = 3.0）和4.1（标准差 = 2.9）。
这些数据鼓励对这一特定人群的情绪功能进行多维度评估。
