1. Half of the patients with subepithelial tumours present borderline or pathologic anxiety-distress and carcinophobia: multicentre cohort study
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Francesc Bas-Cutrina, Anna Casellas-Grau, Sebasti� Videla, Carme Loras, Xavi Andújar, Francisco Luis Gil, Maica Galán, Fernando Fernández-Aranda, Jo�o Carmezim, Joan B. Gornals, [Bas-Cutrina F] Endoscopy Unit. Department of Digestive Diseases. Hospital Universitari de Bellvitge. Barcelona, Spain. Bellvitge Biomedical Research Institute (IDIBELL). Barcelona, Spain. Department of Clinical Sciences. School of Medicine and Health Sciences. Universitat de Barcelona (UB). Barcelona, Spain. Digestive Diseases Unit. Hospital General de Granollers. Granollers, Spain. [Casellas-Grau A] Psycho-oncology Service. Institut Català d’Oncologia (ICO). L’Hospitalet de Llobregat, Barcelona. Spain. Department of Psychology. School of Education, Translation, Sports and Psychology. Universitat de Vic – Universitat Central de Catalunya (UVic-UCC). Vic, Barcelona. Spain. [Videla S] Bellvitge Biomedical Research Institute (IDIBELL). Barcelona, Spain. Department of Clinical Sciences. School of Medicine and Health Sciences. Universitat de Barcelona (UB). Barcelona, Spain. Clinical Research Support Unit. Hospital Universitari de Bellvitge. L´Hospitalet de Llobregat, Barcelona. Spain. [Loras C, Andújar X] Endoscopy Unit. Department of Digestive Diseases. Hospital Universitari Mútua de Terrassa. Terrassa, Barcelona. Spain. Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd). Instituto de Salud Carlos III. Madrid, Spain. [Gil FL] Psycho-oncology Service. Institut Català d’Oncologia (ICO). L’Hospitalet de Llobregat, Barcelona. Spain. Tecnocampus Mataró-Maresme Foundation. Universitat Pompeu Fabra (UPF). Barcelona, Spain. [Galán M] Department of Clinical Sciences. School of Medicine and Health Sciences. Universitat de Barcelona (UB). Barcelona, Spain. Department of Medical Oncology. Institut Català d’Oncologia (ICO). L’Hospitalet de Llobregat, Barcelona. Spain. [Fernández-Aranda F] Bellvitge Biomedical Research Institute (IDIBELL). Barcelona, Spain. Department of Clinical Sciences. School of Medicine and Health Sciences. Universitat de Barcelona (UB). Barcelona, Spain. Eating Disorders Unit. Department of Psychiatry. Hospital Universitari de Bellvitge. L´Hospitalet de Llobregat, Barcelona. Spain. Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERobn). Instituto de Salud Carlos III. Madrid, Spain. [Carmezim J] Bellvitge Biomedical Research Institute (IDIBELL). Barcelona, Spain. , [Gornals JB] Endoscopy Unit. Department of Digestive Diseases. Hospital Universitari de Bellvitge. Barcelona, Spain. Bellvitge Biomedical Research Institute (IDIBELL). Barcelona, Spain. Department of Clinical Sciences. School of Medicine and Health Sciences. Universitat de Barcelona (UB). Barcelona, Spain. Faculty of Health Sciences. Universitat Oberta de Catalunya (UOC). Barcelona, Spain, and Hospital General de Granollers
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Mental Disorders::Anxiety Disorders [PSYCHIATRY AND PSYCHOLOGY] ,Ansietat ,trastornos mentales::trastornos de ansiedad [PSIQUIATRÍA Y PSICOLOGÍA] ,Neoplasms::Neoplasms by Site::Digestive System Neoplasms::Gastrointestinal Neoplasms [DISEASES] ,neoplasias::neoplasias por localización::neoplasias del sistema digestivo::neoplasias gastrointestinales [ENFERMEDADES] ,Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics::Epidemiologic Studies::Cohort Studies [ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT] ,técnicas de investigación::métodos epidemiológicos::características de los estudios epidemiológicos::estudios epidemiológicos::estudios de cohortes [TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS] ,Gastroenterology ,General Medicine ,Avaluació ,Aparell digestiu - Càncer - Abstract
Subepithelial tumors; Carcinophobia; Multicenter cohort study Tumores subepiteliales; Carcinofobia; Estudio de cohorte multicéntrico Tumors subepitelials; Carcinofòbia; Estudi de cohorts multicèntric Background and aims: Minor nonspecific gastrointestinal subepithelial lesions (usually defined by the term 'tumor') are usually associated with a malignant illness and cancer. The aim of this study was to assess anxiety-distress and carcinophobia in patients referred to specialized monographic outpatient clinics for evaluation and treatment of this type of lesion. Methods: Prospective, multicenter, cohort study. Specific self-reported questionnaires were used to report threatening life-experiences and to assess levels of distress (The Hospital Anxiety and Depression Scale) and cancer-related worries (The Cancer Worry Scale). Results: Forty participants were included and analyzed at baseline. Pathologic and borderline anxiety were detected in 13% (5/40, 95%CI: 4-27%) and 35% (14/40, 95%CI: 21-52%) of participants, respectively, whereas, cancer-related worries (moderate to very high) were observed in 48% (19/40, 95%CI: 32-64%) of participants. Pathologic global distress was identified in 25% (10/40, 95%CI: 13-42%) of subjects. Higher educational level (university studies), a lack of lifetime psychiatric comorbidity and a lack of family history of cancer were associated with less anxiety, global distress and carcinophobia. Conclusions: Almost half of the patients diagnosed with a minor nonspecific gastrointestinal subepithelial lesion presented anxiety-distress and/or carcinophobia. Specific associations with anxiety-distress reaction and fears were detected.
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- 2022