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  1. AU="Manzano-Fernandez, Aranzazu"
  2. TI=The Role of the Long Term Acute Care Hospital Following Critical Illness Has the Coronavirus Disease 2019 Pandemic Demonstrated Their Usefulness or Emphasized Their Downside

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  1. Artikel ; Online: Prospective study of predictors for anxiety, depression, and somatization in a sample of 1807 cancer patients.

    Velasco-Durantez, Veronica / Cruz-Castellanos, Patricia / Hernandez, Raquel / Rodriguez-Gonzalez, Adan / Fernandez Montes, Ana / Gallego, Alejandro / Manzano-Fernandez, Aranzazu / Sorribes, Elena / Zafra, Marta / Carmona-Bayonas, Alberto / Calderon, Caterina / Jiménez-Fonseca, Paula

    Scientific reports

    2024  Band 14, Heft 1, Seite(n) 3188

    Abstract: In cancer patients, psychological distress, which encompasses anxiety, depression, and somatization, arises from the complex interplay of emotional and behavioral reactions to the diagnosis and treatment, significantly influencing their functionality and ...

    Abstract In cancer patients, psychological distress, which encompasses anxiety, depression, and somatization, arises from the complex interplay of emotional and behavioral reactions to the diagnosis and treatment, significantly influencing their functionality and quality of life. The aim was to investigate factors associated with psychological distress in cancer patients. This prospective and multicenter study, conducted by the Spanish Society of Medical Oncology (SEOM), included two cohorts of patients with cancer (localized resected or advanced unresectable). They completed surveys assessing psychological distress (BSI-18) before and after cancer treatment and coping (MINI-MAC) and spirituality (FACIT-sp) prior to therapy. A multivariable logistic regression analysis and a Structural Equation Modeling (SEM) were conducted. Between 2019 and 2022, 1807 patients were evaluated, mostly women (54%), average age 64 years. The most frequent cancers were colorectal (30%), breast (25%) and lung (18%). Men had lower levels of anxiety and depression (OR 0.66, 95% CI 0.52-0.84; OR 0.72, 95% CI 0.56-0.93). Colorectal cancer patients experienced less anxiety (OR 0.63, 95% CI 0.43-0.92), depression (OR 0.55, 95% CI 0.37-0.81), and somatization (OR 0.59, 95% CI 0.42-0.83). Patients with localized cancer and spiritual beliefs had reduced psychological distress, whereas those with anxious preoccupation had higher level. SEM revealed a relationship between psychological distress and coping strategies, emphasizing how baseline anxious preoccupation exacerbates post-treatment distress. This study suggests that age, sex, extension and location of cancer, coping and spirituality influence psychological distress in cancer patients.
    Mesh-Begriff(e) Female ; Humans ; Male ; Middle Aged ; Adaptation, Psychological ; Anxiety/psychology ; Depression/psychology ; Neoplasms/psychology ; Prospective Studies ; Quality of Life/psychology ; Surveys and Questionnaires ; Aged
    Sprache Englisch
    Erscheinungsdatum 2024-02-07
    Erscheinungsland England
    Dokumenttyp Multicenter Study ; Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-024-53212-y
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Psychological distress and resilience in patients with advanced cancer during the Covid-19 pandemic: the mediating role of spirituality.

    Mihic-Gongora, Luka / Jiménez-Fonseca, Paula / Hernandez, Raquel / Gil-Raga, Mireia / Pacheco-Barcia, Vilma / Manzano-Fernández, Aránzazu / Hernando-Polo, Susana / Antoñanzas-Basa, Mónica / Corral, María J / Valero-Arbizu, María / Calderon, Caterina

    BMC palliative care

    2022  Band 21, Heft 1, Seite(n) 146

    Abstract: Background: The purpose of this study was to investigate the sociodemographic factors related to psychological distress, spirituality, and resilience, and to examine the mediating role of spirituality with respect to psychological distress and ... ...

    Abstract Background: The purpose of this study was to investigate the sociodemographic factors related to psychological distress, spirituality, and resilience, and to examine the mediating role of spirituality with respect to psychological distress and resilience in patients with advanced, unresectable cancer during the Covid-19 pandemic.
    Methods: A prospective, cross-sectional design was adopted. Data were collected from 636 participants with advanced cancer at 15 tertiary hospitals in Spain between February 2019 and December 2021. Participants completed self-report measures: Brief Resilient Coping Scale (BRCS), Brief Symptom Inventory (BSI-18), and Spiritual well-being (FACIT-Sp). Hierarchical linear regression models were used to explore the mediating role of spirituality.
    Results: Spirituality was significantly different according to the person's age and marital status. Psychological distress accounted for 12% of the variance in resilience (β = - 0.32, p < 0.001) and spirituality, another 15% (β =0.48, p < 0.001). Spirituality acted as a partial mediator in the relationship between psychological distress and resilience in individuals with advanced cancer.
    Conclusions: Both psychological distress and spirituality played a role in resilience in cases of advanced cancer. Spirituality can help promote subjective well-being and increased resilience in these subjects.
    Mesh-Begriff(e) Adaptation, Psychological ; COVID-19 ; Cross-Sectional Studies ; Humans ; Neoplasms/complications ; Neoplasms/psychology ; Pandemics ; Prospective Studies ; Psychological Distress ; Resilience, Psychological ; Spirituality
    Sprache Englisch
    Erscheinungsdatum 2022-08-13
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 2091556-1
    ISSN 1472-684X ; 1472-684X
    ISSN (online) 1472-684X
    ISSN 1472-684X
    DOI 10.1186/s12904-022-01034-y
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Breast cancer patient experiences through a journey map: A qualitative study.

    Ciria-Suarez, Laura / Jiménez-Fonseca, Paula / Palacín-Lois, María / Antoñanzas-Basa, Mónica / Fernández-Montes, Ana / Manzano-Fernández, Aranzazu / Castelo, Beatriz / Asensio-Martínez, Elena / Hernando-Polo, Susana / Calderon, Caterina

    PloS one

    2021  Band 16, Heft 9, Seite(n) e0257680

    Abstract: Background: Breast cancer is one of the most prevalent diseases in women. Prevention and treatments have lowered mortality; nevertheless, the impact of the diagnosis and treatment continue to impact all aspects of patients' lives (physical, emotional, ... ...

    Abstract Background: Breast cancer is one of the most prevalent diseases in women. Prevention and treatments have lowered mortality; nevertheless, the impact of the diagnosis and treatment continue to impact all aspects of patients' lives (physical, emotional, cognitive, social, and spiritual).
    Objective: This study seeks to explore the experiences of the different stages women with breast cancer go through by means of a patient journey.
    Methods: This is a qualitative study in which 21 women with breast cancer or survivors were interviewed. Participants were recruited at 9 large hospitals in Spain and intentional sampling methods were applied. Data were collected using a semi-structured interview that was elaborated with the help of medical oncologists, nurses, and psycho-oncologists. Data were processed by adopting a thematic analysis approach.
    Results: The diagnosis and treatment of breast cancer entails a radical change in patients' day-to-day that linger in the mid-term. Seven stages have been defined that correspond to the different medical processes: diagnosis/unmasking stage, surgery/cleaning out, chemotherapy/loss of identity, radiotherapy/transition to normality, follow-up care/the "new" day-to-day, relapse/starting over, and metastatic/time-limited chronic breast cancer. The most relevant aspects of each are highlighted, as are the various cross-sectional aspects that manifest throughout the entire patient journey.
    Conclusions: Comprehending patients' experiences in depth facilitates the detection of situations of risk and helps to identify key moments when more precise information should be offered. Similarly, preparing the women for the process they must confront and for the sequelae of medical treatments would contribute to decreasing their uncertainty and concern, and to improving their quality-of-life.
    Mesh-Begriff(e) Breast Neoplasms ; Cross-Sectional Studies ; Female ; Humans ; Neoplasm Recurrence, Local ; Qualitative Research
    Sprache Englisch
    Erscheinungsdatum 2021-09-22
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0257680
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel ; Online: Ascertaining breast cancer patient experiences through a journey map: A qualitative study protocol.

    Ciria-Suarez, Laura / Jiménez-Fonseca, Paula / Palacín-Lois, María / Antoñanzas-Basa, Mónica / Férnández-Montes, Ana / Manzano-Fernández, Aranzazu / Castelo, Beatriz / Asensio-Martínez, Elena / Hernando-Polo, Susana / Calderon, Caterina

    PloS one

    2020  Band 15, Heft 12, Seite(n) e0244355

    Abstract: Background: The current cancer care system must be improved if we are to have in-depth knowledge about breast cancer patients' experiences throughout all the stages of their disease.: Aim: This study seeks to describe breast cancer patients' ... ...

    Abstract Background: The current cancer care system must be improved if we are to have in-depth knowledge about breast cancer patients' experiences throughout all the stages of their disease.
    Aim: This study seeks to describe breast cancer patients' experience over the course of the various stages of illness by means of a journey model.
    Methods: This is a qualitative descriptive study. Individual, semi-structured interviews will be administered to women with breast cancer and breast cancer survivors. Patients will be recruited from nine large hospitals in Spain and intentional sampling will be used. Data will be collected by means of a semi-structured interview that was elaborated with the help of medical oncologists, nurses, and psycho-oncologists. Data will be processed adopting a thematic analysis approach.
    Discussion: The outcomes of this study will afford new insights into breast cancer patients' experiences, providing guidance to improve the care given to these individuals. This protocol aims to describe the journey of patients with breast cancer through the healthcare system to establish baseline data that will serve as the basis for the development and implementation of a patient-centered, evidence-based clinical pathway.
    Mesh-Begriff(e) Breast Neoplasms/psychology ; Breast Neoplasms/therapy ; Cancer Survivors/psychology ; Female ; Humans ; Patient Outcome Assessment ; Patient-Centered Care ; Qualitative Research ; Standard of Care ; Surveys and Questionnaires
    Sprache Englisch
    Erscheinungsdatum 2020-12-21
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0244355
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: Multidimensional Scale of Perceived Social Support (MSPSS) in cancer patients: psychometric properties and measurement invariance.

    Calderón, Caterina / Ferrando, Pere J / Lorenzo-Seva, Urbano / Gómez-Sánchez, David / Fernández-Montes, Ana / Palacín-Lois, Maria / Antoñanzas-Basa, Mónica / Rogado, Jacobo / Manzano-Fernández, Aránzazu / Ferreira, Estrella / Asensio-Martínez, Elena / Jiménez-Fonseca, Paula

    Psicothema

    2021  Band 33, Heft 1, Seite(n) 131–138

    Abstract: Background: The aim of this study was to evaluate the psychometric properties, convergent validity, and factorial invariance of the Multidimensional Scale of Perceived Social Support (MSPSS) in cancer patients.: Method: Confirmatory factor analysis ( ... ...

    Abstract Background: The aim of this study was to evaluate the psychometric properties, convergent validity, and factorial invariance of the Multidimensional Scale of Perceived Social Support (MSPSS) in cancer patients.
    Method: Confirmatory factor analysis (CFA) was conducted to explore the scale's dimensionality and test for strong measurement invariance across sex and age in a cross-sectional, multicenter, prospective study. Patients completed the MSPSS and Satisfaction with Life Scale (SWLS).
    Results: A total of 925 consecutive patients were recruited in 13 hospitals between July 2015 and December 2018. The CFA indicated that the original three-factor model was replicated in patients with cancer. The results of the multi-group CFA revealed a strong invariance according to sex and age. The Spanish version of the MSPSS had high estimated reliability with values exceeding .90. The simple sum of the items of each scale was a good indicator of oncology patients' perceived social support. The three MSPSS subscales correlated significantly with the SWLS. Women scored higher on social support by friends than men.
    Conclusion: The Spanish version of the MSPSS proved to be a valid, reliable instrument to assess perceived social support in cancer patients.
    Mesh-Begriff(e) Cross-Sectional Studies ; Female ; Humans ; Male ; Neoplasms ; Prospective Studies ; Psychometrics ; Reproducibility of Results ; Social Support ; Surveys and Questionnaires
    Sprache Englisch
    Erscheinungsdatum 2021-01-16
    Erscheinungsland Spain
    Dokumenttyp Journal Article ; Multicenter Study
    ZDB-ID 2421645-8
    ISSN 1886-144X ; 0214-9915
    ISSN (online) 1886-144X
    ISSN 0214-9915
    DOI 10.7334/psicothema2020.263
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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