Preliminary validation of a brief PROM assessing psychological distress in patients with malignant mesothelioma: The mesothelioma psychological distress tool-Patients
Psychological suffering in malignant mesothelioma (MM) differs from that in other cancers because of its occupational etiology, and we aimed to develop specific patient-reported outcome measures to assess it. We used a multi-method prospective observational multicentric study ( = 149), and a prelim...
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| Published in | Frontiers in psychology Vol. 13; p. 974982 |
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| Main Authors | , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
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25.11.2022
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| Abstract | Psychological suffering in malignant mesothelioma (MM) differs from that in other cancers because of its occupational etiology, and we aimed to develop specific patient-reported outcome measures to assess it.
We used a multi-method prospective observational multicentric study (
= 149), and a preliminary questionnaire validation was performed through a Bayesian approach.
Item analysis showed a good internal consistency and reliability (Cronbach alpha = 0.79 [95% CI = 0.74-0.93]. Twenty of the 41 initial items were selected as posterior 95% highest density interval factor loading standardized effect size fell outside of the region of practical equivalence. Bayesian exploratory factor analysis showed a two-factor structure: (1) Trauma-related reactions (TR, 13 items) and (2) Claim for justice (CJ, 7 items), confirmed by the Bayesian confirmatory factor analysis. Latent factors were poorly correlated (Posterior median: 0.13; 95% CI = -0.079 to 0.323). The 90% root mean square error of approximation posterior median was 0.04 [90% CI = 0.03-0.58]; the 90% chi-square posterior median was 242 [90% CI = 209-287].
Psychological suffering in MM patients implies negative cognitive, emotional, and somatic reactions related to the traumatic impact of the disease and the need to obtain justice through economic compensation. Our findings provide preliminary evidence that the Mesothelioma Psychological Distress Tool-Patients could be a promising and reliable instrument to assess MM patients' psychological distress. |
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| AbstractList | ObjectivePsychological suffering in malignant mesothelioma (MM) differs from that in other cancers because of its occupational etiology, and we aimed to develop specific patient-reported outcome measures to assess it.MethodsWe used a multi-method prospective observational multicentric study (N = 149), and a preliminary questionnaire validation was performed through a Bayesian approach.ResultsItem analysis showed a good internal consistency and reliability (Cronbach alpha = 0.79 [95% CI = 0.74–0.93]. Twenty of the 41 initial items were selected as posterior 95% highest density interval factor loading standardized effect size fell outside of the region of practical equivalence. Bayesian exploratory factor analysis showed a two-factor structure: (1) Trauma-related reactions (TR, 13 items) and (2) Claim for justice (CJ, 7 items), confirmed by the Bayesian confirmatory factor analysis. Latent factors were poorly correlated (Posterior median: 0.13; 95% CI = −0.079 to 0.323). The 90% root mean square error of approximation posterior median was 0.04 [90% CI = 0.03–0.58]; the 90% chi-square posterior median was 242 [90% CI = 209–287].ConclusionPsychological suffering in MM patients implies negative cognitive, emotional, and somatic reactions related to the traumatic impact of the disease and the need to obtain justice through economic compensation. Our findings provide preliminary evidence that the Mesothelioma Psychological Distress Tool-Patients could be a promising and reliable instrument to assess MM patients’ psychological distress. Psychological suffering in malignant mesothelioma (MM) differs from that in other cancers because of its occupational etiology, and we aimed to develop specific patient-reported outcome measures to assess it. We used a multi-method prospective observational multicentric study ( = 149), and a preliminary questionnaire validation was performed through a Bayesian approach. Item analysis showed a good internal consistency and reliability (Cronbach alpha = 0.79 [95% CI = 0.74-0.93]. Twenty of the 41 initial items were selected as posterior 95% highest density interval factor loading standardized effect size fell outside of the region of practical equivalence. Bayesian exploratory factor analysis showed a two-factor structure: (1) Trauma-related reactions (TR, 13 items) and (2) Claim for justice (CJ, 7 items), confirmed by the Bayesian confirmatory factor analysis. Latent factors were poorly correlated (Posterior median: 0.13; 95% CI = -0.079 to 0.323). The 90% root mean square error of approximation posterior median was 0.04 [90% CI = 0.03-0.58]; the 90% chi-square posterior median was 242 [90% CI = 209-287]. Psychological suffering in MM patients implies negative cognitive, emotional, and somatic reactions related to the traumatic impact of the disease and the need to obtain justice through economic compensation. Our findings provide preliminary evidence that the Mesothelioma Psychological Distress Tool-Patients could be a promising and reliable instrument to assess MM patients' psychological distress. ObjectivePsychological suffering in malignant mesothelioma (MM) differs from that in other cancers because of its occupational etiology, and we aimed to develop specific patient-reported outcome measures to assess it. MethodsWe used a multi-method prospective observational multicentric study (N = 149), and a preliminary questionnaire validation was performed through a Bayesian approach. ResultsItem analysis showed a good internal consistency and reliability (Cronbach alpha = 0.79 [95% CI = 0.74-0.93]. Twenty of the 41 initial items were selected as posterior 95% highest density interval factor loading standardized effect size fell outside of the region of practical equivalence. Bayesian exploratory factor analysis showed a two-factor structure: (1) Trauma-related reactions (TR, 13 items) and (2) Claim for justice (CJ, 7 items), confirmed by the Bayesian confirmatory factor analysis. Latent factors were poorly correlated (Posterior median: 0.13; 95% CI = -0.079 to 0.323). The 90% root mean square error of approximation posterior median was 0.04 [90% CI = 0.03-0.58]; the 90% chi-square posterior median was 242 [90% CI = 209-287]. ConclusionPsychological suffering in MM patients implies negative cognitive, emotional, and somatic reactions related to the traumatic impact of the disease and the need to obtain justice through economic compensation. Our findings provide preliminary evidence that the Mesothelioma Psychological Distress Tool-Patients could be a promising and reliable instrument to assess MM patients' psychological distress. Objective Psychological suffering in malignant mesothelioma (MM) differs from that in other cancers because of its occupational etiology, and we aimed to develop specific patient-reported outcome measures to assess it. Methods We used a multi-method prospective observational multicentric study ( N = 149), and a preliminary questionnaire validation was performed through a Bayesian approach. Results Item analysis showed a good internal consistency and reliability (Cronbach alpha = 0.79 [95% CI = 0.74–0.93]. Twenty of the 41 initial items were selected as posterior 95% highest density interval factor loading standardized effect size fell outside of the region of practical equivalence. Bayesian exploratory factor analysis showed a two-factor structure: (1) Trauma-related reactions (TR, 13 items) and (2) Claim for justice (CJ, 7 items), confirmed by the Bayesian confirmatory factor analysis. Latent factors were poorly correlated (Posterior median: 0.13; 95% CI = −0.079 to 0.323). The 90% root mean square error of approximation posterior median was 0.04 [90% CI = 0.03–0.58]; the 90% chi-square posterior median was 242 [90% CI = 209–287]. Conclusion Psychological suffering in MM patients implies negative cognitive, emotional, and somatic reactions related to the traumatic impact of the disease and the need to obtain justice through economic compensation. Our findings provide preliminary evidence that the Mesothelioma Psychological Distress Tool-Patients could be a promising and reliable instrument to assess MM patients’ psychological distress. |
| Author | Franzoi, Isabella Giulia Grosso, Federica Marinaccio, Alessandro Migliore, Enrica Romeo, Elisa Azzolina, Danila Guglielmucci, Fanny Bonafede, Michela Granieri, Antonella Mensi, Carolina Chellini, Elisabetta |
| AuthorAffiliation | 8 COR Lazio, Department of Epidemiology, Lazio Regional Health Service , Rome , Italy 7 COR Tuscany, Cancer Prevention and Research Institute, Unit of Environmental and Occupational Epidemiology , Florence , Italy 9 Mesothelioma Unit, Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo , Alessandria , Italy 1 Department of Philosophy, Communication and Performing Arts, University of Roma Tre , Rome , Italy 3 Department of Environmental and Preventive Sciences, University of Ferrara , Ferrara , Italy 4 Department of Psychology, University of Turin , Turin , Italy 6 COR Lombardy, Epidemiology Unit, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico and University of Milan , Milan , Italy 5 COR Piedmont, Unit of Cancer Epidemiology, University of Turin and CPO-Piedmont , Turin , Italy 2 Occupational and Environmental Medicine, Epidemiology and Hygiene Department, Italian Workers’ Compensation Authority (INAIL) , Rome , Italy |
| AuthorAffiliation_xml | – name: 2 Occupational and Environmental Medicine, Epidemiology and Hygiene Department, Italian Workers’ Compensation Authority (INAIL) , Rome , Italy – name: 5 COR Piedmont, Unit of Cancer Epidemiology, University of Turin and CPO-Piedmont , Turin , Italy – name: 6 COR Lombardy, Epidemiology Unit, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico and University of Milan , Milan , Italy – name: 9 Mesothelioma Unit, Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo , Alessandria , Italy – name: 4 Department of Psychology, University of Turin , Turin , Italy – name: 1 Department of Philosophy, Communication and Performing Arts, University of Roma Tre , Rome , Italy – name: 8 COR Lazio, Department of Epidemiology, Lazio Regional Health Service , Rome , Italy – name: 3 Department of Environmental and Preventive Sciences, University of Ferrara , Ferrara , Italy – name: 7 COR Tuscany, Cancer Prevention and Research Institute, Unit of Environmental and Occupational Epidemiology , Florence , Italy |
| Author_xml | – sequence: 1 givenname: Fanny surname: Guglielmucci fullname: Guglielmucci, Fanny organization: Department of Philosophy, Communication and Performing Arts, University of Roma Tre, Rome, Italy – sequence: 2 givenname: Michela surname: Bonafede fullname: Bonafede, Michela organization: Occupational and Environmental Medicine, Epidemiology and Hygiene Department, Italian Workers' Compensation Authority (INAIL), Rome, Italy – sequence: 3 givenname: Danila surname: Azzolina fullname: Azzolina, Danila organization: Department of Environmental and Preventive Sciences, University of Ferrara, Ferrara, Italy – sequence: 4 givenname: Alessandro surname: Marinaccio fullname: Marinaccio, Alessandro organization: Occupational and Environmental Medicine, Epidemiology and Hygiene Department, Italian Workers' Compensation Authority (INAIL), Rome, Italy – sequence: 5 givenname: Isabella Giulia surname: Franzoi fullname: Franzoi, Isabella Giulia organization: Department of Psychology, University of Turin, Turin, Italy – sequence: 6 givenname: Enrica surname: Migliore fullname: Migliore, Enrica organization: COR Piedmont, Unit of Cancer Epidemiology, University of Turin and CPO-Piedmont, Turin, Italy – sequence: 7 givenname: Carolina surname: Mensi fullname: Mensi, Carolina organization: COR Lombardy, Epidemiology Unit, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico and University of Milan, Milan, Italy – sequence: 8 givenname: Elisabetta surname: Chellini fullname: Chellini, Elisabetta organization: COR Tuscany, Cancer Prevention and Research Institute, Unit of Environmental and Occupational Epidemiology, Florence, Italy – sequence: 9 givenname: Elisa surname: Romeo fullname: Romeo, Elisa organization: COR Lazio, Department of Epidemiology, Lazio Regional Health Service, Rome, Italy – sequence: 10 givenname: Federica surname: Grosso fullname: Grosso, Federica organization: Mesothelioma Unit, Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy – sequence: 11 givenname: Antonella surname: Granieri fullname: Granieri, Antonella organization: Department of Psychology, University of Turin, Turin, Italy |
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| Copyright | Copyright © 2022 Guglielmucci, Bonafede, Azzolina, Marinaccio, Franzoi, Migliore, Mensi, Chellini, Romeo, Grosso and Granieri. Copyright © 2022 Guglielmucci, Bonafede, Azzolina, Marinaccio, Franzoi, Migliore, Mensi, Chellini, Romeo, Grosso and Granieri. 2022 Guglielmucci, Bonafede, Azzolina, Marinaccio, Franzoi, Migliore, Mensi, Chellini, Romeo, Grosso and Granieri |
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| Keywords | asbestos mental health cancer mesothelioma patient-reported outcome measures psychological distress psycho-oncology posttraumatic stress disorder |
| Language | English |
| License | Copyright © 2022 Guglielmucci, Bonafede, Azzolina, Marinaccio, Franzoi, Migliore, Mensi, Chellini, Romeo, Grosso and Granieri. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
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| Title | Preliminary validation of a brief PROM assessing psychological distress in patients with malignant mesothelioma: The mesothelioma psychological distress tool-Patients |
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