Impact of a psycho-oncological rehabilitation intervention on psychological distress: the experience of CeRiOn (Oncological Rehabilitation Centre) Florence 2007–2010
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Combining medical and psychological knowledge and accompanying patients in an individualised path, the Oncological Rehabilitation Centre of Florence (CeRiOn) aims at offering effective integrated rehabilitation interventions and at reducing psychological distress in cancer patients. In the present observational study, we measured the psychological distress at baseline and at the end of the completed rehabilitation processes.
A total number of 627 cancer patients were treated by the psycho-oncological service at CeRiOn in 2007–2010. Among them, 99 (all women) participated in more than or equal to three sessions, were followed up for clinical and life status for at least 1 year and had a formal conclusion of their psychological rehabilitation process. For 98 cases, both a baseline and a follow-up measure of distress, by the Psychological Distress Inventory (PDI) and the Distress Thermometer (DT), were available.
Relevant before–after amelioration in this selected group of psychologically, highly suffering cancer patients has been shown. Almost all the patients (except 20 %) received both group and individual psychological support. The average rehabilitation process lasted 1.7 years. Average distress evaluation decreased from a baseline of 34.7 to 26.4 (P < 0.001) according to PDI and from 5.9 to 2.2 according to DT (P < 0.001).
On average, quite a long psychological support time was necessary to complete the rehabilitation process. During this period, patients who had a formal conclusion of the psychological support received at CeRiOn showed a significant reduction of their distress.
KeywordsPsycho-oncological rehabilitation Psychological support Distress Cancer patients
Thanks to the collaboration with “La Finestra”, a not-for-profit art-therapist association.
Conflict of interest
The authors have full control of all primary data and agree to allow the journal to review the data requested. There is no conflict of interest.
- 1.NHS, National Cancer Action Team, National Cancer Rehabilitation Advisory Board (2012). Cancer and palliative care rehabilitation: a review of the evidence. National Cancer Rehabilitation Advisory Board, London, p 9, paragraph 3Google Scholar
- 6.Support MC (2006) Worried sick: the emotional impact of cancer. Report on survey carried out by Opinion Leader Research. Macmillan Cancer Support, LondonGoogle Scholar
- 19.Björneklett HG, Lindemalm C, Ojutkangas ML, Berglund A, Letocha H, Strang P, Bergkvist L (2012) A randomized controlled trial of a support group intervention on the quality of life and fatigue in women after primary treatment for early breast cancer. Support Care Cancer 20(12):3325–3334CrossRefGoogle Scholar
- 23.Goedendorp MM, Gielissen MF, Verhagen CA, Bleijenberg G (2009) Psychosocial interventions for reducing fatigue during cancer treatment in adults. Cochrane Database Syst Rev 1, CD006953Google Scholar
- 26.Franchi G, Massa R, Beraldi D, Maruelli A, Grechi E, Bulli F, Bonacchi A, Katz M, Muraca MG, Miccinesi G (2011) La riabilitazione psico-oncologica in un’ottica multidisciplinare. Il Ce.Ri.On. di Firenze. Giornale Italiano di Psico-Oncologia 13:41–47Google Scholar
- 32.Bradt J, Dileo C, Grocke D, Magill L (2011) Music interventions for improving psychological and physical outcomes in cancer patients. Cochrane Database Syst Rev 8, CD006911Google Scholar
- 33.FAVO (2010) Libro Bianco sulla Riabilitazione Oncologica. Istituto Tumori Milano, MilanGoogle Scholar
- 34.StataCorp (2011) Stata statistical software: release 12. StataCorp LP, College Station, TXGoogle Scholar
- 35.Garfield SL (1994) Research on client variables in psychotherapy. In: Bergin AE, Garfield SL (eds) Handbook of psychotherapy and behavior change, 4th edn. Wiley, New York, pp 190–228Google Scholar