Year 2023 / Volume 115 / Number 2
Original
Half of the patients with subepithelial tumors present borderline or pathologic anxiety-distress and carcinophobia: a multicenter cohort study

80-84

DOI: 10.17235/reed.2022.8836/2022

Francesc Bas-Cutrina, Anna Casellas-Grau, Sebastià Videla, Carme Loras, Xavi Andújar, Francisco Luis Gil, Maica Galán, Fernando Fernández-Aranda, João Carmezim, Joan B. Gornals,

Abstract
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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Citation tools
Bas-Cutrina F, Casellas-Grau A, Videla S, Loras C, Andújar X, Gil F, et all. Half of the patients with subepithelial tumors present borderline or pathologic anxiety-distress and carcinophobia: a multicenter cohort study. 8836/2022


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Publication history

Received: 03/04/2022

Accepted: 09/05/2022

Online First: 24/05/2022

Published: 07/02/2023

Article revision time: 27 days

Article Online First time: 51 days

Article editing time: 310 days


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