Pancreatic Cancer Clinical Trial
Official title:
The Italian Version of the Cancer Worry Scale . A Pancreatic Context Adaptation and Reliability Analysis
An Italian language version of the Cancer Worry Scale is not available yet.
The aim of this study is to develop and validate the Italian version of Cancer Worry Scale
through subjects at high risk of pancreatic cancer for familiarity/genetic predisposition, or
suffering from premalignant cystic lesions.
The Fear of Cancer remains a significant problem for subjects enrolled surveillance programs.
This emotional condition can influence the patients' wellbeing and their adherence to
treatments. No results coming from the application of Cancer Worry Scale on high-risk of
Pancreatic cancer individuals have been provided yet.
The fear is an emotional reaction that can be the result of interpretation and cognitions of
perceived internal cues and/or external cues. To objectify this emotion, a cancer worry
scale, has been developed to investigate the fear in female breast cancer survivors. The
proposed scale assesses the psychological distress caused by fear of cancer.
The detection of high level of fear can prevent problematic behaviours, including anxious
preoccupation, avoidance, and excessive checking, and moreover it can help patients to reduce
difficulties in performing the individual's daily and social activities. The scale could use
to evaluate the psychological burden produced by the enrolment in a surveillance program due
to a certain predisposition to Pancreatic cancer. One step forward will be to manage those
individuals with high-level of Fear of cancer, providing them a proper psychological support.
At the General and Pancreatic Surgery Unit of the Pancreas Institute, some experimental
self-made psychological support programs that investigate different psychologic distress
through validated instruments, like anxiety, depression, perceived stress and global
assessment or quality of life have been built up. It must be noted that the scale is not
available specifically for Pancreatic cancer (originally it was created for breast cancer) ,
and for the Italian language, thus it has never been applied in an italian
surveillance/follow-up program dealing with Pancreatic cancer. Nowadays, there is only a
well-structured paper assessing psychological factors associated with cancer worries in high
risk participants in a pancreatic cancer surveillance program. Differently than what has been
already reported by Konings et al, the cohorts of patients that will be considered are
heterogeneous, reflecting more accurately the real-life scenario of the subjects to whom the
scale is administered to. In addition, this may help to identify those individuals that may
benefit from a psychological support, in order to prevent a withdrawal from the surveillance
program.
However, a cut-off has not been provided yet. With next step study we'll aim at determining a
cut-off for the detection clinically relevant worry for cancer.
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