Quality of life and personality traits in patients with malignant pleural mesothelioma and their first-degree caregivers

Taking into account the impact of malignant pleural ­mesothelioma on emotional functioning and wellbeing, this study aimed to evaluate the quality of life and personality traits in patients with MPM and their first-degree caregivers through the World Health Organization Quality of LifeBREF and the Minnesota Multiphasic Personality Inventory-2 Restructured Form

Marco Innamorati

2013

Scholarcy highlights

  • Asbestos is a generic term used to identify a number of well-known silicate ­minerals, which may produce thin and flexible fibers when crushed; in the last century ­asbestos was extensively used because of its thermoelectrical and sound absorptive ­properties, as well as its resistance to chemical and biological agents. Asbestos exposure is ­responsible for several pleural diseases, including pleural plaques, diffuse ­pleural ­thickening, benign asbestos-related pleural effusions, and malignant pleural ­mesothelioma.2MPM is a rare and rapidly fatal tumor that is closely related to the inhalation of asbestos fibers and accounts for approximately 1% of all cancer deaths in the world. In Italy, the Italian National Register, the national surveillance system of MPM, recorded a case list of 8,868 MPM between 1993 and 2004, equivalent to standardized incidence rates of 3.49 per 100,000 inhabitants for men and 1.25 for women, with a wide interregional variability.4Powered by TCPDF submit your manuscript | www.dovepress.com Dovepress http://dx.doi.org/10.2147/NDT.S48965
  • Flyers were sent to some nonprofit organizations that were active in Casale ­Monferrato and Monfalcone, such as the Relatives and Victims of Asbestos Association, the Exposed to Asbestos Association, and the Work Invalids and Maimed National Association. ­the researchers contacted physicians of the Santo Spirito Hospital in Casale Monferrato, who publicized the research to their patients
  • First-degree relatives were excluded from the study if they had any disease of the central nervous system, major medical conditions including MPM or other diseases associated with asbestos exposure, or any DSM-IV-TR diagnosis
  • Due to the fact that the quality of life of family caregivers and patients with cancer can vary along the illness trajectory, health care providers should assess the ongoing adjustment and emotional wellbeing of people with MPM and their relatives
  • Poorly recognized distress could lead to difficulties in making decisions about treatment, and poor adherence to medical treatment, and among family caregivers, lower engagement in health behaviors, such as cancer screening
  • (P, 0.01); and more likely to report higher scores on the True Response Inconsistency and on the MLS
  • Family-based psychoeducational programs and support groups for people affected by MPM and their family members may help to reduce the distress in patients and caregivers, improving their quality of life and lowering levels of caregiver burden
  • The assessment of personality traits in MDM patients and their caregivers could orient the intervention, with the aims of activating and reinforcing adherence to treatment and improving quality of life

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