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Dignity and time perspective: A pilot explorative study in cancer patients

Published online by Cambridge University Press:  08 April 2022

Federica Andreis*
Affiliation:
Oncology Department, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy
Mara Mirandola
Affiliation:
Oncology Department, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy
Anna Chiara Wedenissow
Affiliation:
Oncology Department, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy
Mariana Runcan
Affiliation:
Oncology Department, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy
Clelia Malighetti
Affiliation:
Oncology Department, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy
Fausto Meriggi
Affiliation:
Oncology Department, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy
Alberto Zaniboni
Affiliation:
Oncology Department, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy
*
Author for correspondence: Federica Andreis, Psycho-oncology Service, Oncology Department, Istituto Ospedaliero Fondazione Poliambulanza, L. Bissolati 57, 25124 Brescia, Italy. E-mail: federica.andreis@poliambulanza.it

Abstract

Objectives

This study investigated the possible correlation between emotional distress linked to dignity and dysfunctional temporal orientations in the oncological context.

Methods

We conducted an exploratory study between December 2020 and February 2021, referring to a sample of 107 patients in active treatment for solid tumors belonging to the Oncology Department of the Fondazione Poliambulanza (Brescia, Italy). We administered two self-report questionnaires: the Patient Dignity Inventory (PDI-IT) (Italian version, Grassi L, Costantini A, Caruso R, et al. (2017) Dignity and psychosocial-related variables in advanced and nonadvanced cancer patients by using the patient dignity inventory-Italian version. Journal of Pain and Symptom Management 53(2), 279–287), as a measure of perceived level of dignity, and the Italian version of the Zimbardo Time Perspective Inventory scale (ZTPI) (Zimbardo PG and Boyd JN (2009) Il paradosso del tempo. La nuova psicologia del tempo che cambierà la tua vita. Milano: Mondadori), as a measure of the experiential dimensions of time, such as past, present, and future.

Results

From the PDI-IT emerged that our sample reported high levels of physical and psychological distress. Furthermore, we founded higher distress in patients under 55 years (p = 0.04) and lower distress in retired patients (p = 0.01). The ZTPI showed in our patients prevailing orientations to the past-positive (39.3%) and the future (37.4%). We noticed a gender difference: men were mainly oriented to the future while women to the past-positive. Moreover, married subjects reported a prevalent orientation to past-positive and the future. Finally, data analysis found moderate positive correlation between the “Negative Past” dimension of ZTPI and high levels of physical (r = 0.203, p = 0.03) and psychological distress (r = 236, p = 0.01).

Significance of results

In our experience in oncology, dignity and time perspective play a central role as indicators of the quality of care. Our study shows the importance of a treatment path that integrates the constructs of Dignity and Time Perspective to favor a better psychological adaptation.

Type
Original Article
Copyright
© The Author(s), 2022. Published by Cambridge University Press

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