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Subjective perception of treatment in patients first referred to radiotherapy and its relationship to their well-being

Published online by Cambridge University Press:  13 August 2021

M. Kovyazina ,
E. Rasskazova ,
A. Kuznetsova ,
R. Shilko ,
Y. Zinchenko  and
V. Sadovnichaja
M. Kovyazina
Affiliation:
Clinical Psychology, Moscow State University, Moscow, Russian Federation
E. Rasskazova
Affiliation:
Clinical Psychology, Moscow State University, Moscow, Russian Federation
A. Kuznetsova
Affiliation:
Faculty Of Psychology, Lomonosov Moscow state University, Moscow, Russian Federation
R. Shilko
Affiliation:
Faculty Of Psychology, Lomonosov Moscow State University, Moscow, Russian Federation
Y. Zinchenko
Affiliation:
Faculty Of Psychology, Lomonosov Moscow State University, Moscow, Russian Federation
V. Sadovnichaja*
Affiliation:
Clinical Psychology, Moscow State University, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

There are wide-spread fears and expectations about radiotherapy in people referred to it that are not only unrealistic (Shaverdian et al., 2018) but also lead to poorer compliance with doctors and poorer satisfaction with treatment (Dong et al., 2014).

Objectives

The aim was to reveal relationship between different aspects of subjective perception of radiotherapy in patients and their well-being.

Methods

34 patients first referred to radiotherapy, 23-70 years old (mostly females with breast cancer) filled modified version of Beliefs about Medication Questionnaire including items about radiotherapy (Horne et al., 1996), Satisfaction With Life Scale (Diener et al., 1985), Scale of Positive And Negative Experience (Diener et al., 2009).

Results

Six scales were revealed by factor analysis in the structure of beliefs about radiotherapy (Cronbach’s alphas .74-.85): confidence in the effectiveness of radiation therapy, subjective need for it, lack of understanding of it, concern and general negative attitudes towards radiotherapy, doubts about the effectiveness of radiation therapy. Elder patients reported higher need for radiotherapy but also higher concerns about it (r=.35-.37). Concerns about radiotherapy were related to lower satisfaction with life and positive emotions (r=-.44 - -.34) while subjective need of radiotherapy was related to higher health anxiety (r=.71) and lower positive emotions (r=-.41).

Conclusions

Subjective concerns of patients regarding radiotherapy are related to poorer well-being and could be addressed in psychotherapy.

Keywords

radiotherapytreatment representationwell-being
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S434
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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