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The role of individual characteristics in predicting decisional conflict for patients with prostate cancer (PCa): preliminary results

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Abstract

The principal aim of the study was to investigate the role of individual characteristics in decisional conflict of patients with prostate cancer (PCa) in order to identify risk and protective features. An observational study was conducted with 83 PCa patients accessing the multidisciplinary visit of Prostate Cancer Program at Fondazione IRCCS Istituto Nazionale dei Tumori in Milan. The multidisciplinary visit (MDV) consists in two separate but interrelated parts: the medical consultation and the psychological consultation, which includes decision-making counseling. Patients’ decisional conflict was measured before entering the visit and two weeks after. Results underlined that decisional conflict decreased in the follow-up. Furthermore, perceived self-efficacy partially predicts a decrease in decisional conflict thus representing a protective factor while buck-passing defensive decisional style partially predicts an increase in decisional conflict thus representing a risk factor. To conclude, future interventions aiming to cope with PCa treatment decisional conflict might incorporate activities designed to boost decision-making self-efficacy.

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Acknowledgements

The authors would like to acknowledge the Prostate Cancer Program Multidisciplinary Team at Fondazione IRCCS Istituto Nazionale dei Tumori; Fondazione Italo Monzino, Milan, Italy, for supporting the psychological counseling to patients with prostate cancer and their partners.

Funding

Financial support for this study was provided in part by a grant from Foundation I. Monzino. The funding agreement ensured the authors’ independence in designing the study, interpreting the data, writing, and publishing the report.

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Correspondence to Daniela Villani.

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Disclosure of potential Conflict of Interest

Lara Bellardita declares that she has no conflict of interest. Daniela Villani declares that she has no conflict of interest. Silvia Villa declares that she has no conflict of interest. Claudia Repetto declares that she has no conflict of interest. Simona Donegani declares that she has no conflict of interest. Antonella Marchetti declares that she has no conflict of interest. Davide Massaro declares that he has no conflict of interest. Roberto Salvioni declares that he has no conflict of interest. Tiziana Magnani declares that she has no conflict of interest. Riccardo Valdagni declares that he has no conflict of interest.

Research Involving Human Participants and/or Animals

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Bellardita, L., Villani, D., Villa, S. et al. The role of individual characteristics in predicting decisional conflict for patients with prostate cancer (PCa): preliminary results. Curr Psychol 39, 354–363 (2020). https://doi.org/10.1007/s12144-017-9753-y

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  • DOI: https://doi.org/10.1007/s12144-017-9753-y

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