{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T19:40:07Z","timestamp":1777750807880,"version":"3.51.4"},"reference-count":11,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,9,21]],"date-time":"2021-09-21T00:00:00Z","timestamp":1632182400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007109","name":"Universit\u00e0 degli Studi di Ferrara","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007109","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine knowledge about, perception of and current risk factors for cancer, among patients with severe mental illness (SMI) and to compare these variables with patients without SMI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A series of patients affected by SMI (i.e., schizophrenia spectrum disorders, bipolar disorders and severe personality disorders) and a matched (gender, age) control group of primary care attenders were assessed, by using an ad hoc semi\u2010structured interview and a short true\/false 17\u2010item questionnaire, about family history of cancer, cancer risk\u2010related lifestyles, personal perception and knowledge of risk for cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients with SMI (<jats:italic>n<\/jats:italic>\u00a0=\u00a0185, mainly schizophrenia spectrum disorders, 48%, and mood disorders, 33%) significantly differed from primary care attenders (<jats:italic>n<\/jats:italic>\u00a0=\u00a0173) for: lower participation to occult stool blood screening test, Pap smear test and mammography; higher prevalence of current and past smoking habits; lower awareness towards their own physical symptoms and their perception of risks for cancer; lower physical exercise practicing; lower knowledge about risk factors for cancer (e.g. familiarity for cancer, smoke\u2010habits, breast and uterine cancer).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients suffering from SMI had higher at\u2010risk behavior for cancer and showed fewer concerns and less knowledge about risk for cancer than primary care attendees. These findings can guide to implement screening for cancer (e.g., Pap test, blood) and to design evidence\u2010based interventions to reduce cancer risk (e.g., educational and behavioral change for smoking cessation, dietary habits) among patients with SMI.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.5822","type":"journal-article","created":{"date-parts":[[2021,9,21]],"date-time":"2021-09-21T14:39:45Z","timestamp":1632235185000},"page":"2077-2081","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Knowledge about risk factors for cancer and cancer risk behavior among patients with severe mental illness"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1050-4494","authenticated-orcid":false,"given":"Luigi","family":"Grassi","sequence":"first","affiliation":[{"name":"Department of Neuroscience and Rehabilitation Institute of Psychiatry University of Ferrara  Ferrara Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosangela","family":"Caruso","sequence":"additional","affiliation":[{"name":"Department of Neuroscience and Rehabilitation Institute of Psychiatry University of Ferrara  Ferrara Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno","family":"Biancosino","sequence":"additional","affiliation":[{"name":"Integrated Department of Mental Health and Pathological Addictions Local Health Trust  Ferrara Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martino","family":"Belvederi Murri","sequence":"additional","affiliation":[{"name":"Department of Neuroscience and Rehabilitation Institute of Psychiatry University of Ferrara  Ferrara Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Riba","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Michigan University of Michigan Rogel Cancer Center  Ann Arbor MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Meggiolaro","sequence":"additional","affiliation":[{"name":"IRCCS Istituto Romagnolo Per Lo Studio Dei Tumori Psycho\u2010Oncology Unit  Meldola Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federica","family":"Ruffilli","sequence":"additional","affiliation":[{"name":"IRCCS Istituto Romagnolo Per Lo Studio Dei Tumori Psycho\u2010Oncology Unit  Meldola Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Palagini","sequence":"additional","affiliation":[{"name":"Department of Neuroscience and Rehabilitation Institute of Psychiatry University of Ferrara  Ferrara Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Giulia","family":"Nanni","sequence":"additional","affiliation":[{"name":"Department of Neuroscience and Rehabilitation Institute of Psychiatry University of Ferrara  Ferrara Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Zavatta","sequence":"additional","affiliation":[{"name":"Department of Neuroscience and Rehabilitation Institute of Psychiatry University of Ferrara  Ferrara Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tommaso","family":"Toffanin","sequence":"additional","affiliation":[{"name":"Department of Neuroscience and Rehabilitation Institute of Psychiatry University of Ferrara  Ferrara Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federica","family":"Folesani","sequence":"additional","affiliation":[{"name":"Department of Neuroscience and Rehabilitation Institute of Psychiatry University of Ferrara  Ferrara Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigi","family":"Zerbinati","sequence":"additional","affiliation":[{"name":"Department of Neuroscience and Rehabilitation Institute of Psychiatry University of Ferrara  Ferrara Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,9,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5534"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(10)70085-1"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.114.147629"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001499"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.116.195776"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.52.5.679"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291798007818"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2018-0488"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.12420"},{"key":"e_1_2_7_11_1","volume-title":"Management of Physical Health Conditions in Adults with Severe Mental Disorders \u2010 WHO Guidelines","author":"World Health Organization","year":"2018"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540261.2017.1294558"}],"container-title":["Psycho-Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.5822","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pon.5822","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pon.5822","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T02:44:11Z","timestamp":1692845051000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pon.5822"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,21]]},"references-count":11,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1002\/pon.5822"],"URL":"https:\/\/doi.org\/10.1002\/pon.5822","archive":["Portico"],"relation":{},"ISSN":["1057-9249","1099-1611"],"issn-type":[{"value":"1057-9249","type":"print"},{"value":"1099-1611","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,21]]},"assertion":[{"value":"2021-07-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}