{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T08:15:59Z","timestamp":1788336959708,"version":"build-2803163510"},"reference-count":50,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Tumori"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The old oncology approach, which considered the clinical and performance status as the most relevant diseases course and well-being indexes, has been recently replaced by a care system also focusing on a person\u2019s characteristics and needs. This study analyzed the role of physical symptoms, illness awareness, individual activities and social contexts on anxious\/depressive symptoms and mental health in localized (LP) and advanced\/metastatic (AMP) cancer patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Socio-demographic and medical information was gathered. The Revised Illness Perception Questionnaire, Hospital and Depression Anxiety Scale, and Mental Health Continuum Short-Form were administered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>One hundred and thirteen patients, 75 LP and 38 AMP, aged 27-82, were enrolled. Unique patterns of difficulties and resources emerged at different stages of cancer. AMP reported a worse quality of life in perceived illness persistence and treatments control, anxious\/depressive symptoms, and psychological well-being. In LP, higher levels of anxious\/depressive symptoms were associated with lack of hobbies, and higher perceived illness control was linked to higher mental health. LP did not report higher well-being than AMP. No significant differences in flourishing persons distributions were detected among groups. A multivariable model showed that the independent presence of pain and partner influenced higher levels of mental health more in AMP than in LP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Tailored intervention should enhance individuals\u2019 mental health and active resources mobilization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03008916261442818","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T09:42:56Z","timestamp":1777974176000},"page":"305-315","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The impact of bio-psycho-social factors on mental health outcomes in patients with solid tumors"],"prefix":"10.1177","volume":"112","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0639-1861","authenticated-orcid":false,"given":"Raffaela D.G.","family":"Sartori","sequence":"first","affiliation":[{"name":"Department of Oncology, Complex Structure of Oncology, Luigi Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy"},{"name":"Department of Medico-Surgical Specialties, Radiological Sciences and Public Health, Universit\u00e0 degli Studi di Brescia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"Dalu","sequence":"additional","affiliation":[{"name":"Department of Oncology, Infectious Disease Oncology Unit Luigi Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"De Francesco","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Perioperative and Pain Medicine, Stanford School of Medicine, Stanford, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Biscaldi","sequence":"additional","affiliation":[{"name":"Department of Oncology, Complex Structure of Oncology, Luigi Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Silvia","family":"Cona","sequence":"additional","affiliation":[{"name":"Department of Oncology, Complex Structure of Oncology, Luigi Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Gambaro","sequence":"additional","affiliation":[{"name":"Department of Oncology, Complex Structure of Oncology, Luigi Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Ferrario","sequence":"additional","affiliation":[{"name":"Department of Oncology, Complex Structure of Oncology, Luigi Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Ruggieri","sequence":"additional","affiliation":[{"name":"Department of Oncology, Infectious Disease Oncology Unit Luigi Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginio","family":"Filipazzi","sequence":"additional","affiliation":[{"name":"Department of Oncology, Complex Structure of Oncology, Luigi Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cinzia","family":"Fasola","sequence":"additional","affiliation":[{"name":"Department of Oncology, Infectious Disease Oncology Unit Luigi Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Marrazzo","sequence":"additional","affiliation":[{"name":"Department of Oncology, Complex Structure of Oncology, Luigi Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicla","family":"La Verde","sequence":"additional","affiliation":[{"name":"Department of Oncology, Complex Structure of Oncology, Luigi Sacco University Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"e_1_3_3_2_2","article-title":"Cancer Statistics, 2026","volume":"76","author":"Siegel R.S","year":"2026","unstructured":"Siegel R.S. 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