{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:27:21Z","timestamp":1787027241705,"version":"build-2736575974"},"reference-count":60,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T00:00:00Z","timestamp":1729641600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The diagnosis of malignant mesothelioma (MM) can be devastating for both patients and caregivers, who may experience intense suffering from a physical, psychological, and interpersonal perspective. Despite the extensive literature on caregiver distress, there is a lack of validated measures to provide evidence of psychological distress of caregivers of MM patients. Therefore, in a previous study we developed the Mesothelioma Psychological Distress Tool\u2013Caregivers (MPDT-C) to evaluate the specific profile of psychological distress in this population. This paper describes the item selection, factor analysis, and psychometric evaluation of the revised MPDT-C.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The analyses of this work first aimed to confirm the previous factorial structure. In the case of nonfit, it aimed to find an alternative structure and causes of nonfit in the model. Examination of the fit of the factorial model was conducted using a Bayesian approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The final version of the MPDT-C is a 7-item self-report questionnaire consisting of one factor (Burden for the caregiver).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Having a short self-report questionnaire to assess the psychological distress experienced by caregivers of MM patients has several advantages. First, it is suited to epidemiological studies where multiple variables and measures are involved. Second, it is easy to administer and does not take much time to complete. Therefore, the MPDT-C can also be administered in clinical contexts, perhaps when MM patients attend follow-up medical evaluation. Lastly, short measures are less affected by cognitive fatigue, which is very common in a long battery of tests and could affect response reliability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2024.1444960","type":"journal-article","created":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T00:56:58Z","timestamp":1729645018000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Confirmatory validation of a brief patient-reported outcome measure assessing psychological distress in caregivers of malignant mesothelioma patients: the Mesothelioma Psychological Distress Tool\u2013Caregivers"],"prefix":"10.3389","volume":"15","author":[{"given":"Antonella","family":"Granieri","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella Giulia","family":"Franzoi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Domenica","family":"Sauta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Marinaccio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Mensi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Rugarli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrica","family":"Migliore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilaria","family":"Cozzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Domenica","family":"Cavone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Vimercati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Grosso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marinella","family":"Bertolotti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Raimondi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Innamorati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michela","family":"Bonafede","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,10,23]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1037\/a0015719","article-title":"Test length and cognitive fatigue: an empirical examination of effects on performance and test-taker reactions","volume":"15","author":"Ackerman","year":"2009","journal-title":"J. Exp. Psychol. Appl."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1016\/j.iccn.2018.05.007","article-title":"Post-traumatic stress symptoms in family caregivers of intensive care unit patients: a longitudinal study","volume":"50","author":"Alfheim","year":"2019","journal-title":"Intensive Crit. Care Nurs."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.cpr.2018.12.001","article-title":"Fear of cancer recurrence: a qualitative systematic review and meta-synthesis of patients\u2019 experiences","volume":"68","author":"Almeida","year":"2019","journal-title":"Clin. Psychol. Rev."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1809","DOI":"10.1002\/pon.6045","article-title":"Depression among caregivers of cancer patients: updated systematic review and meta-analysis","volume":"31","author":"Bedaso","year":"2022","journal-title":"Psycho-Oncology"},{"key":"ref5","first-page":"1215","article-title":"Influence of cancer and its severity on vagal nerve activity assessed by time domain measures of heart rate variability","volume":"7","author":"Bijoor","year":"2016","journal-title":"Res. J. Pharm. Biol. Chem. Sci."},{"key":"ref6","first-page":"306","article-title":"The psycho-analytic study of thinking","volume":"43","author":"Bion","year":"1962","journal-title":"Int. J. Psychoanal."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"122","DOI":"10.1002\/pon.5789","article-title":"Preliminary validation of a questionnaire assessing psychological distress in caregivers of patients with malignant mesothelioma: mesothelioma psychological distress tool\u2014caregivers","volume":"31","author":"Bonafede","year":"2022","journal-title":"Psycho-Oncology"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"4353","DOI":"10.3390\/ijerph17124353","article-title":"Psychological distress after a diagnosis of malignant mesothelioma in a group of patients and caregivers at the national priority contaminated site of Casale Monferrato","volume":"17","author":"Bonafede","year":"2020","journal-title":"Int. J. Environ. Res. 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Clin."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1186","DOI":"10.1080\/00207578.2018.1490476","article-title":"Towards psychoanalytic contribution to linguistic metaphor theory","volume":"99","author":"Caspi","year":"2018","journal-title":"Int. J. Psychoanal."},{"key":"ref14","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1007\/s11886-018-1010-y","article-title":"Cardiovascular autonomic dysfunction in patients with cancer","volume":"20","author":"Coumbe","year":"2018","journal-title":"Curr. Cardiol. Rep."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1080\/00049530903510757","article-title":"Stress and depression of facing death: investigation of psychological symptoms in patients with mesothelioma","volume":"62","author":"Dooley","year":"2010","journal-title":"Aust. J. Psychol."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"102122","DOI":"10.1016\/j.ejon.2022.102122","article-title":"Patients\u2019 and informal carers\u2019 experience of living with mesothelioma: a systematic rapid review and synthesis of the literature","volume":"58","author":"Ejegi-Memeh","year":"2022","journal-title":"Eur. J. Oncol. Nurs."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"e347","DOI":"10.1016\/j.jpainsymman.2024.07.004","article-title":"Psychological interventions for mesothelioma patients and their caregivers: a systematic literature review","volume":"68","author":"Franzoi","year":"2024","journal-title":"J. Pain Symptom Manag."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"11","DOI":"10.5334\/aogh.4012","article-title":"Asbestos consumption and malignant mesothelioma mortality trends in the major user countries","volume":"89","author":"Gariazzo","year":"2023","journal-title":"Ann. Glob. 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Forum Psychoanal."},{"key":"ref22","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1057\/s11231-017-9099-0","article-title":"The drive for self assertion and the reality principle in a patient with mesothelioma: the history of Giulia","volume":"77","author":"Granieri","year":"2017","journal-title":"Am. J. Psychoanal."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"160","DOI":"10.4415\/ANN_18_02_12","article-title":"Development of a brief psychoanalytic group therapy (BPG) and its application in an asbestos national priority contaminated site","volume":"54","author":"Granieri","year":"2018","journal-title":"Ann. Ist. Super. Sanita"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1193","DOI":"10.2147\/NDT.S48965","article-title":"Quality of life and personality traits in patients with malignant pleural mesothelioma and their first-degree caregivers","volume":"9","author":"Granieri","year":"2013","journal-title":"Neuropsychiatr. Dis. 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Nurs. Soc."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1186\/s12904-022-00925-4","article-title":"The relationship between anticipatory grief and illness uncertainty among Chinese family caregivers of patients with advanced lung cancer: a cross-sectional study","volume":"21","author":"Li","year":"2022","journal-title":"BMC Palliat. Care"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"S221","DOI":"10.21037\/jtd.2017.12.146","article-title":"Epidemiology of malignant mesothelioma in Italy: surveillance systems, territorial clusters and occupations involved","volume":"10","author":"Marinaccio","year":"2018","journal-title":"J. Thorac. Dis."},{"key":"ref37","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1007\/BF03337720","article-title":"The caregiver burden inventory in evaluating the burden of caregivers of elderly demented patients: results from a multicenter study","volume":"17","author":"Marvardi","year":"2005","journal-title":"Aging Clin. Exp. Res."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1038\/bjc.2011.563","article-title":"Estimating the asbestos-related lung cancer burden from mesothelioma mortality","volume":"106","author":"McCormack","year":"2012","journal-title":"Br. J. Cancer"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"1985","DOI":"10.1080\/03007995.2016.1226165","article-title":"Symptom burden in mesothelioma patients admitted to home palliative care","volume":"32","author":"Mercadante","year":"2016","journal-title":"Curr. Med. Res. Opin."},{"key":"ref40","volume-title":"Mesothelioma UK","year":"2012"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1111\/j.1365-2354.2007.00912.x","article-title":"\u2018Hands of time\u2019: the experience of establishing a support group for people affected by mesothelioma","volume":"17","author":"Moore","year":"2008","journal-title":"Eur. J. Cancer Care"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1037\/a0026802","article-title":"Bayesian structural equation modeling: a more flexible representation of substantive theory","volume":"17","author":"Muth\u00e9n","year":"2012","journal-title":"Psychol. Methods"},{"key":"ref43","volume-title":"Mplus users guide","author":"Muth\u00e9n","year":""},{"key":"ref44","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1037\/0022-3514.65.1.113","article-title":"Personal need for structure: individual differences in the desire for simpler structure","volume":"65","author":"Neuberg","year":"1993","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref45","doi-asserted-by":"publisher","first-page":"1227","DOI":"10.1200\/JCO.2011.39.5798","article-title":"Psychosocial care for family caregivers of patients with cancer","volume":"30","author":"Northouse","year":"2012","journal-title":"J. Clin. Oncol."},{"key":"ref46","doi-asserted-by":"publisher","first-page":"798","DOI":"10.1093\/geront\/29.6.798","article-title":"Application of a multidimensional caregiver burden inventory","volume":"29","author":"Novak","year":"1989","journal-title":"Gerontologist"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"428","DOI":"10.1002\/pon.4144","article-title":"Cognitive behavioral therapies for informal caregivers of patients with cancer and cancer survivors: a systematic review and meta-analysis","volume":"26","author":"O\u2019Toole","year":"2017","journal-title":"Psycho-Oncology"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1016\/j.rmed.2018.06.026","article-title":"A systematic review and meta-analysis of second-line therapies for treatment of mesothelioma","volume":"141","author":"Petrelli","year":"2018","journal-title":"Respir. Med."},{"key":"ref49","doi-asserted-by":"publisher","first-page":"1069","DOI":"10.3758\/s13428-021-01778-0","article-title":"A tutorial on Bayesian single-test reliability analysis with JASP","volume":"55","author":"Pfadt","year":"2023","journal-title":"Behav. Res. Methods"},{"key":"ref50","year":"2021"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"104866","DOI":"10.1016\/j.psyneuen.2020.104866","article-title":"Within-person changes in cancer-related distress predict breast cancer survivors\u2019 inflammation across treatment","volume":"121","author":"Renna","year":"2020","journal-title":"Psychoneuroendocrinology"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"1622354","DOI":"10.1080\/17482631.2019.1622354","article-title":"Cancer, a relational disease exploring the needs of relatives to cancer patients","volume":"14","author":"Sand\u00e9n","year":"2019","journal-title":"Int. J. Qual. Stud. Health Well Being"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1215\/0961754X-7299114","article-title":"The achievement of ambivalence","volume":"25","author":"Segal","year":"2019","journal-title":"Common. Knowl."},{"key":"ref54","year":"2023"},{"key":"ref55","first-page":"58","article-title":"Vicarious trauma: a contribution to the Italian adaptation of the secondary traumatic stress scale in a sample of ambulance operators","volume":"264","author":"Setti","year":"2012","journal-title":"Appl. Psychon. Bull."},{"key":"ref56","doi-asserted-by":"publisher","first-page":"S26","DOI":"10.1016\/S0169-5002(22)00105-2","article-title":"The psychological effects of mesothelioma in the UK military context from the carer\u2019s perspective: a qualitative study","volume":"165","author":"Sherborne","year":"2022","journal-title":"Illn. Crisis Loss"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"e073480","DOI":"10.1136\/bmjopen-2023-073480","article-title":"Pleural mesothelioma risk in the construction industry: a case-control study in Italy, 2000-2018","volume":"13","author":"Stella","year":"2023","journal-title":"BMJ Open"},{"key":"ref58","first-page":"4","article-title":"Overview and illustration of Bayesian confirmatory factor analysis with ordinal indicators","volume":"24","author":"Taylor","year":"2019","journal-title":"Pract. Assess. Res. Eval."},{"key":"ref59","doi-asserted-by":"publisher","first-page":"207","DOI":"10.2147\/PRBM.S164946","article-title":"The impact of coping strategies of cancer caregivers on psychophysiological outcomes: an integrative review","volume":"11","author":"Teixeira","year":"2018","journal-title":"Psychol. Res. Behav. Manag."},{"key":"ref60","first-page":"40","article-title":"Faking it: social desirability response bias in self-report research","volume":"25","author":"Van de Mortel","year":"2008","journal-title":"Aust. J. Adv. Nurs."},{"key":"ref61","doi-asserted-by":"publisher","first-page":"645","DOI":"10.1007\/s10880-022-09927-z","article-title":"Relationship between post-traumatic stress symptoms and caregiver burden in breast cancer patients: the mediating role of anxiety and depression","volume":"30","author":"Wang","year":"2023","journal-title":"J. Clin. Psychol. Med. 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