Supportive Care in Cancer

, Volume 21, Issue 9, pp 2381–2386 | Cite as

Impact of a psycho-oncological rehabilitation intervention on psychological distress: the experience of CeRiOn (Oncological Rehabilitation Centre) Florence 2007–2010

  • Giovanna FranchiEmail author
  • Francesco Bulli
  • Maria Grazia Muraca
  • Alice Maruelli
  • Elisa Grechi
  • Guido Miccinesi
Original Article



Combining medical and psychological knowledge and accompanying patients in an individualised path, the Oncological Rehabilitation Centre of Florence (CeRiOn) aims at offering effective integrated rehabilitation interventions and at reducing psychological distress in cancer patients. In the present observational study, we measured the psychological distress at baseline and at the end of the completed rehabilitation processes.


A total number of 627 cancer patients were treated by the psycho-oncological service at CeRiOn in 2007–2010. Among them, 99 (all women) participated in more than or equal to three sessions, were followed up for clinical and life status for at least 1 year and had a formal conclusion of their psychological rehabilitation process. For 98 cases, both a baseline and a follow-up measure of distress, by the Psychological Distress Inventory (PDI) and the Distress Thermometer (DT), were available.


Relevant before–after amelioration in this selected group of psychologically, highly suffering cancer patients has been shown. Almost all the patients (except 20 %) received both group and individual psychological support. The average rehabilitation process lasted 1.7 years. Average distress evaluation decreased from a baseline of 34.7 to 26.4 (P < 0.001) according to PDI and from 5.9 to 2.2 according to DT (P < 0.001).


On average, quite a long psychological support time was necessary to complete the rehabilitation process. During this period, patients who had a formal conclusion of the psychological support received at CeRiOn showed a significant reduction of their distress.


Psycho-oncological rehabilitation Psychological support Distress Cancer patients 



Thanks to the collaboration with “La Finestra”, a not-for-profit art-therapist association.

Conflict of interest

The authors have full control of all primary data and agree to allow the journal to review the data requested. There is no conflict of interest.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Giovanna Franchi
    • 1
    Email author
  • Francesco Bulli
    • 2
  • Maria Grazia Muraca
    • 3
  • Alice Maruelli
    • 1
  • Elisa Grechi
    • 1
  • Guido Miccinesi
    • 2
  1. 1.The Italian League Against Tumors (LILT)Oncological Rehabilitation Centre (CeRiOn)FlorenceItaly
  2. 2.Epidemiology Unit, Cancer Prevention and Research Institute (ISPO)Oncological Rehabilitation Centre (CeRiOn)FlorenceItaly
  3. 3.Oncological Rehabilitation Unit, Cancer Prevention and Research Institute (ISPO)Oncological Rehabilitation Centre (CeRiOn)FlorenceItaly

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