Gabriella Pravettoni

Gabriella Pravettoni
University of Milan | UNIMI · Department of Oncology and hemato-oncology

PhD in Cognitive Science

About

446
Publications
94,744
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
4,793
Citations
Introduction
Gabriella Pravettoni is Full Professor of Psychology of Decision Making at the University of Milan, she is Director of the Psychoncology Division at the European Institute of Oncology in Milan, Deputy Director of the Department of Oncology and Hemato-oncology (DIPO) at the University of Milan, Coordinator of Doctorate Folsatec (Foundations of the life sciences and their ethical consequences) at SEMM (European School of Molecular Medicine), Milan, President of the Degree Programme of Cognitive Science and Decision-Making at the University of Milan and Member of the ecancer Scientific Board, UK. She is member of various prestigious academic associations. Her research activities are conducted mostly at the European Institute of Oncology, both at national and international level.
Additional affiliations
November 2015 - November 2016
University of Milan
Position
  • Deputy Director of DIPO - University of Milan
October 2015 - present
University of Milan
Position
  • Professor (Full)
January 2012 - November 2015
IEO - Istituto Europeo di Oncologia
Position
  • Director Division of Psycholoy - Istituto Europeo di Oncologia

Publications

Publications (446)
Article
Full-text available
Background Prostate cancer (PCa) is the second most common cancer in men worldwide. The standard non-surgical approach for localized PCa is radiotherapy (RT), but one of the limitations of high-dose RT is the potential increase in gastrointestinal and genitourinary toxicities. We present the protocol of the Microstyle study, a multicentre randomize...
Article
Purpose: Participants’ engagement in a project requires intrinsic motivations, which may evolve during the intervention thanks to lifestyle changes and positive challenges. Over the years, tailored programs based on physical activity and psychological sessions have been promoted to support the quality of life and well-being of breast cancer survivo...
Preprint
BACKGROUND Cancer pain represents a new challenge for cancer patients and their family members. Despite progression in pain management, pain is still underreported and undertreated as well as related needs that patients and caregivers may have. Online platforms represent a fundamental tool for research to reveal the unmet needs of these users and t...
Article
Psychological variables may be crucial in favoring or discouraging health-related behaviors, including vaccine acceptance. This study aimed to extend the previous literature by outlining the psychological profile associated with COVID-19 vaccine hesitancy in a sample of Italian citizens. Between April and May 2021, 1122 Italian volunteers completed...
Preprint
BACKGROUND Recent advances in the field of information and communication technology enable the adoption of a novel and challenging approach to care management in the oncological domain by developing integrated ecosystems and health mobile applications. OBJECTIVE The primary endpoint of this pilot study is to evaluate patients’ usability experience...
Article
Full-text available
Eye movement abnormalities in association with cognitive and emotional deficits have been described in neurological, neurodevelopmental, and psychiatric disorders. Eye-Tracking (ET) techniques could therefore enhance cognitive interventions by contingently providing feedback to patients. Since no consensus has been reached thus far on this approach...
Article
Full-text available
Chiara Filipponi,1,2 Marianna Masiero,1,2 Silvia Francesca Maria Pizzoli,1 Roberto Grasso,1,2 Roberta Ferrucci,3 Gabriella Pravettoni1,2 1Department of Oncology and Hemato-Oncology, University of Milan, Milan, 20122, Italy; 2Applied Research Division for Cognitive and Psychological Science, IEO European Institute of Oncology IRCCS, Milan, 20141, It...
Article
Full-text available
Given the positive impact of high-quality mother–infant interaction on child development, and that such relationship might be hindered by maternal stresses such past cancer, research is needed to understand protective and risk factors in this clinical population. As almost no data is available on the impact of history of cancer on the quality of mo...
Preprint
BACKGROUND In a cancer clinical trial, patients with unrealistic optimism expect to experience higher benefits and lower risks compared to other patients who participate in the same trial. Although this finding has been replicated in few cross-sectional studies, there is no experimental evidence on the relationship between unrealistic optimism and...
Article
Full-text available
Objective: Previous research on coping strategies of patients with SLE showed that there are no absolute adaptive or maladaptive strategies and that the range of potential coping strategies is large and heterogeneous. In this paper, we aimed to identify, in a large sample of patients with SLE (N=3222), the most frequent words used by patients to d...
Article
Objective: This study aimed to explore risk estimations (perceived risk, dispositional optimism) related to COVID-19 perception and distress in oncologic outpatients undergoing active hospital treatments compared to the general population. Design and main outcome measures: Data were collected during the Italian lockdown on 150 oncologic outpatie...
Article
Full-text available
BRCA1/2 germline mutations predispose carriers to an increased risk of breast, ovarian, prostate, pancreatic, and skin cancer. Men and women are equally likely to pass on or inherit the pathogenic variant. However, there is evidence that male relatives are less involved in cascade screening than female ones. At the same time, little attention has b...
Article
Full-text available
Background: This is a registered study protocol on a randomized controlled trial (RCT) testing an intervention aimed to improve men's adherence to evidence-based guidelines on BRCA1/2 germline genetic testing. BRCA1- and BRCA2-associated Hereditary Breast and Ovarian Cancer Syndrome (HBOC) increases the relative and absolute risk of developing bre...
Article
Full-text available
The coronavirus disease 2019 (COVID-19) pandemic had a negative psychological impact on the population at scale, yet it is possible that vulnerable patient populations may experience a heavier burden with increased feelings of anxiety and distress. Cancer patients have to trade-off between the fear of exposing themselves to the virus and the need t...
Preprint
Purpose: Participant motivations to take part in a project may evolve during the intervention thanks to lifestyle changes and positive challenges. Integrated programs for breast cancer survivors aim to support their quality of life and positive wellbeing. Personal expectations, needs, and engagement are essential to predict participant adherence to...
Article
Full-text available
From the start of the COVID-19 pandemic, the use of surgical masks became widespread. However, they occlude an important part of the face and make it difficult to decode and interpret other people’s emotions. To clarify the effect of surgical masks on configural and featural processing, participants completed a facial emotion recognition task to di...
Article
Full-text available
Rapid advances in genomic knowledge and widespread access to the web contributed to the development of genetic services by private companies or medical laboratories. In the European landscape, though, there is not a single coherent regulatory approach to genetic testing (GT). The study aimed to investigate differences and similarities between two p...
Article
Full-text available
People often make life choices that will affect their future (e.g. getting married). However, research on decision making focuses more on abstract dilemmas than on decision making. The aim of this study is threefold: to analyze (1) whether people rely mainly on intuitive or rational processing (System 1 or 2) when making life choices; (2) whether s...
Article
Full-text available
The commentary presents reflections on the literature on post-treatment cancer patient regret. Even though a lot of effort has been made to increase patient satisfaction by engaging them in medical decisions, patient regret remains present in clinical settings. In our commentary, we identify three main aspects of shared decision-making that previou...
Article
Cancer prevention and control services worldwide must actively rebuild and contribute to improved health systems resilience alongside and beyond the COVID-19 (SARS-CoV-2 coronavirus disease) pandemic, especially in low- and middle-income countries. Cancer advocacy groups should respond to this unprecedented challenge as an opportunity to bolster co...
Article
Background Patients with cancer and survivors may experience the fear of cancer recurrence (FCR), a preoccupation with the progression or recurrence of cancer. During the spread of COVID-19 in 2019, patients and survivors experienced increased levels of FCR. Hence, there is a greater need to identify effective evidence-based treatments to help peop...
Article
Full-text available
The present study aimed to test a model of relations to ascertain the determinants of distress caused by lockdown for COVID-19. It was hypothesized that the exposure to the COVID-19 increased distress directly and through the mediation of worry, health-related information seeking, and perception of the utility of the lockdown. It was also expected...
Article
Full-text available
Prospective memory defines the ability to remember to perform an action related to a specific task planned for the future. Interventions aimed to improve prospective memory have an impact on the patient’s quality of life. While most interventions are aimed to improve prospective memory in general, implementation intentions influence specific automa...
Article
Risk propensity is a multifaced construct that influences many aspects of life, such as decision making. In the present study, the psychometric characteristics of the Risk Propensity Scale (RPS) have been explored for the first time in an Italian sample. The RPS is a 7 item self-report questionnaire measuring people’s tendency to take risks. The En...
Article
Covid-19 pandemic, starting from Wuhan, China has spread all over the word and Italy was one of the most affected countries, especially in Lombardy, where, on 20 February the first case was confirmed. Italian Government ordered a national lockdown on the 9 March 2020, forcing the population to severe restrictive isolation measures. The burden on me...
Chapter
Artificial Intelligence (AI) plays a crucial role in Health and Medicine, especially in terms of diagnostic support, identification of treatment, patient health management and improvement in health organization infrastructures. However, there is still limited knowledge on the issues related to the implementation and usage of this disruptive technol...
Article
Full-text available
Olfaction is the most ancient sense and is directly connected with emotional areas in the brain. It gives rise to perception linked to emotion both in everyday life and in memory-recall activities. Despite its emotional primacy in perception and its role in sampling the real physical world, olfaction is rarely used in clinical psychological setting...
Article
Full-text available
In the context of sports-based interventions for improving health and quality of life in chronic patients, participants could develop meaningful social relationships that affect their well-being as much as intervention activities. In this study, 80 female cancer survivors participated in a running-based group intervention (2 sessions/week; 1,5 h),...
Article
Full-text available
The application of web-based and remotely administered surveys is becoming increasingly popular due to the fact that it offers numerous advantages over traditional paper-based or computer-based surveys completed in the presence of the researcher. However, it is unclear whether complex preference elicitation tasks administered online in highly vulne...
Article
Full-text available
Background: Psychological health has been one of the aspects affected by the recent COVID-19 pandemic. We aim to evaluate the patterns of Google search for mental distress symptoms of Italian citizens during the various phases of the COVID-19 pandemic. Methods: We assessed Google searches for psychological-health related words. We gathered and a...
Article
Full-text available
Even though increasing literature describes changes in emotional processing in Amyotrophic Lateral Sclerosis (ALS), efforts to summarize relevant findings are lacking in the field. A systematic literature review was performed to provide a critical and up-to-date account of emotional abilities in ALS. References were identified by searches of PubMed...
Article
Full-text available
Background: Cancer patients are now facing a double distinctive challenge of survival against both the disease and fear of contracting COVID-19. This challenge has resulted in the forced adoption of social distancing measures and reorganization of the delivery of medical and psychological treatments. The perceived loneliness and uncertainty increas...
Article
Full-text available
The Italian state adopted serious safety measures to manage the COVID-19 pandemic in the year 2020. The lockdown was associated with negative psychological consequences in healthy populations, mostly in terms of anxiety, distress, depression, and even traumatic symptoms. This longitudinal study aimed at briefly documenting the psychological impact...
Article
The advent of technologies allowing the global analysis of biological phenomena, referred to as "omics" (genomics, epigenomics, proteomics, metabolomics, microbiomics, radiomics, and radiogenomics), has revolutionized the study of human diseases and traced the path for quantitative personalized medicine. The newly inaugurated Master of Science Prog...
Article
Full-text available
The ongoing COVID-19 pandemic has affected people’s psychological well-being, and hospitalized patients could face an even greater risk of psychological distress. We aimed to study resilience in recovered COVID-19 patients after hospital discharge. We recruited 50 patients (38 males, aged 28–77) who were hospitalized for COVID-19 between March and...
Article
Full-text available
A certain amount of social support is a fundamental human need and is associated with the belief that others have positive views about ourselves. Patients with chronic illness who receive high social support manage their health better. For this reason, social support has been studied extensively in psycho-oncology. In breast cancer specifically, so...
Article
Full-text available
Adjuvant endocrine therapy (AET) is generally proposed to all patients with hormone receptor-positive breast cancer to reduce the risk of recurrence and death. Adherence to therapy is crucial. However, non-adherence to AET is common, with estimates of up to 50% of patients not successfully completing a five-year course of treatment, and it is signi...
Article
Full-text available
Background: The lung cancer (LC) treatment landscape has drastically expanded with the arrival of immunotherapy and targeted therapy. This new variety of treatment options, each with its own characteristics, raises uncertainty regarding the key aspects affecting patients’ health-related quality of life (HRQL). The present qualitative study aimed to...
Article
Le emozioni sono state discusse per anni nel panorama della letteratura psicologica e sono state considerate come aspetti centrali del nostro agire, della definizione delle nostre relazioni sociali e delle nostre decisioni. Le emozioni sembrano anche essere strettamente connesse al nostro mondo soggettivo e facilmente influenzabili da caratteristi...
Article
Full-text available
Background: Advanced treatment options for non-small cell lung cancer (NSCLC) consist of immunotherapy, chemotherapy, or a combination of both. Decisions surrounding NSCLC can be considered as preference-sensitive because multiple treatments exist that vary in terms of mode of administration, treatment schedules, and benefit–risk profiles. As part...
Article
Full-text available
People usually prefer to appear with an inclusive and positive attitude to others’ eyes. For this reason, the self-report scales assessing social exclusion intentions are often biased by social desirability. In this work, we present an innovative graphical tool, named Social Exclusion Bench Tool (SEBT), for assessing social exclusion not influenced...
Article
Engaging in unhealthy behaviors (e.g., smoking, drinking) and not engaging in healthy ones (e.g., exercising, consuming fruit and vegetables) are both relatively prevalent among individuals despite the available information about their risks for health. People's perception of an event's time course can be used to gauge their risk perception for tha...
Article
Full-text available
Background: The understanding of factors that shape risk perception is crucial to modulate the perceived threat and, in turn, to promote optimal engagement in preventive actions. Methods: An on-line, cross-sectional, survey was conducted in Italy between May and July 2020 to investigate risk perception for COVID-19 and the adoption of preventive me...
Article
Full-text available
In recent years, a growing interest has been directed towards oligometastatic prostate cancer (OMPC), as patients with three to five metastatic lesions have shown a significantly better survival as compared with those harboring a higher number of lesions. The efficacy of local ablative treatments directed on metastatic lesions (metastases-directed...
Article
The present work was aimed at investigating whether the patients' involvement by their healthcare providers may satisfy patients' fundamental psychological needs (i.e. self-esteem, belonging, control, meaningful existence), which in turn, can impact their psychological well-being. Based on the European Quality of Life Survey data, the sample includ...
Article
Several previous studies have investigated the association between smoking, attachment style and personality, but they were either focused on personality or on attachment style and considered these variables separately. Starting from such findings, the study aims to investigate both factors, as they might not be independent, in order to clarify the...
Article
Full-text available
Background During the COVID-19 pandemic, between March and May 2020, in Italy, people were asked to shelter in place and most had to put their life on hold, while news of the spread of the virus constantly were broadcasted. The change in habits and the potential exposure to a dangerous virus can be categorized as a catastrophic event, which are usu...
Article
Full-text available
Background: The COVID-19 outbreak forced Italian citizens into a generalized quarantine from March to May 2020. The quarantine is a successful measure to reduce the virus’s spread through physical and social distancing, but it can also have negative psychological consequences on the population. People experience high levels of worry and anxiety and...
Article
Full-text available
To date, April 19, 2021, the coronavirus disease 2019 (COVID-19) caused about 140,886,773 confirmed cases and more than 3,000,000 deaths worldwide since the beginning of the pandemic. Oncology patients are usually frail due to the fear of prognosis, recurrence, and outcomes of treatments. Thus, coping with cancer is a complicated process that is ne...
Article
Full-text available
Patient preferences are gaining recognition among key stakeholders involved in benefit-risk decision-making along the medical product lifecycle. However, one of the main challenges of integrating patient preferences in benefit-risk decision-making is understanding differences in patient preference, which may be attributable to clinical characterist...
Article
Full-text available
Actively thinking of one's future as an older individual could increase perceived risk and risk aversion. This could be particularly relevant for COVID‐19, if we consider the common representation of the risk of being infected by COVID‐19 as associated with being older. Increased perceived risk could bear consequences on the adoption of preventive...
Article
Full-text available
This study aimed to identify the main factors that asymptomatic individuals considered when deciding to undergo self-referred Whole-body MRI (WB-MRI) for early cancer diagnosis and the subjective values attributed to each mentioned factor in a Decision tree analysis. Personal characteristics such as risk perception and personality were investigated...
Preprint
Objectives. When a pregnancy has the added burden of cancer, women are at greater risk of experiencing psychological distress. A biomarker of stress is cortisol. Dysregulations in the detection of cortisol level can lead to serious health and mental problems, negatively affecting the mother-infant relationship. The objective of this study is to exa...
Article
Full-text available
Breast cancer (BC) is the most common cancer among women and treatment has notable consequences on quality of life and recovery. Internet-based psychotherapy represents a useful resource to monitor and support BC survivors, yet no study to date examined attitudes towards internet-based psychotherapy in this specific group. We expect that participan...
Article
Full-text available
In the field of behavioral sciences, a crisis of the replicability of data took place. Among the reasons of the crisis, there is the difficulty of replicating some classical experimental settings and the lack of reproduced studies. Nowadays, digital contents might provide valuable opportunities to recreate specific environmental situations and mani...
Article
Objective Some psychological interventions have been developed to improve cancer patients’ and survivors’ quality of life, well-being, and health engagement. However, studies are usually focused on effectiveness and less on factors influencing survivors’ decision to participate, both subjective (e.g., needs) and contingent (e.g., factors related to...
Article
Full-text available
Thanks to the evolution in medical and pharmaceutical research, to date, the number of cancer treatments is increasingly on the rise. Despite this, several side effects related to cancer treatments can exacerbate patients' physical and psychological conditions, such as cardiotoxicity. Over the years, researchers have explored the possible relations...
Article
Full-text available
Context The optimal management of oligometastatic prostate cancer (PCa) is still debated. Objective The purpose of the present systematic review and meta-analysis is to collect the available evidence to date to better define the role of stereotactic body radiotherapy (SBRT) in selected patients with oligorecurrent PCa. Evidence acquisition Study...
Article
Immune-checkpoint inhibitors (ICIs) represent a major development in cancer therapy. The indications for these agents continue to expand across malignancies and disease settings. For years breast cancer (BC) has been considered immunologically quiescent compared with other tumor types. However, recent findings highlighted the immunogenicity of some...
Article
Full-text available
Background The COVID-19 pandemic is a traumatic individual and collective chronic experience, with tremendous consequences on mental and psychological health that can also be reflected in people’s use of words. Psycholinguistic analysis of tweets from Twitter allows obtaining information about people’s emotional expression, analytical thinking, and...
Preprint
BACKGROUND The COVID-19 pandemic is a traumatic individual and collective chronic experience, with tremendous consequences on mental and psychological health that can also be reflected in people’s use of words. Psycholinguistic analysis of tweets from Twitter allows obtaining information about people’s emotional expression, analytical thinking, and...
Preprint
BACKGROUND Patients with cancer and survivors may experience the fear of cancer recurrence (FCR), a preoccupation with the progression or recurrence of cancer. During the spread of COVID-19 in 2019, patients and survivors experienced increased levels of FCR. Hence, there is a greater need to identify effective evidence-based treatments to help peop...