Alexithymia and professional quality of life in radiation oncology: The moderator effect of the professional profile.

Franco, Pierfrancesco; Di Tella, Marialaura; Tesio, Valentina; Gasnier, Anne; Petit, Steven; Spalek, Mateusz; Bibault, Jean-Emmanuel; Dubois, Ludwig; Mullaney, Laura; Redalen, Kathrine Røe; Chargari, Cyrus; Perryck, Sophie; Bittner, Martin-Immanuel; Bertholet, Jenny; Castelli, Lorys (2021). Alexithymia and professional quality of life in radiation oncology: The moderator effect of the professional profile. Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, 158, pp. 48-54. Elsevier Scientific Publ. Ireland 10.1016/j.radonc.2021.01.033

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Cancer care can be taxing. Alexithymia, a personality construct characterized by difficulties in identifying and describing feeling and emotions, an externally-oriented thinking style and scarcity of imagination and fantasy, is significantly correlated with higher levels of both secondary traumatic stress (STS) and burnout and lower levels of compassion satisfaction in medical professionals in radiation oncology. In this study, we aimed to assess the difference in professional quality of life (QoL) and the association with alexithymia in this multidisciplinary field depending on the specific profession (radiation/clinical oncologist, RO; medical physicist, MP; radiation therapist, RTT).


The study was conducted via an online questionnaire, receiving 1500 submissions between May and October 2018. Alexithymia was assessed via the Toronto Alexithymia Scale (TAS-20) and professional QoL was evaluated using the Professional Quality of Life Scale (ProQoL) version 5. Comparisons between the RO, RTT, and MP groups were performed by ANOVA or MANOVA, followed by Bonferroni corrected ANOVAs for continuous variables, and Pearson's chi-square test for categorical variables. The effect size was determined by calculating partial eta-squared (η2).


Profession had a moderator role on the correlation between alexithymia and STS, with RO being at a higher risk than MP and RTT. Further, the results of this study demonstrate the relevant point prevalence of decreased well-being at work even for professional categories such as MP despite the more technical profile and reduced interaction with patients.


This study demonstrates the importance of alexithymia as a factor contributing to decreased professional QoL amongst radiation oncology professionals. Alexithymic ROs are impacted to a higher extent compared to MPs and RTTs by the indirect exposure to patients suffering. It is worth addressing these observations in professional education, aiming to improve QoL for healthcare personnel.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Radiation Oncology

UniBE Contributor:

Bertholet, Jenny


600 Technology > 610 Medicine & health




Elsevier Scientific Publ. Ireland




Beatrice Scheidegger

Date Deposited:

29 Apr 2021 10:43

Last Modified:

13 May 2021 01:33

Publisher DOI:


PubMed ID:


Uncontrolled Keywords:

Alexithymia Burnout Medical physicist Professional quality of life Radiation oncologist Radiation therapist




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