Perioperative psycho-oncological intervention is associated with reduced psychological distress in women with breast and gynecological cancers: a prospective study.

< 0.001). Clinical response rates ranged from 61% to 68%. Patients with insecure attachment showed higher baseline distress but greater improvement. Educational level, disease stage, and rural vs. urban origin influenced both baseline distress and treatment response. Short-term perioperative psycho-oncological intervention is associated with clinically significant reductions in psychological distress. Response variability suggests the need for personalized approaches based on psychological and socio-demographic profiles.