“…According to recent works, psychological traits seem to share a common pathogenic mechanism typical of increased mucosal inflammation, metabolic parameters and proinflammatory status (Mancini et al, 2020 ). In line with this, an increasing number of studies are equating psychosocial factors (depression, anxiety, hostility, social isolation) to biological factors (smoking, hypercholesterolemia, hypertension, obesity, diabetes) in the pathogenesis of several diseases (Attilio et al, 2018 ). In the oncological field, a meta-analysis carried out on 165 controlled studies showed that stress-prone personality or unfavorable coping styles and negative emotional responses are related to an increased incidence of cancer, a worse prognosis and an increase in mortality (Chida et al, 2008 ).…”