Illness-Related Distress in Women with Clinically Localized Cutaneous Melanoma*
| Autor: | Nikki S. Noce, Jennifer L. Hay, Thomas M. Atkinson, Brian T. Rafferty, Mary S. Brady |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Adult
medicine.medical_specialty Skin Neoplasms Cross-sectional study media_common.quotation_subject Psychological intervention Article Young Adult Quality of life Internal medicine Surveys and Questionnaires Adaptation Psychological Medicine Humans Survivors Young adult Melanoma media_common Aged Neoplasm Staging Aged 80 and over business.industry Middle Aged Prognosis Surgery Distress Cross-Sectional Studies Oncology Cutaneous melanoma Quality of Life Female Worry business Stress Psychological Psychopathology Follow-Up Studies |
| Popis: | Women may experience distress or changes in their quality of life following treatment for early-stage melanoma. In order to plan future interventions and identify areas of primary concern, we conducted a cross-sectional survey to describe the experiences of women treated for clinically localized melanoma. We examined quality of life, levels of distress, appearance perceptions, body image, fear of recurrence, and reproductive concerns in 100 patients (age 21–90 years, M = 54.34 years). Most (61 %) had melanoma of the extremity, with a median depth of 1.1 mm (range, 0–10.5 mm). Significant depressive symptomatology occurred in 10 % of patients, and 12 % reported a clinically established high level of intrusive thoughts related to melanoma. Quality-of-life scores indicated more disruption on psychological, compared with social and physical functioning. Also, 64 % of women rated their appearance as worse post-treatment; 23 % were unsatisfied with the appearance of the surgical site. Recurrence concerns indicated significant worry about health and death. Most patients (>85 %) were not concerned about fertility, but 52 % worried that future children would have an increased risk of cancer. Some women treated for clinically localized melanoma reported high levels of distress associated with their altered body image and fear of recurrence. Improvements in patient education prior to surgical intervention may reduce the distress associated with the diagnosis and treatment of melanoma. |
| Databáze: | OpenAIRE |
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