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年龄相关生活质量、应对压力和抑郁方面缺乏意识对恶性黑素瘤患者的影响。

The Effects of Lack of Awareness in Age-Related Quality of Life, Coping with Stress, and Depression among Patients with Malignant Melanoma.

机构信息

Department of Microbiology, "Victor Babes" University of Medicine and Pharmacy, Eftimie Murgu Square 2, 300041 Timisoara, Romania.

Department of Pediatrics, Discipline of Pediatric Oncology and Hematology, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania.

出版信息

Curr Oncol. 2023 Jan 23;30(2):1516-1528. doi: 10.3390/curroncol30020116.


DOI:10.3390/curroncol30020116
PMID:36826077
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9955948/
Abstract

Almost one-third of all malignant melanoma patients exhibit emotional stress indicating the need for professional care. Considering this, patients' psychological needs are routinely overlooked and unfulfilled, even though there is substantial evidence that psychological therapies may enhance psychosocial outcomes for melanoma patients, such as low mood, sadness, and anxiety. Among developing countries and some health systems in developed regions, the lack of awareness and screening methods for skin cancer creates a high risk of psychological issues associated with more advanced diseases. Therefore, the current study aimed to investigate and compare the impact of malignant melanoma awareness for screening, prevention, and treatment on the patient's quality of life and coping with stress and depression, based on patients' age. This cross-sectional study recruited 238 patients with malignant melanoma distributed into two groups, Group A patients between 18 and 65 years and Group B patients older than 65. There were no significant gender differences and cancer staging differences between groups, although self-reported depressed mood and anhedonia were significantly more frequent in younger adults with malignant melanoma (43.8% vs. 28.9%). From the unstandardized surveys, it was observed that significantly fewer patients from Group B knew that melanoma could be caused by sun exposure (34.2% vs. 52.2%), and they were less likely to use sunscreen or visit a doctor to evaluate their skin moles (25.9% vs. 14.5%). Elderly patients preferred television as the main source of information, and only 68.4% of patients from Group B were using smart devices. There was a significantly higher physical score on the SF-12 scale among Group A patients, although patients from Group B scored higher in the mental health assessment, and the perceived helplessness on the PSS-10 scale was significantly higher compared to younger adults with melanoma (2.97 vs. 2.71, -value = 0.036). Lower scores on the physical and mental SF-12 questionnaire determined a higher presence of depressive symptoms (rho = -0.352, respectively rho = -0.273). Higher scores on the DLQI sexual difficulties and treatment difficulties also correlated significantly with the presence of depressive symptoms and anhedonia (rho = 0.341, respectively rho = 0.264). Awareness campaigns for malignant melanoma should focus on the elderly population, too, using the television as the main communication channel. On the other hand, the more informed and knowledgeable group of adults younger than 65 are more likely to experience psychological problems and should be targeted for psycho-oncological aid.

摘要

大约三分之一的恶性黑素瘤患者表现出情绪压力,这表明他们需要专业的护理。考虑到这一点,患者的心理需求经常被忽视和无法满足,尽管有大量证据表明心理疗法可以提高黑素瘤患者的社会心理结果,如情绪低落、悲伤和焦虑。在发展中国家和一些发达地区的卫生系统中,由于缺乏对皮肤癌的认识和筛查方法,导致与更晚期疾病相关的心理问题风险很高。因此,本研究旨在根据患者的年龄,调查和比较恶性黑素瘤意识对筛查、预防和治疗对患者生活质量和应对压力和抑郁的影响。这项横断面研究招募了 238 名恶性黑素瘤患者,分为两组,A 组患者年龄在 18 至 65 岁之间,B 组患者年龄在 65 岁以上。两组患者在性别和癌症分期方面没有显著差异,但年轻的恶性黑素瘤患者(43.8%对 28.9%)自我报告的抑郁情绪和快感缺失更为频繁。从非标准化调查中观察到,B 组患者中明显较少的人知道黑色素瘤可能是由阳光照射引起的(34.2%对 52.2%),他们不太可能使用防晒霜或去看医生评估他们的皮肤痣(25.9%对 14.5%)。老年患者更喜欢电视作为主要信息来源,只有 68.4%的 B 组患者使用智能设备。A 组患者的 SF-12 量表的身体评分明显更高,尽管 B 组患者在心理健康评估中得分更高,而且 PSS-10 量表上的无助感明显高于年轻的黑素瘤患者(2.97 对 2.71,-值=0.036)。SF-12 问卷的身体和心理评分越低,抑郁症状的发生率越高(rho=-0.352,分别 rho=-0.273)。DLQI 性困难和治疗困难的评分越高,与抑郁症状和快感缺失的存在也呈显著相关(rho=0.341,分别 rho=0.264)。恶性黑素瘤的宣传活动也应该针对老年人群,使用电视作为主要的沟通渠道。另一方面,65 岁以下的受教育程度更高、知识更丰富的成年人更有可能出现心理问题,应该作为心理肿瘤学援助的目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d8/9955948/9d4bf3c839b4/curroncol-30-00116-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d8/9955948/bfdc3d9e9bd6/curroncol-30-00116-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d8/9955948/3045f799712d/curroncol-30-00116-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d8/9955948/9d4bf3c839b4/curroncol-30-00116-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d8/9955948/bfdc3d9e9bd6/curroncol-30-00116-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d8/9955948/3045f799712d/curroncol-30-00116-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d8/9955948/9d4bf3c839b4/curroncol-30-00116-g003.jpg

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本文引用的文献

[1]
The Epidemiology of Malignant Melanoma during the First Two Years of the COVID-19 Pandemic: A Systematic Review.

Int J Environ Res Public Health. 2022-12-25

[2]
The Body after Cancer: A Qualitative Study on Breast Cancer Survivors' Body Representation.

Int J Environ Res Public Health. 2022-9-30

[3]
The Impact of SARS-CoV-2 Pandemic on Patients with Malignant Melanoma at a Romanian Academic Center: A Four-Year Retrospective Analysis.

Int J Environ Res Public Health. 2022-7-12

[4]
Coping Strategies and Health-Related Quality of Life in Pregnant Women with SARS-CoV-2 Infection.

Medicina (Kaunas). 2021-10-16

[5]
Coping Strategies and Stress Related Disorders in Patients with COVID-19.

Brain Sci. 2021-9-28

[6]
The Impact of Unsupportive Social Support on the Injured Self in Breast Cancer Patients.

Front Psychol. 2021-9-20

[7]
Melanoma in Adolescents and Young Adults: Evaluation of the Characteristics, Treatment Strategies, and Prognostic Factors in a Monocentric Retrospective Study.

Front Oncol. 2021-9-16

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Changing epidemiology and age-specific incidence of cutaneous malignant melanoma in England: An analysis of the national cancer registration data by age, gender and anatomical site, 1981-2018.

Lancet Reg Health Eur. 2021-1-6

[9]
Psychological Distress of Metastatic Melanoma Patients during Treatment with Immune Checkpoint Inhibitors: Results of a Prospective Study.

Cancers (Basel). 2021-5-27

[10]
Current Advancements and Novel Strategies in the Treatment of Metastatic Melanoma.

Integr Cancer Ther. 2021

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