Baider L, Perry S, Sison A, Holland J, Uziely B, DeNour A K
Institute of Oncology, Hadassah University Medical Center, Jerusalem, Israel.
Psychosomatics. 1997 Jan-Feb;38(1):45-53. doi: 10.1016/S0033-3182(97)71503-2.
This study examined whether there is a difference in the psychological distress and/or coping modes of patients with early localized malignant melanoma. The authors compared the patients diagnosed at stages IA and B of the disease with those diagnosed at stages IIA and B. The population consisted of 100 melanoma patients who agreed to take part in a study of adjustment to chronic disease. The patients were individually interviewed at home and completed six self-reports. Three of the reports assessed psychological outcome, two assessed coping, and one assessed support systems. No substantial differences were found between the patients treated at stages I and II on any of the psychological measures, despite the fact that those with greatest thickness and depth (stage IIB) are at higher risk of recurrence. The women showed greater distress than the men, confirming earlier observations made in patients with colon cancer.
本研究调查了早期局限性恶性黑色素瘤患者在心理困扰和/或应对方式上是否存在差异。作者将疾病IA期和B期诊断出的患者与IIA期和B期诊断出的患者进行了比较。研究对象为100名同意参与慢性病适应情况研究的黑色素瘤患者。在家中对患者进行了单独访谈，并让他们完成了六份自我报告。其中三份报告评估心理结果，两份评估应对方式，一份评估支持系统。尽管厚度和深度最大的患者（IIB期）复发风险更高，但在任何心理指标上，I期和II期治疗的患者之间均未发现实质性差异。女性比男性表现出更大的困扰，这证实了早期在结肠癌患者中所做的观察结果。
