Söllner W, Zschocke I, Augustin M
Universitätsklinik für Medizinische Psychologie und Psychotherapie, Innsbruck.
Psychother Psychosom Med Psychol. 1998 Sep-Oct;48(9-10):338-48.
Malignant melanoma (MM) is a cancer with rapidly growing incidence in all age groups and-if not detected early-mostly poor prognosis. After wide excision of the primary tumour, patients without metastases are subjected to follow-up examinations. No further standard medical treatment is currently available for such patients. This results in psychosocial stress, and psychological adjustment and social support are needed-especially in patients with poor prognosis and visible scars. This article reviews recent evidence of the psychosocial correlates in melanoma disease in the context of past research. Factors discussed include psychosocial distress, coping with cancer, support from the social network, and the need for professional psychosocial intervention and its effectiveness. Previous studies which have investigated the correlation between psychosocial factors and the course of the disease are also reviewed. Additionally, suggestions for future research are discussed.
恶性黑色素瘤（MM）是一种在所有年龄组中发病率迅速上升的癌症，若不及早发现，预后大多较差。在对原发性肿瘤进行广泛切除后，没有转移的患者需接受随访检查。目前，这类患者尚无进一步的标准医学治疗方法。这会导致心理社会压力，因此需要心理调适和社会支持，尤其是对于预后较差且有明显疤痕的患者。本文在以往研究的背景下，综述了黑色素瘤疾病中社会心理相关因素的最新证据。讨论的因素包括心理社会困扰、应对癌症、社会网络的支持，以及对专业心理社会干预的需求及其有效性。还综述了以往研究心理社会因素与疾病进程之间相关性的研究。此外，还讨论了对未来研究的建议。
