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晚期黑色素瘤患者的应对方式和精神病理性发病率:癌症治疗,转移位置和分期之间的差异
Bernardo Carli1, Raffaella Grifoni2, Elisabetta Surrenti3
1SOSD Psycho-oncology, USL Toscana Centro, Florence, Italy - dr.bernardocarli@gmail.com.
Italian journal of dermatology and venereology
|October 18, 2024
概括
晚期黑色素瘤患者的皮肤转移经历了更糟糕的身体形象. 焦虑和抑郁率很高,但向治疗可以减少这些症状,改善生活质量.
科学领域:
- 在瘤学瘤学.
- 心理皮肤学 心理皮肤学
- 生活质量研究 研究 生命质量研究
背景情况:
- 黑色素瘤的发病率正在上升,特别是在年轻人中.
- 在黑色素瘤患者中,高频率的焦虑和抑郁是常见的.
- 身体形象受损与晚期黑色素瘤中生活质量下降相关.
研究的目的:
- 检查皮肤/内脏转移与身体形象,焦虑,抑郁和在晚期黑色素瘤中应对之间的联系.
- 评估黑色素瘤患者转移位置对心理的影响.
主要方法:
- 73名患有III/IV阶段黑色素瘤的患者完成了验证的问卷 (HADS,BIS,Mini-Mac).
- 使用SPSS v28.01进行了统计分析,显著性在P < 0.05.05时确定.
主要成果:
- 皮肤转移的患者报告了更大的身体形象损害.
- 根据癌症阶段,没有发现焦虑/抑郁的显著差异.
- 与免疫疗法相比,向治疗与减少焦虑和抑郁症有关.
结论:
- 皮肤转移会对晚期黑色素瘤患者的身体形象产生负面影响.
- 焦虑和抑郁的患病率分别为28.8%和19.2%.
- 显著的身体形象损害 (17.8%) 强调了黑色素瘤对患者幸福感的深刻影响.
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