Anxiety, Posttraumatic Stress, and Fear of Cancer Progression in Patients with Melanoma in Cancer Aftercare

被引:13
作者
Erim, Yesim [1 ,2 ]
Loquai, Carmen [3 ]
Schultheis, Ulrike [1 ]
Lindner, Marion [1 ]
Beckmann, Mingo [1 ]
Schadendorf, Corinna [1 ,4 ]
Senf, Wolfgang [1 ]
机构
[1] Univ Klinikum Essen, Klin Psychosomat Med & Psychotherapie, Essen, Germany
[2] Univ Erlangen Nurnberg, Psychosomat & Psychotherapeut Abt, D-91054 Erlangen, Germany
[3] Univ Med Mainz, Hautklin & Poliklin, Mainz, Germany
[4] Univ Klinikum Essen, Dermatol Klin, Essen, Germany
来源
ONKOLOGIE | 2013年 / 36卷 / 10期
关键词
Anxiety; Fear of cancer progression; Melanoma; Posttraumatic stress; QUALITY-OF-LIFE; DISORDER; SURVIVORS;
D O I
10.1159/000355137
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: Several studies have described mental distress and anxiety in patients with melanoma. The findings of these studies varied from patients with a quality of life similar to the general population and those with increased mental distress. In the present study, we investigated anxiety, posttraumatic stress, and fear of cancer progression to gain a detailed picture of the burdens of these patients. Patients and Methods: 70 patients with malignant melanoma who attended cancer aftercare were surveyed using the psychometric instruments Hospital Anxiety and Depression Scale (HADS), Posttraumatic Symptom Scale (PTSS-10), and Fear of Progression Questionnaire (FoP-Q). The questionnaires were evaluated and an analysis of the single items carried out. Results: The scores for the three anxiety parameters were low, but 7% of the patients presented an increased HADS score, and 17% an increased PTSS-10 value. An analysis of the items showed that patients feared physical disabilities more than mental distress or lack of social support. Conclusion: Most of the patients perceived themselves as stable, and relied on the assistance of their families. However, a small group of patients suffered from clinically relevant anxiety; these patients should be given the support indicated for their specific distress.
引用
收藏
页码:540 / 544
页数:5
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