Lejie Zheng, Alyssa Kathleen Susanto, H Peter Soyer, Monika Janda, Soraia de Camargo Catapan
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引用次数: 0
Abstract
This systematic review aims to evaluate the prevalence of reductions in psychosocial wellbeing among patient with melanoma in situ (MIS). It also aims to identify factors associated with psychosocial reactions, the instruments used to measure psychosocial outcomes, and to evaluate existing intervention programs for supporting this population. Search strategies for different databases including PubMed, Embase, Scopus, PsycINFO, and Web of Science were designed and implemented. A total of 2378 records were identified, resulting in 22 included papers. Various aspects of psychosocial wellbeing were evaluated in the reviewed articles, with fear of cancer recurrence being the most frequently investigated among patients diagnosed with melanoma. Only 2 of the 22 studies reported data for MIS patients, indicating no significant difference in psychosocial welling between patients with MIS and those at higher stages. Regarding interventional support, there is a notable lack of interventions specifically addressing the psychosocial needs of MIS patients. Our findings highlight a significant research gap on psychosocial wellbeing following a MIS diagnosis and suggest a shortage of targeted psychosocial interventions for this growing patient population. The observed variability in measuring psychosocial aspects presents challenges in identifying the essential components of effective interventions. Future research should prioritize employing mixed methodologies and addressing the unique needs of MIS patients.
本系统性综述旨在评估原位黑色素瘤(MIS)患者社会心理健康下降的普遍程度。它还旨在确定与社会心理反应相关的因素、用于测量社会心理结果的工具,并评估支持该人群的现有干预计划。我们设计并实施了不同数据库的搜索策略,包括 PubMed、Embase、Scopus、PsycINFO 和 Web of Science。共检索到 2378 条记录,收录了 22 篇论文。所查阅的文章对社会心理健康的各个方面进行了评估,其中对黑色素瘤患者癌症复发恐惧的调查最为频繁。22 篇研究中只有 2 篇报告了 MIS 患者的数据,这表明 MIS 患者和更高分期患者的社会心理健康没有明显差异。在干预支持方面,专门针对MIS患者社会心理需求的干预措施明显不足。我们的研究结果凸显了在确诊 MIS 后社会心理健康方面存在的重大研究空白,并表明针对这一日益增长的患者群体缺乏有针对性的社会心理干预措施。在测量社会心理方面观察到的差异给确定有效干预措施的基本要素带来了挑战。未来的研究应优先采用混合方法,并满足 MIS 患者的独特需求。
期刊介绍:
Melanoma Research is a well established international forum for the dissemination of new findings relating to melanoma. The aim of the Journal is to promote the level of informational exchange between those engaged in the field. Melanoma Research aims to encourage an informed and balanced view of experimental and clinical research and extend and stimulate communication and exchange of knowledge between investigators with differing areas of expertise. This will foster the development of translational research. The reporting of new clinical results and the effect and toxicity of new therapeutic agents and immunotherapy will be given emphasis by rapid publication of Short Communications. Thus, Melanoma Research seeks to present a coherent and up-to-date account of all aspects of investigations pertinent to melanoma. Consequently the scope of the Journal is broad, embracing the entire range of studies from fundamental and applied research in such subject areas as genetics, molecular biology, biochemistry, cell biology, photobiology, pathology, immunology, and advances in clinical oncology influencing the prevention, diagnosis and treatment of melanoma.