Objective: Patients undergoing Mohs Micrographic Surgery (MMS) for facial non-melanoma skin cancer (NMSC) experience appearance-related psychosocial distress due to its post-surgical esthetic changes. However, little is known about its development over a longer follow-up period. This study prospectively assessed appearance-related psychosocial distress in patients undergoing MMS for facial NMSC over a 1-year follow up period.
Methods: Patients who had MMS for facial NMSC between September 2020 and October 2021 were invited to answer the FACE-Q Skin Cancer - appearance-related psychosocial distress scale preoperatively, 2 weeks, 6 months, and 1 year after surgery.
Results: A total of 217 patients completed the questionnaire at baseline. In addition, 158 (72.8%), 139 (64.1%), and 120 (55.3%) questionnaires were successfully answered 2 weeks, 6 months, and 1 year after surgery, respectively. Patients with a peripheral lesion presented higher appearance-related psychosocial distress scores at baseline than patients with a central lesion (p = 0.02). There was a decreasing trend in appearance-related psychosocial distress over time, but without a significant result (baseline-2-week; p = 0.73, 2-week-6-month; p = 0.80, 6-month-1-year; p = 0.17, baseline-1-year; p = 0.23). Patients with secondary intention healing and graft reconstruction methods experienced more appearance-related psychosocial distress over time than patients with primary wound closures (p = 0.03).
Conclusions: Patients still experience appearance-related psychosocial distress 1 year after MMS. These patients may benefit from targeted counseling. Additionally, predictors of more appearance-related psychosocial distress, such as secondary intention healing and graft reconstruction methods, may benefit from additional psychological care.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1002/pon.6165 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Exploring social media appearance preoccupation in relation to self-esteem, well-being, and mental health.
Health Psychol Rep
July 2024
Department of Economics, University of Messina, Messina, Italy.
Background: Social media platforms have become integral to modern society, facilitating diverse content interactions for individuals. The widespread use of social media has sparked intriguing inquiries into its impact on self-perception and individual well-being. This study investigated the phenomenon of social media appearance preoccupation and its complex relationship with psychosocial factors such as self-esteem, well-being, appearance-related anxiety, depression, and anxiety, considering both the rich-get-richer hypothesis and the poor-get-richer hypothesis.
View Article and Find Full Text PDFAppearance-Related Victimization and Pubertal Asynchrony: Identifying Sex-Specific Vulnerabilities.
J Youth Adolesc
October 2024
Department of Psychological and Brain Sciences, Indiana University, Bloomington, IN, USA.
Pubertal development is associated with many psychosocial and interpersonal changes, including a dramatic rise in appearance-related victimization. Yet, it is unclear what aspects of pubertal development provoke victimization along with which, and when, youth are at heightened risk. The present study seeks to address this gap by examining the effect of pubertal asynchrony (i.
View Article and Find Full Text PDFClinical Significance Unveiled: Understanding the Meaning of FACE-Q Skin Cancer Scores for Improved Patient Care.
Psychooncology
October 2024
Dermatology Division, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Article Synopsis
- The study focuses on establishing Minimal Important Difference (MID) estimates for the FACE-Q Skin Cancer Module, a tool to measure patient outcomes after facial skin cancer surgery.
- Conducted at four U.S. hospitals from April 2020 to April 2022, 990 patients undergoing Mohs Micrographic Surgery provided data through various scales assessing satisfaction and distress at multiple time points.
- The findings indicated specific MID estimates for the scales, which are key for improving the understanding and application of patient-reported outcomes in clinical settings.
Psychosocial Issues Related to Speech and Hearing in Patients With Clefts.
J Craniofac Surg
September 2024
Kristianstad University Kristianstad, Sweden.
Article Synopsis
- * A case study highlights a 17-year-old male in Medellin, Colombia, showing that his cleft condition notably impacts his self-esteem and social skills, which can hinder personal development and interpersonal relationships.
- * The findings emphasize the need for comprehensive care that addresses both speech difficulties and psychosocial aspects, suggesting that challenges stemming from cleft conditions can persist throughout life, affecting various areas including education, social life, and family interactions.
Utilizing the Metaverse to Provide Innovative Psychosocial Support for Pediatric, Adolescent, and Young Adult Patients with Rare Cancer.
Cancers (Basel)
July 2024
Science of Functional Recovery and Reconstruction, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 700-0082, Japan.
This study investigated the potential of the metaverse in providing psychological support for pediatric and AYA cancer patients, with a focus on those with rare cancers. The research involved ten cancer patients and survivors from four distinct regions in Japan, who participated in metaverse sessions using customizable avatars, facilitating interactions across geographical and temporal barriers. Surveys and qualitative feedback were collected to assess the psychosocial impact of the intervention.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!