A total of 205 patients suffering from stage I and stage II melanoma were investigated with reference to psychological stress, social support and attitude to offers of psychotherapeutic support. Additional counselling by their dermatologist was considered helpful by 59% of the patients, and interviews with a psychotherapist, by 20%. Patients who where more anxious about a progression of the cancer and thought they had not been given sufficient information about their illness preferred to seek help from the dermatologist. Patients who appreciated additional counselling by a psychotherapist were usually those with a poorer prognosis for their melanoma and those on whom psychosocial distress weighed especially heavily and who had less social support.
Background: The aim of the study was to identify melanoma patients who suffered significant distress and were judged to be in need of supportive counselling, on the one hand, and, on the other, to investigate patient interest in such support. Methods: Out of 236 melanoma patients, who constitute a representative sample of melanoma patients in Western Austria, 215 patients participated in the study and were assessed with regard to psychosocial distress, coping strategies, social networks and interest in receiving psychosocial support. Multiple logistic regression analyses were performed with regard to patient interest in receiving psychosocial support either from the attending oncologist or from a mental health professional. Results: 65 patients (30.2%) experienced moderate and 30 patients (14.0%) severe distress, which was predominantly caused by tumour-related fears, tension and disturbance of emotional well-being. 83% of the severely distressed patients wanted psychosocial support from their oncologists, whereas only half of them were interested in additional support from a psychotherapist. In particular, patients who showed fear of tumour progression and felt that they were insufficiently informed about their disease preferred to consult their dermatologist for psychosocial support. On the other hand, patients with poor prognosis, receiving only low levels of support from their social network, and exhibiting a depressive coping style, showed interest in getting supplementary support from a psychotherapist. Conclusions: These findings underline the importance of educating oncologists with a view both to improve their communication skills and to help them identify patients making poor adjustment to illness in order to offer them appropriate emotional support.
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