A quantitative assessment of the effects of formal sun protection education on photosensitive patients

Huang, Chunyun; Yan, Sasa; Ren, Jie; Xiang, Leihong; Y, Hu; Kang, Kefei; Seité, Sophie

doi:10.1111/phpp.12065

Cited by 13 publications

(15 citation statements)

References 16 publications

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“…Eleven studies were of cross‐sectional design, along with five cohort studies, three randomized controlled trials and one case–control study . Of the 20 studies, four were rated poor quality, 14 fair quality and two good quality (Tables S5–7; see Supporting Information). The results below are presented organized by tool as our aim was to identify tool usage.…”

Section: Resultsmentioning

confidence: 99%

Quality of life and psychological impact in the photodermatoses: a systematic review

et al. 2019

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Summary Background The photodermatoses affect large proportions of the population but their impact on quality of life (QoL) and psychological health has not been reviewed. Several tools are available to evaluate QoL and psychological impacts. Objectives To systematically review current literature to identify tools used to assess QoL and psychological impacts in patients with photodermatoses, and to summarize the reported findings. Methods A systematic search of PubMed, OVID Medline, PsycInfo and CINAHL was performed for articles investigating QoL and/or psychological impact in patients with photodermatoses, published between 1960 and September 2018. Results Twenty studies were included: 19 incorporated QoL assessment while three evaluated psychological morbidity. Six QoL tools were found to be used: Dermatology Life Quality Index (DLQI), Children's DLQI, Family DLQI, Skindex (16‐ and 29‐item versions), Erythropoietic Protoporphyria Quality of Life (EPP‐QoL) and EuroQol. Between 31% and 39% of photosensitive patients reported a very large impact on QoL (DLQI > 10). Employment and education, social and leisure activities, and clothing choices were particularly affected. Only one tool was specifically designed for a photodermatosis (EPP‐QoL). Four tools were used to evaluate psychological impact: the Hospital Anxiety and Depression Scale, Fear of Negative Evaluation, brief COPE and Illness Perception Questionnaire‐Revised. Levels of anxiety and depression were approximately double British population data. Patients with facial involvement, female gender and younger age at onset showed more psychological morbidity. Conclusions Several tools have been used to assess QoL in the photodermatoses, and confirm substantial impact on QoL. Development of specific, validated QoL measures would address their unique impacts. Research delineating their psychological comorbidity is sparse and requires further exploration. What's already known about this topic? The photodermatoses negatively impact quality of life (QoL) and cause psychological distress, but no reviews of this area appear in the literature. What does this study add? Few studies have explored the psychological and social impacts of the photodermatoses. There are no fully validated QoL tools specific to the photodermatoses. Around one‐third of adult and child patients with photosensitivity experience very or extremely large impact on QoL, with particular effect on clothing choices, employment and social and leisure activities. Studies suggest anxiety and depression levels in these patients are around double those in the U.K. general population. More attention is required on these ‘hidden’ conditions.

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Section: Resultsmentioning

confidence: 99%

Quality of life and psychological impact in the photodermatoses: a systematic review

et al. 2019

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“…Recently, it was also discovered that 30-40 % of melanomas harbor mutations in the promoter region of the telomerase reverse transcriptase (TERT) gene, and these TERT promoter mutations were found to occur more frequently in BRAF-mutant melanomas [101,105,108,107]. The contribution of these newly discovered mutations to melanoma subclassifications remains to be fully elucidated.…”

Section: Somatic Genetic Factors: Tumor Subtypesmentioning

confidence: 99%

“…One study in China did report decreased sun exposure following clinic-based education and provision of sunscreen [108,107], but another study in the USA intervening with melanoma patients with the aim of improving protection of their children found no overall impact on children's time outdoors or sunburn [89]. Parents at moderate to high risk of developing skin cancer limited their time in the sun following an intervention using printed information and telephone contact but did not change their children's sun exposure [125].…”

Section: Interventions On Dermatology Patientsmentioning

confidence: 99%

Melanoma Epidemiology and Prevention

Berwick

Buller

Cust

et al. 2015

Cancer Treatment and Research

122

121

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The epidemiology of melanoma is complex, and individual risk depends on sun exposure, host factors, and genetic factors, and in their interactions as well. Sun exposure can be classified as intermittent, chronic, or cumulative (overall) exposure, and each appears to have a different effect on type of melanoma. Other environmental factors, such as chemical exposures-either through occupation, atmosphere, or food-may increase risk for melanoma, and this area warrants further study. Host factors that are well known to be important are the numbers and types of nevi and the skin phenotype. Genetic factors are classified as

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“…Newer high-throughput sequencing methods for tumors have allowed studies to identify many additional somatic mutations in melanomas [103,110,128,156,239], including NF1 and RAC1 mutations (5 % of cases) and BRAF gene fusions [35,110]. Recently, it was also discovered that 30-40 % of melanomas harbor mutations in the promoter region of the telomerase reverse transcriptase (TERT) gene, and these TERT promoter mutations were found to occur more frequently in BRAF-mutant melanomas [101,105,108,107]. The contribution of these newly discovered mutations to melanoma subclassifications remains to be fully elucidated.…”

Section: Somatic Genetic Factors: Tumor Subtypesmentioning

confidence: 99%

“…Two recent evaluations have explored whether interventions with dermatology patients can decrease sun exposure and sunburns. One study in China did report decreased sun exposure following clinic-based education and provision of sunscreen [108,107], but another study in the USA intervening with melanoma patients with the aim of improving protection of their children found no overall impact on children's time outdoors or sunburn [89]. Parents at moderate to high risk of developing skin cancer limited their time in the sun following an intervention using printed information and telephone contact but did not change their children's sun exposure [125].…”

Section: Interventions On Dermatology Patientsmentioning

confidence: 99%

Melanoma Epidemiology and Prevention

Murali

Logue

Talamantes³

et al. 2018

Melanoma

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A quantitative assessment of the effects of formal sun protection education on photosensitive patients

Abstract: Formal sun protection education improved sun exposure and protection behaviors as well as quality of life in photosensitive patients.

Cited by 13 publications

References 16 publications

Quality of life and psychological impact in the photodermatoses: a systematic review

Quality of life and psychological impact in the photodermatoses: a systematic review

Melanoma Epidemiology and Prevention

Melanoma Epidemiology and Prevention

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