Attitude toward alternative therapy, compliance with standard treatment, and need for emotional support in patients with melanoma

Sollner, W.

doi:10.1001/archderm.133.3.316

Cited by 33 publications

(29 citation statements)

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“…Another study by Jensen [3,4] shows that the proportion of unconventional treatments for atopic dermatitis and psoriasis is considerable. So È llner et al [5], on the other hand, describe that although 54% of patients with malignant melanoma are interested in naturopathy, only 14% had already undergone such treatment. The new questionnaire designed for this study is intended to answer the following question: What attitudes do patients with skin diseases under conventional or alternative-medical treatment have concerning naturopathy?…”

Section: Introductionmentioning

confidence: 99%

Attiutdes and Prior Experience with Respect to Alternative Medicine among Dermatological Patients: The Freiburg Questionaire on Attitudes to Naturopathy (FAN)

Augustin

Zschocke²,

Buhrke³

1999

Complement Med Res

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Objectives: 1) Development and validation of a questionnaire on the attitudes and prior therapies with respect to naturopathy. 2) Clinical application in patients with atopic dermatitis in conventional and unconventional inhospital therapy. Methods: A questionnaire for patients with skin diseases was developed, which includes the following areas: 1. prior therapies (conventional, unconventional, and psychotherapeutic procedures), 2. attitudes to the procedures, 3. previous therapists, 4. sources of information about the disease. The questionnaire was validated on 1,288 inpatients and outpatients in three clinics. A comparison study using the questionnaire was performed with 73 inpatients with atopic dermatitis under conventional therapy and 59 inpatients under alternative-medical therapy. Results: The patients undergoing alternative-medical therapy reported significantly more prior experience in both conventional and unconventional procedures. The unconventional procedures were rated significantly higher by these patients, while the patients under conventional treatment rated several conventional procedures significantly higher. With respect to previous therapists, patients under unconventional treatment had been treated significantly more frequently by physicians oriented toward naturopathy and nonmedical practitioners. Prior information concerning the disease had been obtained significantly more frequently by the patients under alternative-medical treatment. Discussion: Patients with atopic dermatitis under conventional or alternative medical treatment differ widely from one another with respect to previous therapies and prior experience and attitudes to conventional and unconventional procedures. These selection effects must be taken into consideration when comparing various therapeutic approaches, e. g. in multicenter studies.

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Section: Introductionmentioning

confidence: 99%

Attiutdes and Prior Experience with Respect to Alternative Medicine among Dermatological Patients: The Freiburg Questionaire on Attitudes to Naturopathy (FAN)

Augustin

Zschocke²,

Buhrke³

1999

Complement Med Res

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“…1,7,[15][16][17][18][19][20][21][22] Indeed in our study, women who agreed to participate in the adjunctive studies were more Table 3 Psychological test scores between women who agreed or did not agree to adjunctive experimental therapy 5,19 emotional characteristics may be as, or more, important. These emotional characteristics included need for control of therapy, 17 psychological factors, [18][19][20] and feelings of being coerced into specific treatments.…”

Section: Discussionmentioning

confidence: 83%

“…These emotional characteristics included need for control of therapy, 17 psychological factors, [18][19][20] and feelings of being coerced into specific treatments. 21 Users of alternative therapy felt unhappy with the medical information and care they received, 18 had a higher incidence of somatization disorders, 19 experienced more hopelessness, 20 and were psychologically more labile with high anxiety and depression. 1 Our study has several important limitations, including the small number of patients (42 women) and the retrospective nature of the study.…”

Section: Discussionmentioning

confidence: 99%

Acquiescence to adjunctive experimental therapies may relate to psychological distress: pilot data from a bone marrow transplant center

Mehta

Rodrigue

Nejame

et al. 2000

Bone Marrow Transplant

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Summary:Use of alternative therapy for breast cancer outside of the hospital setting has been identified as a marker of psychological distress. Whether acquiescence to experimental therapies within the medical setting might also be a sign of psychological distress is not well known. We therefore evaluated patients with breast cancer undergoing bone marrow transplantation (BMT), an experimental method for treatment, to determine if acquiescence to further adjunctive experimental therapy related to psychological distress. In order to do this, we studied psychological test results of 42 breast cancer patients undergoing BMT at the University of Florida between January and December 1997. These tests included the Medical Outcomes Short Form Health Survey, the Beck Depression Inventory, the State-Trait Anxiety Inventory and the Medical Coping Modes Questionnaire. Women who accepted adjunctive experimental therapy had significantly higher trait anxiety and poorer role functioning compared to women who did not (both P Ͻ 0.001). These findings suggest that psychological distress may be a factor in medical decision-making even within the medical setting and that prospective research in this area is warranted. Bone Marrow Transplantation (2000) 25, 673-676.

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“…In the analysis of profi le of patients who used CAM, studies showed that they are adults aged between 30 and 59 years of age, 5,7,12,14,19,26,28,29,30,38,43 female, 11,20,26,27,30,41,43 with a high level of education 3,6,9,14,17,19,20,28,29 and high family income, 7,14,19,26,28,29,41 with advanced-staged cancer, 6,7,23,26,30,37,39,42 belonging to some religious group 20 and ethnically infl uenced 1,17,19,37 in relation to the alternative therapy adopted.…”

Section: Discussionmentioning

confidence: 99%

Uso de medicinas alternativas e complementares por pacientes com câncer: revisão sistemática

Spadacio

Barros

2008

Rev. Saúde Pública

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O interesse no tema das medicinas alternativas e complementares tem aumentado, principalmente entre pacientes oncológicos. Realizou-se uma revisão sistemática da literatura na base de dados PubMed sobre o perfil dos pacientes que optam pelo uso dessas medicinas e suas motivações. As palavras-chaves utilizadas na busca foram "cancer and complementary alternative medicine" e "oncology and complementary alternative medicine", no período 1995-2005. Os critérios de seleção foram: presença dos descritores no título dos artigos, idiomas português, inglês ou espanhol e terem sido realizados em população adulta. A partir de 43 artigos analisados, concluiu-se que a utilização de medicinas alternativas e complementares é parte do escopo social desses pacientes. Seu uso é importante na construção da identidade de pacientes com câncer, ajudando-os nas decisões em relação ao tratamento convencional.

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Attitude toward alternative therapy, compliance with standard treatment, and need for emotional support in patients with melanoma

Cited by 33 publications

References 0 publications

Attiutdes and Prior Experience with Respect to Alternative Medicine among Dermatological Patients: The Freiburg Questionaire on Attitudes to Naturopathy (FAN)

Attiutdes and Prior Experience with Respect to Alternative Medicine among Dermatological Patients: The Freiburg Questionaire on Attitudes to Naturopathy (FAN)

Acquiescence to adjunctive experimental therapies may relate to psychological distress: pilot data from a bone marrow transplant center

Uso de medicinas alternativas e complementares por pacientes com câncer: revisão sistemática

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