Psychological comorbidities and compliance to interventional treatment of patients with cutaneous vascular malformations

Abstract

<jats:sec><jats:title>Purpose</jats:title><jats:p> The aim of this study was to assess qualitatively the psychological stressors affecting patients with cutaneous vascular malformations and hemangiomas (CVM-H) and their impact on compliance to interventional treatment. </jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p> A retrospective chart review was conducted of all patients with CVM-H treated by interventional neuroradiology at a single academic institution during a five-year period (2009–2014). Psychological complaints were documented during each clinic visit by a neuroradiologist. Compliance to interventional treatment was defined by adherence to the scheduled treatment sessions. Fisher’s exact test was used to assess for associations between psychological complaints and compliance. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> Seventy-five patients were assessed, of whom 49 (65.3%) were female, with an age range of 2–78 years (mean age 30.2 years). All except one patient older than seven years of age ( n = 71; 94.6%) had a psychological complaint, including fear of negative appearance ( n = 53; 70.6%), dissatisfaction with appearance ( n = 46; 61.3%), low self-esteem ( n = 35; 46.6%), anxiety ( n = 16; 21.3%), stress ( n = 13; 17.3%), bullying ( n = 5; 6.6%), and low mood ( n = 4; 5.3%). Twenty-three (31%) patients were non-compliant. Low self-esteem was significantly associated with non-compliance ( p = 0.0381). </jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p> There is a high prevalence of psychological comorbidities among patients treated for CVM-H. This has potential implications for interventional treatment, as it was found that low self-esteem is significantly associated with non-compliance. These results suggest the need for early psychological support in these patients in order to maximize compliance to interventional treatment. </jats:p></jats:sec>

Emotional and Behavioral Problems in Children With a Cleft Lip With or Without Palate or an Infantile Hemangioma

“…The current results are inconsistent with findings from some previous studies, which found either no significant differences with norm data (Berger & Dalton, 2009; Brand et al, 2009; Masnari et al, 2013; Stock & Feragen, 2016; Moyakine et al, 2017) or significantly more emotional and behavioral problems in children with a visible difference (Pope & Snyder, 2005; Kenny et al, 2016). The only previous study on Dutch children with an oral cleft found no differences in emotional and behavioral problems when compared to normative data (Hoek et al, 2009).…”

Self‐esteem as an important factor in quality of life and depressive symptoms in anosmia: A pilot study

“…As patients with comorbid depressive symptoms typically suffer from decreased energy and loss of interest, patients with depressive symptoms may profit less from this intervention than patients with less depressive symptoms. Furthermore, a recent study in patients with cardiovascular conditions reported a significant association between low self‐esteem and non‐compliance . The results of the present study have shown that QoL, self‐esteem, and depressive symptoms are highly interactive in patients with olfactory dysfunction.…”

“…Previous studies have shown that specific olfactory perfor- Furthermore, a recent study in patients with cardiovascular conditions reported a significant association between low self-esteem and non-compliance. 28 The results of the present study have shown that QoL, self-esteem, and depressive symptoms are highly interactive in patients with olfactory dysfunction. Therefore, these variables should be taken into account in patients with smell disorder, in order to provide a personalised intervention approach adapted to the individual needs of the patient.…”