Effect of Seasonal Affective Disorder and Pathological Tanning Motives on Efficacy of an Appearance-Focused Intervention to Prevent Skin Cancer
Effect of Seasonal Affective Disorder and Pathological Tanning Motives on Efficacy of an Appearance-Focused Intervention to Prevent Skin Cancer
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DOI：
10.1001/archdermatol.2010.85
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发表时间：
2010-05-01
影响因子：
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通讯作者：
Robinson, June
中科院分区：
文献类型：
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作者：
Hillhouse, Joel;Turrisi, Rob;Robinson, June
目的：评估以外观为中心的干预措施在报告季节性情感障碍（SAD）症状和病理性晒黑动机的个体中预防皮肤癌的稳健性。设计：随机对照临床试验。设置：大学校园。参与者：430名成年女性室内试验者。（干预组200人，对照组230人）。一本小册子，讨论了晒黑的历史，目前的晒黑规范，紫外线辐射对皮肤的影响，室内晒黑使用的建议，重点是禁欲和减少伤害的建议，主要结果测量：自我报告的态度、意图和晒黑行为;通过为本研究开发的问卷评估的病理性晒黑动机;以及通过季节性模式评估问卷评估的SAD症状。结果：4个病理性晒黑量表中的两个，对晒黑的阿片样反应和对自然肤色的不满意，是显著的调节因子，表明对这些量表评分较高的个体的治疗效果更强。治疗效果是相当积极的（即，没有显着的主持人的影响）为所有级别的SAD症状和所有级别的其他2个病理晒黑动机scales（即，感知晒黑作为一个问题和耐受性的影响晒黑）。结论：外观为重点的皮肤癌预防干预措施是强大的，足以减少室内晒黑的tendons谁表现出SAD症状或病理晒黑的动机。量身定制的干预措施可以解决个人晒黑的动机及其与适应不良行为的关系，例如对外观的不满或因焦虑而需要放松。
Objective: To evaluate the robustness of an appearance-focused intervention to prevent skin cancer in individuals reporting seasonal affective disorder (SAD) symptoms and pathological tanning motives.Design: Randomized, controlled clinical trial.Setting: College campus.Participants: Four hundred thirty adult female indoor tanners (200 in the intervention group and 230 control participants).Intervention: A booklet discussing the history of tanning, current tanning norms, UV radiation's effects on skin, recommendations for indoor tanning use focusing on abstinence and harm reduction recommendations, and information on healthier, appearance-enhancing alternatives to tanning.Main Outcome Measures: Self-reported attitudes, intentions, and tanning behaviors; pathological tanning motives assessed by a questionnaire developed for this study; and SAD symptoms assessed by the Seasonal Pattern Assessment Questionnaire.Results: Two of the 4 pathological tanning scales, opiatelike reactions to tanning and dissatisfaction with natural skin tone, were significant moderators demonstrating stronger treatment effects for individuals scoring higher on these scales. Treatment effects were equivalently positive (ie, no significant moderator effects) for all levels of SAD symptoms and all levels of the other 2 pathological tanning motive scales (ie, perceiving tanning as a problem and tolerance to the effects of tanning).Conclusions: The appearance-focused skin cancer prevention intervention is robust enough to reduce indoor tanning among tanners who exhibit SAD symptoms or pathological tanning motives. Tailored interventions may address individuals' motivations for tanning and their relation to maladaptive behavior, such as dissatisfaction with appearance or the need for relaxation because of anxiety.