Psychological distress surrounding diagnosis of malignant and nonmalignant skin lesions at a pigmented lesion clinic

Psychological distress surrounding diagnosis of malignant and nonmalignant skin lesions at a pigmented lesion clinic
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DOI:
10.1016/j.bjps.2005.01.010
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发表时间:
2006-01-01
影响因子:
2.7
通讯作者:
Kenealy, J
Kenealy, J
中科院分区:
医学3区
文献类型:
--
作者:
Al-Shakhli, H;Harcourt, D;Kenealy, J

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本研究旨在前瞻性地探讨门诊色素性病变(PLC)诊断过程中的心理困扰。在临床前诊断、临床后诊断、组织前诊断(包括良性随访)和组织后诊断阶段使用标准焦虑测量量表和研究特定的护理满意度测量心理困扰。在为期6个月的463名患者中,共有324名接受可疑皮肤病变调查的患者同意参加PLC。使用公认的分界点评分,27%的女性在到达诊所时报告了临床高水平的焦虑,而男性则为10%
This study aimed prospectively to investigate psychological distress throughout the diagnostic process in an outpatient pigmented lesion clinic (PLC). Psychological distress was measured at pre clinical diagnosis, post clinical diagnosis, pre histological diagnosis (including a benign follow-up) and post histological diagnosis stages using standard anxiety measurement scales and a study specific measure of satisfaction with care. In total 324 patients undergoing investigation of a suspicious skin lesion consented to take part out of a cohort of 463 patients who attended the PLC in a 6 month period.Using recognised cut-off scores, 27% of women on clinic arrival reported clinically high levels of anxiety, in comparison with 10% of men (p