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Italian Journal of Dermatology and Venereology 2021 June;156(3):384-7

DOI: 10.23736/S2784-8671.19.06348-X

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English

Melanoma diagnosis: traumatic impact of the event on the patient

Eleonora CAMPOLMI 1 , Margherita RICCIO 1, Bernardo CARLI 1, Giovanni BACCI 2, Maria S. PINO 3, 4, Sara FORTUNATO 1, Susanna GUNNELLA 1, Luisa FIORETTO 3, 4, Lorenzo BORGOGNONI 4, 5, Nicola PIMPINELLI 1

1 Unit of Melanoma and Skin Cancer, Division of Dermatology, Department of Surgery and Translational Medicine, Tuscany Center Health District, University of Florence, Florence, Italy; 2 Department of Biology, University of Florence, Florence, Italy; 3 Unit of Medical Oncology, Department of Oncology, S. Maria Annunziata Hospital, Florence, Italy; 4 Unit of Melanoma and Skin Cancer, Tuscany Center Health District, Florence, Italy; 5 Unit of Plastic and Reconstructive Surgery, Department of Surgery, S. Maria Annunziata Hospital, Florence, Italy



BACKGROUND: The aim of our study was to consider the distressing impact of the diagnosis in a group of patients with metastatic melanoma, and the effects it could have on the quality of life of the patients.
METHODS: We proposed an Impact Event Scale (IES-R) to a group of 31 patients. The patients were positive to the distress thermometer (DS) and accepted the psychological support. After six months from the start of the treatment we made a semi-structured interview of 10 multiple choice questions.
RESULTS: Sixty-five per cent of women and 50% of men report that all the event related to the disease, cause emotions that recall the disease. Eighty-two per cent of women compared to 50% of men, report that the thought of their medical condition tends to affect their quality of sleep; the patients report feelings of anger and irritation (41% of the women and 78% of the men).
CONCLUSIONS: The traumatic aspects following the diagnosis of melanoma burst powerfully into the life of these patients, who show different reactions, also according to gender.


KEY WORDS: Neoplasms; Melanoma; Quality of life

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