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Appearance‐related psychosocial distress after facial non‐melanoma skin cancer surgery: A 1‐year prospective study.

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Title: Appearance‐related psychosocial distress after facial non‐melanoma skin cancer surgery: A 1‐year prospective study.
Authors: D'Hondt, Valérie (AUTHOR), Veldhuizen, Inge J. (AUTHOR), Theelen, F. F. M. (AUTHOR), Herlaar, Stéphanie (AUTHOR), Lee, Erica H. (AUTHOR), Houterman, Saskia (AUTHOR), Brinkhuizen, Tjinta (AUTHOR), Hoogbergen, Maarten M. (AUTHOR)
Source: Psycho-Oncology. Jul2023, Vol. 32 Issue 7, p1114-1121. 8p. 1 Diagram, 2 Charts, 1 Graph.
Subjects: Psychological distress, Mohs surgery, Dermatologic surgery, Skin cancer, Oncologic surgery, Longitudinal method
Abstract: Objective: Patients undergoing Mohs Micrographic Surgery (MMS) for facial non‐melanoma skin cancer (NMSC) experience appearance‐related psychosocial distress due to its post‐surgical esthetic changes. However, little is known about its development over a longer follow‐up period. This study prospectively assessed appearance‐related psychosocial distress in patients undergoing MMS for facial NMSC over a 1‐year follow up period. Methods: Patients who had MMS for facial NMSC between September 2020 and October 2021 were invited to answer the FACE‐Q Skin Cancer ‐ appearance‐related psychosocial distress scale preoperatively, 2 weeks, 6 months, and 1 year after surgery. Results: A total of 217 patients completed the questionnaire at baseline. In addition, 158 (72.8%), 139 (64.1%), and 120 (55.3%) questionnaires were successfully answered 2 weeks, 6 months, and 1 year after surgery, respectively. Patients with a peripheral lesion presented higher appearance‐related psychosocial distress scores at baseline than patients with a central lesion (p = 0.02). There was a decreasing trend in appearance‐related psychosocial distress over time, but without a significant result (baseline—2‐week; p = 0.73, 2‐week—6‐month; p = 0.80, 6‐month—1‐year; p = 0.17, baseline—1‐year; p = 0.23). Patients with secondary intention healing and graft reconstruction methods experienced more appearance‐related psychosocial distress over time than patients with primary wound closures (p = 0.03). Conclusions: Patients still experience appearance‐related psychosocial distress 1 year after MMS. These patients may benefit from targeted counseling. Additionally, predictors of more appearance‐related psychosocial distress, such as secondary intention healing and graft reconstruction methods, may benefit from additional psychological care. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Appearance‐related psychosocial distress after facial non‐melanoma skin cancer surgery: A 1‐year prospective study.
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  Data: <searchLink fieldCode="AR" term="%22D'Hondt%2C+Valérie%22">D'Hondt, Valérie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Veldhuizen%2C+Inge+J%2E%22">Veldhuizen, Inge J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Theelen%2C+F%2E+F%2E+M%2E%22">Theelen, F. F. M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Herlaar%2C+Stéphanie%22">Herlaar, Stéphanie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lee%2C+Erica+H%2E%22">Lee, Erica H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Houterman%2C+Saskia%22">Houterman, Saskia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brinkhuizen%2C+Tjinta%22">Brinkhuizen, Tjinta</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hoogbergen%2C+Maarten+M%2E%22">Hoogbergen, Maarten M.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Jul2023, Vol. 32 Issue 7, p1114-1121. 8p. 1 Diagram, 2 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22Psychological+distress%22">Psychological distress</searchLink><br /><searchLink fieldCode="DE" term="%22Mohs+surgery%22">Mohs surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Dermatologic+surgery%22">Dermatologic surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Skin+cancer%22">Skin cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Oncologic+surgery%22">Oncologic surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Patients undergoing Mohs Micrographic Surgery (MMS) for facial non‐melanoma skin cancer (NMSC) experience appearance‐related psychosocial distress due to its post‐surgical esthetic changes. However, little is known about its development over a longer follow‐up period. This study prospectively assessed appearance‐related psychosocial distress in patients undergoing MMS for facial NMSC over a 1‐year follow up period. Methods: Patients who had MMS for facial NMSC between September 2020 and October 2021 were invited to answer the FACE‐Q Skin Cancer ‐ appearance‐related psychosocial distress scale preoperatively, 2 weeks, 6 months, and 1 year after surgery. Results: A total of 217 patients completed the questionnaire at baseline. In addition, 158 (72.8%), 139 (64.1%), and 120 (55.3%) questionnaires were successfully answered 2 weeks, 6 months, and 1 year after surgery, respectively. Patients with a peripheral lesion presented higher appearance‐related psychosocial distress scores at baseline than patients with a central lesion (p = 0.02). There was a decreasing trend in appearance‐related psychosocial distress over time, but without a significant result (baseline—2‐week; p = 0.73, 2‐week—6‐month; p = 0.80, 6‐month—1‐year; p = 0.17, baseline—1‐year; p = 0.23). Patients with secondary intention healing and graft reconstruction methods experienced more appearance‐related psychosocial distress over time than patients with primary wound closures (p = 0.03). Conclusions: Patients still experience appearance‐related psychosocial distress 1 year after MMS. These patients may benefit from targeted counseling. Additionally, predictors of more appearance‐related psychosocial distress, such as secondary intention healing and graft reconstruction methods, may benefit from additional psychological care. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/pon.6165
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      – SubjectFull: Dermatologic surgery
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      – SubjectFull: Skin cancer
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      – SubjectFull: Oncologic surgery
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      – SubjectFull: Longitudinal method
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              M: 07
              Text: Jul2023
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              Y: 2023
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