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Predictors of emotional distress in uveal melanoma survivors: a systematic review
Uveal melanoma (UM) survivors can experience significant emotional distress, although the factors underpinning this are poorly understood. Systematic reviews of distress in UM only include cross-sectional studies, thereby limiting our understanding of causal factors. This review identified prospecti...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049992/ https://www.ncbi.nlm.nih.gov/pubmed/35941183 http://dx.doi.org/10.1038/s41433-022-02193-1 |
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author | Davies, Cari Brown, Stephen Lloyd Fisher, Peter Hope-Stone, Laura Fisher, Debra Morgan, Andrew Cherry, Mary Gemma |
author_facet | Davies, Cari Brown, Stephen Lloyd Fisher, Peter Hope-Stone, Laura Fisher, Debra Morgan, Andrew Cherry, Mary Gemma |
author_sort | Davies, Cari |
collection | PubMed |
description | Uveal melanoma (UM) survivors can experience significant emotional distress, although the factors underpinning this are poorly understood. Systematic reviews of distress in UM only include cross-sectional studies, thereby limiting our understanding of causal factors. This review identified prospective clinical, demographic, social and psychological predictors of distress in UM survivors. A systematic search of the literature for English language prospective studies was conducted. Thirteen papers, reporting data from seven unique datasets were included in a narrative synthesis of the results. Younger age (3 studies from 3 datasets), physical health (including visual impairment, ocular symptoms, and other UM-related factors; 3 studies from 3 datasets), and psychological factors (mainly baseline distress; 3 studies from 3 datasets and worry about recurrence; 2 studies from 2 datasets), significantly predicted distress. There was no consistent evidence for other demographic, clinical or social variables (significant in <50% of datasets). Generally, the quality of the papers was adequate. However, attrition rates were high or not reported in over half of the included studies. The findings of this review emphasise the importance of attempts to prevent and recognise distress immediately post-diagnosis of UM. Particular focus should be given to younger patients, those with physical and psychological health difficulties at the time of diagnosis, and those who develop adverse treatment symptoms during survivorship. More research into potential social and psychological variables and their role in predicting distress in survivors is recommended. |
format | Online Article Text |
id | pubmed-10049992 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-100499922023-03-30 Predictors of emotional distress in uveal melanoma survivors: a systematic review Davies, Cari Brown, Stephen Lloyd Fisher, Peter Hope-Stone, Laura Fisher, Debra Morgan, Andrew Cherry, Mary Gemma Eye (Lond) Review Article Uveal melanoma (UM) survivors can experience significant emotional distress, although the factors underpinning this are poorly understood. Systematic reviews of distress in UM only include cross-sectional studies, thereby limiting our understanding of causal factors. This review identified prospective clinical, demographic, social and psychological predictors of distress in UM survivors. A systematic search of the literature for English language prospective studies was conducted. Thirteen papers, reporting data from seven unique datasets were included in a narrative synthesis of the results. Younger age (3 studies from 3 datasets), physical health (including visual impairment, ocular symptoms, and other UM-related factors; 3 studies from 3 datasets), and psychological factors (mainly baseline distress; 3 studies from 3 datasets and worry about recurrence; 2 studies from 2 datasets), significantly predicted distress. There was no consistent evidence for other demographic, clinical or social variables (significant in <50% of datasets). Generally, the quality of the papers was adequate. However, attrition rates were high or not reported in over half of the included studies. The findings of this review emphasise the importance of attempts to prevent and recognise distress immediately post-diagnosis of UM. Particular focus should be given to younger patients, those with physical and psychological health difficulties at the time of diagnosis, and those who develop adverse treatment symptoms during survivorship. More research into potential social and psychological variables and their role in predicting distress in survivors is recommended. Nature Publishing Group UK 2022-08-08 2023-04 /pmc/articles/PMC10049992/ /pubmed/35941183 http://dx.doi.org/10.1038/s41433-022-02193-1 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Review Article Davies, Cari Brown, Stephen Lloyd Fisher, Peter Hope-Stone, Laura Fisher, Debra Morgan, Andrew Cherry, Mary Gemma Predictors of emotional distress in uveal melanoma survivors: a systematic review |
title | Predictors of emotional distress in uveal melanoma survivors: a systematic review |
title_full | Predictors of emotional distress in uveal melanoma survivors: a systematic review |
title_fullStr | Predictors of emotional distress in uveal melanoma survivors: a systematic review |
title_full_unstemmed | Predictors of emotional distress in uveal melanoma survivors: a systematic review |
title_short | Predictors of emotional distress in uveal melanoma survivors: a systematic review |
title_sort | predictors of emotional distress in uveal melanoma survivors: a systematic review |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049992/ https://www.ncbi.nlm.nih.gov/pubmed/35941183 http://dx.doi.org/10.1038/s41433-022-02193-1 |
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