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Effects of total-body digital photography on cancer worry in patients with atypical mole syndrome.

Publication ,  Journal Article
Moye, MS; King, SMC; Rice, ZP; DeLong, LK; Seidler, AM; Veledar, E; Curiel-Lewandrowski, C; Chen, SC
Published in: JAMA Dermatol
February 2015

IMPORTANCE: Cancer worry about developing melanoma in at-risk patients may affect one's quality of life and adherence to screening. Little is known about melanoma-related worry in patients with atypical mole syndrome (AMS). OBJECTIVES: To quantify levels and elucidate predictors of worry related to developing melanoma in patients with AMS and to determine whether total-body digital photography (TBDP) in pigmented lesion clinics (PLCs) reduces worry. DESIGN, SETTING, AND PARTICIPANTS: In this pretest-posttest study, patients with AMS from PLCs at 2 academic medical centers were recruited from June 1, 2005, through October 31, 2008, to answer questions about cancer worry before and after undergoing TBDP. Questionnaires used included the new melanoma and recurrent melanoma Revised Impact of Event Scale (RIES), the Melanoma Worry Scale (MWS), the Hospital Anxiety and Depression Scale, and the Life Orientation Test. INTERVENTIONS: All patients underwent TBDP. MAIN OUTCOMES AND MEASURES: Changes in the MWS and new melanoma RIES scores. RESULTS: A total of 138 patients completed baseline questionnaires; 108 patients (78.3%) completed questionnaires after TBDP. Baseline levels of worry were low and reduced further after TBDP. In patients with a personal history of melanoma, worry was reduced on all scales. In patients without a personal history of melanoma, only the new melanoma RIES score was significantly decreased. Predictors of baseline MWS scores include female sex, personal history of melanoma, and higher Hospital Anxiety and Depression Scale scores, adjusted for demographics, family history of melanoma, and Life Orientation Test scores. Adjusted predictors of the baseline new melanoma RIES score were similar but also included lower educational level and did not include sex. CONCLUSIONS AND RELEVANCE: Patients with AMS have low levels of melanoma-related worry, which is similar to data from other populations at high risk of cancers. We found that TBDP is a clinically useful tool that can be used in PLCs to help decrease worry about developing melanoma in at-risk patients.

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Published In

JAMA Dermatol

DOI

EISSN

2168-6084

Publication Date

February 2015

Volume

151

Issue

2

Start / End Page

137 / 143

Location

United States

Related Subject Headings

  • Syndrome
  • Surveys and Questionnaires
  • Skin Neoplasms
  • Risk Factors
  • Retrospective Studies
  • Quality of Life
  • Photography
  • Melanoma, Cutaneous Malignant
  • Melanoma
  • Male
 

Citation

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Moye, M. S., King, S. M. C., Rice, Z. P., DeLong, L. K., Seidler, A. M., Veledar, E., … Chen, S. C. (2015). Effects of total-body digital photography on cancer worry in patients with atypical mole syndrome. JAMA Dermatol, 151(2), 137–143. https://doi.org/10.1001/jamadermatol.2014.2229
Moye, Molly S., Sallyann M. C. King, Zakiya P. Rice, Laura K. DeLong, Anne M. Seidler, Emir Veledar, Clara Curiel-Lewandrowski, and Suephy C. Chen. “Effects of total-body digital photography on cancer worry in patients with atypical mole syndrome.JAMA Dermatol 151, no. 2 (February 2015): 137–43. https://doi.org/10.1001/jamadermatol.2014.2229.
Moye MS, King SMC, Rice ZP, DeLong LK, Seidler AM, Veledar E, et al. Effects of total-body digital photography on cancer worry in patients with atypical mole syndrome. JAMA Dermatol. 2015 Feb;151(2):137–43.
Moye, Molly S., et al. “Effects of total-body digital photography on cancer worry in patients with atypical mole syndrome.JAMA Dermatol, vol. 151, no. 2, Feb. 2015, pp. 137–43. Pubmed, doi:10.1001/jamadermatol.2014.2229.
Moye MS, King SMC, Rice ZP, DeLong LK, Seidler AM, Veledar E, Curiel-Lewandrowski C, Chen SC. Effects of total-body digital photography on cancer worry in patients with atypical mole syndrome. JAMA Dermatol. 2015 Feb;151(2):137–143.

Published In

JAMA Dermatol

DOI

EISSN

2168-6084

Publication Date

February 2015

Volume

151

Issue

2

Start / End Page

137 / 143

Location

United States

Related Subject Headings

  • Syndrome
  • Surveys and Questionnaires
  • Skin Neoplasms
  • Risk Factors
  • Retrospective Studies
  • Quality of Life
  • Photography
  • Melanoma, Cutaneous Malignant
  • Melanoma
  • Male