LymphedemaV1, Main, Exploration, bibRecord, 000C20

Psychological comorbidities and compliance to interventional treatment of patients with cutaneous vascular malformations

Identifieur interne : 000C20 ( Main/Exploration ); précédent : 000C19; suivant : 000C21

Psychological comorbidities and compliance to interventional treatment of patients with cutaneous vascular malformations

Auteurs : Stephanie A. Kenny [Canada] ; Nevin Majeed [Canada] ; Naista Zhand [Canada] ; Rafael Glikstein [Canada] ; Ronit Agid [Canada] ; Marlise P. Dos Santos [Canada]

Source :

Interventional Neuroradiology [ 1591-0199 ] ; 2016.

RBID : PMC:4984393

Abstract

Purpose

The aim of this study was to assess qualitatively the psychological stressors affecting patients with cutaneous vascular malformations and hemangiomas (CVM-H) and their impact on compliance to interventional treatment.

Methods

A retrospective chart review was conducted of all patients with CVM-H treated by interventional neuroradiology at a single academic institution during a five-year period (2009–2014). Psychological complaints were documented during each clinic visit by a neuroradiologist. Compliance to interventional treatment was defined by adherence to the scheduled treatment sessions. Fisher’s exact test was used to assess for associations between psychological complaints and compliance.

Results

Seventy-five patients were assessed, of whom 49 (65.3%) were female, with an age range of 2–78 years (mean age 30.2 years). All except one patient older than seven years of age (n = 71; 94.6%) had a psychological complaint, including fear of negative appearance (n = 53; 70.6%), dissatisfaction with appearance (n = 46; 61.3%), low self-esteem (n = 35; 46.6%), anxiety (n = 16; 21.3%), stress (n = 13; 17.3%), bullying (n = 5; 6.6%), and low mood (n = 4; 5.3%). Twenty-three (31%) patients were non-compliant. Low self-esteem was significantly associated with non-compliance (p = 0.0381).

Conclusion

There is a high prevalence of psychological comorbidities among patients treated for CVM-H. This has potential implications for interventional treatment, as it was found that low self-esteem is significantly associated with non-compliance. These results suggest the need for early psychological support in these patients in order to maximize compliance to interventional treatment.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4984393

DOI: 10.1177/1591019916647194
PubMed: 27177874
PubMed Central: 4984393

Affiliations:

Le document en format XML

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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>The aim of this study was to assess qualitatively the psychological stressors affecting patients with cutaneous vascular malformations and hemangiomas (CVM-H) and their impact on compliance to interventional treatment.</p>
</sec>
<sec><title>Methods</title>
<p>A retrospective chart review was conducted of all patients with CVM-H treated by interventional neuroradiology at a single academic institution during a five-year period (2009–2014). Psychological complaints were documented during each clinic visit by a neuroradiologist. Compliance to interventional treatment was defined by adherence to the scheduled treatment sessions. Fisher’s exact test was used to assess for associations between psychological complaints and compliance.</p>
</sec>
<sec><title>Results</title>
<p>Seventy-five patients were assessed, of whom 49 (65.3%) were female, with an age range of 2–78 years (mean age 30.2 years). All except one patient older than seven years of age (<italic>n</italic>
 = 71; 94.6%) had a psychological complaint, including fear of negative appearance (<italic>n</italic>
 = 53; 70.6%), dissatisfaction with appearance (<italic>n</italic>
 = 46; 61.3%), low self-esteem (<italic>n</italic>
 = 35; 46.6%), anxiety (<italic>n</italic>
 = 16; 21.3%), stress (<italic>n</italic>
 = 13; 17.3%), bullying (<italic>n</italic>
 = 5; 6.6%), and low mood (<italic>n</italic>
 = 4; 5.3%). Twenty-three (31%) patients were non-compliant. Low self-esteem was significantly associated with non-compliance (<italic>p</italic>
 = 0.0381).</p>
</sec>
<sec><title>Conclusion</title>
<p>There is a high prevalence of psychological comorbidities among patients treated for CVM-H. This has potential implications for interventional treatment, as it was found that low self-esteem is significantly associated with non-compliance. These results suggest the need for early psychological support in these patients in order to maximize compliance to interventional treatment.</p>
</sec>
</div>
</front>
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<tree><country name="Canada"><noRegion><name sortKey="Kenny, Stephanie A" sort="Kenny, Stephanie A" uniqKey="Kenny S" first="Stephanie A" last="Kenny">Stephanie A. Kenny</name>
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<name sortKey="Agid, Ronit" sort="Agid, Ronit" uniqKey="Agid R" first="Ronit" last="Agid">Ronit Agid</name>
<name sortKey="Dos Santos, Marlise P" sort="Dos Santos, Marlise P" uniqKey="Dos Santos M" first="Marlise P" last="Dos Santos">Marlise P. Dos Santos</name>
<name sortKey="Dos Santos, Marlise P" sort="Dos Santos, Marlise P" uniqKey="Dos Santos M" first="Marlise P" last="Dos Santos">Marlise P. Dos Santos</name>
<name sortKey="Dos Santos, Marlise P" sort="Dos Santos, Marlise P" uniqKey="Dos Santos M" first="Marlise P" last="Dos Santos">Marlise P. Dos Santos</name>
<name sortKey="Glikstein, Rafael" sort="Glikstein, Rafael" uniqKey="Glikstein R" first="Rafael" last="Glikstein">Rafael Glikstein</name>
<name sortKey="Glikstein, Rafael" sort="Glikstein, Rafael" uniqKey="Glikstein R" first="Rafael" last="Glikstein">Rafael Glikstein</name>
<name sortKey="Glikstein, Rafael" sort="Glikstein, Rafael" uniqKey="Glikstein R" first="Rafael" last="Glikstein">Rafael Glikstein</name>
<name sortKey="Majeed, Nevin" sort="Majeed, Nevin" uniqKey="Majeed N" first="Nevin" last="Majeed">Nevin Majeed</name>
<name sortKey="Zhand, Naista" sort="Zhand, Naista" uniqKey="Zhand N" first="Naista" last="Zhand">Naista Zhand</name>
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Serveur d'exploration sur le lymphœdème

Psychological comorbidities and compliance to interventional treatment of patients with cutaneous vascular malformations

Psychological comorbidities and compliance to interventional treatment of patients with cutaneous vascular malformations

Source :

Abstract

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Le document en format XML

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Pour générer des pages wiki

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