Psychosomatic services for melanoma patients in tertiary care.
BACKGROUND
Individuals diagnosed with malignant melanoma face significant practical and psychological challenges, including existential fears and pain and discomfort associated with treatment. To enhance psychological adjustment, patients receive psychosomatic-psychotherapeutic consultation-liaison services (CLS) within the general medical hospital. However, little is known about the use of these services in routine clinical care.


METHODS
This study includes all patients referred to the CLS of a large German tertiary care hospital between 2005 and 2008 (n=3658). Data were recorded using the CL-BaDo form - a multicenter documentation form for the assessment of clinical characteristics of patients and CLS delivery. Descriptive and inferential statistics were employed to compare patients with melanomas and patients with other dermatological diseases.


RESULTS
Dermatologists requested CLS more often for other dermatology patients than for patients with melanoma. These two groups also differed in the reasons for referral: patients with melanoma were referred more often for acute coping issues; other dermatology patients were referred more often for unexplained physical symptoms. Additionally, the latter group was diagnosed with more and different mental and behavioral disorders. Patients with melanomas received more psychotherapeutic interventions while admitted to hospital but fewer recommendations for further psychosocial treatment after their hospital stay.


CONCLUSIONS
These findings highlight the need for professional psychosocial support in individuals diagnosed with melanoma - especially when first diagnosed or experiencing a recurrence. Dermatologists play a crucial role in identifying their patients' needs and in navigating them toward available support services.
Department of Educational & Counselling Psychology and Department of Oncology, McGill University Montreal, QC, Canada. annett.koerner@mcgill.ca
Annett
A
Körner
Kurt
K
Fritzsche
D000223:Adaptation, Psychological; D001007:Anxiety / Q000150:complications / Q000628:therapy; D003863:Depression / Q000150:complications / Q000628:therapy; D005260:Female; D005858:Germany; D006801:Humans; D017567:Karnofsky Performance Status; D008297:Male; D008545:Melanoma / Q000150:complications / Q000523:psychology*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D011613:Psychotherapy / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012871:Skin Diseases / Q000150:complications / Q000523:psychology; D012878:Skin Neoplasms / Q000150:complications / Q000523:psychology*; D062606:Tertiary Care Centers / Q000706:statistics & numerical data