Your browser doesn't support javascript.
loading
Psychological comorbidities and compliance to interventional treatment of patients with cutaneous vascular malformations.
Kenny, Stephanie A; Majeed, Nevin; Zhand, Naista; Glikstein, Rafael; Agid, Ronit; Dos Santos, Marlise P.
Afiliación
  • Kenny SA; Department of Medical Imaging, University of Ottawa, Canada.
  • Majeed N; Department of Medical Imaging, University of Ottawa, Canada.
  • Zhand N; Department of Psychiatry, University of Ottawa, Canada.
  • Glikstein R; Department of Medical Imaging, University of Ottawa, Canada Department of Medical Imaging, The Ottawa Hospital, Canada Ottawa Hospital Research Institute, and Brain and Mind Research Institute, Canada.
  • Agid R; Department of Medical Imaging, UHN - Toronto Western Hospital, University of Toronto, Canada.
  • Dos Santos MP; Department of Medical Imaging, University of Ottawa, Canada Department of Medical Imaging, The Ottawa Hospital, Canada Ottawa Hospital Research Institute, and Brain and Mind Research Institute, Canada msantos@toh.ca.
Interv Neuroradiol ; 22(4): 489-94, 2016 Aug.
Article en En | MEDLINE | ID: mdl-27177874
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.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Piel / Cooperación del Paciente / Malformaciones Vasculares / Hemangioma Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged Idioma: En Revista: Interv Neuroradiol Asunto de la revista: NEUROLOGIA / RADIOLOGIA Año: 2016 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Piel / Cooperación del Paciente / Malformaciones Vasculares / Hemangioma Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged Idioma: En Revista: Interv Neuroradiol Asunto de la revista: NEUROLOGIA / RADIOLOGIA Año: 2016 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos