Davies, Cari 
ORCID: 0000-0002-6852-5511, Brown, Stephen Lloyd ORCID: 0000-0002-6142-0995, Fisher, Peter ORCID: 0000-0002-7388-720X, Hope-Stone, Laura ORCID: 0000-0001-6069-7231, Fisher, Debra, Morgan, Andrew and Cherry, Mary Gemma
(2023)
Predictors of emotional distress in uveal melanoma survivors: a systematic review.
Eye, 37 (5).
pp. 907-924.
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Abstract
<jats:title>Abstract</jats:title><jats:p>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.</jats:p>
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Humans, Prospective Studies, Cross-Sectional Studies, Stress, Psychological, Quality of Life, Cancer Survivors, Psychological Distress |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Population Health |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 09 Aug 2022 07:28 |
| Last Modified: | 01 Jun 2023 06:11 |
| DOI: | 10.1038/s41433-022-02193-1 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3160723 |
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