{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T16:16:31Z","timestamp":1784996191300,"version":"3.55.0"},"reference-count":16,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,4,14]],"date-time":"2020-04-14T00:00:00Z","timestamp":1586822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100012043","name":"Kindai University","doi-asserted-by":"publisher","award":["SR\u201014"],"award-info":[{"award-number":["SR\u201014"]}],"id":[{"id":"10.13039\/100012043","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asia-Pac J Clncl Oncology"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Cancer treatment can alter patient appearance, leading to psychological, social, and behavioral issues. This study aimed to investigate distress and difficulties related to appearance concerns in Japanese cancer patients and to identify information and support needs among them.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a questionnaire survey using the Derriford Appearance Scale 59 (DAS59) among cancer patients with a prior history of chemotherapy, molecular targeted therapy, or immunotherapy, who were recruited from the Departments of Medical Oncology and Psychosomatic Medicine, Kindai University Hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants were 114 patients with a mean age of 62.9 years; 70.2% were female, 86.0% had metastatic or locally advanced unresectable cancer, and 78.1% had concerns about some aspect of their appearance. Mean DAS59 full\u2010scale score was 77.7\u00a0\u00b1\u00a036.4. Younger and female participants were found to have higher full\u2010scale scores in univariate analysis (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.05 for both), and younger participants were found to have higher full\u2010scale scores in multivariate analysis (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>DAS59 scores had a wide distribution, suggesting that psychological distress due to appearance changes showed large individual differences. Young and female patients tended to have high DAS59 full\u2010scale scores, but some older and male patients also had high scores. Basic information regarding appearance changes should be provided to all patients before initiating cancer treatment. Both information provision prior to treatment and care at the time of actual appearance changes are important, and should be handled through a multidisciplinary approach.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajco.13333","type":"journal-article","created":{"date-parts":[[2020,4,14]],"date-time":"2020-04-14T08:54:21Z","timestamp":1586854461000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Psychosocial effects of appearance changes due to cancer treatment and needs for information and supportive care in Japanese cancer patients"],"prefix":"10.1111","volume":"16","author":[{"given":"Hitomi","family":"Sakai","sequence":"first","affiliation":[{"name":"Department of Medical Oncology Kindai University Faculty of Medicine  \u014csakasayama Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3411-3313","authenticated-orcid":false,"given":"Atsuko","family":"Koyama","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine Kindai University Faculty of Medicine  \u014csakasayama Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaoru","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology Kindai University Faculty of Medicine  \u014csakasayama Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satomi","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology Kindai University Faculty of Medicine  \u014csakasayama Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miki","family":"Nakura","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine Kindai University Faculty of Medicine  \u014csakasayama Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiko","family":"Yasuda","sequence":"additional","affiliation":[{"name":"Department of Psychosomatic Medicine Kindai University Faculty of Medicine  \u014csakasayama Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makiko","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Department of Nursing Kindai University Hospital  \u014csakasayama Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miyuki","family":"Endo","sequence":"additional","affiliation":[{"name":"Department of Nursing Kindai University Hospital  \u014csakasayama Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiko","family":"Nakagawa","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology Kindai University Faculty of Medicine  \u014csakasayama Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3268"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1176"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1245"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.2001.3550"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2008.02291.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2005.03.004"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.2001.3559"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1348\/135910705X27613"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2013.01.007"},{"key":"e_1_2_9_11_1","unstructured":"NozawaK. Characteristics of concern about physical appearance of general people using appearance\u2010related QOL scale DAS 59. Proceedings of the 72th Annual Convention of the Japanese Psychological Association 2008 (in Japanese)."},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1054\/bjoc.2000.1573"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-013619"},{"issue":"7","key":"e_1_2_9_14_1","first-page":"440","article-title":"Development of the Japanese version of Derriford Appearance Scale DAS59: a QOL index for the people who have problems of appearance","volume":"28","author":"Keiko N","year":"2008","journal-title":"J Jpn Soc Plast Reconstr Surg"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyv088"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/bmt.2012.244"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30862"}],"container-title":["Asia-Pacific Journal of Clinical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajco.13333","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajco.13333","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajco.13333","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajco.13333","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T00:33:55Z","timestamp":1693960435000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajco.13333"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,14]]},"references-count":16,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["10.1111\/ajco.13333"],"URL":"https:\/\/doi.org\/10.1111\/ajco.13333","archive":["Portico"],"relation":{},"ISSN":["1743-7555","1743-7563"],"issn-type":[{"value":"1743-7555","type":"print"},{"value":"1743-7563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,14]]},"assertion":[{"value":"2019-07-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}