{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T08:02:36Z","timestamp":1784880156288,"version":"3.55.0"},"reference-count":56,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Deutsche Derma Gesell"],"abstract":"Summary<\/jats:title>\n \n Background and objectives<\/jats:title>\n Despite rising survival rates, emotional distress remains a major issue for melanoma patients. However, survivors and individuals at increased risk of melanoma are rarely included in distress assessments, leaving their specific needs poorly understood.<\/jats:p>\n <\/jats:sec>\n \n Patients and methods<\/jats:title>\n A total of 382 patients were included (225 at\u2010risk patients \u2013 individuals with risk factors for developing melanoma \u2013 and 157 melanoma survivors). We investigated psychological distress using the Distress Thermometer, melanoma\u2010related concerns using the Melanoma Worry Scale, and the need for psycho\u2010oncological support in a prospective, monocentric study, with a particular focus on sex differences.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Patients at increased risk of melanoma reported significantly higher distress levels than melanoma survivors (\n p<\/jats:italic>\n \u00a0<\u00a00.001). Women expressed higher melanoma worries (\n p<\/jats:italic>\n \u00a0=\u00a00.049) and were more likely to ask for psycho\u2010oncological support than men (\n p<\/jats:italic>\n \u00a0<\u00a00.001). Furthermore, age, multiple melanomas and living alone were predictors for higher distress (\n p<\/jats:italic>\n \u00a0<\u00a00.001, p\u00a0<\u00a00.001 and p\u00a0=\u00a00.02). Another predictor for melanoma worry was time since diagnosis and education level (\n p<\/jats:italic>\n \u00a0=\u00a00.01 and p\u00a0=\u00a00.049, respectively).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Our findings highlight a substantial and previously underrecognized psycho\u2010oncological burden among melanoma survivors and at\u2010risk patients, underscoring the need for tailored support based on sex and other risk factors.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ddg.70467","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T07:17:43Z","timestamp":1784877463000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sex differences and psycho\u2010oncological support needs in patients with high melanoma risk and melanoma survivors"],"prefix":"10.1111","author":[{"given":"Alina M.","family":"Torrez","sequence":"first","affiliation":[{"name":"Department of Dermatology University Hospital Basel Basel Switzerland"},{"name":"Faculty of Medicine University of Basel Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander P. E.","family":"Michels","sequence":"additional","affiliation":[{"name":"Department of Dermatology University Hospital Basel Basel Switzerland"},{"name":"Department of Dermatology University Hospital M\u00fcnster M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Zwahlen","sequence":"additional","affiliation":[{"name":"Department of Psychosomatics University Hospital Basel Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9995-2912","authenticated-orcid":false,"given":"Elisabeth V.","family":"Goessinger","sequence":"additional","affiliation":[{"name":"Department of Dermatology University Hospital Basel Basel Switzerland"},{"name":"Faculty of Medicine University of Basel Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara E.","family":"Cerminara","sequence":"additional","affiliation":[{"name":"Department of Dermatology University Hospital Basel Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armelle","family":"Odermatt","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Basel Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Zahner","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Basel Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Simon","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Basel Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia\u2010Tatjana","family":"Maul","sequence":"additional","affiliation":[{"name":"Department of Dermatology University Hospital Zurich Zurich Switzerland"},{"name":"Faculty of Medicine University of Zurich Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander A.","family":"Navarini","sequence":"additional","affiliation":[{"name":"Department of Dermatology University Hospital Basel Basel Switzerland"},{"name":"Faculty of Medicine University of Basel Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9202-0073","authenticated-orcid":false,"given":"Lara Valeska","family":"Maul","sequence":"additional","affiliation":[{"name":"Department of Dermatology University Hospital Zurich Zurich Switzerland"},{"name":"Faculty of Medicine University of Zurich Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"409","article-title":"Cancer treatment and survivorship statistics, 2022","volume":"72","author":"Miller KD","year":"2022","journal-title":"CA Cancer J Clin"},{"key":"e_1_2_7_3_1","unstructured":"(DKG) DKeV.S3\u2010Leitlinie zur Diagnostik Therapie und Nachsorge des Melanoms; 2020. 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