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Exploring the psychosocial concerns of out-patients with disfiguring conditions

Rumsey, Nichola; Clarke, Alex; White, Paul


Alex Clarke

Paul White
Professor in Applied Statistics


Objective: This study was undertaken to establish the extent and type of psychosocial need in outpatients attending for treatment for a variety of disfiguring conditions.
Method: A total of 220 outpatients receiving treatment for burns, skin conditions or head and neck cancer, together with those seeking plastic surgery for other appearance concerns, completed standardised measures of anxiety, depression, social anxiety and quality of life. Participants also completed a semi-structured interview exploring individual concerns and satisfaction with care.
Results: A considerable proportion of the outpatients with disfiguring conditions experienced psychosocial difficulties, displaying raised levels of anxiety, depression, social anxiety and social
avoidance and reduced quality of life. Levels of psychosocial distress were not well predicted by the severity of disfigurement.
Conclusion: The psychosocial needs of these patients are not well met in the outpatient setting. Recommendations are made on how patients’ concerns might be more effectively addressed.


Rumsey, N., Clarke, A., & White, P. (2003). Exploring the psychosocial concerns of out-patients with disfiguring conditions. Journal of Wound Care, 12(7), 247-252

Journal Article Type Article
Publication Date Jul 2, 2003
Journal Journal of Wound Care
Print ISSN 0969-0700
Publisher MA Healthcare
Peer Reviewed Peer Reviewed
Volume 12
Issue 7
Pages 247-252
Keywords psychosocial needs, out-patients, visible difference
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