The Impact of Advanced Melanoma on the Relational Sphere, Body and Quality of Life: A Phenomenological-Hermeneutic Study

Abstract

Background: Cutaneous melanoma represents one of the most frequent cancers in the adult population and accounts for more than 80% of skin cancer deaths. Due to pharmacological innovations, there is an increased chronicization of the disease, so the concept of quality of life becomes increasingly important. The purpose of this study was to assess the psychological and social impact of advanced melanoma, thus the influence of the disease in the relationship with one's body, on the relational sphere, on ways of coping with the event, and on the perceived quality of life. Method: Four semi structured interviews were administered to a sample of 22 patients with advanced melanoma (stage III and IV) to explore in depth participants' subjective experiences regarding the impact of the disease. The interviews were transcribed and subjected to content analysis using the phenomenological-hermeneutic method. Results: From the analysis of the interviews, many patients experienced fear, anxiety and shock at the time of diagnosis, feelings of isolation and reduced social support during the oncology process. Medical and family support was found to be crucial for adjustment to the disease, while body image was negatively affected by the disease. However, some patients showed resilience and positive adaptation to cancer, trying to maintain their quality of life. Conclusion: This study highlighted the importance of considering the psychological and social impact of advanced melanoma in patients. Understanding their experiences is essential to provide appropriate support and develop interventions aimed at improving their quality of life.