This study examined whether there is a difference in the psychological
distress and/or coping modes of patients with early localized maligna
nt melanoma. The authors compared the patients diagnosed at stages IA
and B of the disease with those diagnosed at stages IIA and B. The pop
ulation consisted of 100 melanoma patients who agreed to take part in
a study of adjustment to chronic disease. The patients were individual
ly interviewed at home and completed six self-reports. Three of the re
ports assessed psychological outcome, two assessed coping, and one ass
essed support systems. No substantial differences were found between t
he patients treated at stages I and II on any of the psychological mea
sures, despite the fact that those with greatest thickness and depth (
stage IIB) are at higher risk of recurrence. The women showed greater
distress than the men, confirming earlier observations made in patient
s with colon cancer.