Skin Cancer: Psychological Impact and Psycho-Oncological Intervention in Clinical Dermatology

Review Article | DOI: https://doi.org/10.31579/2640-1053/259

Skin Cancer: Psychological Impact and Psycho-Oncological Intervention in Clinical Dermatology

  • Luísa Soares *

Luísa Soares., University of Madeira, Funchal, Madeira, Portugal.

*Corresponding Author: Luísa Soares., University of Madeira, Funchal, Madeira, Portugal.

Citation: Luísa Soares, (2026), Skin Cancer: Psychological Impact and Psycho-Oncological Intervention in Clinical Dermatology, J. Cancer Research and Cellular Therapeutics. 10(2); DOI:10.31579/2640-1053/259

Copyright: © 2026, Luísa Soares. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Received: 02 February 2026 | Accepted: 20 February 2026 | Published: 09 March 2026

Keywords: behavioural therapy; psychological; psycho-oncological

Abstract

Skin cancer is one of the most prevalent malignancies worldwide and represents a growing challenge in dermatological practice, with implications that extend beyond physical morbidity to include significant psychological and psychosocial burden. Patients diagnosed with melanoma and non-melanoma skin cancers frequently experience emotional distress, anxiety, depressive symptoms, body image concerns, and functional impairment, all of which may negatively influence treatment adherence, recovery, and overall quality of life. This narrative review aims to synthesise current evidence on the psychological impact of skin cancer and to highlight the relevance of psycho-oncological approaches within clinical dermatology. A structured literature search was conducted in b-on and Google Scholar, including articles published between 2003 and 2023 that addressed psychological outcomes, quality of life, and psychosocial interventions in skin cancer populations. The reviewed literature identifies key psychosocial risk factors for distress, including younger age, female sex, visible tumour location, maladaptive illness perceptions, and limited social support. Evidence supports the effectiveness of brief, structured psychological interventions—particularly those grounded in cognitive–behavioural therapy—in reducing distress and improving patient-reported outcomes. Based on these findings, a clinically applicable six-session individual psychological intervention is proposed, designed to complement dermatological and oncological care. Integrating psycho-oncological support into routine dermatology practice may enhance holistic patient management, improve quality of life, and optimise clinical outcomes in skin cancer care.

Introduction

Skin cancer is among the most common malignancies globally and continues to increase in incidence, particularly in regions with high ultraviolet radiation exposure. Although advances in dermatological diagnosis and treatment have substantially improved prognosis—especially when lesions are detected early—the psychological impact of a skin cancer diagnosis remains under-recognised in routine clinical practice (Lemos, Rothes, Oliveira, & Soares, 2017). For many patients, the diagnosis evokes fear, uncertainty, and cancer-related fatalism, which may persist throughout treatment and survivorship (Moser et. Al, 2014). Unlike several other oncological conditions, skin cancer frequently affects visible areas of the body, such as the face, neck, and hands. Surgical treatment, while often curative, may result in scarring or disfigurement, with potential consequences for body image, self-esteem, and social functioning. These factors place skin cancer at the intersection of clinical, cosmetic, and psychological dermatology, highlighting the importance of a holistic, patient-centred approach (Santos Silva, I., Soares, L., & Schifferdecker-Hoch, F., 2024). Boyle et al. (2004) suggested that, in the coming decades, skin cancer will be considered the most significant type of cancer for public health. Clinical data and conducted research demonstrate that a skin cancer diagnosis has the potential to change all essential aspects of a person's daily life – self-identity, body image, perception of well-being, quality of life, family, social, and romantic relationships, and career (Kasparian et al., 2009; Soares, Gomes, Santos Silva, 2024). The present review focuses on the psychological dimensions of skin cancer within the context of clinical dermatology. It aims to (1) summarise current evidence regarding psychological distress and quality-of-life outcomes in skin cancer patients, (2) examine the role of psycho-oncology as a complementary component of dermatological care, and (3) propose a structured psychological intervention model that is feasible and relevant for integration into clinical settings.

Methodology

The literature review was conducted between September 23, 2023, and October 31, 2023, through an electronic search of articles available on the b-on and Google Scholar databases. The following descriptors and Boolean operators were used: TX (“Psycholog" or “Psycho-oncology”) AND TX ("skin cancer" or "melanoma" or “non-melanoma”) *. Considering the study's objective, the final sample consisted of articles indexed in academic journals, selected after an initial review of the abstracts based on the following inclusion criteria:

  1. Publication year: articles published between 2003 and 2023;
  2. Language: articles written entirely in English;
  3. Subject matter: articles that included the keywords defined for this research question (e.g., “psychology”, “skin cancer”, “health psychology”, “quality of life”, “psycho-oncology”).

Accordingly, the exclusion criteria were:

  1. articles published before 2003;
  2. articles not featured in academic journals;
  3. articles that did not directly focus on the research question or were directed at themes unrelated to psychology and skin cancer;
  4. articles without the full text available; and
  5. articles written in a language other than English or Portuguese.

During the screening process, titles, abstracts, and keywords were reviewed. Articles that met these criteria were subsequently read in full and included in the theoretical review. Additionally, articles found through the reference lists of the selected sample were included, as well as articles provided by Professor Luísa Soares, PhD, instructor of the Health Psychology course within which this review is integrated. In addition to scientific articles, reliable health and oncology websites were also consulted. The final sample consisted of 24 scientific articles and 10 websites (Table 1).

Publication YearnReference
20041Boyle, P., Dore, J. F., Autier, P., & Ringborg, U. (2004). Cancer of the skin: a forgotten problem in Europe. Annals of Oncology15(1), 5-6.
20053

Boesen, E. H., Ross, L., Frederiksen, K., Thomsen, B. L., Dahlstrøm, K., Schmidt, G., ... & Johansen, C. (2005). Psychoeducational intervention for patients with cutaneous malignant melanoma: a replication study. Journal of Clinical Oncology23(6), 1270-1277.

Lehto, U.-S., Ojanen, M., & Kellokumpu-Lehtinen, P. (2005). Predictors of quality of life in newly diagnosed melanoma and breast cancer patients. Annals of Oncology, 16(5), 805–816. https://doi.org/10.1093/annonc/mdi146

Weihs K, Politi M. Family development in the face of cancer. In: Crane DR, Marshall ES, editors. Handbook of Families & Health: Interdisciplinary Perspectives. Thousand Oaks, CA: Sage Publications, Inc., 2005;3‐18. https://doi.org/10.4135/9781452231631

20071Lehto, U. S., Ojanen, M., Dyba, T., Aromaa, A., & Kellokumpu-Lehtinen, P. (2007). Baseline psychosocial predictors of survival in localized melanoma. Journal of Psychosomatic Research63(1), 9-15.
20092

Cornish, D., Holterhues, C., Van de Poll-Franse, L. V., Coebergh, J. W., & Nijsten, T. (2009). A systematic review of health-related quality of life in cutaneous melanoma. Annals of Oncology20, vi51-vi58.

Kasparian, N. A., McLoone, J. K., & Butow, P. N. (2009). Psychological Responses and Coping Strategies Among Patients With Malignant Melanoma. Archives of Dermatology, 145(12).  https://doi.org/10.1001/archdermatol.2009.308

20102

Berger, A. M., Abernethy, A. P., Atkinson, A., Barsevick, A. M., Breitbart, W. S., Cella, D., ... & Wagner, L. I. (2010). Cancer-related fatigue. Journal of the National Comprehensive Cancer Network, 8(8), 904-931

Margreet Scharloo, Baatenburg, R. J., Ton, Els van Velzen-Verkaik, den, D., & Kaptein, A. A. (2010). Illness cognitions in head and neck squamous cell carcinoma: predicting quality of life outcome. Support Care Center, 18(9), 1137–1145.  https://doi.org/10.1007/s00520-009-0728-x

20121Peters, E. M. J. (2012). Psychological support of skin cancer patients. British Journal of Dermatology167, 105-110.
20131Radiotis, G., Roberts, N., Czajkowska, Z., Khanna, M., & Körner, A. (2013). Nonmelanoma Skin Cancer: Disease-Specific Quality-of-Life Concerns and Distress. Oncology Nursing Forum, 41(1), 57–65. https://doi.org/10.1188/14.onf.57-65
20141Moser, R. P., Arndt, J., Han, P. K., Waters, E. A., Amsellem, M., & Hesse, B. W. (2014). Perceptions of cancer as a death sentence: Prevalence and consequences. Journal of Health Psychology, 19(12), 1518–1524. https://doi.org/10.1177/1359105313494924
20151Beesley, V. L., Smithers, B. M., Khosrotehrani, K., Khatun, M., O’Rourke, P., Hughes, M. C. B., Malt, M. K., Zonta, M. J., Bayley, G. J., Barbour, A. P., Brown, L. J., D’Arcy, J., Allan, C. P., & Green, A. C. (2015). Supportive care needs, anxiety, depression and quality of life amongst newly diagnosed patients with localised invasive cutaneous melanoma in Queensland, Australia. Psycho-Oncology, 24(7), 763–770. https://doi.org/10.1002/pon.3718
20171Li, Y., Lv, M. R., Wei, Y. J., Sun, L., Zhang, J. X., Zhang, H. G., & Li, B. (2017). Dietary patterns and depression risk: A meta-analysis. Psychiatry research, 253, 373-382.
20183

Buchhold, B., Lutze, S., Arnold, A., Jülich, A., Daeschlein, G., Wendler, M., Juenger, M., & Hannich, H.-J. (2018). Psychosocial distress and desire for support among skin cancer patients - impact of treatment setting. JDDG: Journal Der Deutschen Dermatologischen Gesellschaft, 16(7), 861–871. https://doi.org/10.1111/ddg.13578

Lang-Rollin, I., & Berberich, G. (2018). Psycho-oncology. Dialogues in Clinical Neuroscience, 20(1), 13–22. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6016045/

Meiß, F., Loquai, C., Weis, J., Giesler, J. M., Reuter, K., & Dorothée Nashan. (2018). Psycho‐oncological care of melanoma patients in certified skin cancer centers. Journal Der Deutschen Dermatologischen Gesellschaft, 16(5), 576–582. https://doi.org/10.1111/ddg.13521

20192

National Cancer Institute . (2019). Skin Cancer Treatment. National Cancer Institute; Cancer.gov. https://www.cancer.gov/types/skin/patient/skin-treatment-pdq

Programa Nacional para as Doenças Oncológicas. (2019). Sns.gov.pt.  https://www.sns.gov.pt/institucional/programas-de-saude-prioritarios/programa-nacional-para-as-doencas-oncologicas/

20204

Buchhold, B., Wiesmann, U., Roeske, K., Lutze, S., Arnold, A., Juelich, A., ... & Hannich, H. J. (2020). Psychosocial stress of dermatology inpatients and their relatives–Comparison of patients with and without cancer. JDDG: Journal der Deutschen Dermatologischen Gesellschaft18(10), 1103-1113.

Estatísticas da Saúde da Região Autónoma da Madeira de 2020 (2022)

Moran, C., Coroiu, A., & Körner, A. (2020). Psychosocial distress in patients with cutaneous melanoma: validation of the Skin Cancer Index (SCI). Supportive Care in Cancer, 29(2), 1005–1014. https://doi.org/10.1007/s00520-020-05568-w

World Cancer Research Fund International. (2020). Skin cancer statistics | World Cancer Research Fund International. WCRF International. https://www.wcrf.org/cancer-trends/skin-cancer-statistics/

20213

Monsell, A., Krzanowski, J., Page, L., Cuthbert, S., & Harvey, G. (2021). What mental health professionals and organisations should do to address climate change. BJPsych Bulletin, 45(4), 215–221. https://doi.org/10.1192/bjb.2021.17

Parker, E. R. (2021). The influence of climate change on skin cancer incidence–a review of the evidence. International journal of women's dermatology7(1), 17-27.

Óbitos por algumas causas de morte (%). (2021). Www.pordata.pt. https://www.pordata.pt/portugal/obitos+por+algumas+causas+de+morte+(percentagem)-758-235710

20222

Liga Portuguesa Contra o Cancro (2022). Cancro e Sofrimento Emocional: Liga Portuguesa Contra o Cancro. Www.ligacontracancro.pt. https://www.ligacontracancro.pt/sofrimentoemocional/

Lepley, M. M. (2022). Skin Cancer Patients’ Psychological Well-Being: Identifying the Statistically Significant Predictors. International Journal of High School Research, 4(5).

20236

Almeida, V., Pires, D., Silva, M., Teixeira, M., Teixeira, R. J., Louro, A., ... & Teixeira, A. (2023, September). Dermatological Side Effects of Cancer Treatment: Psychosocial Implications—A Systematic Review of the Literature. In Healthcare (Vol. 11, No. 19, p. 2621). MDPI.

Liga Portuguesa Contra o Cancro (2023a). Aspetos Psicológicos: Liga Portuguesa Contra o Cancro. Www.ligacontracancro.pt. https://www.ligacontracancro.pt/aspectos-psicologicos/

Liga Portuguesa Contra o Cancro (2023b). Cancro da Pele Não-melanoma: Liga Portuguesa Contra o Cancro. Www.ligacontracancro.pt. https://www.ligacontracancro.pt/cancro-da-pele-nao-melanoma/

Liga Portuguesa Contra o Cancro (2023c). Melanoma: Liga Portuguesa Contra o Cancro. Www.ligacontracancro.pt. https://www.ligacontracancro.pt/melanoma/

Liga Portuguesa Contra o Cancro (2023d). Prevenção de cancro da pele / Skin Cancer Prevention - Escolhe Uma Vida Saudável | CHOOSE the HEALTHy way : Liga Portuguesa Contra o Cancro. Www.ligacontracancro.pthttps://www.ligacontracancro.pt/skincancer/

Nuttall, P., Fothergill, A., Hemington-Gorse, S. J., Dobbs, T. D., & Tree, J. J. (2023). Confronting the psychological challenges of skin cancer: A qualitative study investigating patient's experience of a skin cancer diagnosis and support received. Journal of Plastic, Reconstructive & Aesthetic Surgery83, 301-304.

Total34

Table 1: Distribution of selected scientific articles and websites by year of publication (2003–2023).

State of the Art

There are two main types of skin cancer: melanoma and non-melanoma, the latter of which is divided into two subtypes – basal cell carcinoma and squamous cell carcinoma. Melanoma is the most serious type and presents a higher mortality rate. This type of cancer occurs when skin cells, specifically melanocytes—which produce melanin and provide skin pigmentation—become malignant. The probability of developing melanoma, similar to other cancers, increases with age; however, this disease affects people of all ages and can occur on any skin surface. Melanoma is rare in Black populations and other dark-skinned races. When melanoma spreads, cancer cells may appear in the lymph nodes; these nodes eventually absorb these cells, causing them to spread to other areas of the body, such as the liver, lungs, and brain. When this occurs, the cancer cells in the resulting tumors are still classified as melanoma, and the condition is referred to as metastatic melanoma rather than, for example, liver or lung cancer (Liga Portuguesa Contra o Cancro, 2023). Non-melanoma skin cancer arises when the systematic process of skin cell replacement malfunctions—for instance, when new cells form unnecessarily and aged skin cells do not die at the appropriate time. This excess of skin cells forms tumors or neoplasms, with only malignant ones being considered cancer. There is a risk that these cells will damage adjacent tissues and potentially spread to other parts of the body (metastasis). There are two subtypes of non-melanoma cancer: the first is basal cell carcinoma (or basalioma), which grows slowly, rarely spreads to other areas of the body, and typically appears on the most exposed skin areas, such as the face, neck, and hands. The second type is squamous cell carcinoma, which also develops in areas of the body with higher sun exposure, though it can also appear in areas with less exposure. This type of carcinoma can reach the lymph nodes and certain organs—carcinoma metastasis (Liga Portuguesa Contra o Cancro, 2023).

Risk Factors

Risk factors for developing skin cancer include:

  • Excessive exposure to ultraviolet (UV) radiation: This can damage skin cell DNA, leading to mutations that contribute to cancer development.
  • Skin type: Fair-skinned individuals generally have a higher risk due to lower melanin levels.
  • Family history: Individuals with a family history of skin cancer may have an increased risk, as certain genetic factors can contribute to susceptibility.
  • Personal history: People with a previous history of skin cancer are more likely to develop new cases.
  • Chemical exposure: Exposure to certain chemicals, such as arsenic, can increase the risk of non-melanoma skin cancers.
  • Age: The risk increases with age, especially for non-melanoma cancers, though it can occur at any age.
  • Geographic location: People living in areas with high UV radiation levels, particularly those closer to the equator, may face an increased risk (Liga Portuguesa Contra o Cancro, 2023).

Medical Treatments

The most commonly used medical treatments for skin cancer today are surgery (which may involve total or partial removal of the cancer), radiotherapy (which can be localized), chemotherapy, and immunotherapy (National Cancer Institute, 2019).

Statistical Data

Globally, 150,000 new cases of melanoma were recorded in 2020. The most affected countries were Australia, with 16,171 cases, followed by New Zealand, with approximately 3,000 annual cases. This type of skin cancer caused 57,000 deaths worldwide in 2020 (World Cancer Research Fund International, 2020). According to estimates from Pordata (2021), malignant tumors accounted for 22% of causes of death in Portugal in 2021—more than double the rate recorded in 1960 (9.3%). This represents 265 deaths per 100,000 inhabitants in 2021, a high figure compared to 1960 (99.2). Annually, about 12,000 new cases of skin cancer emerge in Portugal, responsible for approximately 400 deaths per year. Of these, 1,500 are new cases of melanoma, which accounts for about 250 annual deaths. According to data from the Portuguese Association of Skin Cancer (Associação Portuguesa de Cancro Cutâneo), an estimated 13,000 new cases of skin cancer are expected this year in Portugal. Regarding the Health Statistics of the Autonomous Region of Madeira (2020), at the regional level, malignant tumors are once again the second leading cause of death, with 662 deaths recorded in 2020 (374 men and 288 women). This is equivalent to 24.4% of the region's mortality (compared to 23.2% in 2019), representing a 6.4% increase over 2019 (622 deaths). Approximately 300 cases of skin cancer occur every year in Madeira. Skin cancer caused 6 deaths in the Autonomous Region of Madeira in 2020—the youngest patient was approximately 30 years old, while the oldest patient was in the 90–94 age group (Health Statistics of the Autonomous Region of Madeira, 2020).

Psycho-oncology

Cancer is one of the most common diseases in Portugal and the world, with significant implications in the physical, psychological, and social domains. Generally, it leads to a reduction in quality of life, becoming one of the primary health challenges of the 21st century. Over the last three decades, there has been growing recognition of the emotional and interpersonal repercussions of cancer and its treatments, as well as the impact on patient well-being. Research has also explored how emotional and behavioral factors can affect disease progression. These factors contributed to the emergence of a new field of study in oncology called Psycho-oncology. This discipline focuses on the psychosocial needs of patients, healthcare professionals, and the families of oncology patients. Addressing the needs of family members is particularly relevant, as literature has shown they are also at a high risk of developing mental disorders (Buchhold et al., 2020). Consequently, it is now recognized that psychosocial interventions should be an integral part of medical care provided to cancer patients, rather than being viewed as a separate form of treatment. Nonetheless, although literature demonstrates that skin cancer patients face significant psychological challenges, current healthcare systems often fail to meet these needs, as they do not receive the same attention as physical needs. Patients express a desire to be treated through a holistic and integrative approach rather than through isolated focus on their physical health, especially when facing persistent emotional challenges. This highlights the importance of restructuring services so that psycho-oncology is integrated into oncological healthcare (Buchhold et al., 2018; Nuttall, 2023). Psycho-oncologists are less concerned with the disease outcome itself, as their primary focus is on improving the patient's quality of life (Lang-Rollin & Berberich, 2018). Professional support is extremely important in cases where well-being is compromised since, according to Lepley (2022), there is a clear correlation between well-being and disease outcomes, including skin cancer. According to Meiß et al. (2018), the most common and efficient psychotherapeutic approaches for skin cancer are Cognitive-Behavioral Therapy (used in 57% of treatment centers), followed by Systemic Therapy (used in 51% of centers). The literature suggests various approaches to address the dimensions that affect the well-being and quality of life of skin cancer patients. Peters (2012) states that an efficient intervention has the potential to improve not only the patient's quality of life but also the disease outcome. Intervention studies in melanoma patients indicate that brief psychological interventions—including psychoeducation, psychotherapy, stress reduction, and coping techniques—can decrease patient distress and improve immune function (Boesen et al., 2005). Nutrition has been identified as essential for the well-being of oncology patients. A meta-analysis by Li et al. (2017) supports this idea; it analyzed 21 studies on diet and depression across 10 countries, determining that a Western dietary pattern—consisting of red meat, refined sweets, and high-fat foods—was associated with an increased risk of depression. This suggests that nutritional quality influences well-being and quality of life, potentially reducing the risk of depression in cancer patients. Physical activity is also encouraged to alleviate symptoms and improve the likelihood of a high quality of life. Mindfulness, defined as "the state of being conscious and attentive to what is happening in the present moment," has proven effective in increasing well-being and is increasingly integrated into oncological care. Literature suggests that mindfulness is related to higher levels of psychological well-being because it can prevent skin cancer patients from focusing on the past or overthinking the future, which is crucial for an unpredictable disease like cancer (Lepley, 2022). Kneier (2004) postulated that facing the reality of the illness, maintaining hope and optimism, seeking social support, expressing emotions, adopting a participative stance, and maintaining self-esteem are some of the most useful strategies a skin cancer patient can implement to cope with their diagnosis and treatment. It is estimated that approximately one-third of cancer patients experience significant levels of distress, which also affects their families and caregivers (Liga Portuguesa Contra o Cancro, 2022). This distress and psychological suffering tend to be higher during the diagnosis and treatment phases, decreasing over time (Cornish et al., 2009).

Based on available literature, several empirically demonstrated risk factors for psychological distress have been identified. These include:

  • Demographic factors: female gender, younger age, being unmarried, and lower education levels;
  • Clinical factors: pronounced physical deterioration or the visibility of the affected body area;
  • Psychosocial factors: negative appraisals of skin cancer and lack of social support (Kasparian et al., 2009).

Some of the most commonly affected psychological dimensions in skin cancer patients—which consequently impact their quality of life, given that quality of life and psychosocial factors are strongly associated variables (Lehto et al., 2005) include depression, anxiety, body image issues, decreased productivity, illness representations, and social support.

Approximately 25% of recently diagnosed cancer patients present symptoms of depression. Depression has been associated with functional limitations, such as the loss of independence in instrumental activities of daily living, as well as increased costs, resource utilization, reduced quality of life, and decreased adherence to clinical guidelines (Radiotis et al., 2013). Anxiety is another critical factor, as it has been linked to delays in seeking medical advice, decreased treatment adherence, increased recurrence and mortality rates, and reduced participation in skin cancer screenings and preventive behaviors (Kasparian et al., 2009). In a study by Beesley et al. (2015), three main needs emerged: support for coping with the fear of cancer spread (17%), information on recurrence risk (17%), and outcomes in case of dissemination (16%). Many patients require more detailed information and psychological support that current healthcare systems often fail to provide. Providing information aligned with specific patient needs reduces distress and improves quality of life (McInnes et al., 2008), which is particularly relevant since psychological stress may be associated with skin cancer progression (Lehto et al., 2007). Regarding illness representations, negative perceptions of the consequences and duration of the disease are associated with poorer quality of life. According to Margreet Scharloo et al. (2010), perceiving a greater number of symptoms and a longer disease duration was linked to higher levels of depressive symptoms. Physical appearance is also crucial, as skin cancer treatment often results in scarring or physical changes, especially in the head and neck region. Patients with tumors in visible areas reported higher levels of distress. A crucial factor in understanding this relationship is the importance patients place on their appearance. In the study by Radiotis et al. (2013), more than half of the sample expressed concerns regarding the size (63%) and visibility (61%) of scars, with no gender differences revealed. According to Stirling (2012), the ability to perform tasks as efficiently as before the diagnosis may be impaired. Approximately 70% of oncology patients undergoing treatment report experiencing fatigue (Berger et al., 2010). Adapting to this reality is challenging; patients often struggle to maintain their pre-diagnosis pace, which can lead to frustration and withdrawal. Finally, social support—specifically family relationships—influences quality of life. According to Weihs & Politi (2005), patients in cohesive family environments with little conflict demonstrated better coping abilities and a more positive adaptation to the illness. Satisfaction with social support has been linked to lower levels of anxiety and depression, and higher quality of life.

Skin Cancer Intervention Plan

  • Target Population: Adults
  • Individuals recently diagnosed with skin cancer
  • Number of Sessions: 6
  • Frequency: 1 session per week (over approximately one and a half months)
  • Duration: 60 minutes, except for the first session which lasts 1 hour and 30 minutes.
  • Format: Individual intervention
  • Approach: Each session is an adaptation of Cognitive-Behavioral Therapy (CBT) techniques.

THRIVE Intervention Plan

Session 1: Establishing the Therapeutic Alliance

Duration: 1 hour 30 minutes

Objectives:

  • Establish the therapeutic relationship.
  • Create a safe therapeutic environment: In this first interaction, it is crucial to create a safe and clear setting so that information can be received and questions can emerge.
  • Present the main aspects of the intervention plan.
  • Define problems and goals.

Tasks:

  • Informed Consent.
  • Introduction to CBT: Explain the practical aspects (e.g., duration, use of homework/tasks) and ethical/legal boundaries.
  • Establishing Rapport: Use non-directive counseling techniques, empathy, and biographical exploration to understand the patient's life history and current emotional state.
  • Problem List and Goal Setting: Identify primary concerns and set realistic, achievable goals to help the client feel less overwhelmed and regain a sense of control.

Homework: Complete the problem list and define potential goals if not finished during the session (Ordem dos Psicólogos, 2021; Moorey & Greer, 2012).

Session 2: Psychoeducation

Duration: 60 minutes

Objectives:

  • Provide psychoeducation regarding skin cancer and debunk associated myths.
  • Educate the client on common emotional reactions to a cancer diagnosis to normalize their feelings.

Tasks:

  • Review homework from the previous session.
  • Presentation of content on skin cancer and its psychological impact.
  • Emphasize available treatments—focusing on a hope-based perspective (Conceição & Bueno, 2020).

Session 3: Managing Anxiety

Duration: 60 minutes

Objectives:

  • Learn to cope with anxiety related to the diagnosis and illness.
  • Identify intrusive and distorted thoughts and provide coping strategies (e.g., thoughts related to mortality).
  • Provide relaxation strategies for use inside and outside the therapeutic context.

Tasks:

  • Assess emotional state and current anxiety coping mechanisms.
  • Decatastrophizing Technique: Use Socratic questioning to re-evaluate anxious thoughts, realign thinking patterns, and reduce emotional impact.
  • Diaphragmatic Breathing Technique.

Homework: Practice the diaphragmatic breathing technique during the week (Beesley et al., 2015; Kasparian et al., 2009).

Session 4: Dealing with Depressive Thoughts and Feelings

Duration: 60 minutes

Objectives:

  • Assess emotional state, support network, and current depressive symptoms.
  • Connect the client to their "rational side" to understand the drivers of depression.
  • Provide strategies to manage depressive symptoms.

Tasks:

  • Feedback on previous homework.
  • Rational-Emotional Role-Play: The client plays the "rational" part of their mind while the therapist plays the emotional/negative part. This helps the client argue against negative thoughts and gain emotional distance.

Homework: Coping Cards. Write motivational and realistic phrases on cards to be placed in visible locations to reduce dysfunctional negative thoughts (Conceição & Bueno, 2020).

Session 5: Managing Physical Changes and Body Image

Duration: 60 minutes

Objectives:

  • Address reduced productivity and challenges in performing daily tasks.
  • Cope with changes in physical appearance and low self-esteem.

Tasks:

  • Feedback on homework.
  • Discussion on physical changes (fatigue, productivity, and appearance).
  • Graded Task Assignment: Collaboratively create a "step-ladder" of tasks from easiest to most difficult to restore a sense of efficacy and control.

Homework: "Friendly Mirror" Technique. Direct hopeful and self-affirming phrases to oneself in the mirror to strengthen self-esteem (Moorey & Greer, 2012; Radiotis et al., 2013).

Session 6: Reflection and Maintenance

Duration: 60 minutes

Objectives:

  • Review the evolution of psychological symptoms.
  • Reflect on internal resources and strategies developed and how to maintain them.
  • Tasks:
  • Self-Assessment of the Process: Reflective questions on emotional/behavioral achievements and comparison with initial expectations.

•               Discussion on activated internal resources (Conceição & Bueno, 2020).

Follow-up Session

  • Assess psychological symptoms compared to the end of the 6-session plan.
  • Evaluate maintenance of progress or potential setbacks.
  • Identify any newly emerging needs.

Conclusion

Throughout this review, a recurring issue was the negative connotations associated with skin cancer and its treatment, which could be minimized through the acquisition and transmission of reliable information by healthcare professionals. For instance, patients undergoing radiotherapy often report lower quality of life scores compared to oncology patients who do not receive it. This may be due to the negative connotation that words like "radiation" or "radiotherapy" hold for many cancer patients, who may have misconceptions about the safety of this treatment. This leads to apprehension regarding its efficacy and side effects—an incorrect perception, given that radiotherapy is a highly successful treatment for carcinoma (Lepley, 2022). Consequently, it is of high importance for healthcare providers to work toward shifting the reputation of radiotherapy, ensuring that patients feel confident in its efficacy and experience less worry and stress. Another issue worth addressing concerns body image; it is crucial for professionals to inform patients about potential side effects, such as changes in physical appearance that may manifest over time, while also striving to help manage both the physical and psychological dimensions of the patient's experience (Almeida et al., 2023). Another relevant factor to consider is the role of climate change in skin cancer. Despite efforts to mitigate it, the ozone layer is not yet fully restored, and its thickness remains depleted; consequently, more ultraviolet (UV) radiation reaches the population. This increased exposure is associated with a higher risk of developing skin cancer, as UV rays can damage skin cell DNA, potentially leading to the development of cancerous cells. Parker (2020) suggests that for every 1?crease in ozone layer thickness, there is a predicted 1% to 2% increase in melanoma and a 3% to 4.6% increase in carcinoma. Furthermore, according to Monsell et al. (2021), climate change—including events such as floods and droughts—has direct effects on mental health, exacerbating various psychological disorders.

Since prevention is a key factor in reducing skin cancer cases, it is highly relevant to adopt new strategies to effectively communicate this to the general population. Potential strategies include:

  • Public campaigns: Focusing on the importance of sun protection and regular skin checks for early detection, utilizing various communication channels like social media, television, and print to reach all age groups.
  • School education: Teaching the risks of sun exposure, the importance of sunscreen, and how to perform self-examinations.
  • Community awareness programs: Offering free screenings and outreach.
  • Professional collaboration: Encouraging dermatologists and general practitioners to discuss sun safety during consultations.
  • Digital technology: Leveraging mobile applications to disseminate information and reminders about sun protection measures.

Finally, this review highlighted a lack of prospective studies in this research area. Future studies are indispensable, specifically those focused on the routine assessment of psychological distress in skin cancer patients and the implications these assessments may have on the adequacy and orientation of the psychological services provided.

References

Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.

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Virginia E. Koenig

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Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.

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Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.

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Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.

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As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.

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Dr Shiming Tang

Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.

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Raed Mualem

International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.

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Andreas Filippaios

Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.

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Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.

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Bruno Chauffert

I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!

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Baheci Selen

"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".

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Jesus Simal-Gandara

I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.

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Douglas Miyazaki

We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.

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Dr Griffith

I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.

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Dr Tong Ming Liu

I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.

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Husain Taha Radhi

I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.

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S Munshi

Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.

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Tania Munoz

“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.

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George Varvatsoulias

Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.

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Rui Tao

Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.

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Khurram Arshad

Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.

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Gomez Barriga Maria Dolores

The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.

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Lin Shaw Chin

Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.

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Maria Dolores Gomez Barriga

Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.

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Dr Maria Dolores Gomez Barriga

Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.

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Dr Maria Regina Penchyna Nieto

Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.

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Dr Marcelo Flavio Gomes Jardim Filho

Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”

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Zsuzsanna Bene

Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner

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Dr Susan Weiner

My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.

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Lin-Show Chin

My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.

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Sonila Qirko

My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.

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Luiz Sellmann

I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.

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Zhao Jia

Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."

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Thomas Urban

I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.

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Cristina Berriozabal

To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.

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Dr Tewodros Kassahun Tarekegn

"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".

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Dr Shweta Tiwari

I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.

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Dr Farooq Wandroo

Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.

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Dr Anyuta Ivanova

We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.

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Dr David Vinyes

My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.

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Gertraud Teuchert-Noodt

To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina

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Dr Elvira Farina

Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.

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Dr Oleg Golyanovski

Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.

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Dr Susan Anne Smith

Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.

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Dr Farahnaz Fallahian

Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.

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Dr Victor Olagundoye

Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.

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Dr Susan Anne Smith

Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD

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Dr Eric S Nussbaum

Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.

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Hala Al Shaikh

Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.

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Dr Rakhi Mishra

Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.

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Dr Walter F Riesen

Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.

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Dr Jelle Lettinga

Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora

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Dariusz Ziora

Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.

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Dr Ravi Shrivastava

Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.

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Dr Aline Tollet

Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.

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Dr Chiara Giuseppina Beccaluva

Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti

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Dr Claudio Ligresti

Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation. “The peer review process was efficient and constructive, and the editorial office provided excellent communication and support throughout. The journal ensures scientific rigor and high editorial standards, while also offering a smooth and timely publication process. We sincerely appreciate the work of the editorial team in facilitating the dissemination of innovative approaches such as the Bonori Method.” Best regards, Dr. Matteo Bonori.

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Dr Matteo Bonori

I recommend without hesitation submitting relevant papers on medical decision making to the International Journal of Clinical Case Reports and Reviews. I am very grateful to the editorial staff. Maria Emerson was a pleasure to communicate with. The time from submission to publication was an extremely short 3 weeks. The editorial staff submitted the paper to three reviewers. Two of the reviewers commented positively on the value of publishing the paper. The editorial staff quickly recognized the third reviewer’s comments as an unjust attempt to reject the paper. I revised the paper as recommended by the first two reviewers.

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Edouard Kujawski

Dear Maria Emerson, Editorial Coordinator, Journal of Clinical Research and Reports. Thank you for publishing our case report: "Clinical Case of Effective Fetal Stem Cells Treatment in a Patient with Autism Spectrum Disorder" within the "Journal of Clinical Research and Reports" being submitted by the team of EmCell doctors from Kyiv, Ukraine. We much appreciate a professional and transparent peer-review process from Auctores. All research Doctors are so grateful to your Editorial Office and Auctores Publishing support! I amiably wish our article publication maintained a top quality of your International Scientific Journal. My best wishes for a prosperity of the Journal of Clinical Research and Reports. Hope our scientific relationship and cooperation will remain long lasting. Thank you very much indeed. Kind regards, Dr. Andriy Sinelnyk Cell Therapy Center EmCell

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Dr Andriy Sinelnyk

Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. It was truly a rewarding experience to work with the journal “Clinical Cardiology and Cardiovascular Interventions”. The peer review process was insightful and encouraging, helping us refine our work to a higher standard. The editorial office offered exceptional support with prompt and thoughtful communication. I highly value the journal’s role in promoting scientific advancement and am honored to be part of it. Best regards, Meng-Jou Lee, MD, Department of Anesthesiology, National Taiwan University Hospital.

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Dr Meng-JouLe

Dear Editorial Team, Journal-Clinical Cardiology and Cardiovascular Interventions, “Publishing my article with Clinical Cardiology and Cardiovascular Interventions has been a highly positive experience. The peer-review process was rigorous yet supportive, offering valuable feedback that strengthened my work. The editorial team demonstrated exceptional professionalism, prompt communication, and a genuine commitment to maintaining the highest scientific standards. I am very pleased with the publication quality and proud to be associated with such a reputable journal.” Warm regards, Dr. Mahmoud Kamal Moustafa Ahmed

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Mahmoud Kamal Moustafa Ahmed

Dear Maria Emerson, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews’, I appreciate the opportunity to publish my article with your journal. The editorial office provided clear communication during the submission and review process, and I found the overall experience professional and constructive. Best regards, Elena Salvatore.

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Dr Elena Salvatore

Dear Mayra Duenas, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews Herewith I confirm an optimal peer review process and a great support of the editorial office of the present journal

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Christoph Maurer

Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. I am really grateful for the peers review; their feedback gave me the opportunity to reflect on the message and impact of my work and to ameliorate the article. The editors did a great job in addition by encouraging me to continue with the process of publishing.

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Baciulescu Laura

Dear Cecilia Lilly, Editorial Coordinator, Endocrinology and Disorders, Thank you so much for your quick response regarding reviewing and all process till publishing our manuscript entitled: Prevalence of Pre-Diabetes and its Associated Risk Factors Among Nile College Students, Sudan. Best regards, Dr Mamoun Magzoub.

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Dr Mamoun Magzoub

International Journal of Clinical Case Reports and Reviews is a high quality journal that has a clear and concise submission process. The peer review process was comprehensive and constructive. Support from the editorial office was excellent, since the administrative staff were responsive. The journal provides a fast and timely publication timeline.

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Joel Yat Seng Wong

Dear Maria Emerson, Editorial Coordinator of International Journal of Clinical Case Reports and Reviews, What distinguishes International Journal of Clinical Case Report and Review is not only the scientific rigor of its publications, but the intellectual climate in which research is evaluated. The submission process is refreshingly free of unnecessary formal barriers and bureaucratic rituals that often complicate academic publishing without adding real value. The peer-review system is demanding yet constructive, guided by genuine scientific dialogue rather than hierarchical or authoritarian attitudes. Reviewers act as collaborators in improving the manuscript, not as gatekeepers imposing arbitrary standards. This journal offers a rare balance: high methodological standards combined with a respectful, transparent, and supportive editorial approach. In an era where publishing can feel more burdensome than research itself, this platform restores the original purpose of peer review — to refine ideas, not to obstruct them Prof. Perlat Kapisyzi, FCCP PULMONOLOGIST AND THORACIC IMAGING.

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Dr Perlat Kapisyzi

Dear Grace Pierce, International Journal of Clinical Case Reports and Reviews I appreciate the opportunity to review for Auctore Journal, as the overall editorial process was smooth, transparent and professionally managed. This journal maintains high scientific standards and ensures timely communications with authors, which is truly commendable. I would like to express my special thanks to editor Grace Pierce for his constant guidance, promt responses, and supportive coordination throughout the review process. I am also greatful to Eleanor Bailey from the finance department for her clear communication and efficient handling of all administrative matters. Overall, my experience with Auctore Journal has been highly positive and rewarding. Best regards, Sabita sinha

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Sabita sinha

Dear Mayra Duenas, Editorial Coordinator of the journal IJCCR, I write here a little on my experience as an author submitting to the International Journal of Clinical Case Reports and Reviews (IJCCR). This was my first submission to IJCCR and my manuscript was inherently an outsider’s effort. It attempted to broadly identify and then make some sense of life’s under-appreciated mysteries. I initially had responded to a request for possible submissions. I then contacted IJCCR with a tentative topic for a manuscript. They quickly got back with an approval for the submission, but with a particular requirement that it be medically relevant. I then put together a manuscript and submitted it. After the usual back-and-forth over forms and formality, the manuscript was sent off for reviews. Within 2 weeks I got back 4 reviews which were both helpful and also surprising. Surprising in that the topic was somewhat foreign to medical literature. My subsequent updates in response to the reviewer comments went smoothly and in short order I had a series of proofs to evaluate. All in all, the whole publication process seemed outstanding. It was both helpful in terms of the paper’s content and also in terms of its efficient and friendly communications. Thank you all very much. Sincerely, Ted Christopher, Rochester, NY.

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Dr Ted Christopher