@ARTICLE{10.3389/fmed.2020.00330, AUTHOR={Graier, Thomas and Fink-Puches, Regina and Porkert, Stephanie and Lang, Roland and Pöchlauer, Sophie and Ratzinger, Gudrun and Tanew, Adrian and Selhofer, Sylvia and Sator, Paul-Gunther and Hofer, Angelika and Gruber-Wackernagel, Alexandra and Legat, Franz J. and Vieyra-Garcia, Pablo Augusto and Quehenberger, Franz and Wolf, Peter}, TITLE={Quality of Life, Anxiety, and Depression in Patients With Early-Stage Mycosis Fungoides and the Effect of Oral Psoralen Plus UV-A (PUVA) Photochemotherapy on it}, JOURNAL={Frontiers in Medicine}, VOLUME={7}, YEAR={2020}, URL={https://www.frontiersin.org/articles/10.3389/fmed.2020.00330}, DOI={10.3389/fmed.2020.00330}, ISSN={2296-858X}, ABSTRACT={Background: Little is known about psychological discomfort and quality of life (QoL) in early stage mycosis fungoides (MF) and the effect of psoralen plus UV-A (PUVA) on it.Objective: To evaluate QoL, anxiety, and depression with validated instruments in early stage MF patients and whether PUVA treatment improves it.Methods: Patients with stage IA to IIA MF were treated with PUVA twice weekly for 12–24 weeks, followed by maintenance treatment or not, in a prospective randomized clinical trial. Patients completed a questionnaire on DLQI as well as the Hospital Anxiety and Depression Scale (HADS) prior to therapy, after their last PUVA exposure, and after the PUVA maintenance or observance phase.Results: For 24 patients with early stage MF, completed questionnaires were available and analyzed. Prior to treatment, 17% reported strong (DLQI > 10) and 29% moderate impairment (DLQI 6–10) in QoL; 33% of patients reported HADS scores indicating anxiety, and 21% reported scores indicating depression. PUVA significantly improved overall QoL by reducing mean DLQI scores by 58.6% (p = 0.003), HADS-A by 30% (p = 0.045), and HADS-D by 44% (p = 0.002). Improvements in QoL and psychological well-being seemed to be sustained, irrespective of maintenance treatment or not.Limitations: Small sample size.Conclusions: PUVA sustainably improves QoL and psychological well-being in patients with early stage MF.Clinical trial registration:ClinicalTrials.gov identifier: NCT01686594.} }