A longitudinal study of distress (depression and anxiety) up to 18 months after radiotherapy for head and neck cancer

Neilson, Kate; Pollard, Annabel; Boonzaier, Ann; Corry, June; Castle, David; Smith, David; Trauer, Tom; Couper, Jeremy

doi:10.1002/pon.3228

Cited by 100 publications

(114 citation statements)

References 34 publications

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“…An Australian study that assessed patients at baseline, end of treatment, and 18 months post-treatment found that the number of depressed patients increased from baseline to the end of treatment and decreased at 18 months post-treatment [8]. Similarly, a Chinese study that assessed patients with HNC at baseline, during treatment, and 3 months and 6 months post-treatment also showed a decrease in mood disturbance as patients progressed through those assessment points [18].…”

Section: Discussionmentioning

confidence: 99%

Body image and depressive symptoms in patients with head and neck cancer: an important relationship

Rhoten

Deng

Dietrich

et al. 2014

Support Care Cancer

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Purpose The purpose of this study is to examine the relationship between body image and depressive symptoms in patients who have been treated for head and neck cancer. Methods This is a prospective, longitudinal analysis. Body image and depressive symptoms were measured in patients diagnosed with head and neck cancer at baseline, end of treatment, 6 weeks post-treatment, and 12 weeks post-treatment. Body image was measured using the Body Image Quality of Life Inventory, and depressive symptoms were measured using the Center for Epidemiological Studies Depression Scale. Results Forty-three individuals diagnosed with head and neck cancer participated in this study. The majority of participants were male, Caucasian, and married or living with a partner. Participants ranged from age 32 to 78 years (M=57.8 years, SD=10.5 years). At 12 weeks post-treatment, body image scores were statistically significantly higher than they were at the end of treatment (p=0.016) and 6 weeks post-treatment (p=0.032). Statistically significant increases in levels of depressive symptoms were observed at the end of treatment (p<0.001) and 6 weeks post-treatment (p=0.036) with a return to baseline by the 12-week post-treatment assessment (p=0.115). Body image and depressive symptoms were statistically significantly associated at the end of treatment, 6 weeks post-treatment, and 12 weeks post-treatment (rs −0.32 to −0.56, p <0.05). Conclusions This study supports early assessment of body image in patients with head and neck cancer. Additionally, the association between poorer body image and increased depressive symptoms is key in understanding the symptom clusters that patients with head and neck cancer experience.

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Section: Discussionmentioning

confidence: 99%

Body image and depressive symptoms in patients with head and neck cancer: an important relationship

Rhoten

Deng

Dietrich

et al. 2014

Support Care Cancer

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“…The anxiety levels were similar to those reported in Hess and Chen's [5] or Stiegelis et al's [6] reviews. In Neilson et al's paper [10], an increase in the probable cases of clinical depression was found at the end of the treatment, followed by a decrease in the follow-up period, while the probable cases of anxiety decreased three weeks after the treatment, and then increased at the 18 months follow-up. Sehlen et al found an increase in depression at the end of the treatment, which was maintained in the follow-up [20].…”

Section: Psychopathological Disorders Structured Interview Mini and mentioning

confidence: 93%

“…In relation to the symptoms of anxiety, depression and distress evaluated through the Hospital Anxiety and Depression Scale (HADS) [9] or similar measurements, in cancer patients undergoing radiotherapy, the following prevalence has been reported: 13%-24% of possible cases of clinical anxiety, 5%-21% of possible cases of clinical depression, and 9.5%-37% of cases of emotional distress [10][11][12][13][14][15][16][17][18][19]. The symptoms increase from pre-radiotherapy to after radiotherapy, and decrease in the following months [5,6,16].…”

Section: Introductionmentioning

confidence: 97%

A longitudinal study on anxiety, depressive and adjustment disorder, suicide ideation and symptoms of emotional distress in patients with cancer undergoing radiotherapy

Blázquez

Cruzado

2016

Journal of Psychosomatic Research

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“…Rezultati u ovoj studiji komparativni su sa rezultatima većeg broja studija koje navode da se karcinom grkljana javlja od 4 do 7 decenije, u najviše slučajeva javlja se u šestoj deceniji života [17,18].…”

Section: Diskusijaunclassified

“…Radioterapija je najviše je uticala na emocinalno, funkcionalno stanje pacijenata i komunikaciju, takođe je dovela do umerenih poteškoća sa gutanjem/žvakanjem hrane i gubitkom ukusa, što je narušavalo njihov kvalitet života. Neilson et al [18] navode da je kod pacijenata nakon totalne laringektomije prisutan generalizovan osećaj smanjenja kvaliteta života. TrzcienieckaGreen et al [24] ističe da su pacijenti nakon totalne laringektomije zabrinutu zbog promene svog izgleda i da njihovo emocionalno stanje može uticati i menjati njihovo fizičko i emocionalno funkcionisanje.…”

Section: Diskusijaunclassified

The influence of radiotherapy on the quality of life of laringectomated patients before and after vocal rehabilitation

Bunijevac¹,

Petrović-Lazić²,

Jovanović-Simić³

et al. 2018

Timočki medicinski glasnik

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(1) JZU BOLNICA ,,SVETI VRAČEVI" BIJELJINA, REPUBLIKA SRPSKA, BIH, (2) KLINIKA ZA OTORINOLARINGOLOGIJU KLINIČKO-BOLNIČKOG CENTARA "ZVEZDARA", BEOGRAD, (3) FAKULTET ZA SPECIJALNU EDUKACIJU I REHABILITACIJU, BEOGRAD Sažetak:Uvod: Jedan od najčešćih malignih tumora glave i vrata jeste karcinom larinksa. Totalna laringektomija dovodi do trajnog gubitka larinksa čime se narušavaju normalni anatomski odnosi u vratu, što izaziva poremećaj komunikacije i socijalne interakcije pacijenta. Cilj: Cilj ovog istraživanja je da se utvrdi koliki uticaj ima radioterapija na kvalitet života laringektomiranih pacijenata nakon vokalne rehabilitacije. Metod rada: U istraživanju je učestvovalo 50 pacijenata nakon totalne laringektomije. Starost ispitanika kretala se od 51 do 83 godine. Jednofaktorskom analizom varijanse (ANOVA) izvršeno je testiranje razlika između prosečnih postignuća na VHI i HNQOL skali pre i posle vokalne rehabilitacije. Ovim skalama možemo doći do informacije o stepenu govorne invalidnosti koju doživljava sam pacijent, zatim zadovoljstvom pacijenta primenjenim lečenjem ili tretmanom i uticaju koji ima vokalna rehabilitacija na kvaliteta njegovog života pre i nakon tretmana. Rezultati: U našoj studiji pacijenti koji su podvrgnuti radikalnoj hirurškoj intervenciji prijavili su bolji kvalitet života u poređenju sa pacijentima koji su bili podvrgnuti drugim kombinovanim modalitetima lečenja. Ustanovljeno je da statistički značajne razlike postoje na svim supskalama obe skale. Statistička značajnost definisana je na nivou verovatnoće nulte hipoteze od p ≤ 0,05 do p < 0,001. Zaključak: Uspešna vokalna rehabilitacija je važan faktor kvalitetnog života pacijenata nakon totalne laringektomije i predstavlja izlaz iz društvene izolacije. Ključne reči: tumori larinksa, laringektomija, vokalna rehabilitacija, kvalitet života, VHI skala, HNQOL skala Summary:Introduction: One of the most common malignant tumors of the head and neck is laryngeal cancer. Total laryngectomy leads to sustained loss of larynx, which disrupts normal anatomical relationships in the neck, causing a disorder of communication and social interaction of the patient. Objective: The aim of this research is to determine the impact of radiotherapy on the quality of life of laryngectomized patients after vocal rehabilitation. Method: The study involved 50 patients after total laryngectomy. The age of the subjects ranged from 51 to 83 years. One-factor variance analysis (ANOVA) tested the differences between the average achievements on VHI and HNQOL scales before and after vocal rehabilitation. This scale can provide information about the degree of speech disability experienced by the patient himself, then the patient's satisfaction with treatment or treatment and the impact that he has vocal rehabilitation on the quality of his life before and after treatment. Results: In our study, patients who underwent radical surgical intervention reported better quality of life compared to patients who underwent other combined treatment modalities. It was found that stati...

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A longitudinal study of distress (depression and anxiety) up to 18 months after radiotherapy for head and neck cancer

Cited by 100 publications

References 34 publications

Body image and depressive symptoms in patients with head and neck cancer: an important relationship

Body image and depressive symptoms in patients with head and neck cancer: an important relationship

A longitudinal study on anxiety, depressive and adjustment disorder, suicide ideation and symptoms of emotional distress in patients with cancer undergoing radiotherapy

The influence of radiotherapy on the quality of life of laringectomated patients before and after vocal rehabilitation

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