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Persistence of psychological distress and correlated factors among patients with head and neck cancer

Published online by Cambridge University Press:  19 June 2015

Kanako Ichikura ,
Aya Yamashita ,
Taro Sugimoto ,
Seiji Kishimoto  and
Eisuke Matsushima
Kanako Ichikura*
Affiliation:
Section of Liaison Psychiatry and Palliative Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan Research Fellow of the Japanese Society for the Promotion of Science, Tokyo, Japan
Aya Yamashita
Affiliation:
Section of Liaison Psychiatry and Palliative Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
Taro Sugimoto
Affiliation:
Department of Otorhinolaryngology, Medical Hospital, Tokyo Medical and Dental University, Tokyo, Japan
Seiji Kishimoto
Affiliation:
Chief of Head and Neck Surgery, Kameda Medical Center, Chiba, Japan Section of Head and Neck Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
Eisuke Matsushima
Affiliation:
Section of Liaison Psychiatry and Palliative Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
*
Address correspondence and reprint requests to: Kanako Ichikura, Section of Liaison Psychiatry and Palliative Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan. E-mail: [email protected], [email protected]
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Abstract

Objective:

Many patients with head and neck cancer (HNC) suffer from psychological distress associated with dysfunction and/or disfigurement. Our aim was to evaluate the ratio of patients with persistence of psychological distress during hospitalization and identify the predictors of persistence or change in psychological distress among HNC patients.

Method:

We conducted a single-center longitudinal study with self-completed questionnaires. We evaluated psychological distress (the Hospital Anxiety and Depression Scale; HADS) and functional level (the Functional Assessment of Cancer Therapy–Head and Neck Scale; FACT–H&N) among patients during hospitalization at the Medical Hospital of Tokyo Medical and Dental University.

Results:

Of 160 patients, 117 (73.1%) completed the questionnaire at both admission and discharge. Some 42 (52.5%) patients reported persistent psychological distress. The physical well-being of patients with continued distress was significantly lower than that of other patients (21.7 ± 4.7, 19.4 ± 6.1, 19.5 ± 5.4; p < 0.01), and the emotional well-being of patients with continued distress was significantly lower than that in patients with no distress and reduced distress (22.3 ± 3.5, 20.5 ± 2.5; p < 0.01).

Significant of results:

Impaired physical and emotional function appears to be associated with persistent psychological distress among HNC patients. Psychological interventions focused on relaxation, cognition, or behavior may be efficacious in preventing such persistent distress.

Keywords

AnxietyDepressionPsychological distressHead and neck cancerWell-being
Type
Original Articles
Information
Palliative & Supportive Care , Volume 14 , Issue 1 , February 2016 , pp. 42 - 51
Copyright
Copyright © Cambridge University Press 2015 

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References

REFERENCES

Aarstad, H.J., Osthus, A.A., Olofsson, J., et al. (2014). Level of distress predicts subsequent survival in successfully treated head and neck cancer patients: A prospective cohort study. Acta Oto-Laryngologica, 134, 211–219.CrossRefGoogle ScholarPubMed
Adachi, Y., Kimura, H., Sato, N., et al. (2014). Preoperative level of depression is a predictor of postoperative levels of depression in patients with head and neck cancer. Japanese Journal of Clinical Oncology, 44, 311–317.CrossRefGoogle ScholarPubMed
Allison, P.J., Nicolau, B., Edgar, L., et al. (2004). Teaching head and neck cancer patients coping strategies: results of a feasibility study. Oral Oncology, 40, 538–544.CrossRefGoogle ScholarPubMed
American Society of Clinical Oncology (2014). Head and neck cancer: Statistics | Cancer.Net. Available from http://www.cancer.net/cancer-types/head-and-neck-cancer/statistics.Google Scholar
Badr, H., Gupta, V., Sikora, A., et al. (2014). Psychological distress in patients and caregivers over the course of radiotherapy for head and neck Cancer. Oral Oncology, 50, 1005–1011.CrossRefGoogle ScholarPubMed
Butow, P., Kelly, S., Thewes, B., et al. (2014). Attentional bias and metacognitions in cancer survivors with high fear of cancer recurrence. Psycho-Oncology, 24(4), 416–423.Google Scholar
Carroll, B.T., Kathol, R.G., Noyes, R., et al. (1993). Screening for depression and anxiety in cancer patients using the Hospital Anxiety and Depression Scale. General Hospital Psychiatry, 15, 69–74.Google Scholar
Chiou, W.Y., Lee, M.S., Ho, H.C., et al. (2013). Prognosticators and the relationship of depression and quality of life in head and neck cancer. Indian Journal of Cancer, 50, 14–20.Google Scholar
Cousins, N., MacAulay, F., Lang, H., et al. (2013). A systematic review of interventions for eating and drinking problems following treatment for head and neck cancer suggests a need to look beyond swallowing and trismus. Oral Oncology, 49, 387–400.CrossRefGoogle ScholarPubMed
Danker, H., Wollbrück, D., Singer, S., et al. (2010). Social withdrawal after laryngectomy. European Archives of Oto-Rhino-Laryngology, 267, 593–600.Google Scholar
de Leeuw, J. R., de Graeff, A., Ros, W.J., et al. (2000). Prediction of depressive symptomatology after treatment of head and neck cancer: the influence of pretreatment physical and depressive symptoms, coping, and social support. Head & Neck, 22, 799–807.3.0.CO;2-E>CrossRefGoogle ScholarPubMed
Duffy, S.A., Ronis, D.L., Valenstein, M., et al. (2007). Depressive symptoms, smoking, drinking, and quality of life among head and neck cancer patients. Psychosomatics, 48, 142–148.Google Scholar
Eskelinen, M., Korhonen, R., Selander, T., et al. (2014). The Self-Rating Score (SRS) versus the Examiner Rating Score (ERS) in measuring helplessness in healthy individuals and in patients with benign breast disease and breast cancer: A prospective case-control study in Finland. Anticancer Research, 34, 5677–5682.Google Scholar
Haisfield-Wolfe, M.E., McGuire, D.B., Soeken, K., et al. (2009). Prevalence and correlates of depression among patients with head and neck cancer: A systematic review of implications for research. Oncology Nursing Forum, 36, E107–E125.CrossRefGoogle ScholarPubMed
Haisfield-Wolfe, M.E., McGuire, D.B., Soeken, K., et al. (2012). Prevalence and correlates of symptoms and uncertainty in illness among head and neck cancer patients receiving definitive radiation with or without chemotherapy. Supportive Care in Cancer, 20, 1885–1893.Google Scholar
Hammerlid, E., Persson, L.O., Sullivan, M., et al. (1999). Quality-of-life effects of psychosocial intervention in patients with head and neck cancer. Otolaryngology–Head and Neck Surgery, 120, 507–516.Google Scholar
Johansson, M., Rydén, A. & Finizia, C. (2011). Mental adjustment to cancer and its relation to anxiety, depression, HRQoL and survival in patients with laryngeal cancer: A longitudinal study. BMC Cancer, 11, 283.Google Scholar
Joseph, L.A., Routledge, J.A., Burns, M.P., et al. (2013). Value of the Hospital Anxiety and Depression Scale in the follow-up of head and neck cancer patients. The Journal of Laryngology & Otology, 127, 285–294.Google Scholar
Katz, M.H. (2003). Multivariable analysis: A primer for readers of medical research. Annals of Internal Medicine, 138, 644–650.CrossRefGoogle ScholarPubMed
Koizumi, A., Matsushima, E., Mochizuki, Y., et al. (2013). Changes in the psychological characteristics of oral cancer patients in the perioperative period: A quantitative evaluation. Journal of Medical and Dental Sciences, 60, 41–53.Google Scholar
Kugaya, A., Akechi, T., Okuyama, T., et al. (1998). Screening for psychological distress in Japanese cancer patients. Japanese Journal of Clinical Oncology, 28, 333–338.Google Scholar
Lin, B.M., Starmer, H.M. & Gourin, C. G. (2012). The relationship between depressive symptoms, quality of life, and swallowing function in head and neck cancer patients one year after definitive therapy. The Laryngoscope, 122, 1518–1525.Google Scholar
List, M.A., D'Antonio, L.L., Cella, D.F., et al. (1996). The Performance Status Scale for head and neck cancer patients and the Functional Assessment of Cancer Therapy–Head and Neck Scale: A study of utility and validity. Cancer, 77, 2294–22301.3.0.CO;2-S>CrossRefGoogle Scholar
Mochizuki, Y., Matsushima, E. & Omura, K. (2009). Perioperative assessment of psychological state and quality of life of head and neck cancer patients undergoing surgery. International Journal of Oral and Maxillofacial Surgery, 38, 151–159.Google Scholar
Neilson, K.A., Pollard, A.C., Boonzaier, A.M., et al. (2010). Psychological distress (depression and anxiety) in people with head and neck cancers. The Medical Journal of Australia, 193, S48–S51.CrossRefGoogle ScholarPubMed
Neilson, K., Pollard, A., Boonzaier, A., et al. (2013). A longitudinal study of distress (depression and anxiety) up to 18 months after radiotherapy for head and neck cancer. Psycho-Oncology, 22, 1843–1848.Google Scholar
Park, C.L., Cho, D., Blank, T.O., et al. (2013). Cognitive and emotional aspects of fear of recurrence: Predictors and relations with adjustment in young to middle-aged cancer survivors. Psycho-Oncology, 22, 1630–1638.Google Scholar
Pérez, S., Galdón, M.J., Andreu, Y., et al. (2014). Posttraumatic stress symptoms in breast cancer patients: Temporal evolution, predictors, and mediation. Journal of Traumatic Stress, 27, 224–231.CrossRefGoogle ScholarPubMed
Pulte, D. & Brenner, H. (2010). Changes in survival in head and neck cancers in the late 20th and early 21st century: A period analysis. The Oncologist, 15, 994–1001.Google Scholar
R Development Core Team (2011). R: A language and environment for statistical computing. Vienna: R Foundation for Statistical Computing.Google Scholar
Rogers, L.Q., Courneya, K.S., Robbins, K.T., et al. (2006). Physical activity and quality of life in head and neck cancer survivors. Supportive Care in Cancer, 14, 1012–1019.Google Scholar
Satin, J.R., Linden, W. & Phillips, M.J. (2009). Depression as a predictor of disease progression and mortality in cancer patients: A meta-analysis. Cancer, 115, 5349–5361.Google Scholar
Semple, C.J., Dunwoody, L., George Kernohan, W., et al. (2008). Changes and challenges to patients’ lifestyle patterns following treatment for head and neck cancer. Journal of Advanced Nursing, 63, 85–93.Google Scholar
Semple, C., Parahoo, K., Norman, A., et al. (2013). Psychosocial interventions for patients with head and neck cancer. The Cochrane Database of Systematic Reviews, 7. doi:10.1002/14651858.CD009441.pub2Google Scholar
Shiraz, F., Rahtz, E., Bhui, K., et al. (2014). Quality of life, psychological wellbeing and treatment needs of trauma and head and neck cancer patients. The British Journal of Oral & Maxillofacial Surgery, 52, 513–517.Google Scholar
Singer, S., Danker, H., Dietz, A., et al. (2008). Screening for mental disorders in laryngeal cancer patients: A comparison of six methods. Psycho-Oncology, 17, 280–286.Google Scholar
Tuomi, L., Andréll, P. & Finizia, C. (2014). Effects of voice rehabilitation after radiation therapy for laryngeal cancer: A randomized controlled study. International Journal of Radiation Oncology, Biology, Physics, 89, 964–972.Google Scholar
Zeller, J.L. (2006). High suicide risk found for patients with head and neck cancer. The Journal of the American Medical Association, 296, 1716–1717.CrossRefGoogle ScholarPubMed
Zigmond, A.S. & Snaith, R.P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370.Google Scholar