Key result
Persistent psychological distress was reported by 52.5% of patients with head and neck cancer and was significantly associated with lower physical and emotional well-being (p<0.01).
Observational (n=160)
No
p-value: p=<0.01
Impaired physical and emotional function is associated with persistent psychological distress in hospitalized patients with head and neck cancer.
Impaired physical/emotional function was associated with persistent distress in hospitalized HNC patients; leaves open whether targeted support improves outcomes.
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.
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Ichikura et al. (2015) conducted an observational in Head and neck cancer (n=160). Impaired physical and emotional well-being vs. Higher physical and emotional well-being was evaluated on Persistence of psychological distress (p=<0.01). Persistent psychological distress was reported by 52.5% of patients with head and neck cancer and was significantly associated with lower physical and emotional well-being (p<0.01).
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