Psychological impact after treatment in patients with head and neck cancer.

IF 2.2 3区 医学
I-M Reyes, M-J Arenilla, D Alarcón, J-C Jaenes, M Trujillo
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引用次数: 0

Abstract

Background: Cancer is the second cause of death all over the world and it causes considerable morbidity, disability, and treatment sequela, which often lead to post-treatment pain and disfigurement. This study aims to evaluate such physical sequelae, and their psychological, (cognitive and emotional), impact, in a cohort of patients treated for Head and Neck (HNC) cancer, in search for methods to help such patients deal effectively with the psychological effects of their cancer treatments adverse consequences.

Material and methods: The sample consists of 56 subjects, 47 men and 9 women, ranging from 47 years to 86 years of age, who were treated for head and neck cancers at Spanish Public General Hospital in the Otolaryngology Unit, Surgery Section. Two types of questionnaires were used in the study: the Questionnaire of Sequelae after Treatment of head and neck carcinoma and the State-Trait Anxiety Inventory (STAI-E and R).

Results: With respect to anxiety, the study found high levels of state anxiety which was significantly associated with the degree of perception of social stigma but was not associated with the post-treatment sequelae themselves nor with the level of discomfort that such symptomatic sequelae produced. The presence of a post-surgical stoma with cannula, increased patient's stigma (both components: external rejection and self-rejection) and state anxiety ratings, while there was no difference in state anxiety between cannulated and non-cannulated patients. There are few differences between men and women in terms of the presence of anxiety and their responses are similar in terms of the after-effects of surgery.

Conclusions: Our study confirmed that current treatments for Head and Neck carcinoma generate adverse symptomatic sequela that impose significant psychological and physical burden for these patients. We will discuss the various pathways for preventive intervention that these findings open up.

Abstract Image

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头颈癌患者治疗后的心理影响。
背景:癌症是全世界第二大死亡原因,它引起相当大的发病率、残疾和治疗后遗症,往往导致治疗后疼痛和毁容。本研究旨在评估头颈部(HNC)癌症患者的身体后遗症及其心理(认知和情绪)影响,以寻找方法帮助这些患者有效地应对癌症治疗不良后果的心理影响。材料和方法:样本包括56名受试者,47名男性和9名女性,年龄从47岁到86岁不等,他们在西班牙公立综合医院耳鼻喉科外科治疗头颈癌。研究采用了两种类型的问卷:头颈癌治疗后后遗症问卷和状态-特质焦虑量表(STAI-E和R)。结果:在焦虑方面,研究发现高水平的状态焦虑与社会污名的感知程度显著相关,但与治疗后后遗症本身和症状性后遗症所产生的不适程度无关。术后有套管造口会增加患者的耻辱感(包括外部排斥和自我排斥)和状态焦虑评分,而插管和未插管患者的状态焦虑没有差异。在焦虑的存在方面,男性和女性几乎没有什么不同,在手术后的反应方面,他们的反应是相似的。结论:我们的研究证实,目前头颈癌的治疗会产生不良的症状后遗症,给这些患者带来严重的心理和身体负担。我们将讨论这些发现开辟的预防干预的各种途径。
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来源期刊
CiteScore
4.50
自引率
0.00%
发文量
52
期刊介绍: 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology
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