头颈癌患者与其他耳鼻喉科患者心理合并症的评估

Jaymin A. Contractor, Rahul B. Patel, Jay N. Suratwala, V. Dave, Saumitra Nemlekar, Ravi V. Shah, R. Mehta
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引用次数: 0

摘要

•确定头颈癌(HNC)患者与其他耳鼻喉科患者相比心理合并症的患病率。•与其他耳鼻喉科患者相比,确定HNC患者需要精神治疗的人数。材料与方法:采用横断面研究。在年龄(±2岁)、性别、宗教、住址、社会经济状况匹配后,选择头颈部癌患者作为病例,并选择合适的对照。两组均完成两份生活质量问卷:医院焦虑抑郁量表(HADS)和贝克抑郁量表(BDI)。对抑郁、焦虑或任何其他精神疾病的进一步评估由精神科医生完成。结果:两组患者的HADS和BDI得分均显著高于对照组,抑郁、焦虑、自杀倾向和适应障碍发生率均高于对照组。结论:头颈癌患者的心理合并症患病率明显高于其他耳鼻喉科患者。衡量与健康有关的生活质量应作为治疗方案和病人管理的一个组成部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of Psychological Comorbidities in Patients with Head and Neck Cancer as Compared to Other ENT Patients
• To determine the prevalence of psychological comorbidities in head and neck cancer (HNC) patients as compared to other ENT patients. • To determine the number of HNC patients requiring psychiatric treatment as compared to other ENT patients. Materials and methods: A cross-sectional study was conducted. Patients with head and neck carcinoma were selected as cases and appropriate controls were selected after matching for age ( ± 2 years), sex, religion, address, and socioeconomic status. Both groups completed two quality of life questionnaires, Hospital Anxiety and Depression Scale (HADS), and Beck’s Depression Inventory (BDI) scale. Further evaluation for depression, anxiety, or any other psychiatric illnesses was done by a psychiatrist. Results: The cases scored significantly higher on the HADS and BDI scale and were found to have a higher incidence of depression, anxiety, suicidal tendencies, and adjustment disorders than their respective controls. Conclusion: The prevalence of psychological comorbidities is significantly higher in head and neck carcinoma patients as compared to other ENT patients. Measuring health-related quality of life should be incorporated as an integral part of the treatment regimen and patient management.
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