Further analysis of the emotional consequences of head and neck cancer as reflected by the Patients’ Concerns Inventory

Kanatas, Anastasios; Humphris, Gerry; Lowe, Derek; Rogers, Simon N.

doi:10.1016/j.bjoms.2015.02.026

Cited by 14 publications

(7 citation statements)

References 39 publications

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“…Similarly, anxiety (high arousal) has been found to be higher during pre-treatment versus follow-up clinics, as used for this study [40]. Pitch therefore seems to be a sensitive enough measure for circumstances with comparatively lower levels of anxiety and it may be beneficial to add this measure to other coding schemes.…”

Section: Discussionmentioning

confidence: 70%

Using fundamental frequency of cancer survivors’ speech to investigate emotional distress in out-patient visits

Kandsberger

Rogers

Zhou

et al. 2016

Patient Education and Counseling

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2 Highlights  Emotions in clinical conversations of cancer patients studied by a coding system and speech prosody  Emotional energy f0 was associated with cues and concerns as coded by VR-CoDES system  An additional aid to study emotional speech with potential to reveal hidden content and meaning AbstractObjective: Emotions, are in part conveyed by varying levels of fundamental frequency of voice pitch (f0). This study tests the hypothesis that patients display heightened levels of emotional arousal (f0) during Verona Coding Definitions of Emotional Sequences (VR-CoDES) cues and concerns versus during neutral statements. Methods:The audio recordings of sixteen head and neck cancer survivors' follow-up consultations were coded for patients' emotional distress. Pitch (f0) of coded cues and concerns, including neutral statements was extracted. These were compared using a hierarchical linear model, nested for patient and pitch range, controlling for statement speech length. Utterance content was also explored. Results:Clustering by patient explained 30% of the variance in utterances f0. Cues and concerns were on average 13.07 Hz higher than neutral statements (p = 0.02). Cues and concerns in these consultations contained content with a high proportion of recurrence fears. Conclusion:The present study highlights the benefits and challenges of adding f0 and potential other prosodic features to the toolkit of coding emotional distress in the health communication setting. Practice implications:The assessment of f0 during clinical conversations can provide additional information for research into emotional expression.3

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Section: Discussionmentioning

confidence: 70%

Using fundamental frequency of cancer survivors’ speech to investigate emotional distress in out-patient visits

Kandsberger

Rogers

Zhou

et al. 2016

Patient Education and Counseling

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“…There is evidence that consultations can be improved through clinicians developing skills in detecting and responding to patient distress, thereby improving their patients’ emotional functioning and reducing psychological distress [ 13 , 14 ]. Preliminary findings around the PCI suggest that its use in clinic allows emotional issues to be discussed more openly - notably fears of recurrence, anxiety and depression [ 15 , 16 ]. Hence the PCI could help clinician communication with patients in these important areas and consequently impact on how consultations are constructed.…”

Section: Introductionmentioning

confidence: 99%

Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: a cluster preference randomized controlled trial

et al. 2018

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BackgroundThe consequences of treatment for Head and Neck cancer (HNC) patients has profound detrimental impacts such as impaired QOL, emotional distress, delayed recovery and frequent use of healthcare. The aim of this trial is to determine if the routine use of the Patients Concerns Inventory (PCI) package in review clinics during the first year following treatment can improve overall quality of life, reduce the social-emotional impact of cancer and reduce levels of distress. Furthermore, we aim to describe the economic costs and benefits of using the PCI.MethodsThis will be a cluster preference randomised control trial with consultants either ‘using’ or ‘not using’ the PCI package at clinic. It will involve two centres Leeds and Liverpool. 416 eligible patients from at least 10 consultant clusters are required to show a clinically meaningful difference in the primary outcome. The primary outcome is the percentage of participants with less than good overall quality of life at the final one-year clinic as measured by the University of Washington QOL questionnaire version 4 (UWQOLv4). Secondary outcomes at one-year are the mean social-emotional subscale (UWQOLv4) score, Distress Thermometer (DT) score ≥ 4, and key health economic measures (QALY-EQ-5D-5 L; CSRI).DiscussionThis trial will provide knowledge on the effectiveness of a consultation intervention package based around the PCI used at routine follow-up clinics following treatment of head and neck cancer with curative intent. If this intervention is (cost) effective for patients, the next step will be to promote wider use of this approach as standard care in clinical practice.Trial registration32,382. Clinical Trials Identifier, NCT03086629. Protocol: Version 3.0, 1st July 2017.

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“…As shown in Table 9 , many studies have included substantial proportions of patients treated for oral cavity cancer with surgery alone. Irrespective of study design, younger patients appear more vulnerable, with the oldest patients (≥75 years) reporting low or lower rates of FCR ( 162 , 164 ). In a cross-sectional cohort of 136 patients with HPV-associated oropharyngeal cancer treated with definitive (chemo)radiotherapy Casswell et al.…”

Section: Psychosocial Distressmentioning

confidence: 99%

Health-Related Quality of Life, Psychosocial Distress and Unmet Needs in Older Patients With Head and Neck Cancer

et al. 2022

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Head and neck squamous cell carcinoma (HNSCC) is the most common cancer involving the mucosal surfaces of the head and neck and is associated with a number of etiological factors, including cigarette smoking, alcohol and betel nut consumption and exposure to high-risk human papillomavirus. The risk of HNSCC increases with age, peaking in the seventh and eighth decade, but this varies by anatomical and histological subtype. While several advancements have been made in the treatment of head and neck cancer (HNC) in recent decades, undertaking curative treatment still subjects the majority of HNSCC patients to substantial treatment-related toxicity requiring patients to tolerate a gamut of physical, psychological, and emotional demands on their reserves. In conjunction with other patient-related factors, clinicians involved in treating patients with HNSCC may incorporate advancing chronological age into their decision-making process when determining treatment recommendations. While advancing chronological age may be associated with increased concerns regarding physical treatment tolerability, clinicians may also be concerned about heightened vulnerability in various health and wellbeing outcomes. The available literature, however, does not provide evidence of this vulnerability in patients with advancing age, and, in many instances, older patients self-report greater resilience compared to their younger counterparts. While this data is reassuring it is limited by selection bias and heterogeneity in trial and study design and the absence of a consistent definition of the elderly patient with HNSCC. This narrative review article also includes a review of the measures used to assess HRQL, psychosocial outcomes and unmet needs in elderly or older patients with HNSCC.

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Further analysis of the emotional consequences of head and neck cancer as reflected by the Patients’ Concerns Inventory

Cited by 14 publications

References 39 publications

Using fundamental frequency of cancer survivors’ speech to investigate emotional distress in out-patient visits

Using fundamental frequency of cancer survivors’ speech to investigate emotional distress in out-patient visits

Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: a cluster preference randomized controlled trial

Health-Related Quality of Life, Psychosocial Distress and Unmet Needs in Older Patients With Head and Neck Cancer

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