Psychological Distress and Illness Perceptions in Thyroid Cancer Survivors: Does Age Matter?

Husson, Olga; Poort, Hanneke; Sansom-Daly, Ursula M; Netea‐Maier, Romana T.; Links, Thera P.; Mols, Floortje

doi:10.1089/jayao.2019.0153

Cited by 14 publications

(16 citation statements)

References 39 publications

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“…The association between patients’ perceptions and anxiety, depression, or QoL in TC has been reported in 16 studies [ 17 , 34 - 36 , 40 , 43 , 44 , 46 , 71 - 78 ]. Patients’ worries over recurrence were linked to impaired QoL [ 35 ].…”

Section: Resultsmentioning

confidence: 99%

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The "not so good" thyroid cancer: a scoping review on risk factors associated with anxiety, depression and quality of life

et al. 2023

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The incidence of thyroid cancer has increased in recent years, leading to a growing number of survivors facing lifelong consequences. This scoping review investigated anxiety, depression, and quality of life (QoL) in thyroid cancer survivors compared to the general population, those with benign pathology, and survivors of other types of cancers. Moreover, we aimed to identify the risk factors associated with anxiety, depression, and QoL in thyroid cancer patients. A total of 727 articles were identified through PubMed, ProQuest, Cochrane, and Google Scholar databases, and 68 articles that met the criteria were selected for data extraction. Thyroid cancer survivors have a poorer QoL compared to the general population, population with benign pathology, and survivors of other types of cancer associated with worse clinical outcomes. The main risk factors are grouped into socioeconomic factors, disease-specific factors, management factors, comorbidities, and patient perceptions. Effective communication between the patient and the medical team and behavioral interventions may reduce these risks. Despite the common perception of thyroid cancer as a "good cancer," the findings of this review demonstrate the need to address the risk factors associated with increased anxiety, depression, and lower QoL in survivors.

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Section: Resultsmentioning

confidence: 99%

“…[ 76 ] found that fear of recurrence and fear of exhausting effective treatment options in the future were related to increased anxiety levels. In addition, several studies [ 36 , 44 , 77 ] showed that perceived stress, or having more negative perceptions of cancer, was associated with lower QoL. Kurumety et al .…”

Section: Resultsmentioning

confidence: 99%

The "not so good" thyroid cancer: a scoping review on risk factors associated with anxiety, depression and quality of life

et al. 2023

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“…Patients treated for TC have been previously shown to have dissatisfaction and unmet information and psychological needs with their initial workup and treatment for their cancer. 18,20,36,40,41 Our approach, enabling survivors to articulate their experiences through free-text response, elucidated the salient aspects of their experience that made them respond as they did to the closed items. A key finding of this study is that misunderstanding and unmet expectations resulted when patients were unaware that subsequent treatment options would be informed by the results of preceding steps.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Analysis of Unmet Information Needs Among Patients With Thyroid Cancer

Karcioglu

Dhillon

Davies

et al. 2023

JAMA Otolaryngol Head Neck Surg

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ImportanceCounseling prior to thyroid cancer (TC) treatment is an essential component of informed consent. An informed patient affects treatment-related expectations and patient engagement, factors that contribute significantly to patient-reported quality-of-life outcomes.ObjectiveTo describe experiences with pretreatment counseling among survivors of TC and to test factors associated with self-reported treatment meeting expectations.Design, Setting, and ParticipantsA cross-sectional survey was administered between October 18, 2019, and February 8, 2020, to members of ThyCa: Thyroid Cancer Survivors’ Association Inc, and to individuals accessing the public-facing ThyCa website. Survey respondents were asked 55 questions, including 4 free-text questions and 2 multiple-choice questions about pretreatment counseling.Main Outcomes and MeasuresRespondents self-reported (1) their unmet information needs, (2) rates of treatment meeting expectations, and (3) rates of treatment understanding. A mixed-methods analysis was performed, including qualitative content analysis of free-text responses and multivariable logistic regression of factors associated with self-reported levels of treatment meeting expectations.ResultsOf the 1412 survey respondents, 1249 were women (88.4%). The median age at diagnosis was 48 years (range, 18-85 years), and the median age at the time of survey completion was 60 years (range, 18-87 years). A total of 1259 respondents (89.2%) provided free-text responses to the question, “What would you tell someone newly diagnosed with your same condition?” Of these individuals, 526 (37.2%) reported inadequate pretreatment plan understanding and 578 (40.9%) reported that their treatment experience did not meet their expectations. Treatment met expectations for only 95 respondents (18.1%) reporting an inadequate pretreatment plan understanding. Of the 526 survivors of TC reporting a lack of understanding, 473 (90.0%) provided additional textual comments, most commonly in the categories of postoperative treatment, surveillance, and treatment effects. On multivariable logistic regression, self-reported failure to have an understanding of TC treatment was independently associated with failure of treatment to meet expectations (odds ratio, 5.1 [95% CI, 3.7-6.9]). Patients reporting a full understanding of their treatment plan were 5-fold more likely to indicate that their initial treatment experience was on par with expectations, independent of reported postoperative complications, age, sex, and other potential confounders.Conclusions and RelevanceIn this survey study, a substantial proportion of survivors of TC reported inadequate pretreatment understanding. This gap in understanding was associated with high levels of self-reported failure of treatment to meet expectations, which in turn is associated in other studies with poorer patient-reported quality-of-life outcomes. These outcomes may be improved by addressing gaps in patient understanding so expectations more closely match TC diagnosis and treatment pathways.

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“…Differentiated thyroid cancer (DTC), arising from thyroid follicular cells that include both papillary and follicular types, is the most common endocrine malignancy with increasing incidence rates. 1 , 2 The thyroid gland, consisting of two connected lobes, is one of the largest endocrine glands in the human body, weighing 20–30 g in adults. Thyroid lesions are often found on the gland, with a prevalence of 4–7%.…”

Section: Introductionmentioning

confidence: 99%

Effect of Psychological Intervention on Differentiated Thyroid Cancer Patients in the Treatment with Radioactive Iodine

Liu¹,

Zuo²,

Liu³

et al. 2023

PPA

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Objective This study aimed to design a standard method of psychological intervention and evaluate the effect of such psychological intervention against the psychological distress of differentiated thyroid cancer (DTC) patients in the treatment with radioactive iodine. Methods The enrolled patients were randomly divided into the intervention group and the control group. Both the patients in the 2 groups received the routine nursing care, while the patients in the intervention group also received the additional standard psychological interventions. The questionnaires including patient health questionnaire-9 (PHQ-9), generalized anxiety disorder 7-item (GAD-7), cancer fatigue scale (CFS) and positive and negative affect schedule (PANAS) were used to assess psychological status. These questionnaires were performed at week 0 (T0), week 8 (T1, immediately after the last time of intervention) and week 24 (T2, 16 weeks after the intervention). Results PHQ-9, GAD-7, CFS and Negative Affect (NA) scores measured at T1 and T2 in the intervention group were significantly lower than those in the control group ( P < 0.001). And intervention group also had higher positive affect (PA) scores at T1 and T2 ( P < 0.001). Furthermore, the changes of PHQ-9, GAD-7, CFS, PA and NA scores from T0 to T1 and T0 to T2 were more evident in the intervention group than in the control group. Conclusion Psychological intervention could significantly improve psychological distress of DTC patients in the treatment with radioactive iodine.

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Psychological Distress and Illness Perceptions in Thyroid Cancer Survivors: Does Age Matter?

Cited by 14 publications

References 39 publications

The "not so good" thyroid cancer: a scoping review on risk factors associated with anxiety, depression and quality of life

The "not so good" thyroid cancer: a scoping review on risk factors associated with anxiety, depression and quality of life

Analysis of Unmet Information Needs Among Patients With Thyroid Cancer

Effect of Psychological Intervention on Differentiated Thyroid Cancer Patients in the Treatment with Radioactive Iodine

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