Quality of life, anxiety, and depression in the head-and-neck cancer patients, undergoing intensity-modulated radiotherapy treatment

Nikoloudi, Maria; Lymvaios, Ioannis; Zygogianni, Anna; Parpa, Efi; Strikou, Dimitra-Aspasia; Tsilika, Eleni; Kouloulias, Vassilis; Mystakidou, Kyriaki

doi:10.4103/ijpc.ijpc_168_19

Cited by 9 publications

(6 citation statements)

References 35 publications

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“…Undoubtedly, there is a growing interest in the QOL of oral cancer patients after their treatment [ 8 , 9 ]. In Greece, to the best of our knowledge, there are a limited number of studies assessing QOL in oral cancer patients [ 10 , 11 ], which is what stimulated our interest to further investigate this construct. The purpose of the present study was to assess oral cancer patients’ QOL after the completion of surgical therapy, and to investigate factors affecting it.…”

Section: Introductionmentioning

confidence: 99%

Quality of Life in Oral Cancer Patients in Greek Clinical Practice: A Cohort Study

Lavdaniti

Tilaveridis

Palitzika

et al. 2022

JCM

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Cancer of the oral cavity is one of the most common cancers all over the world. Oral cancer and its treatment impacts on patients’ Quality of Life (QOL). The purpose of the present study was to assess oral cancer patients’ QOL after the completion of surgical therapy, and to investigate factors affecting it. This was a prospective cohort study, conducted at the Department of Oral & Maxillofacial Surgery, of a large general public hospital in Northern Greece. The sample consisted of 135 consecutive eligible cancer patients. Three distinct questionnaires were used. The first one included questions regarding the participants’ demographic characteristics and relevant clinical information. The second comprised the European Organization for Research and Treatment core module (EORTC QLQ-C30) and its head and neck module EORTC QLQ-H&N35. The third was the Functional Assessment of Cancer Therapy–General (FACT-G) assessment of quality of life. We also included the physician-completed Karnofsky scale to assess the functional status of the participants. We found that location of the tumor affects QOL and specifically social contact (H = 17.89, p = 0.001), on the first assessment, and nutritional supplements (H = 22.49, p = 0.000), on the fourth assessment. QOL in patients deteriorates immediately after treatment but significantly improves over time. Health care professionals should take into account these results and arrange care plans in order to find ways to increase patients’ QOL.

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Section: Introductionmentioning

confidence: 99%

Quality of Life in Oral Cancer Patients in Greek Clinical Practice: A Cohort Study

Lavdaniti

Tilaveridis

Palitzika

et al. 2022

JCM

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“…Nevertheless, despite the relatively low rates of psychological comorbidity seen in our cohort, the routine assessment of mental health conditions should be prioritized in the management of patients with H&N cancer in Pakistan. Both anxiety and depression tend to worsen with time over the course of H&N cancer treatment [ 42 ], with consequent impairment of QoL [ 43 ]. Lastly, while resilience was significantly associated with QoL on the GLM-MANOVA multifactor models, it did not remain significantly protective of global QoL on adjusted multivariable regression.…”

Section: Discussionmentioning

confidence: 99%

Clinical and psychosocial factors associated with quality of life in patients with head and neck cancer: an analytical cross-sectional study from a lower-middle-income country

Zahid,

Martins,

Dawood

et al. 2023

BMC Psychol

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Introduction The disease course of head and neck (H&N) cancer can severely impair patients’ quality of life (QoL). In Pakistan, a South Asian lower-middle-income country (LMIC), psychosocial factors may impact QoL. We aimed to assess QoL and associated factors amongst patients with H&N cancer in Pakistan. Methods An analytical cross-sectional study was conducted amongst adult (≥ 18 years) patients with H&N cancer who were ≥ 4 weeks post-initiation of treatment. The survey assessed QoL (European Organization for Research and Treatment of Cancer Quality of Life Questionnaires), anxiety and depression (Hospital Anxiety and Depression Scale), and social support (Enriched Social Support Instrument). Multivariable linear regression was performed for analysis. Results A total of 250 patients (mean age: 51.6 years) were included. The majority of patients were married (87%) and living with multigenerational/extended family households (53%). On multivariable linear regression, ongoing cancer treatment (beta coefficient: -13.93), having a tracheostomy (-10.02), and receiving adjuvant chemoradiotherapy (-8.17) were significantly associated with poorer global QoL. Additionally, poorer QoL was associated with depression (-24.37) and anxiety (-13.34). However, having more household family members was associated with better global QoL (0.34). Conclusion The QoL of patients with H&N cancer in Pakistan is affected by both the nature of cancer treatment as well as sociocultural factors such the number of household family members. Given that poorer QoL is associated with worse mental health outcomes, there is a need to develop and implement psychosocial interventions to improve the QoL of patients with H&N cancer in Pakistan, particularly during active treatment.

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“…Pre-and post-treatment anxieties and depression are common in patients with cancer who undergo radiation therapy [1,2]. Fear of radiotherapy machines, lack of patient education before radiotherapy, and possible short-and long-term side effects such as skin reactions, dry mouth, fatigue, mucositis, dysphagia, lymphedema, nausea and vomiting, diarrhea, radiation cystitis, and sexual problems after radiotherapy may all cause anxiety and depression in affected patients [3].…”

Section: Introductionmentioning

confidence: 99%

“…Factors like being diagnosed with cancer, coupled with severe anxiety and even depression before, during, and after therapy further deteriorate psychological well-being of patients, which in turn leads to prolonged hospital stay, reduction in survival, and poor compliance with therapy [6]. In all chronic diseases, including cancer, the primary objective of oncology nurses should be to collaborate with other members of the healthcare team and maintain the patient's quality of life at an optimal level [1][2][3][4]. By assessing the anxiety and depression levels of patients scheduled to receive radiation therapy, nurses can develop a comprehensive care plan that promotes the emotional well-being of cancer patients [7,8].…”

Section: Introductionmentioning

confidence: 99%

“…By assessing the anxiety and depression levels of patients scheduled to receive radiation therapy, nurses can develop a comprehensive care plan that promotes the emotional well-being of cancer patients [7,8]. Although there has been some research into anxiety, depression, and quality of life in cancer patients receiving radiotherapy [1,[9][10][11][12][13], there is no observational or descriptive study that specifically examines the effects of anxiety and depression on quality of life in cancer patients before and after radiotherapy. In addition, there is limited research on cancer patients' experiences of anxiety and depression before and after radiotherapy, as most studies focus on these issues in the context of general cancer and chemotherapy [14,15].…”

Section: Introductionmentioning

confidence: 99%

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Kanser Hastalarında Radyoterapiye Bağlı Anksiyete ve Depresyonun Yaşam Kalitesine Etkisi

ARIKAN,

ÖZTÜRK,

YERLİ

et al. 2023

Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

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Abstract Objective: This study, the effects of radiotherapy were determined by evaluating the anxiety and depression levels and quality of life of cancer patients before and after radiotherapy. Materials and Methods: A descriptive and an observational study design. Patient Information Form, Hospital Anxiety Depression Scale (HADS) and The European Organization for Research and Treatment (EORTC QLQ–C30) were used to collect data before and after radiotherapy. The data were analyzed by chi-square test, t-test and multivariate regression analysis. Results: There was a statistically significant difference between mean scores for the subscales of the quality of life scale before and after radiotherapy. Anxiety and depression before radiotherapy were found to affect the emotional function subscale by 52% and anxiety after radiotherapy by 67%. Conclusion: Oncology nurses should evaluate the anxiety and depression levels of cancer patients receiving radiotherapy. All cancer patients who will receive radiotherapy for the first time should receive a detailed education about before, during and after radiotherapy. Keywords: Radiotherapy, Anxiety, Depression, Quality of Life

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Quality of life, anxiety, and depression in the head-and-neck cancer patients, undergoing intensity-modulated radiotherapy treatment

Cited by 9 publications

References 35 publications

Quality of Life in Oral Cancer Patients in Greek Clinical Practice: A Cohort Study

Quality of Life in Oral Cancer Patients in Greek Clinical Practice: A Cohort Study

Clinical and psychosocial factors associated with quality of life in patients with head and neck cancer: an analytical cross-sectional study from a lower-middle-income country

Kanser Hastalarında Radyoterapiye Bağlı Anksiyete ve Depresyonun Yaşam Kalitesine Etkisi

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