The relationship between depressive symptoms and initial quality of life and function in head and neck cancer

Chan, Jason Y. K.; Lua, Lannah L.; Starmer, Heather H.; Sun, Daniel Q.; Rosenblatt, Elizabeth; Gourin, Christine G.

doi:10.1002/lary.21788

Cited by 33 publications

(38 citation statements)

References 33 publications

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“…In a study of HNC patients with (versus without) persistent posttreament depressive symptomatology (i.e., patients with consistently elevated BDI scores for six months or more beyond the conclusion of treatment), Karnell and colleagues (2006) reported that patients experiencing persistent depressive affect were more likely to report worse HNC-specific HRQOL outcomes after adjusting for various clinical characteristics. Similar results have been found in other studies measuring depressive symptomatology and/or more general distress in HNC patients (e.g., Bornbaum, Fung, Franklin, Nichols, Yoo, & Doyle, 2011; Chan, Lua, Starmer, Sun, Rosenblatt, & Gourin, 2011; de Leeuw, de Graeff, Ros, Blijham, Hordijk, & Winnubst, 2000a). …”

Section: Psychological Factors In Hncsupporting

confidence: 91%

Psychological factors associated with head and neck cancer treatment and survivorship: Evidence and opportunities for behavioral medicine.

Howren

Christensen

Karnell

et al. 2013

Journal of Consulting and Clinical Psychology

157

151

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Individuals diagnosed with head and neck cancer (HNC) face not only a potentially life-threatening diagnosis, but must endure treatment that often results in significant, highly visible disfigurement and disruptions of essential functioning, such as deficits or complications in eating, swallowing, breathing, and speech. Each year, approximately 650,000 new cases are diagnosed, making HNC the sixth most common type of cancer in the world. Despite this, however, HNC remains understudied in behavioral medicine. In this article, the authors review available evidence regarding several important psychosocial and behavioral factors associated with HNC diagnosis, treatment, and recovery, as well as various psychosocial interventions conducted in this patient population, before concluding with opportunities for behavioral medicine research and practice.

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Section: Psychological Factors In Hncsupporting

confidence: 91%

Psychological factors associated with head and neck cancer treatment and survivorship: Evidence and opportunities for behavioral medicine.

Howren

Christensen

Karnell

et al. 2013

Journal of Consulting and Clinical Psychology

157

151

View full text Add to dashboard Cite

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“…31–37 They are also behavioral factors associated with poorer HRQOL. 38,39 In our cohort, only 2% of African Americans never smoked, compared to approximately 21% of non-Hispanic whites who never smoked. At the time of the survey, we found equal percentages (26%) of current smokers; however, 46% of African Americans recently quit smoking since being diagnosed with cancer, relative to 22% of non-Hispanic whites.…”

Section: Discussionmentioning

confidence: 66%

Health‐related quality of life differences between African Americans and non‐Hispanic whites with head and neck cancer

et al. 2012

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Background Cancers of the head and neck are associated with detriments in health-related quality of life (HRQOL), however little is known about different experiences between African Americans and non-Hispanic whites. Methods HRQOL was measured by the Functional Assessment of Cancer Therapy – Head and Neck approximately five months post diagnosis among 222 cancer patients from North Carolina. Higher scores represent better HRQOL. Regression models included sociodemographic characteristics and clinical factors. Results African Americans reported higher Physical Well-Being than Caucasians (adjusted means 23.1 vs 20.9). African Americans with incomes <$20,000 reported higher Emotional Well-Being (21.4) and fewer head and neck symptoms (22.0). Non-Hispanic whites making <$20,000 reported the poorest Emotional Well-Being (17.3) while African Americans making >$20,000 reported the most head and neck symptoms (18.7). Conclusions Further investigation is needed to explore variation in HRQOL experiences among different race and socio-economic groups that may inform resource allocation to improve cancer care.

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“…Allison [74], however, reported a significant association with pain and employment when comparing unemployed patients with employed or retired patients. Chan et al [75] examined the medical records of 77 head and neck cancer patients, finding an association of divorced status with poorer pain. A study conducted in France and Canada on a group of oral, larynx and pharynx cancer patients [59] reported that French-speaking Canadians complained of significantly more pain than did English-speaking Canadians and French-speaking French head and neck cancer patients, even when controlled for possible socio-demographic and clinical predictors.…”

Section: Resultsmentioning

confidence: 99%

Head and Neck Cancer Pain: Systematic Review of Prevalence and Associated Factors

Macfarlane¹,

Wirth²,

Ranasinghe³

et al. 2012

JOMR

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ObjectivesPain is a major symptom in patients with cancer; however information on head and neck cancer related pain is limited. The aim of this review was to investigate the prevalence of pain and associated factors among patients with HNC.Material and MethodsThe systematic review used search of MEDLINE, EMBASE and CINAHL databases to December 2011. Cancers of the oral mucosa, oropharynx, hypopharynx and larynx were included in this review with pain as main outcome. The review was restricted to full research reports of observational studies published in English. A checklist was used to assess the quality of selected studies.ResultsThere were 82 studies included in the review and most of them (84%) were conducted in the past ten years. Studies were relatively small, with a median of 80 patients (IQR 44, 154). The quality of reporting was variable. Most studies (77%) used self-administered quality of life questionnaires, where pain was a component of the overall scale. Only 33 studies reported pain prevalence in HNC patients (combined estimate from meta-analysis before (57%, 95% CI 43% - 70%) and after (42%, 95% CI 33% - 50%) treatment. Only 49 studies (60%) considered associated factors, mostly tumour- or treatment-related.ConclusionsThe study has shown high levels of pain prevalence and some factors associated with higher levels of pain. There is a need for higher quality studies in a priority area for the care of patients with head and neck cancer.

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The relationship between depressive symptoms and initial quality of life and function in head and neck cancer

Cited by 33 publications

References 33 publications

Psychological factors associated with head and neck cancer treatment and survivorship: Evidence and opportunities for behavioral medicine.

Psychological factors associated with head and neck cancer treatment and survivorship: Evidence and opportunities for behavioral medicine.

Health‐related quality of life differences between African Americans and non‐Hispanic whites with head and neck cancer

Head and Neck Cancer Pain: Systematic Review of Prevalence and Associated Factors

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