Suicide risk among cancer survivors: Head and neck versus other cancers

Cancer, Год журнала: 2018, Номер 124(20), С. 4072 - 4079

Опубликована: Окт. 15, 2018

Cancer survivors face psychosocial issues that increase their risk of suicide. This study examined the suicide across cancer sites, with a focus on head and neck (HNC).The Surveillance, Epidemiology, End Results 18-registry database (from 2000 to 2014) was queried for top 20 sites in database, including HNC. The outcome interest as cause death. mortality rate from estimated HNC compared rates 19 other were included study. Poisson regression used estimate adjusted ratios (aRRs) 95% confidence intervals (CIs) 1) versus non-HNC (the combined), 2) each individual site. Models stratified by sex, controlling race, marital status, age, year, stage at diagnosis.There 404 suicides among 151,167 2014, yielding 63.4 per 100,000 person-years. In this timeframe, there 4493 observed 4219,097 sample, an incidence 23.6 Compared cancers, almost 2 times more likely die (aRR, 1.97; CI, 1.77-2.19). There 27% during period 2010 2014 1.27; 1.16-1.38) 2004.Although survival have improved because treatments, death remains problem survivors, particularly those

Язык: Английский

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Prevalence and Risk Factors of Suicidal Ideation among Patients with Head and Neck Cancer: Longitudinal Study

Otolaryngology, Год журнала: 2018, Номер 159(5), С. 843 - 852

Опубликована: Июнь 5, 2018

Objectives (1) Determine 1‐year period prevalence of suicidal ideation, suicide attempt, and completed among patients newly diagnosed with a first occurrence head neck cancer (HNC). (2) Characterize stability trajectory ideation over the year following diagnosis. (3) Identify at risk ideation. Study Design Prospective longitudinal study follow‐up. Setting Three university‐affiliated outpatient departments otolaryngology–head surgery. Subjects Methods The comprised representative sample 223 consecutive who were (<2 weeks) primary HNC, ≥18 years old able to consent, had Karnofsky Performance Scale score ≥60. Patients Beck for Suicidal Ideation Structured Clinical Interview DSM‐IV‐TR Axis I Disorders. Results Sixteen percent (15.7%) HNC <1 from diagnosis, point prevalences 8.1% <2 weeks, 14.8% 3 months, 9.4% 6 10.4% 12 months; 0.4% committed within 0.9% attempted suicide. An priori comprehensive conceptual model revealed 2 predictors in HNC: psychiatric history ( P =. 017, β = 2.1, 95% CI 0.4‐3.8) coping diagnosis by using substances (alcohol/drugs; 008, 0.61, 0.16‐1.06). All other predictors, including medical nonsignificant. A clinical assessment low 71.4% medium high 28.6%. Conclusion Suicide prevention strategies are clearly needed as part routine care oncology, well their integration into practice guidelines HNC.

Язык: Английский

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Health literacy impacts self-management, quality of life and fear of recurrence in head and neck cancer survivors

Journal of Cancer Survivorship, Год журнала: 2021, Номер 15(6), С. 855 - 865

Опубликована: Янв. 9, 2021

Язык: Английский

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Acceptance and commitment therapy versus mindfulness-based stress reduction for newly diagnosed head and neck cancer patients: A randomized controlled trial assessing efficacy for positive psychology, depression, anxiety, and quality of life

PLoS ONE, Год журнала: 2022, Номер 17(5), С. e0267887 - e0267887

Опубликована: Май 10, 2022

Background and aim Head neck cancer patients are vulnerable to various psychological complications due the effects of both itself treatment on patients’ appearance physical well-being. Nevertheless, few data have been obtained effective psychosocial interventions that could protect this group Therefore, three-armed, parallel-group, double-blind, randomized control trial (RCT) aims evaluate compare acceptance commitment therapy (ACT) mindfulness-based stress reduction (MBSR) positive psychology (such as posttraumatic growth [PTG], hope, optimism), quality life (QoL), (depression, anxiety, experiential avoidance) among newly diagnosed head patients. Methods analysis This RCT will target who treated only with surgery or not yet received any treatment. In total, 120 meet all study’s inclusion criteria none its exclusion be randomly assigned into three groups—an ACT group, an MBSR a treatment-as-usual group—at 1:1:1 allocation ratio. Participants in two intervention groups (the groups) undergo eight-week program. During program, each comprise eight modules based MBSR, respectively. Outcome assessments performed across three-point timeline, including before (t 0 ), immediately after at weeks 1 six months 2 ). The primary outcome assessed during is PTG. Meanwhile, secondary outcomes evaluated study such QoL, optimism, depression, avoidance. Trial registration number NCT04800419 (ClinicalTrials.gov). Registered March 16, 2021.

Язык: Английский

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The Effect of Expressive Writing on the Experiences of Head and Neck Cancer Patients Undergoing Radiotherapy: A Randomized Controlled Trial

Cancer Medicine, Год журнала: 2025, Номер 14(1), С. 1 - 12

Опубликована: Янв. 1, 2025

ABSTRACT Background Expressive writing (EW) has emerged as an innovative strategy for improving mood and quality of life. Nevertheless, insufficient research been conducted on the impact offering EW to patients with HNC. Therefore, purpose this study was investigate effects two forms anxiety, depression, nutrition, sleep in HNC undergoing radiotherapy. Methods We a single‐blind, pretest, posttest, three‐group randomized controlled trial. A total 147 were randomly assigned benefit‐finding group, neutral or control group. The intervention group performed during radiotherapy, each session lasting 20 min, once week 4 consecutive weeks. Patient nutritional status, measured at baseline (T0) end radiotherapy (T1). Results After weeks intervention, BF NW groups experienced improvements ( p < 0.05) compared those CG but did not significantly affect patients' status > 0.05). Compared CG, anxiety slowed down trend increasing repeated measures analysis revealed significant × time interaction = 0.017, F 4.205, η 2 0.059). depression levels lower than baseline, measurement that effect between 0.000, 16.262, 0.194). progressively worsened from T0 T1 0.01), whereas BF, it improved 0.01). Conclusions This provides preliminary evidence are effective alleviating their status. Trial Registration: ChiCTR2400084964

Язык: Английский

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Sociodemographic and Clinical Determinants of 12‐Month Decision Regret for Head and Neck Cancer Patients

Otolaryngology, Год журнала: 2025, Номер unknown

Опубликована: Янв. 31, 2025

This study aims to identify factors associated with increased decision regret (DR) 12 months following treatment among head and neck cancer (HNC) patients. A retrospective observational cohort study. Patients newly diagnosed HNC at an academic tertiary care center from 2018 2023. Data a patient registry assessing quality of life (QOL), DR, social support, anxiety initial diagnosis post-treatment were analyzed. Only patients who completed the questionnaire included. Among 225 participants, 60% experienced mild DR 28% reported moderate severe regret. Stronger was advanced disease presentation, free flap reconstructive surgery, chemoradiation, recurrence. more had lower QOL baseline months, higher support months. Multivariable analysis identified multimodal including radiation (adjusted odds ratio [aOR] 3.67, 95% confidence interval [CI] [1.25-10.78], P = .018), 12-month (aOR 1.03, CI [1.00-1.05], .039), decreases in [1.00-1.06], .024) as independent predictors DR. Treatment involving radiation, concurrent diminished are after treatment. highlights potential interventions aimed enhancing addressing treatment-related sequelae, strengthening shared decision-making prevent Further studies needed elucidate driving subgroups assess efficacy proposed mitigative interventions.

Язык: Английский

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Morbidity of Head and Neck Cancer

Опубликована: Янв. 1, 2025

Язык: Английский

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Poor sleep quality among newly diagnosed head and neck cancer patients: prevalence and associated factors

Supportive Care in Cancer, Год журнала: 2020, Номер 29(2), С. 1035 - 1045

Опубликована: Июнь 22, 2020

Abstract Background Head and neck cancer (HNC) patients often suffer from distress attributed to their diagnosis which may disturb sleep. However, there is lack of research about poor sleep quality among newly diagnosed HNC patients. Therefore, our aim was investigate the prevalence associated factors before starting treatment. Materials methods A cross-sectional study conducted using baseline data NET-QUBIC study, an ongoing multi-center cohort in Netherlands. Poor defined as a Pittsburgh Sleep Quality Index (PSQI) total score > 5. Risk examined were sociodemographic (age, sex, education level, living situation), clinical characteristics (HNC subsite, tumor stage, comorbidity, performance status), lifestyle factors, coping styles, symptoms. Results Among 560 patients, 246 (44%) had start Several found be significantly with sleep: younger age (odds ratio [OR] for each additional year 0.98, 95% CI 0.96–1.00), being female (OR 2.6, 1.7–4.1), higher passive style 1.18, 1.09–1.28), more oral pain 1.10, 1.01–1.19), less sexual interest enjoyment 1.13, 1.06–1.20). Conclusion highly prevalent Early evaluation tailored intervention improve are necessary prepare these treatment its consequences.

Язык: Английский

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Effectiveness of Comprehensive Intervention Programme on Quality of life, fatigue, self-efficacy, and psychosocial distress among head and neck cancer patients receiving radiotherapy

Supportive Care in Cancer, Год журнала: 2024, Номер 32(4)

Опубликована: Март 7, 2024

Abstract Purpose The study aimed at evaluating the Effectiveness of Comprehensive Intervention Programme (CIP) on Quality life (QOL), fatigue, self-efficacy, and psychosocial distress among Head Neck Cancer (HNC) patients receiving radiotherapy treatment. Methods Single-centre non-RCT time series was conducted 134 HNC (67 observed, followed by 67 subjected to CIP). FACT- H&N, FACT-F, Behavior Inventory scales were used assess QOL, respectively. CIP provided intervention arm twice a week during course radiation therapy along with standard care; control received only care. Data collected before commencing radiotherapy, post-test assessments carried out end treatment, 3 6 months after completion radiotherapy. Results Repeated measures ANOVA revealed statistically significant improvement in QOL ( F (1.917) = 454.103, p 0.001), fatigue (2.106) 183.775, self-efficacy (2.429) 190.861, (2.288) 290.105, 0.001) arm. Conclusion implemented address multitude issues proved be effective reducing impact treatment

Язык: Английский

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Demographic Disparities in Diagnosis and Treatment of Anxiety and Depressive Disorders in Head and Neck Cancer Survivors

Head & Neck, Год журнала: 2025, Номер unknown

Опубликована: Фев. 10, 2025

The associations between head and neck cancer (HNC) anxiety depression are well-known, but knowledge regarding the association demographic factors rates of diagnosis treatment for these disorders among HNC survivors is incomplete. This retrospective study utilized propensity score matching to compare selected new and/or depressive disorder diagnoses those by sex, race, ethnicity, language. Results suggested lower likelihood individuals male any minority, African American, Asian, Other while were higher native Hawaiian/Pacific Islanders. Treatment with pharmacotherapy was less likely minority American Asian Hispanic Spanish suggests that mental health may be inequitable, although further research necessary confirm understand underlying mechanisms.

Язык: Английский

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