Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-21T16:32:45.907Z Has data issue: false hasContentIssue false
  • English
  • Français

Anxiety and depression in patients after surgery for head and neck cancer in Japan

Published online by Cambridge University Press:  06 October 2015

Miho Suzuki ,
Minako Deno ,
Mie Myers ,
Takahiro Asakage ,
Koji Takahashi ,
Kenichi Saito ,
Yoshiyuki Mori ,
Hiroto Saito ,
Yuji Ichikawa  and
Noriko Yamamoto-Mitani
...Show all authors
Miho Suzuki*
Affiliation:
Department of Nursing, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan
Minako Deno
Affiliation:
Graduate School of Education, University of Tokyo, Tokyo, Japan
Mie Myers
Affiliation:
Division of Community-Based Comprehensive Dentistry, Department of Special Needs Dentistry, School of Dentistry, Showa University, Tokyo, Japan
Takahiro Asakage
Affiliation:
Department of Head and Neck Surgery, Tokyo Medical and Dental University, Tokyo, Japan
Koji Takahashi
Affiliation:
Division of Oral Rehabilitation Medicine, Department of Special Needs Dentistry, School of Dentistry, Showa University, Tokyo, Japan
Kenichi Saito
Affiliation:
Department of Dentistry and Oral Surgery, Kanto Medical Center NTT EC, Tokyo, Japan
Yoshiyuki Mori
Affiliation:
Department of Dentistry, Oral and Maxillofacial Surgery, Jichi Medical University, Tochigi, Japan
Hiroto Saito
Affiliation:
Department of Dentistry and Oral Surgery, Tokyo Metropolitan Health and Medical Treatment Corporation, Ebara Hospital, Tokyo, Japan
Yuji Ichikawa
Affiliation:
Department of Oral Surgery, Tokyo Metropolitan Health and Medical Treatment Corporation, Toshima Hospital, Tokyo, Japan
Noriko Yamamoto-Mitani
Affiliation:
Department of Adult Health Nursing/Palliative Care Nursing, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
Mitsunori Miyashita
Affiliation:
Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Miyagi, Japan
*
Address correspondence and reprint requests to: Miho Suzuki, The Cancer Institute Hospital of the Japanese Hospital for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan. E-mail: msuzuk02@gmail.com.
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

The present study sought to examine the impact of physical symptoms, facial disfigurement, adequacy of preoperative information, and social support on anxiety and depression in Japanese patients with head and neck cancer (HNC) who had undergone surgery.

Method:

A cross-sectional study with 194 patients was conducted using a self-administered questionnaire. This instruments included the Hospital Anxiety and Depression Scale (HADS), the European Organization for Research and Treatment of Cancer (EORTC) Head and Neck cancer module (QLQ–H&N35), and a Social Support Scale developed by Okabayashi et al. (1997).

Results:

The majority (56.7%) had surgery two or more years before completing the questionnaire. More than 25% of respondents showed anxiety or depression. Higher levels of perceived social support were associated with lower rates of anxiety and depression (p < 0.01). Sensory problems were associated with anxiety, and reduced sexuality was associated with depression (p < 0.01). Perceived disfigurement and adequacy of preoperative information were not associated with anxiety or depression.

Significance of Results:

Survivors of HNC experience anxiety and depression for an extended period of time. Social support may alleviate the severity of these disorders. More research is needed to confirm the impact of facial disfigurement and that of the preoperative information provided by surgeons on psychological distress in HNC patients.

Keywords

Head and neck cancerDepressionAnxietySocial supportSurvivors
Type
Original Articles
Information
Palliative & Supportive Care , Volume 14 , Issue 3 , June 2016 , pp. 269 - 277
Copyright
Copyright © Cambridge University Press 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Brezis, M., Israel, S., Weinstein-Birenshtock, A., Pogoda, P., et al. (2008). Quality of informed consent for invasive procedures. International Journal for Quality in Health Care, 20(5), 352–357.CrossRefGoogle ScholarPubMed
D'Souza, V., Blouin, E., Zeitouni, A., et al. (2013). An investigation of the effect of tailored information on symptoms of anxiety and depression in head and neck cancer patients. Oral Oncology, 49(5), 431–437.CrossRefGoogle ScholarPubMed
Dropkin, M.J. (1999). Body image and quality of life after head and neck cancer surgery. Cancer Practice, 7(6), 309–313.Google Scholar
Howren, M.B., Christensen, A.J., Karnell, L.H., et al. (2013). Psychological factors associated with head and neck cancer treatment and survivorship: Evidence and opportunities for behavioral medicine. Journal of Consulting and Clinical Psychology, 81(2), 299–317.Google Scholar
Karnell, L.H., Christensen, A.J., Rosenthal, E.L., et al. (2007). Influence of social support on health-related quality of life outcomes in head and neck cancer. Head & Neck, 29(2), 143–146.CrossRefGoogle ScholarPubMed
Katre, C., Johnson, I.A., Humphris, G.M., et al. (2008). Assessment of problems with appearance, following surgery for oral and oropharyngeal cancer using the University of Washington appearance domain and the Derriford appearance scale. Oral Oncology, 44(10), 927–934.CrossRefGoogle ScholarPubMed
Katz, M.R., Irish, J.C., Devins, G.M., et al. (2003). Psychosocial adjustment in head and neck cancer: The impact of disfigurement, gender and social support. Head & Neck, 25(2), 103–112.CrossRefGoogle ScholarPubMed
Kitamura, T. (1993). Hospital anxiety and depression scale [in Japanese]. Seisinka Shindangaku, 4, 371–372.Google Scholar
Kobayashi, M., Sugimoto, T., Matsuda, A., et al. (2008). Association between self-esteem and depression among patients with head and neck cancer: A pilot study. Head & Neck, 40(10), 1303–1309.CrossRefGoogle Scholar
Kugaya, A., Akechi, T., Okamura, H., et al. (1999). Correlates of depressed mood in ambulatory head and neck cancer patients. Psycho-Oncology, 8(6), 494–499.3.0.CO;2-M>CrossRefGoogle ScholarPubMed
Kugaya, A., Akechi, T., Okuyama, T., et al. (2000). Prevalence, predictive factors, and screening for psychological distress in patients with newly diagnosed head and neck cancer. Cancer, 88(12), 2817–2823.Google Scholar
Llewellyn, C.D., McGurk, M. & Weinman, J. (2007). Illness and treatment beliefs in head and neck cancer: Is Leventhal's common sense model a useful framework for determining changes in outcomes over time? Journal of Psychosomatic Research, 63(1), 17–26.CrossRefGoogle Scholar
Mochizuki, Y., Matsushima, E. & Omura, K. (2009). Perioperative assessment of psychological state and quality of life of head and neck cancer patients undergoing surgery. International Journal of Oral and Maxillofacial Surgery, 38(2), 151–159.Google Scholar
Okabayashi, H., Sugisawa, H., Yatomi, N., et al. (1997). The impact of conjugal bereavement and the buffering effect of social support on the health of elderly people [in Japanese]. Shinrigaku Kenkyu, 68(3), 147–154.Google Scholar
Rhoten, B.A., Deng, J., Dietrich, M.S., et al. (2014). Body image and depressive symptoms in patients with head and neck cancer: An important relationship. Supportive Care in Cancer, 22(11), 3053–3060.Google Scholar
Semple, C., Parahoo, K., Norman, A., et al. (2013). Psychosocial interventions for patients with head and neck cancer. The Cochrane Database of Systematic Reviews, 7, CD009441. doi: 10.1002/14651858.CD009441.pub2.Google Scholar
Shiozaki, M., Hirai, K., Tokoro, A., et al. (2006). Support network size and its predictive variables in lung cancer patients. Japanese Journal of Psychosomatic Medicine, 46, 883–890.Google Scholar
Singer, S., Krauss, O., Keszte, J., et al. (2012). Predictors of emotional distress in patients with head and neck cancer. Head & Neck, 34(2), 180–187.Google Scholar
Stroebe, W., Zech, E., Stroebe, M.S., et al. (2005). Does social support help in bereavement? Journal of Social and Clinical Psychology, 24(7), 1030–1050.Google Scholar
Takayama, T., Yamazaki, Y. & Katsumata, N. (2001). Relationship between outpatients' perceptions of physicians' communication styles and patients' anxiety levels in a Japanese oncology setting. Social Science & Medicine, 53(10), 1335–1350.Google Scholar
Toth, G., Sakaguchi, T., Mikami, Y., et al. (2005). A pilot study of the translation, cultural adaptation and validation of the EORTC head and neck cancer quality of life questionnaire module (QLQ–H&N35) for use in Japan. Auris, Nasus, Larynx, 32(2), 175–183.CrossRefGoogle ScholarPubMed
van der Meulen, I.C., May, A.M., Ros, W.J., et al. (2013). One-year effect of a nurse-led psychosocial intervention on depressive symptoms in patients with head and neck cancer: A randomized controlled trial. The Oncologist, 18(3), 336–344.CrossRefGoogle ScholarPubMed
van der Meulen, I.C., May, A.M., de Leeuw, J.R., et al. (2014). Long-term effect of a nurse-led psychosocial intervention on health-related quality of life in patients with head and neck cancer: A randomised controlled trial. British Journal of Cancer, 110(3), 593–601.CrossRefGoogle ScholarPubMed
Zigmond, A.S. & Snaith, R.P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361–370.Google Scholar