Mental Adjustment to Cancer in Laryngeal Cancer Patients
Author Information
Author(s): Mia Johansson, Anna Rydén, Caterina Finizia
Primary Institution: Sahlgrenska University Hospital
Hypothesis
This study investigates the relation between mental adjustment to cancer and anxiety, depression, health-related quality of life (HRQL), and survival in patients treated for laryngeal cancer.
Conclusion
The study found that maladaptive mental adjustment responses are associated with increased anxiety, depression, decreased HRQL, and possibly poorer survival in laryngeal cancer patients.
Supporting Evidence
- Patients using Helpless-Hopeless responses reported more anxiety and depression.
- Higher scores on the Helpless-Hopeless scale were related to poorer survival.
- The study included a follow-up period of 4.22 years.
Takeaway
Patients with laryngeal cancer who feel hopeless or anxious may have a harder time coping and could live shorter lives, so it's important to help them adjust mentally.
Methodology
The study used a longitudinal design with assessments at one and 12 months after treatment using various psychological scales.
Potential Biases
Potential bias due to the exclusion of patients with more advanced disease and lower performance status.
Limitations
The sample size is small, and excluded patients had more advanced disease, which may underestimate psychiatric morbidity.
Participant Demographics
Participants included 100 patients with laryngeal cancer, predominantly male (83%) with a mean age of 67 years.
Statistical Information
P-Value
0.001
Confidence Interval
1.067-1.279
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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