A prospective multicentre study in Sweden and Norway of mental distress and psychiatric morbidity in head and neck cancer patients
1999

Mental Distress in Head and Neck Cancer Patients

Sample size: 357 publication Evidence: moderate

Author Information

Author(s): Hammerlid E, Ahlner-Elmqvist M, Bjordal K, Biörklund A, Evensen J, Boysen M, Jannert M, Kaasa S, Sullivan M, Westin T

Primary Institution: Sahlgrenska University Hospital, Göteborg University, Sweden

Hypothesis

This study aims to assess the levels of mental distress and psychiatric morbidity in newly diagnosed head and neck cancer patients.

Conclusion

The study found that approximately one-third of head and neck cancer patients experienced significant levels of anxiety or depression throughout the year.

Supporting Evidence

  • One-third of patients scored as a possible or probable case of a major mood disorder at each measurement point.
  • Anxiety levels were highest at diagnosis, while depression was most common during treatment.
  • Females were more anxious than males at diagnosis.
  • Patients under 65 years scored higher for anxiety than those over 65.
  • Patients with lower performance status and more advanced disease reported higher levels of mental distress.

Takeaway

Many people with head and neck cancer feel very sad or worried, especially when they first find out they are sick.

Methodology

Patients answered the Hospital Anxiety and Depression (HAD) scale six times over one year to assess mental distress.

Participant Demographics

The mean age of participants was 63 years, with 72% being male.

Digital Object Identifier (DOI)

10.1038/sj.bjc.6690420

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