Affective Disorders and General Health Status in Patients with Total Laryngectomy

Authors

  • Kamyar Iravani Department of Otolaryngology, Otolaryngology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  • Maryam Tavallai College of Agricultural Engineering, Department of Water Engineering, Shiraz University, Shiraz, Iran
  • Aida Doostkam Shiraz Nephro-Urology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  • Leila Malekmakan Shiraz Nephro-Urology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  • Arsalan Zareiee Shiraz Nephro-Urology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Keywords:

Anxiety, Depression, General Health, Quality of life, Stress, Total laryngectomy

Abstract

Introduction: Total laryngectomy (TL) is a procedure that severely affects the patient's quality of life. This study determined the prevalence of general health and affective disorders as an often neglected aspect of cancer care in patients following TL.

Methods: This is a cross-sectional case-control study. We enrolled 80 participants into two groups; male patients who had undergone TL due to advanced squamous cell laryngeal cancer from 1 to 3 years ago (n=45) and a control group of healthy individuals (n=35). The DASS-21 and SF-36 questionnaires were used to evaluate participants' affective disorders and general health, respectively. Data were analyzed using SPSS, and a p-value <0.05 was considered significant.

Results: The mean age of the patients and control group were 57.9±7.7 and 55.4±8.7 years, respectively (p=0.338). The mean scores of general health status were significantly lower in TL patients than in the control group (84.9±13.1 vs. 94.9±8.4, respectively, p=0.011), and the mean scores of overall affective disorders were higher in TL patients than in the control group (40.8±25.1 vs. 26.7±19.0, respectively, p=0.009). Also, we found a significant positive relationship between the prevalence of affective disorders and patients' age (r= 0.46, p=0.004). But there was no correlation between other demographic variables, affective disorders, and general health status.

Conclusions: Significant high status of depression and anxiety and lower general health state were seen in TL patients compared with the control group. To enhance patients' quality of life, supporting patients before and after surgery is recommended.

References

Beaufort, I. N., De Weert-Van Oene, G. H., Buwalda, V. A. J., de Leeuw, J. R. J., & Goudriaan, A. E. (2017). The depression, anxiety and stress scale (DASS-21) as a screener for depression in substance use disorder inpatients: a pilot study. European Addiction Research, 23(5), 260–268.

Brook, I. (2009). Neck Cancer: A Physician’s Personal Experience. Archives of Otolaryngology–Head & Neck Surgery, 135(2), 118.

Bussian, C., Wollbrück, D., Danker, H., Herrmann, E., Thiele, A., Dietz, A., & Schwarz, R. (2010). Mental health after laryngectomy and partial laryngectomy: a comparative study. European Archives of Oto-Rhino-Laryngology, 267, 261–266.

Cox, S. R., Theurer, J. A., Spaulding, S. J., & Doyle, P. C. (2015). The multidimensional impact of total laryngectomy on women. Journal of Communication Disorders, 56, 59–75.

Danker, H., Wollbrück, D., Singer, S., Fuchs, M., Brähler, E., & Meyer, A. (2010). Social withdrawal after laryngectomy. European Archives of Oto-Rhino-Laryngology, 267, 593–600.

Dinescu, F. V, Ţiple, C., Chirilă, M., Mureşan, R., Drugan, T., & Cosgarea, M. (2016). Evaluation of health-related quality of life with EORTC QLQ-C30 and QLQ-H&N35 in Romanian laryngeal cancer patients. European Archives of Oto-Rhino-Laryngology, 273, 2735–2740.

Genden, E. M., Ferlito, A., Silver, C. E., Jacobson, A. S., Werner, J. A., Suarez, C., Leemans, C. R., Bradley, P. J., & Rinaldo, A. (2007). Evolution of the management of laryngeal cancer. Oral Oncology, 43(5), 431–439.

Giordano, L., Toma, S., Teggi, R., Palonta, F., Ferrario, F., Bondi, S., & Bussi, M. (2011). Satisfaction and quality of life in laryngectomees after voice prosthesis rehabilitation. Folia Phoniatrica et Logopaedica, 63(5), 231–236.

Hebel, F., Mantsopoulos, K., & Bohr, C. (2014). Assessing quality of life in patients after partial laryngectomy. Hippokratia, 18(2), 156.

Hinni, M. L., & Crujido, L. R. (2013). Laryngectomy rehabilitation: a perspective from the United States of America. Current Opinion in Otolaryngology & Head and Neck Surgery, 21(3), 218–223.

Instrument Ware Jr, J., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical Care, 30(6), 473–483.

Jing, C., Chuancheng, C., & Shengli, Z. H. I. (2014). Retrospective comparison of cognitive behavioral therapy and symptom-specific medication to treat anxiety and depression in throat cancer patients after laryngectomy. Shanghai Archives of Psychiatry, 26(2), 95.

Kemps, G. J. F., Krebbers, I., Pilz, W., Vanbelle, S., & Baijens, L. W. J. (2020). Affective symptoms and swallow‐specific quality of life in total laryngectomy patients. Head & Neck, 42(11), 3179–3187.

Leemans, M., van Sluis, K. E., van Son, R. J. J. H., & van den Brekel, M. W. M. (2020). Interaction of functional and participation issues on quality of life after total laryngectomy. Laryngoscope Investigative Otolaryngology, 5(3), 453–460.

Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343.

Montazeri, A., Goshtasebi, A., & Vahdaninia, M. S. (2006). The Short Form Health Survey (SF-36): translation and validation study of the Iranian version. Payesh (Health Monitor), 5(1), 0.

Moreno, K. F., Khabbaz, E., Gaitonde, K., Meinzen‐Derr, J., Wilson, K. M., & Patil, Y. J. (2012). Sexuality after treatment of head and neck cancer: findings based on modification of sexual adjustment questionnaire. The Laryngoscope, 122(7), 1526–1531.

Murphy, B. A., Ridner, S., Wells, N., & Dietrich, M. (2007). Quality of life research in head and neck cancer: a review of the current state of the science. Critical Reviews in Oncology/Hematology, 62(3), 251–267.

Nocini, R., Molteni, G., Mattiuzzi, C., & Lippi, G. (2020). Updates on larynx cancer epidemiology. Chinese Journal of Cancer Research = Chung-Kuo Yen Cheng Yen Chiu, 32(1), 18–25. https://doi.org/10.21147/j.issn.1000-9604.2020.01.03

Perry, A., Casey, E., & Cotton, S. (2015). Quality of life after total laryngectomy: functioning, psychological well‐being and self‐efficacy. International Journal of Language & Communication Disorders, 50(4), 467–475.

Sadoughi, B. (2015). Quality of life after conservation surgery for laryngeal cancer. Otolaryngologic Clinics of North America, 48(4), 655–665.

Sahebi, A., Asghari, M. J., & Salari, R. S. (2005). Validation of depression anxiety and stress scale (DASS-21) for an Iranian population.

Schindler, A., Mozzanica, F., Brignoli, F., Maruzzi, P., Evitts, P., & Ottaviani, F. (2013). Reliability and validity of the Italian self‐evaluation of communication experiences after laryngeal cancer questionnaire. Head & Neck, 35(11), 1606–1615.

Singer, S., Bringmann, H., Hauss, J., Kortmann, R. D., Köhler, U., Krauß, O., & Schwarz, R. (2007). Prevalence of concomitant psychiatric disorders and the desire for psychosocial help in patients with malignant tumors in an acute hospital. Deutsche Medizinische Wochenschrift (1946), 132(40), 2071–2076.

Singer, S., Herrmann, E., Welzel, C., Klemm, E., Heim, M., & Schwarz, R. (2005). Comorbid mental disorders in laryngectomees. Oncology Research and Treatment, 28(12), 631–636.

Ward, E. C., & van As-Brooks, C. J. (2014). Head and neck cancer: treatment, rehabilitation, and outcomes. Plural Publishing.

Ware Jr, J. E. (2000). SF-36 health survey update. Spine, 25(24), 3130–3139.

Wiegand, S. (2016). Evidence and evidence gaps of laryngeal cancer surgery. GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery, 15.

Wulff, N. B., Dalton, S. O., Wessel, I., Arenaz Bua, B., Löfhede, H., Hammerlid, E., Kjaer, T. K., Godballe, C., Kjærgaard, T., & Homøe, P. (2022). Health‐Related Quality of Life, Dysphagia, Voice Problems, Depression, and Anxiety After Total Laryngectomy. The Laryngoscope, 132(5), 980–988.

Wulff, N. B., Højager, A., Wessel, I., Dalton, S. O., & Homøe, P. (2021). Health‐related quality of life following total laryngectomy: a systematic review. The Laryngoscope, 131(4), 820

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Published

2023-12-17

How to Cite

Iravani , K., Tavallai, M., Doostkam , A., Malekmakan , L., & Zareiee, A. (2023). Affective Disorders and General Health Status in Patients with Total Laryngectomy. International Journal of New Findings in Health and Educational Sciences (IJHES), 1(4), 13–23. Retrieved from https://ijhespub.org/index.php/pub/article/view/47

Issue

Vol. 1 No. 4 (2023): IJHES

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