Psychological distress in cancer patients after laryngectomy

The study objective is to analyze mental state of patients with laryngeal cancer after laryngectomy.Materials and methods. The study included 38 patients at various stages of laryngeal cancer treatment. To assess mental state, we used the Hospital Anxiety and Depression Scale (HADS) and the Symptom...

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Main Authors: G. A. Tkachenko, S. О. Podvyaznikov, А. M. Mudunov, О. A. Obukhova, A. A. Akhundov, М. М. Khulamkhanova, E. I. Skvortsova
Format: Article
Language:Russian
Published: ABV-press 2019-04-01
Series:Опухоли головы и шеи
Subjects:
Online Access:https://ogsh.abvpress.ru/jour/article/view/389
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author G. A. Tkachenko
S. О. Podvyaznikov
А. M. Mudunov
О. A. Obukhova
A. A. Akhundov
М. М. Khulamkhanova
E. I. Skvortsova
author_facet G. A. Tkachenko
S. О. Podvyaznikov
А. M. Mudunov
О. A. Obukhova
A. A. Akhundov
М. М. Khulamkhanova
E. I. Skvortsova
author_sort G. A. Tkachenko
collection DOAJ
description The study objective is to analyze mental state of patients with laryngeal cancer after laryngectomy.Materials and methods. The study included 38 patients at various stages of laryngeal cancer treatment. To assess mental state, we used the Hospital Anxiety and Depression Scale (HADS) and the Symptom Checklist-90-R (SCL-90-R).Results. In general, preoperative mental state of study participants was close to that in healthy individuals (described in literature), although there was a slight increase in their levels of depression and anxiety and higher distress severity indices. Six months after laryngectomy, a high level of distress was found; all patients had higher scores in all primary symptom dimensions; however, a significant increase was registered only for anxiety, depression, somatization, hostility, and interpersonal sensitivity. Six months postoperatively, mean anxiety score reduced, but was still higher than preoperative one and normal one. There was a significant increase in depression score and interpersonal sensitivity score. Conclusion. Our findings suggest the need for special programs of psychological rehabilitation for patients with laryngeal cancer to teach them the skills needed for self-regulation of mental state in order to increase their stress resistance.
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spelling doaj.art-b9b326b04450489fa77732d9ae032faa2023-03-13T08:43:20ZrusABV-pressОпухоли головы и шеи2222-14682411-46342019-04-019110411010.17650/2222-1468-2019-9-1-104-110335Psychological distress in cancer patients after laryngectomyG. A. Tkachenko0S. О. Podvyaznikov1А. M. Mudunov2О. A. Obukhova3A. A. Akhundov4М. М. Khulamkhanova5E. I. Skvortsova6Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина Минздрава РоссииРоссийская медицинская академия непрерывного профессионального образования Минздрава РоссииНациональный медицинский исследовательский центр онкологии им. Н.Н. Блохина Минздрава РоссииНациональный медицинский исследовательский центр онкологии им. Н.Н. Блохина Минздрава РоссииНациональный медицинский исследовательский центр онкологии им. Н.Н. Блохина Минздрава РоссииМосковский государственный медико-стоматологический университет им. А.И. Евдокимова Минздрава РоссииПервый Московский государственный медицинский университет им. И.М. Сеченова Минздрава РоссииThe study objective is to analyze mental state of patients with laryngeal cancer after laryngectomy.Materials and methods. The study included 38 patients at various stages of laryngeal cancer treatment. To assess mental state, we used the Hospital Anxiety and Depression Scale (HADS) and the Symptom Checklist-90-R (SCL-90-R).Results. In general, preoperative mental state of study participants was close to that in healthy individuals (described in literature), although there was a slight increase in their levels of depression and anxiety and higher distress severity indices. Six months after laryngectomy, a high level of distress was found; all patients had higher scores in all primary symptom dimensions; however, a significant increase was registered only for anxiety, depression, somatization, hostility, and interpersonal sensitivity. Six months postoperatively, mean anxiety score reduced, but was still higher than preoperative one and normal one. There was a significant increase in depression score and interpersonal sensitivity score. Conclusion. Our findings suggest the need for special programs of psychological rehabilitation for patients with laryngeal cancer to teach them the skills needed for self-regulation of mental state in order to increase their stress resistance.https://ogsh.abvpress.ru/jour/article/view/389психологический дистрессрак гортаниларингэктомиятревогадепрессия
spellingShingle G. A. Tkachenko
S. О. Podvyaznikov
А. M. Mudunov
О. A. Obukhova
A. A. Akhundov
М. М. Khulamkhanova
E. I. Skvortsova
Psychological distress in cancer patients after laryngectomy
Опухоли головы и шеи
психологический дистресс
рак гортани
ларингэктомия
тревога
депрессия
title Psychological distress in cancer patients after laryngectomy
title_full Psychological distress in cancer patients after laryngectomy
title_fullStr Psychological distress in cancer patients after laryngectomy
title_full_unstemmed Psychological distress in cancer patients after laryngectomy
title_short Psychological distress in cancer patients after laryngectomy
title_sort psychological distress in cancer patients after laryngectomy
topic психологический дистресс
рак гортани
ларингэктомия
тревога
депрессия
url https://ogsh.abvpress.ru/jour/article/view/389
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AT sopodvyaznikov psychologicaldistressincancerpatientsafterlaryngectomy
AT ammudunov psychologicaldistressincancerpatientsafterlaryngectomy
AT oaobukhova psychologicaldistressincancerpatientsafterlaryngectomy
AT aaakhundov psychologicaldistressincancerpatientsafterlaryngectomy
AT mmkhulamkhanova psychologicaldistressincancerpatientsafterlaryngectomy
AT eiskvortsova psychologicaldistressincancerpatientsafterlaryngectomy