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Article: Quality of Life and Psychiatric Morbidity in Patients Successfully Treated for Oral Cavity Squamous Cell Cancer and Their Wives

TitleQuality of Life and Psychiatric Morbidity in Patients Successfully Treated for Oral Cavity Squamous Cell Cancer and Their Wives
Authors
Issue Date2008
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/joms
Citation
Journal Of Oral And Maxillofacial Surgery, 2008, v. 66 n. 6, p. 1125-1132 How to Cite?
AbstractPurpose: To assess quality of life (QOL) and psychiatric morbidity in successfully treated oral cavity squamous cell cancer (OC-SCC) survivors and their wives. Patients and Methods: Thirty-one men successfully treated for OC-SCC (mean, 3.7 years since diagnosis; UICC stages I to IV) together with their wives were assessed by questionnaires referring to QOL (WHOQOL-BREF), physical complaints (EORTC QOL-H&N35), and symptoms of anxiety and depression (HADS). Prevalence of psychiatric disorders was assessed by the Mini International Neuropsychiatric Interview (M.I.N.I.). Results: Irrespective of tumor stage, a considerably high global QOL both in OC-SCC survivors and their wives could be detected when compared with an age-matched cancer-free population. No significant difference between the mean scores of 4 domains of the QOL (exception: environmental domain) was found between patients and their wives. In patients, lower QOL was associated with more physical complaints (social eating, swallowing, and pain) and higher levels of psychological distress (HADS); whereas in wives, QOL was found to be related to levels of psychological distress. In the M.I.N.I., a high prevalence of psychiatric disorders, particularly anxiety disorders, was found in wives (38.7%); but was lower in patients (16.2%). Patients and wives diagnosed with a psychiatric disorder reported significantly lower QOL. Conclusion: Both in OC-SCC patients and their wives a considerably high overall QOL can be found. "Social eating," "swallowing," and "sexuality" in patients and psychiatric disorders in wives seem to be strongly related to global QOL. The high prevalence of anxiety disorders in wives, however, should alert clinicians and the health care community. Thus, surgical improvement of somatic problems and treatment of psychiatric disorders should be addressed in individuals reporting an impaired global QOL. © 2008 American Association of Oral and Maxillofacial Surgeons.
Persistent Identifierhttp://hdl.handle.net/10722/66275
ISSN
2015 Impact Factor: 1.631
2015 SCImago Journal Rankings: 0.824
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorZwahlen, RAen_HK
dc.contributor.authorDannemann, Cen_HK
dc.contributor.authorGrätz, KWen_HK
dc.contributor.authorStuder, Gen_HK
dc.contributor.authorZwahlen, Den_HK
dc.contributor.authorMoergeli, Hen_HK
dc.contributor.authorDrabe, Nen_HK
dc.contributor.authorBüchi, Sen_HK
dc.contributor.authorJenewein, Jen_HK
dc.date.accessioned2010-09-06T05:45:00Z-
dc.date.available2010-09-06T05:45:00Z-
dc.date.issued2008en_HK
dc.identifier.citationJournal Of Oral And Maxillofacial Surgery, 2008, v. 66 n. 6, p. 1125-1132en_HK
dc.identifier.issn0278-2391en_HK
dc.identifier.urihttp://hdl.handle.net/10722/66275-
dc.description.abstractPurpose: To assess quality of life (QOL) and psychiatric morbidity in successfully treated oral cavity squamous cell cancer (OC-SCC) survivors and their wives. Patients and Methods: Thirty-one men successfully treated for OC-SCC (mean, 3.7 years since diagnosis; UICC stages I to IV) together with their wives were assessed by questionnaires referring to QOL (WHOQOL-BREF), physical complaints (EORTC QOL-H&N35), and symptoms of anxiety and depression (HADS). Prevalence of psychiatric disorders was assessed by the Mini International Neuropsychiatric Interview (M.I.N.I.). Results: Irrespective of tumor stage, a considerably high global QOL both in OC-SCC survivors and their wives could be detected when compared with an age-matched cancer-free population. No significant difference between the mean scores of 4 domains of the QOL (exception: environmental domain) was found between patients and their wives. In patients, lower QOL was associated with more physical complaints (social eating, swallowing, and pain) and higher levels of psychological distress (HADS); whereas in wives, QOL was found to be related to levels of psychological distress. In the M.I.N.I., a high prevalence of psychiatric disorders, particularly anxiety disorders, was found in wives (38.7%); but was lower in patients (16.2%). Patients and wives diagnosed with a psychiatric disorder reported significantly lower QOL. Conclusion: Both in OC-SCC patients and their wives a considerably high overall QOL can be found. "Social eating," "swallowing," and "sexuality" in patients and psychiatric disorders in wives seem to be strongly related to global QOL. The high prevalence of anxiety disorders in wives, however, should alert clinicians and the health care community. Thus, surgical improvement of somatic problems and treatment of psychiatric disorders should be addressed in individuals reporting an impaired global QOL. © 2008 American Association of Oral and Maxillofacial Surgeons.en_HK
dc.languageengen_HK
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/jomsen_HK
dc.relation.ispartofJournal of Oral and Maxillofacial Surgeryen_HK
dc.subject.meshAdulten_HK
dc.subject.meshAgeden_HK
dc.subject.meshAlcohol Drinkingen_HK
dc.subject.meshAnxiety Disorders - psychologyen_HK
dc.subject.meshCarcinoma, Squamous Cell - psychology - therapyen_HK
dc.subject.meshDepressive Disorder - psychologyen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshMouth Neoplasms - psychology - therapyen_HK
dc.subject.meshOral Surgical Procedures - psychologyen_HK
dc.subject.meshQuality of Lifeen_HK
dc.subject.meshSmokingen_HK
dc.subject.meshSpouses - psychologyen_HK
dc.titleQuality of Life and Psychiatric Morbidity in Patients Successfully Treated for Oral Cavity Squamous Cell Cancer and Their Wivesen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0278-2391&volume=66&spage=p. 1125 &epage= 1132&date=2008&atitle=Quality+of+life+and+psychiatric+morbidity+in+patients+successfully+treated+for+oral+cavity+squamous+cell+cancer+and+their+wivesen_HK
dc.identifier.emailZwahlen, RA:zwahlen@hku.hken_HK
dc.identifier.authorityZwahlen, RA=rp00055en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.joms.2007.09.003en_HK
dc.identifier.pmid18486776-
dc.identifier.scopuseid_2-s2.0-43649103599en_HK
dc.identifier.hkuros142573en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-43649103599&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume66en_HK
dc.identifier.issue6en_HK
dc.identifier.spage1125en_HK
dc.identifier.epage1132en_HK
dc.identifier.eissn1531-5053-
dc.identifier.isiWOS:000256267800007-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridZwahlen, RA=7004217269en_HK
dc.identifier.scopusauthoridDannemann, C=24278769000en_HK
dc.identifier.scopusauthoridGrätz, KW=7005383755en_HK
dc.identifier.scopusauthoridStuder, G=16231684900en_HK
dc.identifier.scopusauthoridZwahlen, D=23570243600en_HK
dc.identifier.scopusauthoridMoergeli, H=6507861421en_HK
dc.identifier.scopusauthoridDrabe, N=6506718007en_HK
dc.identifier.scopusauthoridBüchi, S=7003381120en_HK
dc.identifier.scopusauthoridJenewein, J=14830315700en_HK

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