Quality of life, adherence to voice rehabilitation therapy and psychological variables in patients with head and neck cancer.
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| Title: | Quality of life, adherence to voice rehabilitation therapy and psychological variables in patients with head and neck cancer. |
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| Alternate Title: | Calidad de vida, adherencia al tratamiento de rehabilitación de voz y variables psicológicas en pacientes con cáncer de cabeza y cuello. |
| Authors: | Toski de Angel, Evelin1 evelin.toski@gmail.com, Galindo Vázquez, Oscar2 psiunigalindo@gmail.com, Contreras Buendia, Marlen3 marleninch@hotmail.com, Espinoza Bello, Marcos4 wolfx17@msn.com, González Ling, Ana Marcela5 ana.marcela.gzz@gmail.com, Ramos Fuentes, Shugely Karolina6 shugely1@gmail.com |
| Source: | Psicooncologia. ene-jun2024, Vol. 21 Issue 1, p101-110. 10p. |
| Subjects: | PATIENT compliance, PEARSON correlation (Statistics), T-test (Statistics), HEAD & neck cancer, VOICE disorders, QUESTIONNAIRES, ANXIETY, PSYCHOLOGICAL adaptation, DESCRIPTIVE statistics, SYMPTOMS, VOICE disorder treatment, LONGITUDINAL method, QUALITY of life, ONE-way analysis of variance, DATA analysis software, COMPARATIVE studies, SOCIODEMOGRAPHIC factors, MENTAL depression, SPEECH therapy, DISEASE complications |
| Abstract (English): | Introduction: Voice problems can affect quality of life (QoL), other psychological aspects, and the adequate adherence to voice rehabilitation therapy. Objective: To determine the association between QoL and treatment adherence (TA) to voice rehabilitation with symptoms of anxiety, depression, and coping strategies. Method: A longitudinal study was conducted with 97 participants with head and neck cancer (H&N) who were attending voice rehabilitation therapy. Instruments: EORTC QLQ-C30 and QLQ-H&N35, Treatment Adherence Checklist, Cancer Coping Questionnaire and HADS. Results: The mean overall QoL was 83.33, and mean TA was 8.80. Lower overall QoL and emotional functioning scores, as well as higher dry mouth scores were associated with higher levels of anxiety. Greater problems with social contact and lower TA were associated to higher depression scores. Conclusion: Consistent with the literature, TA and QoL were associated to depression and QoL was also correlated to anxiety. These results are among the first to explore such aspects in Latino patients and emphasize the importance of multidisciplinary care for H&N cancer patients in voice rehabilitation therapy, given that during their treatment they may encounter psychological barriers that could hinder their progress in voice quality and QoL. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: Los problemas de la voz pueden afectar la calidad de vida (CV) y otros aspectos psicológicos, así como la adecuada adherencia a la terapia de rehabilitación de voz. Objetivo: Determinar la relación entre la CV y la adherencia al tratamiento (AT) de rehabilitación de voz con síntomas de ansiedad, depresión y estrategias de afrontamiento. Método: Se realizó un estudio longitudinal en 97 participantes con cáncer de cabeza y cuello (CyC) que asistían a terapia de rehabilitación de voz. Instrumentos: EORTC QLQ-C30 y QLQ-H&N35, Lista de Verificación de Adherencia al Tratamiento, la Escala de Afrontamiento al Cáncer y la HADS. Resultados: La CV global promedio fue de 83.33 y el puntaje promedio de AT fue de 8.80. La calidad de vida global, la función emocional y boca seca se asociaron con la ansiedad. La dimensión de la CV contacto social y la AT tuvieron relación con la depresión. Conclusiones: Consistente con la literatura la AT y la CV tuvieron relación con la depresión y solo la CV se relacionó con la ansiedad. Los resultados presentados son de los primeros en explorar estos aspectos en pacientes latinos y enfatizan la importancia de la atención multidisciplinaria a pacientes con cáncer de CyC en terapia de rehabilitación de voz, dado que en el curso de sus tratamientos pueden encontrar barreras psicológicas que obstaculicen la mejora en la calidad de la voz y la CV. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
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