Associations between markers of social functioning and depression and quality of life in survivors of head and neck cancer: Findings from the Head and Neck Cancer 5000 study.

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Title: Associations between markers of social functioning and depression and quality of life in survivors of head and neck cancer: Findings from the Head and Neck Cancer 5000 study.
Authors: Patterson, Joanne M. (AUTHOR), Lu, Liya (AUTHOR), Watson, Laura‐Jayne (AUTHOR), Harding, Sam (AUTHOR), Ness, Andy R. (AUTHOR), Thomas, Steve (AUTHOR), Waylen, Andrea (AUTHOR), Pring, Miranda (AUTHOR), Waterboer, Tim (AUTHOR), Sharp, Linda (AUTHOR)
Source: Psycho-Oncology. Mar2022, Vol. 31 Issue 3, p478-485. 8p. 4 Charts.
Subjects: Head & neck cancer, Social skills, Loneliness, Thyroid cancer, Salivary gland cancer, Social contact
Abstract: Objective: To investigate associations between markers of social functioning (trouble with social eating and social contact), depression and health‐related quality of life (QOL) among head and neck cancer survivors. Methods: This cross‐sectional analysis included individuals with oral cavity, oropharynx, larynx, salivary gland and thyroid cancers from Head and Neck 5000 alive at 12 months. Trouble with social eating and social contact were measured using items from EORTC QLQ‐H&N35 and QOL using EORTC QLQ‐C30; responses were converted into a score of 0–100, with a higher score equalling more trouble or better QOL. A HADS subscale score of ≥8 was considered significant depression. Associations between tertiles of trouble with social eating and social contact and depression and QoL were assessed using multivariable logistic and linear regression (with robust errors), respectively. Results: Of 2561 survivors, 23% reported significant depression. The median QOL score was 75.0 (interquartile range 58.3–83.3). For trouble with social eating, after confounder adjustment, those in the intermediate and highest tertiles had higher odds of depression (intermediate: OR = 4.5, 95% CI 3.19–6.45; high: OR = 21.8, 15.17–31.18) and lower QOL (intermediate:β = −8.7, 95% CI −10.35 to −7.14; high: β = −24.8, −26.91 to −22.77). Results were similar for trouble with social contact. Conclusion: We found strong clinically important associations between markers of social functioning and depression and QOL. More effective interventions addressing social eating and contact are required. These may help survivors regain their independence, reduce levels of isolation and loneliness, and depression, and improve QOL outcomes generally. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Associations between markers of social functioning and depression and quality of life in survivors of head and neck cancer: Findings from the Head and Neck Cancer 5000 study.
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  Data: <searchLink fieldCode="AR" term="%22Patterson%2C+Joanne+M%2E%22">Patterson, Joanne M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lu%2C+Liya%22">Lu, Liya</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Watson%2C+Laura‐Jayne%22">Watson, Laura‐Jayne</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Harding%2C+Sam%22">Harding, Sam</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ness%2C+Andy+R%2E%22">Ness, Andy R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thomas%2C+Steve%22">Thomas, Steve</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Waylen%2C+Andrea%22">Waylen, Andrea</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pring%2C+Miranda%22">Pring, Miranda</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Waterboer%2C+Tim%22">Waterboer, Tim</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sharp%2C+Linda%22">Sharp, Linda</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Mar2022, Vol. 31 Issue 3, p478-485. 8p. 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Head+%26+neck+cancer%22">Head & neck cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Social+skills%22">Social skills</searchLink><br /><searchLink fieldCode="DE" term="%22Loneliness%22">Loneliness</searchLink><br /><searchLink fieldCode="DE" term="%22Thyroid+cancer%22">Thyroid cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Salivary+gland+cancer%22">Salivary gland cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Social+contact%22">Social contact</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: To investigate associations between markers of social functioning (trouble with social eating and social contact), depression and health‐related quality of life (QOL) among head and neck cancer survivors. Methods: This cross‐sectional analysis included individuals with oral cavity, oropharynx, larynx, salivary gland and thyroid cancers from Head and Neck 5000 alive at 12 months. Trouble with social eating and social contact were measured using items from EORTC QLQ‐H&N35 and QOL using EORTC QLQ‐C30; responses were converted into a score of 0–100, with a higher score equalling more trouble or better QOL. A HADS subscale score of ≥8 was considered significant depression. Associations between tertiles of trouble with social eating and social contact and depression and QoL were assessed using multivariable logistic and linear regression (with robust errors), respectively. Results: Of 2561 survivors, 23% reported significant depression. The median QOL score was 75.0 (interquartile range 58.3–83.3). For trouble with social eating, after confounder adjustment, those in the intermediate and highest tertiles had higher odds of depression (intermediate: OR = 4.5, 95% CI 3.19–6.45; high: OR = 21.8, 15.17–31.18) and lower QOL (intermediate:β = −8.7, 95% CI −10.35 to −7.14; high: β = −24.8, −26.91 to −22.77). Results were similar for trouble with social contact. Conclusion: We found strong clinically important associations between markers of social functioning and depression and QOL. More effective interventions addressing social eating and contact are required. These may help survivors regain their independence, reduce levels of isolation and loneliness, and depression, and improve QOL outcomes generally. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1002/pon.5830
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      – Code: eng
        Text: English
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        PageCount: 8
        StartPage: 478
    Subjects:
      – SubjectFull: Head & neck cancer
        Type: general
      – SubjectFull: Social skills
        Type: general
      – SubjectFull: Loneliness
        Type: general
      – SubjectFull: Thyroid cancer
        Type: general
      – SubjectFull: Salivary gland cancer
        Type: general
      – SubjectFull: Social contact
        Type: general
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      – TitleFull: Associations between markers of social functioning and depression and quality of life in survivors of head and neck cancer: Findings from the Head and Neck Cancer 5000 study.
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              M: 03
              Text: Mar2022
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