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Development and Validation of a Rapid Screening Measure for Mask Anxiety in Head and Neck Cancer Patients Undergoing Radiotherapy.

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Title: Development and Validation of a Rapid Screening Measure for Mask Anxiety in Head and Neck Cancer Patients Undergoing Radiotherapy.
Authors: Pelland, Marie‐Ève (AUTHOR), Lagadec‐Gaulin, Laurence (AUTHOR), Bahig, Houda (AUTHOR), Filion, Edith (AUTHOR), Lambert, Louise (AUTHOR), Nguyen‐Tan, Phuc Felix (AUTHOR), Foldes‐Busque, Guillaume (AUTHOR)
Source: Psycho-Oncology. Dec2025, Vol. 34 Issue 12, p1-12. 12p.
Subjects: Head & neck cancer, Radiotherapy, Patient compliance, Claustrophobia, Questionnaires, Anxiety disorders, Radiology
Abstract: Objective: This study aims to develop a brief screening questionnaire for early identification of radiotherapy mask‐related anxiety in patients with head and neck cancer. Methods: A cross‐sectional study recruited 512 patients undergoing radiotherapy between April 2016 and February 2021. Participants completed a screening questionnaire assessing mask‐related anxiety and were assessed for anxious response during CT or MRI planning scans. A subgroup completed the Claustrophobia Questionnaire (CLQ) for comparison. Data were analyzed using multivariate logistic regression and discriminant validity was evaluated using the area under the ROC curve (AUROC). Results: The study developed the Radiotherapy Mask Anxiety Questionnaire (R‐MAQ), consisting of four items, derived from the screening questionnaire, which showed good model fit (Hosmer‐Lemeshow p = 0.92) and predictive accuracy (AUROC = 0.78). Of the 410 participants (mean age 62), 27.3% presented an anxious response to the immobilization mask during planning exams. The R‐MAQ demonstrated comparable or superior validity to the CLQ and effectively identified patients at risk of radiotherapy mask‐related anxiety. Conclusions: The R‐MAQ is a valid and efficient tool for identifying patients at risk of mask‐related anxiety during radiotherapy for head and neck cancer. It offers a clinically relevant, context‐specific method for early intervention, potentially improving treatment adherence and outcomes. Future research should explore its broader applicability and impact on treatment efficacy. [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.)
Database: Psychology and Behavioral Sciences Collection
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Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 190550992
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
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  Label: Title
  Group: Ti
  Data: Development and Validation of a Rapid Screening Measure for Mask Anxiety in Head and Neck Cancer Patients Undergoing Radiotherapy.
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  Data: <searchLink fieldCode="AR" term="%22Pelland%2C+Marie‐Ève%22">Pelland, Marie‐Ève</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lagadec‐Gaulin%2C+Laurence%22">Lagadec‐Gaulin, Laurence</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bahig%2C+Houda%22">Bahig, Houda</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Filion%2C+Edith%22">Filion, Edith</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lambert%2C+Louise%22">Lambert, Louise</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nguyen‐Tan%2C+Phuc+Felix%22">Nguyen‐Tan, Phuc Felix</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Foldes‐Busque%2C+Guillaume%22">Foldes‐Busque, Guillaume</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. Dec2025, Vol. 34 Issue 12, p1-12. 12p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Head+%26+neck+cancer%22">Head & neck cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Radiotherapy%22">Radiotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink><br /><searchLink fieldCode="DE" term="%22Claustrophobia%22">Claustrophobia</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety+disorders%22">Anxiety disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Radiology%22">Radiology</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: This study aims to develop a brief screening questionnaire for early identification of radiotherapy mask‐related anxiety in patients with head and neck cancer. Methods: A cross‐sectional study recruited 512 patients undergoing radiotherapy between April 2016 and February 2021. Participants completed a screening questionnaire assessing mask‐related anxiety and were assessed for anxious response during CT or MRI planning scans. A subgroup completed the Claustrophobia Questionnaire (CLQ) for comparison. Data were analyzed using multivariate logistic regression and discriminant validity was evaluated using the area under the ROC curve (AUROC). Results: The study developed the Radiotherapy Mask Anxiety Questionnaire (R‐MAQ), consisting of four items, derived from the screening questionnaire, which showed good model fit (Hosmer‐Lemeshow p = 0.92) and predictive accuracy (AUROC = 0.78). Of the 410 participants (mean age 62), 27.3% presented an anxious response to the immobilization mask during planning exams. The R‐MAQ demonstrated comparable or superior validity to the CLQ and effectively identified patients at risk of radiotherapy mask‐related anxiety. Conclusions: The R‐MAQ is a valid and efficient tool for identifying patients at risk of mask‐related anxiety during radiotherapy for head and neck cancer. It offers a clinically relevant, context‐specific method for early intervention, potentially improving treatment adherence and outcomes. Future research should explore its broader applicability and impact on treatment efficacy. [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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        Value: 10.1002/pon.70369
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        Text: English
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        Type: general
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      – SubjectFull: Patient compliance
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      – SubjectFull: Claustrophobia
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      – SubjectFull: Anxiety disorders
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      – TitleFull: Development and Validation of a Rapid Screening Measure for Mask Anxiety in Head and Neck Cancer Patients Undergoing Radiotherapy.
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              M: 12
              Text: Dec2025
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              Y: 2025
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