Predictors of anxiety and depression in patients with oral cancer undergoing radical resection with reconstructive surgery
Objectives: The reduced survival rate and diminished quality of life (QOL) observed in cancer patients with depression have garnered significant attention in recent years. Oral cancer can cause psychological and social stress because its incidence and treatment not only impair oral functions, such a...
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Elsevier
2024-06-01
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Series: | Oral Oncology Reports |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2772906024001419 |
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author | Kento Kaminogo Satoshi Yamaguchi Tatsuya Tokura Hiroyuki Kimura Shinichi Kishi Norihisa Ichimura Noriyuki Yamamoto Go Ohara Hui Chen Norio Ozaki Masashi Ikeda Hideharu Hibi |
author_facet | Kento Kaminogo Satoshi Yamaguchi Tatsuya Tokura Hiroyuki Kimura Shinichi Kishi Norihisa Ichimura Noriyuki Yamamoto Go Ohara Hui Chen Norio Ozaki Masashi Ikeda Hideharu Hibi |
author_sort | Kento Kaminogo |
collection | DOAJ |
description | Objectives: The reduced survival rate and diminished quality of life (QOL) observed in cancer patients with depression have garnered significant attention in recent years. Oral cancer can cause psychological and social stress because its incidence and treatment not only impair oral functions, such as mastication, swallowing, and articulation, but also disfigure the face. In this study, we investigated the factors that predict worsening psychiatric symptoms, such as anxiety and depression, in patients with oral cancer. Materials and methods: Thirty-seven patients with oral cancer who underwent radical resection with reconstructive surgery between 2017 and 2022 were enrolled. The Japanese version of the Hospital Anxiety and Depression Scale (HADS), a screening tool for anxiety and depression, was used to obtain preoperative scores and up to 9-month postoperative scores. Results: The number of patients that exceeded the cut-off values for adjustment disorder and depression was 19 (51.4%) preoperative and 20 (54.1%), 13 (35.1%), and 14 (37.8%) at 3, 6, and 9 postoperative months, respectively. The analysis of covariance showed that the primary site (F = 218.267, p = 0.0216) and marital status (F = 105.758, p = 0.0269) were factors that affected the HADS scores. Conclusion: The risk of postoperative anxiety and depression in patients with oral cancer undergoing radical resection with reconstruction may be increased in patients whose tongue is the primary site and in patients who are single. |
format | Article |
id | doaj-art-03215bd029894ac695717ba745ebc986 |
institution | Kabale University |
issn | 2772-9060 |
language | English |
publishDate | 2024-06-01 |
publisher | Elsevier |
record_format | Article |
series | Oral Oncology Reports |
spelling | doaj-art-03215bd029894ac695717ba745ebc9862025-01-09T06:15:42ZengElsevierOral Oncology Reports2772-90602024-06-0110100295Predictors of anxiety and depression in patients with oral cancer undergoing radical resection with reconstructive surgeryKento Kaminogo0Satoshi Yamaguchi1Tatsuya Tokura2Hiroyuki Kimura3Shinichi Kishi4Norihisa Ichimura5Noriyuki Yamamoto6Go Ohara7Hui Chen8Norio Ozaki9Masashi Ikeda10Hideharu Hibi11Department of Oral and Maxillofacial Surgery, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Oral and Maxillofacial Surgery, Nagoya University Hospital, Nagoya, Japan; Corresponding author. Department of Oral and Maxillofacial Surgery, Nagoya University Hospital, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8550, Japan.Department of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Oral and Maxillofacial Surgery, Nagoya University Hospital, Nagoya, JapanDepartment of Oral and Maxillofacial Surgery, Kariya Toyota General Hospital, Kariya, 448-8505, JapanDepartment of Oral and Maxillofacial Surgery, Nagoya University Hospital, Nagoya, JapanDepartment of Oral and Maxillofacial Surgery, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, Japan; Institute for Glyco-core Research, Nagoya University, Nagoya, JapanDepartment of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, JapanDepartment of Oral and Maxillofacial Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan; Department of Oral and Maxillofacial Surgery, Nagoya University Hospital, Nagoya, JapanObjectives: The reduced survival rate and diminished quality of life (QOL) observed in cancer patients with depression have garnered significant attention in recent years. Oral cancer can cause psychological and social stress because its incidence and treatment not only impair oral functions, such as mastication, swallowing, and articulation, but also disfigure the face. In this study, we investigated the factors that predict worsening psychiatric symptoms, such as anxiety and depression, in patients with oral cancer. Materials and methods: Thirty-seven patients with oral cancer who underwent radical resection with reconstructive surgery between 2017 and 2022 were enrolled. The Japanese version of the Hospital Anxiety and Depression Scale (HADS), a screening tool for anxiety and depression, was used to obtain preoperative scores and up to 9-month postoperative scores. Results: The number of patients that exceeded the cut-off values for adjustment disorder and depression was 19 (51.4%) preoperative and 20 (54.1%), 13 (35.1%), and 14 (37.8%) at 3, 6, and 9 postoperative months, respectively. The analysis of covariance showed that the primary site (F = 218.267, p = 0.0216) and marital status (F = 105.758, p = 0.0269) were factors that affected the HADS scores. Conclusion: The risk of postoperative anxiety and depression in patients with oral cancer undergoing radical resection with reconstruction may be increased in patients whose tongue is the primary site and in patients who are single.http://www.sciencedirect.com/science/article/pii/S2772906024001419Oral cancerHead and neck cancerAnxietyDepressionReconstructive surgery |
spellingShingle | Kento Kaminogo Satoshi Yamaguchi Tatsuya Tokura Hiroyuki Kimura Shinichi Kishi Norihisa Ichimura Noriyuki Yamamoto Go Ohara Hui Chen Norio Ozaki Masashi Ikeda Hideharu Hibi Predictors of anxiety and depression in patients with oral cancer undergoing radical resection with reconstructive surgery Oral Oncology Reports Oral cancer Head and neck cancer Anxiety Depression Reconstructive surgery |
title | Predictors of anxiety and depression in patients with oral cancer undergoing radical resection with reconstructive surgery |
title_full | Predictors of anxiety and depression in patients with oral cancer undergoing radical resection with reconstructive surgery |
title_fullStr | Predictors of anxiety and depression in patients with oral cancer undergoing radical resection with reconstructive surgery |
title_full_unstemmed | Predictors of anxiety and depression in patients with oral cancer undergoing radical resection with reconstructive surgery |
title_short | Predictors of anxiety and depression in patients with oral cancer undergoing radical resection with reconstructive surgery |
title_sort | predictors of anxiety and depression in patients with oral cancer undergoing radical resection with reconstructive surgery |
topic | Oral cancer Head and neck cancer Anxiety Depression Reconstructive surgery |
url | http://www.sciencedirect.com/science/article/pii/S2772906024001419 |
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