Associations between quality of life, coping styles, optimism, and anxiety and depression in pretreatment patients with head and neck cancer
Open accessAbstract
BACKGROUND: Head and neck cancer is often diagnosed at a late stage and consequently radical treatment is necessary. The pretreatment phase is a time of high anxiety and depression for patients. This study aimed to investigate whether anxiety and depression are related to quality of life, coping styles, and dispositional optimism. METHODS: One hundred and three patients were recruited after diagnosis to a questionnaire study. Measures included the Hospital Anxiety and Depression Scale; SF12v2 Health Survey; Brief COPE, and the Revised Life Orientation Test. RESULTS: Quality of life, in particular emotional role explained a large proportion of the variance in pretreatment anxiety and depression. In addition, the use of negative coping styles was related to high anxiety levels and low levels of optimism were related to higher levels of depression. CONCLUSION: There are a small but significant proportion of pretreatment patients that may benefit from individualized support.
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Optimism is positively associated with health-related quality of life among cancer patients.
“It is also positively associated with health-related QoL among cancer patients [27–29].”
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- Authors
- Horney, D. J., Smith, H. E., McGurk, M., Weinman, J., Herold, J., Altman, K., & Llewellyn, C. D.
- Affiliations
- Brighton and Sussex Medical School (GB)
- Guy's Hospital (GB)
- Royal Sussex County Hospital (GB)
- Corresponding author
- Llewellyn, Carrie D.
- Venue
- Head & Neck
- Publisher
- Wiley
- Published
- 2011-01
- Volume
- 33
- Issue
- 1
- Pages
- 65-71
- ISSN
- 1043-3074 (ISSN-L)
- 1097-0347
- OpenAlex
- W2115668967
- Cited by
- 102
- References
- 22
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 1 · 2023: 2 · 2022: 5 · 2021: 8 · 2020: 10 · 2019: 12 · 2018: 6 · 2017: 12 · 2016: 8 · 2015: 6 · 2014: 7 · 2013: 7 · 2012: 10
- FWCI
- 3.13
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Locations
- Head & Neck (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Keywords
- head and neck cancer, quality of life, coping styles, dispositional optimism, anxiety, depression, emotional role, negative coping, psychological support
- MeSH terms
- Adaptation, Psychological, Adult, Affect, Aged, Aged, 80 and over, Anxiety Disorders, Attitude to Health, Combined Modality Therapy, Cross-Sectional Studies, Depressive Disorder, Emotions, Female, Head and Neck Neoplasms, Humans, Male, Middle Aged, Neoplasm Staging, Preoperative Care, Prognosis, Quality of Life, Surveys and Questionnaires, Comorbidity, Chi-Square Distribution, Survival Analysis, Treatment Outcome, Risk Assessment, Radiotherapy, Adjuvant, Neck Dissection, Young Adult
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