Post-traumatic stress in head and neck cancer survivors and their partners
Abstract
Purpose Head and neck cancer (HNC) diagnosis and treatment are distressing and have immediate detrimental impacts on functioning and quality of life (QoL). Nevertheless, little is known about long-term psychosocial effects. The aim of this study was to determine the prevalence and correlates of clinical post-traumatic stress disorder (PTSD) and subclinical post-traumatic stress symptoms (PTSS) in HNC patients surviving more than 2 years since treatment and in their partners.Methods HNC survivors identified from the cancer registry of a London hospital and their partners completed measures of PTSS, depression and anxiety, fear of cancer recurrence, social support, appearance concerns and health-related QoL. Data regarding their clinical and demographic characteristics were also collected. Correlations, as well as linear and logistic regression coefficients, were calculated to estimate associations with PTSS scores.Results In this analysis of 93 HNC survivors, at a mean of 6 years (SD = 4) after treatment, 33.4% reported PTSS and 11.8% met the criteria for post-traumatic stress disorder (PTSD). Fear of cancer recurrence was independently associated with PTSS (p < .01). In subgroup analyses of patient-partner dyads, 15.4% of patients and 12.8% of partners reported PTSD, with a further 33.3% of patients and 25.7% of partners demonstrating PTSS. Patients' and partners' scores did not differ significantly (p > .05).Conclusions This is the first examination of post-traumatic stress in survivors of HNC and shows that high levels of cancer-related PTSS exist for many years after diagnosis in both patients and their partners.
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Clinical FCR is associated with impairment in functioning, psychological distress, sleep difficulties, stress response symptoms, and lower quality of life in cancer survivors.
“clinical FCR is associated with impairment in functioning, psychological distress, sleep difficulties, stress response symptoms, and lower quality of life (QoL) [3–9].”
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Understanding survivors’ needs and outcomes: the role of routinely collected data
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The Role of the Psychiatrist in the Perioperative Setting
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- Authors
- Moschopoulou, E., Hutchison, I., Bhui, K., & Korszun, A.
- Affiliations
- Queen Mary University of London (GB)
- Barts Health NHS Trust (GB)
- Corresponding author
- Moschopoulou, Elisavet
- Venue
- Supportive Care in Cancer
- Published
- 2018-03-15
- Volume
- 26
- Issue
- 9
- Pages
- 3003-3011
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- OpenAlex
- W2793569949
- Cited by
- 73
- References
- 45
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 11 · 2023: 6 · 2022: 12 · 2021: 12 · 2020: 8 · 2019: 8 · 2018: 4
- FWCI
- 3.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Supportive Care in Cancer (publishedVersion)
- PubMed (publishedVersion)
- Queen Mary Research Online (Queen Mary University of London) (submittedVersion)
- Funders
- Saving Faces - The Facial Surgery Research Foundation (Doctoral Scholarship)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
- Keywords
- head and neck cancer, cancer survivors, post-traumatic stress disorder, posttraumatic stress symptoms, partners of cancer patients, fear of cancer recurrence, depression, anxiety, social support, appearance concerns, health-related quality of life
- MeSH terms
- Cancer Survivors, Aged, Female, Head and Neck Neoplasms, Humans, Male, Quality of Life, Surveys and Questionnaires, Stress Disorders, Post-Traumatic
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