Distress in Spouses and Patients After Treatment for Head and Neck Cancer

Verdonck‐de Leeuw, Irma M.; Eerenstein, Simone E.; Van der Linden, Mecheline H.; Kuik, Dirk J.; de Bree, Remco; Leemans, C. Rene

doi:10.1097/01.mlg.0000250169.10241.58

Cited by 160Cancer survivorship and careHead and Neck Cancer StudiesChildhood Cancer Survivors' Quality of Life

Distress in Spouses and Patients After Treatment for Head and Neck Cancer

Verdonck‐de Leeuw, Irma M., Eerenstein, Simone E., Van der Linden, Mecheline H., Kuik, Dirk J., de Bree, Remco, Leemans, C. Rene·2007·The Laryngoscope

DOI 10.1097/01.mlg.0000250169.10241.58

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Abstract

Background: The objective of this study is to obtain insight into distress in spouses and patients treated for head and neck cancer. Methods: Forty‐one patient–spouse pairs completed the Hospital Anxiety and Depression Scale (HADS). Inclusion criteria included curative treatment for head and neck cancer. Exclusion criteria were visiting the clinic without a spouse, bad news at the routine follow‐up examination, diseases causing cognitive dysfunction, and poor understanding of the Dutch language. Next to the HADS, the assessment protocol included age, gender, health status, coping strategy, time since cancer treatment, tumor stage and site, treatment modality, functional and social impairment, and caregiving burden. Results: A clinical level of distress was noted in 20% of the spouses and in 27% of the patients. Distress in spouses was related to the presence of a feeding tube in patients, a passive coping style, less vitality, and a disrupted daily life schedule resulting from caregiving. Distress in patients was related to the presence of a feeding tube, speech and swallowing problems, less social contacts, a passive style of coping, and nonexpression of emotions. Conclusion: Distress is often present in spouses and patients treated for head and neck cancer. Routine screening for psychologic distress is recommended.

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The challenging situation of partners of cancer patients often leads to increased psychological distress, increased caregiver strain, deteriorated physical health, and diminished social and relationship functioning.
“This challenging situation often leads to increased psychological distress (e.g., [5]), increased caregiver strain, deteriorated physical health, and diminished social and relationship functioning (e.g., [4, 6, 7]).”
From Web-based self-help intervention for partners of cancer patients based on acceptance and commitment therapy and self-compassion training: a randomized controlled trial with automated versus personal feedback (2021) · cites this paper as [5]

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Authors: Verdonck‐de Leeuw, I. M., Eerenstein, S. E., Van der Linden, M. H., Kuik, D. J., de Bree, R., & Leemans, C. R.
Affiliations: Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
ORCID: Eerenstein, Simone E.
Venue: The Laryngoscope
Publisher: Wiley
Published: 2007-02
Volume: 117
Issue: 2
Pages: 238-241
ISSN: 0023-852X (ISSN-L)
1531-4995
DOI: 10.1097/01.mlg.0000250169.10241.58
OpenAlex: W2103995559
Cited by: 160
References: 14
Citations by year: 2026: 2 · 2025: 7 · 2024: 8 · 2023: 5 · 2022: 7 · 2021: 4 · 2020: 11 · 2019: 7 · 2018: 7 · 2017: 6 · 2016: 13 · 2015: 17 · 2014: 9 · 2013: 5 · 2012: 11
FWCI: 5.21
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 701 d)
Locations: The Laryngoscope (publishedVersion)
PubMed (publishedVersion)
Pure Amsterdam UMC (submittedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Keywords: head and neck cancer, psychological distress, spouses, caregivers, anxiety, depression, coping styles, feeding tube, dysphagia, speech disorders, caregiver burden, emotional expression
MeSH terms: Activities of Daily Living, Adaptation, Psychological, Adult, Age Factors, Aged, Anxiety, Carcinoma, Deglutition Disorders, Depression, Emotions, Enteral Nutrition, Female, Follow-Up Studies, Head and Neck Neoplasms, Health Status, Humans, Male, Middle Aged, Neoplasm Staging, Sex Factors, Social Behavior, Speech Disorders, Stress, Psychological, Caregivers, Spouses

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Distress in Spouses and Patients After Treatment for Head and Neck Cancer

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