The DOI matches its Crossref record; 14 of the 14 references it cites were found in a registry or an index.
Distress in Spouses and Patients After Treatment for Head and Neck Cancer
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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“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]).”
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Cites
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Review of the literature on the effects of caring for a patient with cancer
Stenberg, U., Ruland, C. M., & Miaskowski, C. (2010) · Psycho-Oncology · doi:10.1002/pon.1670 · Cited by 786
Intimacy and relationship processes in couples' psychosocial adaptation to cancer
Manne, S. L., & Badr, H. (2008) · Cancer · doi:10.1002/cncr.23450 · Cited by 471
The cancer family caregiving experience: An updated and expanded conceptual model
Fletcher, B. S., Miaskowski, C. A., Given, B. A., & Schumacher, K. L. (2011) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2011.09.001 · Cited by 304
Christianen, M. E. M. C., Schilstra, C., Beetz, I., Muijs, C. T., Chouvalova, O., Burlage, F. R., Doornaert, P., Koken, P. W., Leemans, C. R., Rinkel, R. N. P. M., et al. (2011) · Radiotherapy and Oncology · doi:10.1016/j.radonc.2011.08.009 · Cited by 285
Self-citationHowren, M. B., Christensen, A. J., Karnell, L. H., & Funk, G. F. (2013) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0029940 · Cited by 202
Metadata
- 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)
- Venue
- The Laryngoscope
- Publisher
- Wiley
- Published
- 2007-02
- Volume
- 117
- Issue
- 2
- Pages
- 238-241
- ISSN
- 0023-852X (ISSN-L)
- 1531-4995
- 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
- 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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