期刊
AMERICAN JOURNAL OF OTOLARYNGOLOGY
卷 45, 期 1, 页码 -出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.amjoto.2023.104044
关键词
Depression; Anxiety; Head and neck cancer; Free flap reconstruction
This study investigated the prevalence and severity of depression and anxiety in patients with head and neck cancer undergoing free-flap reconstruction surgery. The findings showed a high prevalence of depression and anxiety in this cohort, with a significant number of patients remaining undiagnosed. Therefore, it is recommended to screen these patients at initial diagnosis and provide mental health services.
Purpose: To determine the prevalence and severity of depression and anxiety in patients with head and neck cancer (HNC) undergoing treatment with free-flap (FF) reconstruction. Methods: Participants with HNC undergoing FF reconstruction were given the validated 9-item Patient Health Questionnaire (PHQ-9) and a 7-item Generalized Anxiety Disorder (GAD-7) questionnaire prior to surgery. Patient factors and responses were analyzed. Results: Seventy-one patients were included. Mean (SD) pre-operative PHQ-9 was 7.6 (7.04) with 34 % (n = 24) having moderate to severe depression. Mean (SD) pre-operative GAD-7 was 6.5 (6.86) with 30 % (n = 21) having moderate to severe anxiety. Conclusion: Prevalence of depression and anxiety is high in this cohort and undiagnosed in 22 % and 18 % of patients, respectively. Due to the findings, it is prudent to screen HNC patients at initial diagnosis and offer mental health services.
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