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Functional Near-Infrared Spectroscopy Hyperscanning Study in Psychological Counseling
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Implementing a Tailored Psychosocial Distress Screening Protocol in a Head and Neck Cancer Program.

Eden R Brauer1, Stephanie Lazaro2, Charlene L Williams2

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Psychosocial distress is prevalent in head and neck cancer patients. An ultra-brief screening protocol effectively identifies distress for timely intervention, improving care quality.

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Area of Science:

  • Oncology
  • Psychosocial Oncology
  • Cancer Care

Background:

  • Psychosocial distress is common in head and neck cancer (HNC) patients, impacting quality of life and outcomes.
  • Distress screening is underutilized in routine HNC care despite its significance.

Purpose of the Study:

  • To investigate the prevalence of psychosocial distress in HNC patients under routine care.
  • To identify factors associated with psychosocial distress in this population.

Main Methods:

  • Retrospective analysis of medical records from September 2017 to March 2020.
  • Utilized the Distress Thermometer (DT) and HNC-specific problem list for distress assessment.
  • Assessed depression and anxiety using the Patient Health Questionnaire-4; logistic regression identified associated factors.

Main Results:

  • 57% of 287 HNC patients reported clinical distress (DT ≥ 4).
  • Pain, fatigue, anxiety, and depression were significantly associated with clinical distress.
  • 79% of distressed patients received same-day psychosocial evaluation.

Conclusions:

  • An ultra-brief psychosocial screening protocol is feasible in routine ambulatory oncology care.
  • This screening method effectively identifies patients with significant distress that may otherwise be overlooked.