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Computer-Aided Three-Dimensional Visualization in the Treatment of Locally Advanced Thyroid Cancer

Computer-Aided Three-Dimensional Visualization in the Treatment of Locally Advanced Thyroid Cancer

Published on: June 9, 2023

Factors Associated With Psychological Distress Among Thyroid Cancer Patients.

Matthew E Lin¹, Eric X Wei², Andrey Finegersh^2,3

¹Department of Head and Neck Surgery, David Geffen School of Medicine of University of California Los Angeles, Los Angeles, California, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery

|November 6, 2024

Summary

Nearly 30% of thyroid cancer patients experience psychological distress, particularly younger individuals and those not seeing a general physician regularly. Identifying at-risk patients is crucial for targeted psychosocial interventions.

Keywords:

disparities preventative care psychological distress survivorship thyroid cancer

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Area of Science:

Oncology
Psychiatry
Public Health

Background:

Psychological distress (PD) is a significant concern for cancer patients.
Understanding the prevalence and associated factors of PD in thyroid cancer patients (TCPs) is essential for supportive care.

Purpose of the Study:

To determine the prevalence of moderate-to-severe psychological distress (MSPD) in TCPs.
To identify demographic, clinical, and socioeconomic factors linked to MSPD in TCPs.

Main Methods:

Retrospective analysis of the 2016-2018 National Health Interview Survey data.
Inclusion of adult cancer patients, with a focus on TCPs.
Utilized the K6 Psychological Distress Scale to define MSPD (score ≥5) and employed weighted multivariable logistic regression to identify associated factors.

Main Results:

28.4% of TCPs reported MSPD.
TCPs showed higher MSPD rates compared to prostate, bladder, and nonmelanoma skin cancer patients, but lower than pancreatic cancer patients.
Factors associated with lower MSPD included older age, previous alcohol consumption, and regular general physician visits. Female sex, multiple comorbidities, and functional limitations were linked to increased MSPD.

Conclusions:

A substantial proportion of TCPs experience MSPD, highlighting a need for mental health support.
Younger TCPs and those with infrequent general physician contact appear to be at higher risk.
Further research is needed to pinpoint high-risk individuals for tailored prevention and psychosocial interventions.