患有头癌的患者中抑郁和焦虑,他们正在接受自由重建
Priscilla F A Pichardo1, Vincent M Desiato1, Ryan N Hellums1
1Department of Otolaryngology - Head and Neck Surgery, Geisinger Medical Center, Danville, PA, United States of America.
American journal of otolaryngology
|September 21, 2023
概括
患有抑郁症和焦虑症的患病率在接受自由重建的头癌 (HNC) 患者中很高. 早期查和心理健康支持对这些患者至关重要.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 手术重建手术重建的方法
背景情况:
- 头癌 (HNC) 带来了重大的身体和心理挑战.
- 自由重建 (FF) 是HNC的一个常见的手术干预.
- 对于HNC及其治疗,特别是FF重建的心理影响,需要进行彻底的调查.
研究的目的:
- 确定FF重建的HNC患者中抑郁和焦虑的患病率和严重程度.
- 确定该患者队列中未被诊断的心理健康状况的比例.
主要方法:
- 一组接受FF重建的HNC患者进行了手术前评估.
- 经过验证的问卷,包括抑郁症的患者健康问卷 (PHQ-9) 和焦虑症的泛性焦虑障碍 (GAD-7).
- 分析了患者的因素和问卷答复,以确定患病率和严重程度.
主要成果:
- 这项研究包括71名患者.
- 术前评估显示,34%的患者经历了中度至重度的抑郁 (平均PHQ-9分数:7.6),30%的患者经历了中度至重度的焦虑 (平均GAD-7分数:6.5).
- 很大一部分患者未被诊断出抑郁症 (22%) 和焦虑症 (18%).
结论:
- 在接受FF重建的HNC患者中,抑郁和焦虑的患病率特别高.
- 这些精神健康状况的很大一部分在最初的呈现时仍未被诊断出来.
- 建议在HNC诊断时进行抑郁和焦虑的例行查,并提供可访问的心理健康服务.
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