Brighton and Sussex Medical School, Division of Primary Care and Public Health, Brighton, United Kingdom.
Head Neck. 2011 Jan;33(1):65-71. doi: 10.1002/hed.21407.
Head and neck cancer is often diagnosed at a late stage and consequently radical treatment is necessary. The pretreatment phase is a time of high anxiety and depression for patients. This study aimed to investigate whether anxiety and depression are related to quality of life, coping styles, and dispositional optimism.
One hundred and three patients were recruited after diagnosis to a questionnaire study. Measures included the Hospital Anxiety and Depression Scale; SF12v2 Health Survey; Brief COPE, and the Revised Life Orientation Test.
Quality of life, in particular emotional role explained a large proportion of the variance in pretreatment anxiety and depression. In addition, the use of negative coping styles was related to high anxiety levels and low levels of optimism were related to higher levels of depression.
There are a small but significant proportion of pretreatment patients that may benefit from individualized support.
头颈部癌症通常在晚期被诊断出来，因此需要进行根治性治疗。患者在治疗前会经历高度焦虑和抑郁。本研究旨在探讨焦虑和抑郁是否与生活质量、应对方式和倾向性乐观有关。
在确诊后，103 名患者参与了问卷调查研究。研究工具包括医院焦虑抑郁量表、SF12v2 健康调查、简要应对方式问卷和修订生活取向测验。
生活质量，特别是情绪角色，对治疗前的焦虑和抑郁有较大的解释作用。此外，消极的应对方式与较高的焦虑水平有关，而较低的乐观水平与较高的抑郁水平有关。
有一小部分治疗前患者可能需要个性化的支持，以从中受益。
