Koch Robert, Wittekindt Claus, Altendorf-Hofmann Annelore, Singer Susanne, Guntinas-Lichius Orlando
Department of Otorhinolaryngology, Jena University Hospital, Jena, Thuringia, Germany.
Head Neck. 2015 Apr;37(4):585-93. doi: 10.1002/hed.23640. Epub 2014 Apr 10.
In this exploratory study, employment and psychological factors were investigated in head and neck cancer survivors with survivorship of ≥2 years.
Fifty-five head and neck cancer survivors ≤60 years old completed a survey including subscales from the Functional Assessment of Cancer Therapy (FACT) instrument, the Miller Behavioral Style Scale, the General Perceived Self-Efficacy Scale, the Patient Health Questionnaire-9 (PHQ-9), and the Hornheider-Fragebogen short version (HFB) measuring the need for psychological interventions. Exploratory analyses of associations to the employment status were performed.
The rate of employed patients dropped from three-fourths of patients before diagnosis to one-third at an average of 66.8 months after diagnosis. Current unemployment was associated with harder physical work before cancer diagnosis, surgical treatment, and current risky alcohol consumption. Unemployed survivors reported decreased FACT functional and social well-being and higher PHQ depression scores.
Psychosocial variables were significantly related to employment. Further research is needed to examine these relationships.
在这项探索性研究中，对存活时间≥2年的头颈癌幸存者的就业和心理因素进行了调查。
55名年龄≤60岁的头颈癌幸存者完成了一项调查，该调查包括癌症治疗功能评估（FACT）工具的分量表、米勒行为风格量表、一般自我效能感量表、患者健康问卷-9（PHQ-9）以及测量心理干预需求的霍恩海德问卷简版（HFB）。对与就业状况的关联进行了探索性分析。
就业患者的比例从诊断前的四分之三降至诊断后平均66.8个月时的三分之一。目前的失业与癌症诊断前更繁重的体力工作、手术治疗以及目前的危险饮酒有关。失业幸存者报告FACT功能和社会幸福感下降，PHQ抑郁评分更高。
社会心理变量与就业显著相关。需要进一步研究来检验这些关系。
