Rani Bhavna, Sinha Aditi Prashant, Sharma Kamlesh Kumari, Prasad Barre Vijay, Srinivasan Muthuvenkatachalam, Biswas Ahitagni
College of Nursing, All India Institute of Medical Sciences, New Delhi, India.
Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.
Indian J Palliat Care. 2024 Oct-Dec;30(4):336-341. doi: 10.25259/IJPC_56_2023. Epub 2024 Oct 21.
This study was conducted to determine and correlate the perception of social support and the prevalence of self-reported depressive symptoms among patients with head-and-neck squamous cell carcinoma (HNSCC).
This cross-sectional study included 100 patients with HNSCC receiving treatment at a tertiary cancer centre in north India. They were enrolled by a convenient sampling technique. Subsequently, data regarding sociodemographic profile, clinical profile, perception of social support and prevalence of self-reported depressive symptoms were collected through face-to-face interviews using a subject datasheet, Multidimensional Scale of Perceived Social Support (MSPSS) and Patient Health Questionnaire-9.
Most of the HNSCC patients, 37%, were in the 42-54 years age category. A male gender predilection (85%) was noted. The two most common subsites involved were the oral cavity (61%) followed by the oropharynx (26%). A majority, 60% of the patients had high social support. Among the subscales of the MSPSS, high social support was obtained majorly from the family (98%), followed by significant others (66%) and friends (52%). The prevalence of self-reported moderate-to-severe depressive symptoms was noted in 36% of patients. The perception of social support and the prevalence of self-reported depressive symptoms showed a weak negative correlation (r = -0.262, = 0.008).
Despite receiving high social support, there was a high prevalence of self-reported moderate-to-severe depressive symptoms in patients with HNSCC. Therefore, it is pertinent to monitor the mental health of patients afflicted with HNSCC and provide mental health rehabilitation as per their needs.
本研究旨在确定头颈部鳞状细胞癌（HNSCC）患者对社会支持的感知情况，并将其与自我报告的抑郁症状患病率进行关联。
这项横断面研究纳入了100名在印度北部一家三级癌症中心接受治疗的HNSCC患者。他们通过便利抽样技术入组。随后，通过使用受试者数据表、多维感知社会支持量表（MSPSS）和患者健康问卷-9进行面对面访谈，收集了有关社会人口学特征、临床特征、社会支持感知情况以及自我报告的抑郁症状患病率的数据。
大多数HNSCC患者（37%）年龄在42 - 54岁之间。观察到男性占优势（85%）。两个最常受累的亚部位是口腔（61%），其次是口咽（26%）。大多数患者（60%）获得了较高的社会支持。在MSPSS的各个子量表中，较高的社会支持主要来自家庭（98%），其次是重要他人（66%）和朋友（52%）。36%的患者存在自我报告的中度至重度抑郁症状。社会支持感知与自我报告的抑郁症状患病率呈弱负相关（r = -0.262，P = 0.008）。
尽管HNSCC患者获得了较高的社会支持，但自我报告的中度至重度抑郁症状患病率仍较高。因此，监测HNSCC患者的心理健康并根据他们的需求提供心理健康康复服务是很有必要的。
