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Korean J Adult Nurs : Korean Journal of Adult Nursing

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Original Article

Symptom Severity according to the Presence of Depressive and Anxiety Symptoms among Patients with Head and Neck Cancer

Hyun-Joo Kim1, Ok-Hee Cho2, Yang-Sook Yoo2
Korean Journal of Adult Nursing 2016;28(2):148-155.
Published online: April 30, 2016

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Corresponding author: Yoo, Yang-Sook College of Nursing, The Catholic University of Korea, 222 Banpo-daero, Secho-gu, Seoul 137-701, Korea. Tel: +82-2-2258-7411, Fax: +82-2-2258-7772, E-mail: ysyoo@catholic.ac.kr
• Received: January 26, 2016   • Accepted: April 18, 2016

Copyright © 2016 Korean Society of Adult Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    The purpose of this study was to compare symptom severity and the impact of presence of depressive and/or anxiety symptoms among patients with head and neck cancer (HNC).
  • Methods
    One hundred and fifteen patients diagnosed with HNC completed two questionnaires: Hospital Anxiety and Depression Scale (HADS) and the M. D. Anderson Symptom Inventory-Head and Neck Cancer (MDASI-HN).
  • Results
    Of the total sample, 55.6% reported depressive symptoms and 33% reported anxiety symptoms. Patients who reported either depressive or anxiety symptoms also had significantly more severe symptoms. The most severe symptom was dry mouth. Participants who were depressed reported that interference in the enjoyment of life due to symptoms was the most distressing whereas participants with anxiety reported symptom interference in work was of most concern. Of patients reporting moderate to severe symptoms, more than 60% reported depressive symptoms. Of patients reporting moderate to severe feelings of being distress and feeling sad, more than 70% reported anxiety symptoms.
  • Conclusion
    Patients with HNC reporting moderate to severe symptoms also report depressive and/or anxiety symptoms. The results suggest the need to develop an integrated nursing intervention of both physical and emotional symptoms for patients with HNC.
  • Key Words: Head and neck neoplasms; Symptom; Depression; Anxiety
Figure 1.
Occurrence of depressive and anxiety symptoms in moderate to severe symptoms.
kjan-28-148f1.jpg
Table 1.
Demographic and Disease-related Characteristics of the Participants (N=115)
Characteristics Categories n (%) or M±SD
Age (year)   56.6±11.1
Gender Male 99 (86.1)
Female 16 (13.9)
Spouse Yes 97 (84.4)
No 18 (15.6)
Religion Yes 76 (66.1)
No 39 (33.9)
Education ≤Middle school 26 (22.6)
High school 50 (43.5)
≥College 39 (33.9)
Occupation Disabled due to illness 36 (31.3)
Employed 44 (38.3)
Unemployed 35 (30.4)
Monthly income (10,000 won) ≤150 25 (21.7)
151~350 60 (52.2)
≥351 30 (26.1)
Cancer site Nasopharynx, larynx, 47 (40.8)
pharynx  
Tonsil 26 (22.6)
Oral cavity, tongue, 24 (20.9)
salivary gland  
Nasal cavity, paranasal 14 (12.2)
sinuses  
Other 4 (3.5)
Cancer stage I 11 (9.6)
II 7 (6.1)
III 31 (26.9)
IV 66 (57.4)
Period since diagnosis (month) ≤6 50 (43.5)
7~12 20 (17.4)
13~24 11 (9.6)
25~90 34 (29.5)
Treatment type† Operation (Yes) 62 (53.9)
Radiation therapy (Yes) 91 (79.1)
Chemotherapy (Yes) 96 (83.5)
Symptomatic 8 (7.0)
management (Yes)  
Karnofsky performance status (%) 89.3±10.9

†Multiple response.

Table 2.
Symptom Severity according to the Presence of Depressive and Anxiety Symptoms (N=115)
Symptom Depressive symptoms p Anxiety symptoms p
Yes (n=64) No (n=51) Yes (n=38) No (n=77)
M±SD M±SD M±SD M±SD
Core items
Pain
Fatigue		 3.33±3.04
5.00±2.54		 1.78±2.80
2.84±2.28		 .006
＜.001		 4.10±3.31
5.62±2.52		 2.03±2.73
3.30±2.40		 .002
＜.001
Nausea
Disturbed sleep		 2.47±2.84
4.13±3.28		 1.41±2.10
2.24±2.62		 .024
＜.001		 3.10±3.23
5.05±3.56		 1.56±2.15
2.48±2.56		 .022
＜.001
Feeling of being distressed
Shortness of breath		 4.42±3.01
2.37±2.43		 1.49±1.85
1.14±1.28		 ＜.001
＜.001		 5.50±3.13
2.59±2.64		 1.99±2.08
1.48±1.81		 ＜.001
.026
Difficulty remembering
Lack of appetite		 3.59±2.67
4.46±3.18		 1.73±1.96
2.24±2.62		 ＜.001
＜.001		 3.59±2.56
5.05±3.15		 2.32±2.41
2.68±2.82		 .008
＜.001
Feeling drowsy
Having a dry mouth		 3.98±2.65
5.52±3.11		 2.98±2.61
3.80±3.04		 .044
.004		 4.29±2.89
5.83±3.10		 3.30±2.59
4.22±3.11		 .170
.010
Feeling sad
Vomiting		 4.00±3.06
1.33±2.06		 1.02±1.66
0.94±2.06		 ＜.001
.319		 5.38±2.88
1.71±2.11		 1.43±2.03
0.88±1.96		 ＜.001
.042
Numbness or tingling 3.09±2.68 1.76±2.08 .004 3.68±2.78 1.83±2.08 ＜.001
Head and neck cancer specific items
Problem with oral mucus 2.97±3.31 2.25±3.11 .241 3.39±3.43 2.27±3.06 .073
Difficulty swallowing or chewing
Choking or coughing		 4.98±3.76
3.28±2.83		 2.67±3.36
1.48±1.95		 ＜.001
＜.001		 4.79±3.82
3.48±2.88		 3.49±3.67
2.08±2.45		 .060
.017
Difficulty with voice or speech
Skin pain/burning/rash		 4.14±3.57
1.95±2.73		 1.88±2.78
0.90±1.43		 ＜.001
.010		 4.54±3.89
2.18±2.82		 2.44±2.96
1.12±1.88		 .005
.035
Constipation
Problem with tasting food		 3.02±3.32
4.95±3.40		 2.33±2.75
2.98±3.17		 .241
.002		 3.71±3.45
4.56±3.51		 2.27±2.83
3.81±3.42		 .029
.225
Mouth/Throat sores
Problem with teeth or gum		 3.43±3.30
4.27±3.44		 1.59±2.80
2.49±3.09		 .002
.005		 3.53±3.52
4.52±3.61		 2.21±3.00
2.92±3.17		 .047
.012
Interference items
General activity
Mood		 5.69±3.07
5.36±2.75		 2.63±2.73
2.29±2.23		 ＜.001
＜.001		 6.34±2.82
6.29±2.36		 3.35±3.06
2.91±2.60		 ＜.001
＜.001
Work
Relations with others		 5.89±3.26
5.91±3.18		 2.43±2.45
2.51±2.56		 ＜.001
＜.001		 6.93±2.69
6.64±2.85		 3.05±2.93
3.19±2.99		 ＜.001
＜.001
Walking ability
Enjoyment of life		 4.63±2.99
6.23±2.92		 1.96±2.21
2.33±2.26		 ＜.001
＜.001		 5.43±2.81
6.67±2.56		 2.48±2.60
3.38±3.05		 ＜.001
＜.001
  • 1.Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. A Cancer of Journal for Clinicians. 2011;61(2):69-90. http://dx.doi.org/10.3322/caac.20107.
  • 2.Jung KW, Won YJ, Kong HJ, Oh CM, Cho HS, Lee DH, et al. Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2012. Cancer Research and Treatment. 2015;47(2):127-41. http://dx.doi.org/10.4143/crt.2015.060.
  • 3.National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology: Head and Neck Cancers version 2.2013 [Internet]. Washington: National Comprehensive Cancer Network; 2013. [cited 2013 September 4]. Available from:.http://www.nccn.org/professionals/physician_gls/f_guidelines.asp.
  • 4.Statistics Korea. Korean Statistical Information Service [Internet]. Seoul: Statistics Korea; 2013. [cited 2015 May 27]. Available from:.http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_11702_N001&vw_cd=&list_id=&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=E1.
  • 5.Haisfield-Wolfe ME, McGuire DB, Soeken K, Geiger-Brown J, De Forge BR. Prevalence and correlates of depression among patients with head and neck cancer: a systematic review of implications for research. Oncology Nursing Forum. 2009;36(3):E107-25. http://dx.doi.org/10.1188/09.onf.e107-e125.
  • 6.Gunn GB, Mendoza TR, Fuller CD, Gning I, Frank SJ, Beadle BM, et al. High symptom burden prior to radiation therapy for head and neck cancer: a patient-reported outcomes study. Head & Neck. 2013;35(10):1490-8. http://dx.doi.org/10.1002/hed.23181.
  • 7.Xiao C, Hanlon A, Zhang Q, Ang K, Rosenthal DI, Nguyen-Tan PF, et al. Symptom clusters in patients with head and neck cancer receiving concurrent chemoradiotherapy. Oral Oncology. 2013;49(4):360-6. http://dx.doi.org/10.1016/j.oraloncology.2012.10.004.
  • 8.McQuestion M, Fitch M, Howell D. The changed meaning of food: physical, social and emotional loss for patients having received radiation treatment for head and neck cancer. European Journal of Oncology of Nursing. 2011;15(2):145-51. http://dx.doi.org/10.1016/j.ejon.2010.07.006.
  • 9.Oskam IM, Verdonck-de Leeuw IM, Aaronson NK, Witte BI, de Bree R, Doornaert P, et al. Prospective evaluation of health-related quality of life in long-term oral and oropharyngeal cancer survivors and the perceived need for supportive care. Oral Oncology. 2013;49(5):443-8. http://dx.doi.org/10.1016/j.oraloncology.2012.12.005.
  • 10.Teunissen SC, de Graeff A, Voest EE, de Haes JC. Are anxiety and depressed mood related to physical symptom burden? a study in hospitalized advanced cancer patients. Palliative Medicine. 2007;21(4):341-6. http://dx.doi.org/10.1177/0269216307079067.
  • 11.Chen ML, Chang HK. Physical symptom profiles of depressed and nondepressed patients with cancer. Palliative Medicine. 2004;18(8):712-18. http://dx.doi.org/10.1191/0269216304pm950oa.
  • 12.Gil F, Costa G, Hilker I, Benito L. First anxiety, afterwards depression: psychological distress in cancer patients at diagnosis and after medical treatment. stress and health. 2012;28:362-7. http://dx.doi.org/10.1002/smi.2445.
  • 13.Chiou WY, Lee MS, Ho HC, Hung SK, Lin HY, Su YC, et al. Prognosticators and the relationship of depression and quality of life in head and neck cancer. Indian Journal of Cancer. 2013;50(1):14-20. http://dx.doi.org/10.4103/0019-509X.112279.
  • 14.Rosenthal DI, Mendoza TR, Chambers MS, Asper JA, Gning I, Kies MS, et al. Measuring head and neck cancer symptom burden: the development and validation of the M.D. Anderson symptom inventory, head and neck module. Head & Neck. 2007;29(10):923-31. http://dx.doi.org/10.1002/hed.20602.
  • 15.Oh SM, Min KJ, Park DB. A study on the standardization of the Hospital Anxiety and Depression Scale for Koreans. Journal Korean Neuropsychiatric Association. 1999;38(2):289-96.
  • 16.Joseph LA, Routledge JA, Burns MP, Swindell R, Sykes AJ, Slevin NJ, et al. Value of the Hospital Anxiety and Depression Scale in the follow up of head and neck cancer patients. The Journal of Laryngology & Otology. 2013;127(3):285-94. http://dx.doi.org/10.1017/S0022215113000078.
  • 17.Krebber AM, Buffart LM, Kleijn G, Riepma IC, de Bree R, Leemans CR, et al. Prevalence of depression in cancer patients: a meta-analysis of diagnostic interviews and self-report instruments. Psycho-oncology. 2014;23(2):121-30. http://dx.doi.org/10.1002/pon.3409.
  • 18.Schag CC, Heinrich RL, Ganz PA. Karn of sky performance status revisited: reliability, validity, and guidelines. Journal of Clinical Oncology. 1984;2(3):187-93.
  • 19.Lue BH, Huang TS, Chen HJ. Physical distress, emotional status, and quality of life in patients with nasopharyngeal cancer complicated by post-radiotherapy endocrinopathy. International Journal of Radiation Oncology Biology Physics. 2008;70(1):28-34. http://dx.doi.org/10.1016/j.ijrobp.2007.06.053.
  • 20.Chen SC, Lai YH, Liao CT, Lin CC, Chang JT. Changes of symptoms and depression in oral cavity cancer patients receiving radiation therapy. Oral Oncology. 2010;46(7):509-13. http://dx.doi.org/10.1016/j.oraloncology.2010.02.024.
  • 21.Elting LS. Cooksley CD, Chambers MS, Garden AS. Risk, outcomes, and costs of radiation-induced oral mucositis among patients with head and neck malignancies. International Journal Radiation Oncology Biology Physics. 2007;68(4):1110-20. http://dx.doi.org/10.1016/j.ijrobp.2007.01.053.
  • 22.Keereweer S, Kerrebijn JDF, Al-Mamgani A, Sewnaik A, Baa-tenburg de Jong RJ, van Meerten E. Chemoradiation for advanced hypopharyngeal carcinoma: a retrospective study on efficacy, morbidity and quality of life. European Archives of Otorhinolaryngology. 2012;269(3):939-46. http://dx.doi.org/10.1007/s00405-011-1694-8.
  • 23.Maurer J, Hipp M, Schafer C, Kolbl O. Dysphagia impact on quality of life after radio (chemo) therapy of head and neck cancer. Strahlentherapie und Onkologie. 2011;187(11):744-9. http://dx.doi.org/10.1007/s00066-011-2275-x.
  • 24.So WKW, Chan RJ, Chan DN, Hughes BG, Chair SY, Choi KC, et al. Quality-of-life among head and neck cancer survivors at one year after treatment - a systematic review. European Journal of Cancer. 2012;48(15):2391-408. http://dx.doi.org/10.1016/j.ejca.2012.04.005.
  • 25.Karthikeyan G, Jumnani D, Prabhu R, Manoor UK, Supe SS. Prevalence of fatigue among cancer patients receiving various anticancer therapies and its impact on quality of life: a cross-sectional study. Indian Journal of Palliative Care. 2012;18(3):165-75. http://dx.doi.org/10.4103/0973-1075.105686.
  • 26.Oh PJ, Jung JA. A meta-analysis of intervention studies on cancer-related fatigue in Korea: 1990-2010. Journal of Korean Clinical Nursing Research. 2011;17(2):163-75.
  • 27.Reddy SK, Parsons HA, Elsayem A, Palmer JL, Bruera E. Characteristics and correlates of dyspnea in patients with advanced cancer. Journal of Palliative Medicine. 2009;12(1):29-36. http://dx.doi.org/10.1089/jpm.2008.0158.
  • 28.Berkey FJ. Managing the adverse effects of radiation therapy. American Family Physician. 2010;82(4):381-8.
  • 29.Bornbaum CC, Fung K, Franklin JH, Nichols A, Yoo J, Doyle PC. A descriptive analysis of the relationship between quality of life and distress in individuals with head and neck cancer. Support Care Cancer. 2012;20(9):2157-65. http://dx.doi.org/10.1007/s00520-011-1326-2.
  • 30.Buchmann L, Conlee J, Hunt J, Agarwal J, White S. Psychosocial distress is prevalent in head and neck cancer patients. Laryngoscope. 2013;123(6):1424-9. http://dx.doi.org/10.1002/lary.23886.

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    • A Systematic Review on the Effects of Prophylactic Swallowing Exercise in Patients with Head and Neck Cancer Undergoing Radiotherapy
      Hyeongmin Byun
      The Korean Journal of Rehabilitation Nursing.2024; 27(1): 1.     CrossRef

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    Symptom Severity according to the Presence of Depressive and Anxiety Symptoms among Patients with Head and Neck Cancer
    Korean J Adult Nurs. 2016;28(2):148-155.   Published online April 30, 2016
    DOI: https://doi.org/10.7475/kjan.2016.28.2.148
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    Symptom Severity according to the Presence of Depressive and Anxiety Symptoms among Patients with Head and Neck Cancer
    Korean J Adult Nurs. 2016;28(2):148-155.   Published online April 30, 2016
    DOI: https://doi.org/10.7475/kjan.2016.28.2.148
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    Symptom Severity according to the Presence of Depressive and Anxiety Symptoms among Patients with Head and Neck Cancer
    Image
    Figure 1. Occurrence of depressive and anxiety symptoms in moderate to severe symptoms.

    Figure 1.

    Symptom Severity according to the Presence of Depressive and Anxiety Symptoms among Patients with Head and Neck Cancer

    Demographic and Disease-related Characteristics of the Participants (N=115)

    Characteristics Categories n (%) or M±SD
    Age (year)   56.6±11.1
    Gender Male 99 (86.1)
    Female 16 (13.9)
    Spouse Yes 97 (84.4)
    No 18 (15.6)
    Religion Yes 76 (66.1)
    No 39 (33.9)
    Education ≤Middle school 26 (22.6)
    High school 50 (43.5)
    ≥College 39 (33.9)
    Occupation Disabled due to illness 36 (31.3)
    Employed 44 (38.3)
    Unemployed 35 (30.4)
    Monthly income (10,000 won) ≤150 25 (21.7)
    151~350 60 (52.2)
    ≥351 30 (26.1)
    Cancer site Nasopharynx, larynx, 47 (40.8)
    pharynx  
    Tonsil 26 (22.6)
    Oral cavity, tongue, 24 (20.9)
    salivary gland  
    Nasal cavity, paranasal 14 (12.2)
    sinuses  
    Other 4 (3.5)
    Cancer stage I 11 (9.6)
    II 7 (6.1)
    III 31 (26.9)
    IV 66 (57.4)
    Period since diagnosis (month) ≤6 50 (43.5)
    7~12 20 (17.4)
    13~24 11 (9.6)
    25~90 34 (29.5)
    Treatment type† Operation (Yes) 62 (53.9)
    Radiation therapy (Yes) 91 (79.1)
    Chemotherapy (Yes) 96 (83.5)
    Symptomatic 8 (7.0)
    management (Yes)  
    Karnofsky performance status (%) 89.3±10.9

    †Multiple response.

    Symptom Severity according to the Presence of Depressive and Anxiety Symptoms (N=115)

    Symptom Depressive symptoms p Anxiety symptoms p
    Yes (n=64) No (n=51) Yes (n=38) No (n=77)
    M±SD M±SD M±SD M±SD
    Core items
    Pain
    Fatigue    		 3.33±3.04
    5.00±2.54    		 1.78±2.80
    2.84±2.28    		 .006
    ＜.001    		 4.10±3.31
    5.62±2.52    		 2.03±2.73
    3.30±2.40    		 .002
    ＜.001
    Nausea
    Disturbed sleep    		 2.47±2.84
    4.13±3.28    		 1.41±2.10
    2.24±2.62    		 .024
    ＜.001    		 3.10±3.23
    5.05±3.56    		 1.56±2.15
    2.48±2.56    		 .022
    ＜.001
    Feeling of being distressed
    Shortness of breath    		 4.42±3.01
    2.37±2.43    		 1.49±1.85
    1.14±1.28    		 ＜.001
    ＜.001    		 5.50±3.13
    2.59±2.64    		 1.99±2.08
    1.48±1.81    		 ＜.001
    .026
    Difficulty remembering
    Lack of appetite    		 3.59±2.67
    4.46±3.18    		 1.73±1.96
    2.24±2.62    		 ＜.001
    ＜.001    		 3.59±2.56
    5.05±3.15    		 2.32±2.41
    2.68±2.82    		 .008
    ＜.001
    Feeling drowsy
    Having a dry mouth    		 3.98±2.65
    5.52±3.11    		 2.98±2.61
    3.80±3.04    		 .044
    .004    		 4.29±2.89
    5.83±3.10    		 3.30±2.59
    4.22±3.11    		 .170
    .010
    Feeling sad
    Vomiting    		 4.00±3.06
    1.33±2.06    		 1.02±1.66
    0.94±2.06    		 ＜.001
    .319    		 5.38±2.88
    1.71±2.11    		 1.43±2.03
    0.88±1.96    		 ＜.001
    .042
    Numbness or tingling 3.09±2.68 1.76±2.08 .004 3.68±2.78 1.83±2.08 ＜.001
    Head and neck cancer specific items
    Problem with oral mucus 2.97±3.31 2.25±3.11 .241 3.39±3.43 2.27±3.06 .073
    Difficulty swallowing or chewing
    Choking or coughing    		 4.98±3.76
    3.28±2.83    		 2.67±3.36
    1.48±1.95    		 ＜.001
    ＜.001    		 4.79±3.82
    3.48±2.88    		 3.49±3.67
    2.08±2.45    		 .060
    .017
    Difficulty with voice or speech
    Skin pain/burning/rash    		 4.14±3.57
    1.95±2.73    		 1.88±2.78
    0.90±1.43    		 ＜.001
    .010    		 4.54±3.89
    2.18±2.82    		 2.44±2.96
    1.12±1.88    		 .005
    .035
    Constipation
    Problem with tasting food    		 3.02±3.32
    4.95±3.40    		 2.33±2.75
    2.98±3.17    		 .241
    .002    		 3.71±3.45
    4.56±3.51    		 2.27±2.83
    3.81±3.42    		 .029
    .225
    Mouth/Throat sores
    Problem with teeth or gum    		 3.43±3.30
    4.27±3.44    		 1.59±2.80
    2.49±3.09    		 .002
    .005    		 3.53±3.52
    4.52±3.61    		 2.21±3.00
    2.92±3.17    		 .047
    .012
    Interference items
    General activity
    Mood    		 5.69±3.07
    5.36±2.75    		 2.63±2.73
    2.29±2.23    		 ＜.001
    ＜.001    		 6.34±2.82
    6.29±2.36    		 3.35±3.06
    2.91±2.60    		 ＜.001
    ＜.001
    Work
    Relations with others    		 5.89±3.26
    5.91±3.18    		 2.43±2.45
    2.51±2.56    		 ＜.001
    ＜.001    		 6.93±2.69
    6.64±2.85    		 3.05±2.93
    3.19±2.99    		 ＜.001
    ＜.001
    Walking ability
    Enjoyment of life    		 4.63±2.99
    6.23±2.92    		 1.96±2.21
    2.33±2.26    		 ＜.001
    ＜.001    		 5.43±2.81
    6.67±2.56    		 2.48±2.60
    3.38±3.05    		 ＜.001
    ＜.001
    Table 1. Demographic and Disease-related Characteristics of the Participants (N=115)

    Multiple response.

    Table 2. Symptom Severity according to the Presence of Depressive and Anxiety Symptoms (N=115)

    Table 1.

    Table 2.

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