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      Prevalence of depressive disorders among head-and-neck cancer patients: A hospital-based, cross-sectional study

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          Abstract

          Background:

          Head-and-neck cancers (HNCs) are associated with significant psychosocial challenges at all stages of illness, which influence the course and outcome of cancer. We aimed to assess the prevalence of depressive disorders among patients with HNC and its sociodemographic and clinical determinants.

          Materials and Methods:

          It was a cross-sectional study conducted in the department of oncology of a medical college hospital from South India. A total of 100 adult patients with HNC were recruited over a period of 1 year, after obtaining ethical clearance. Mini International Neuropsychiatric Interview was used to assess for depressive disorders in these patients.

          Results:

          We found that 49% of the patients were suffering from major depressive disorder (MDD), 13% of the patients had MDD with melancholic features, and 10% had dysthymia. Functional impairment and surgical treatments were associated with the diagnosis of depressive disorders.

          Conclusion:

          Depressive disorders are highly prevalent in HNC and emphasize the need for tailored psycho-oncological and psychotherapeutic interventions.

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          Anxiety and depression in patients with head and neck cancer: 6-month follow-up study

          Yi-Shan Wu, Pao-Yen Lin, Chih-Yen Chien … (2016)
          Objective We aimed to assess psychiatric morbidities of patients with head and neck cancer (HNC) in a prospective study at pretreatment, and 3 and 6 months after treatment, and to compare their health-related quality of life (HRQL) between those with and without depressive disorders (depression). Materials and methods Patients with newly diagnosed HNC from a tertiary hospital were recruited into the study. They were assessed for psychiatric morbidities using the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, fourth edition. Their HRQL was simultaneously evaluated using the quality of life questionnaire of the European Organisation for Research and Treatment of Cancer with a specific module for head and neck cancer; and depressed and nondepressed HNC patients were compared by using the generalized mixed-effect model for repeated measurements. Results A total of 106 patients were recruited into this study. High rates of anxiety were found at pretreatment, but steadily declined over time (from 27.3% to 6.4%, and later 3.3%). A skew pattern of depression was observed, with prevalence rates from 8.5% at pretreatment to 24.5% and 14% at 3 and 6 months, respectively, after treatment. We found that loss of sense (P=0.001), loss of speech (P<0.001), low libido (P=0.001), dry mouth (P<0.001), and weight loss (P=0.001) were related to depression over time. The depressed patients had a higher consumption of painkillers (P=0.001) and nutrition supplements (P<0.001). The results showed that depression was predicted by sticky saliva (P<0.001) and trouble with social contact (P<0.001) at 3 months, and trouble with social eating (P<0.001) at 6 months. Conclusion Patients with HNC experienced different changes in anxiety and depression in the first 6 months of treatment. Dysfunction in salivation, problems with eating, and problems with social contacts were major risk factors for depression.
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            Twelve-Month and Lifetime Prevalence of Mental Disorders in Cancer Patients.

            Susanne Kuhnt, Elmar Brähler, Hermann Faller … (2016)
            Psychological problems are common in cancer patients. For the purpose of planning psycho-oncological interventions and services tailored to the specific needs of different cancer patient populations, it is necessary to know to what extent psychological problems meet the criteria of mental disorders. The purpose of this study was to estimate the 12-month and lifetime prevalence rates of mental disorders in cancer patients.
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              A review of depression in the head and neck cancer patient.

              William M Lydiatt, Jessica Moran, William J Burke (2009)
              Head and neck cancer patients experience among the highest rates of major depressive disorder of all oncology patients with an incidence of 15-50%. Correct diagnosis is critical to expeditious management. Oncologists are not always adept at making the diagnosis as medical and treatment side effects can mimic the signs and symptoms of depression. Treatment can be successful and typically involves medical, social, and psychologic interventions. Causes of depression, obtaining an accurate diagnosis, and treatment options are all discussed in this review.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Indian J Psychiatry
                Journal ID (iso-abbrev): Indian J Psychiatry
                Journal ID (publisher-id): IJPsy
                Title: Indian Journal of Psychiatry
                Publisher: Wolters Kluwer - Medknow (India )
                ISSN (Print): 0019-5545
                ISSN (Electronic): 1998-3794
                Publication date (Print): 2019
                Volume: 61
                Issue: 4
                Pages: 409-414
                Affiliations
                [1]Department of Psychiatry, Yenepoya Medical College, Yenepoya University, Mangalore, Karnataka, India
                Author notes
                Address for correspondence: Dr. Ravichandra Karkal, Department of Psychiatry, Yenepoya Medical College, Yenepoya University, Mangalore - 575 018, Karnataka, India. E-mail: minddocravi@ 123456gmail.com
                Article
                Publisher ID: IJPsy-61-409
                DOI: 10.4103/psychiatry.IndianJPsychiatry_511_18
                PMC ID: 6657543
                PubMed ID: 31391647
                SO-VID: 498615b9-1559-4a93-8659-74cd88352e8c
                Copyright © Copyright: © 2019 Indian Journal of Psychiatry
                License:

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

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                Categories
                Subject: Brief Research Communication

                ScienceOpen disciplines: Clinical Psychology & Psychiatry
                Keywords: depression,head-and-neck cancer,psycho-oncology
                Data availability:
                ScienceOpen disciplines: Clinical Psychology & Psychiatry
                Keywords: depression, head-and-neck cancer, psycho-oncology

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