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- Document type:
- Journal Article; Article
- Author(s):
- Sehlen, S; Lenk, M; Herschbach, P; Aydemir, U; Dellian, M; Schymura, B; Hollenhorst, H; Duhmke, E
- Title:
- Depressive symptoms during and after radiotherapy for head and neck cancer.
- Abstract:
- BACKGROUND: Patients with head and neck cancer are extraordinarily susceptible to depressive traits. Thus, a general screening of these patients at their first admission to the ital is desirable. METHODS: From 1997-2001, 133 patients with head and neck tumors filled in the Self-Rating-Depression-Scale (SDS) at the beginning and end of radiotherapy (ti1/ti2), 6 weeks, and 6 months after radiotherapy (ti3/ti4). RESULTS.: The SDS index increased significantly from 46.44 (ti1) to 48.91(ti2) (p =.025) and then remained stable. The subdomain "somatic-eating-related symptoms" at ti1 was significantly lower than ti2 (p <.001). In contrast to inpatients, outpatients and those with conventional instead of hyperfractionated-accelerated radiotherapy were less impaired by eating-related symptoms. Patients with higher education showed a lower SDS index and cognitive scale. Marital status, tumor stage, histologic grading, and substance abuse had no influence. CONCLUSIONS: Patients with a higher risk of depression should receive long-term monitoring during and after the end of radiotherapy, and prompt intervention strategies should be applied.
- Journal title abbreviation:
- Head Neck
- Year:
- 2003
- Journal volume:
- 25
- Journal issue:
- 12
- Pages contribution:
- 1004-18
- Language:
- eng
- Fulltext / DOI:
- doi:10.1002/hed.10336
- Pubmed ID:
- http://view.ncbi.nlm.nih.gov/pubmed/14648859
- Print-ISSN:
- 1043-3074
- TUM Institution:
- Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie
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