Affective symptoms and swallow-specific quality of life in total laryngectomy patients

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Abstract

Background The aim of this study is to determine the prevalence of clinically relevant affective symptoms and level of swallow-specific quality of life (QoL) in patients with dysphagic total laryngectomy (TL) and to explore the relationship between affective symptoms and swallow-specific QoL. Methods Thirty-five TL patients completed the Hospital Anxiety and Depression Scale (HADS) and the MD Anderson Dysphagia Inventory (MDADI). Student'sttest and linear regression were used. Results Eight (23%) patients showed clinically relevant symptoms of anxiety, 8 (23%) of depression, and 11 (31%) showed either one. These groups had significantly lower mean MDADI scores. One-point increase in HADS-anxiety or HADS-depression subscale score corresponds with a decrease of 2.7 or 3.0 points, on average, respectively, of the MDADI total score. Conclusions Clinically relevant affective symptoms were present in approximately one-third of the TL patients. These preliminary results show that increased affective symptom scores correlate with a decreased swallow-specific QoL.

Original languageEnglish
Pages (from-to)3179-3187
Number of pages9
JournalHead and Neck-Journal for the Sciences and Specialties of the Head and Neck
Volume42
Issue number11
Early online date4 Jul 2020
DOIs
Publication statusPublished - Nov 2020

Keywords

  • dysphagia
  • HADS
  • laryngectomy
  • MDADI
  • swallow-specific quality of life
  • NECK-CANCER
  • HOSPITAL ANXIETY
  • DEPRESSION SCALE
  • DYSPHAGIA
  • HEAD
  • REHABILITATION
  • VALIDATION
  • CLOSURE
  • IMPACT
  • VOICE

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