Psychiatric Morbidity, Pain, Anxiety and Depression in Patients with Head and Neck Cancer and Lung Cancer

Yu Lee ； Chih-Yen Chien ； Pao-Yen Lin ； Meng-Chih Lin ； Chin-Chou Wang ； Hung-I Lu ； Yung-Che Chen ； Chi-Fa Hung

《International Journal of Head and Neck Science》 1卷3期 (2017/09) Pp. 191-198

https://doi.org/10.6696/IJHNS.2017.0103.06

摘要

Background: The purpose of this study was to compare the psychiatric morbidity, clinical characteristics, and psychopathology of patients with head and neck cancer (HNC) and those with lung cancer (LC). Methods: Study subjects were recruited from the HNC and LC outpatient clinic and inpatient ward in a medical center from March 2016 to February 2017. Patients with HNC and LC were enrolled and assessed using the Mini International Neuropsychiatric Interview (MINI), Hamilton Depression Rating Scale (HAM-D), Hamilton Anxiety Rating Scale (HAM-A), Brief Fatigue Inventory (BFI), and Numeric Pain Rating Scale (NPRS). Results: One hundred and forty patients were included in the study. The most prevalent psychiatric disorder was adjustment disorder (22.9%), followed by alcohol use disorder (20.0%), and depressive disorders (16.4%). Over 60% of patients had a psychiatric diagnosis. Depressive disorder was more prevalent in LC patients than in HNC patients at the pretreatment phase of this study. The severity of pain, anxiety symptoms, and depressed symptoms was significantly greater in LC patients than in HNC patients. Conclusions: The clinical implication of our results is the value of using a standardized structured interview for early diagnosis of psychiatric morbidity in patients with LC and HNC. Early identification and management of psychiatric disorders in cancer patients will increase their quality of life.

關鍵字

psychiatric morbidity ； anxiety ； depression ； head and neck cancer ； lung cancer