Depression and anxiety in patients with head and neck cancer undergoing free flap reconstruction.
Publication/Presentation Date
1-1-2024
Abstract
PURPOSE: To determine the prevalence and severity of depression and anxiety in patients with head and neck cancer (HNC) undergoing treatment with free-flap (FF) reconstruction.
METHODS: Participants with HNC undergoing FF reconstruction were given the validated 9-item Patient Health Questionnaire (PHQ-9) and a 7-item Generalized Anxiety Disorder (GAD-7) questionnaire prior to surgery. Patient factors and responses were analyzed.
RESULTS: Seventy-one patients were included. Mean (SD) pre-operative PHQ-9 was 7.6 (7.04) with 34 % (n = 24) having moderate to severe depression. Mean (SD) pre-operative GAD-7 was 6.5 (6.86) with 30 % (n = 21) having moderate to severe anxiety.
CONCLUSION: Prevalence of depression and anxiety is high in this cohort and undiagnosed in 22 % and 18 % of patients, respectively. Due to the findings, it is prudent to screen HNC patients at initial diagnosis and offer mental health services.
Volume
45
Issue
1
First Page
104044
Last Page
104044
ISSN
1532-818X
Published In/Presented At
Pichardo PFA, Desiato VM, Hellums RN, Altman KW, Purdy NC, Haugen T. Depression and anxiety in patients with head and neck cancer undergoing free flap reconstruction. Am J Otolaryngol. 2024 Jan-Feb;45(1):104044. doi: 10.1016/j.amjoto.2023.104044. Epub 2023 Sep 12. PMID: 37734365.
Disciplines
Medicine and Health Sciences
PubMedID
37734365
Department(s)
Department of Surgery, Division of Otolaryngology
Document Type
Article