Till startsida
Webbkarta
Till innehåll Läs mer om hur kakor används på gu.se

Voice rehabilitation after laryngeal cancer: Associated effects on psychological well-being

Artikel i vetenskaplig tidskrift
Författare Liza Bergström
E. C. Ward
Caterina Finizia
Publicerad i Supportive Care in Cancer
Volym 25
Nummer/häfte 9
Sidor 2683-2690
ISSN 0941-4355
Publiceringsår 2017
Publicerad vid Institutionen för kliniska vetenskaper, sektionen för anestesi, biomaterial och ortopedi, Avdelningen för öron-, näs- och halssjukdomar
Sidor 2683-2690
Språk English
Länkar https://doi.org/10.1007/s00520-017-...
Ämnesord Voice therapy, Speech-language pathology, Radiotherapy, quality-of-life, early glottic cancer, randomized controlled-trial, neck-cancer, functional outcomes, radiation-therapy, radiotherapy, carcinoma, head, communication, Oncology, Health Care Sciences & Services, Rehabilitation
Ämneskategorier Radiologi och bildbehandling, Oto-rino-laryngologi, Cancer och onkologi

Sammanfattning

Purpose Psychological distress after laryngeal cancer treatment is prevalent. Although voice rehabilitation has shown to improve functional outcomes and positively affect health-related quality of life, to date, there has been limited study of the associated effect of behavioural voice intervention on psychological well-being/distress post laryngeal cancer. Method Sixty-three patients with Tis-T4 laryngeal cancer treated with (chemo)radiotherapy were prospectively recruited and randomised to either a voice rehabilitation (VR, n = 31) or control group (n = 32). The VR group received 10 speech pathology sessions consisting of both direct and indirect voice intervention post (chemo)radiotherapy. The control group received general voice education but not specific intervention. As part of a multidisciplinary assessment battery, psychological well-being/distress was measured using the Hospital Anxiety and Depression Scale (HADS) pre, six and 12 months post VR. Results Within-group analysis revealed a significant (p = 0.03) reduction in the proportion of patients with anxiety in the VR group between baseline and 12 months. No change over time was observed in controls. Between-group analysis revealed a trend for fewer VR cases demonstrating anxiety (p = 0.06) or depression (p = 0.08) at 6 months and significantly fewer demonstrating anxiety (p = 0.04) and depression (p = 0.04) at 12 months, compared to controls. Significant correlations were observed between patients' voice perceptions and reduced anxiety (r(pb) = -0.38) and depression (r(pb) = -0.66) within the VR group at 12 months. Conclusions The positive correlations and between-group analyses indicate a positive effect on psychological well-being associated with completing voice rehabilitation. Results highlight potential additional benefits of behavioural voice intervention beyond achieving direct change to voice function.

Sidansvarig: Webbredaktion|Sidan uppdaterades: 2012-09-11
Dela:

På Göteborgs universitet använder vi kakor (cookies) för att webbplatsen ska fungera på ett bra sätt för dig. Genom att surfa vidare godkänner du att vi använder kakor.  Vad är kakor?