Psychiatric morbidity and quality of life in wives of men with long-term head and neck cancer
Psychiatric morbidity and quality of life in wives of men with long-term head and neck cancer
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DOI：
10.1002/pon.1199
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发表时间：
2008-02-01
期刊：
影响因子：
3.6
通讯作者：
Jenewein, Josef
中科院分区：
文献类型：
--
作者：
Drabe, Natalie;Zwahlen, Diana;Jenewein, Josef
癌症的诊断不仅影响患者的生活，也影响其亲属的生活。本研究的目的是调查头颈部癌症（HNC）患者的妻子精神疾病的患病率和生活质量（QoL）。我们调查了1998年1月至2004年12月（自诊断以来的3.7年）接受HNC治疗的31名患者的妻子，采用问卷调查生活质量（WHOQOL-BREF），关系质量（双元适应量表）和情感症状（医院焦虑和抑郁量表，HADS）。精神病患病率通过国际神经精神访谈（MINI）进行测量。结果表明，生活质量和满意度的关系是可比的正常人群。HADS平均评分显示没有临床相关的抑郁和焦虑水平。MINI的精神疾病患病率很高（38.7%，特别是广场恐怖症）。被诊断患有焦虑症的妻子报告的生活质量显着低于那些没有。本研究结果提示，广场恐怖症是HNC患者妻子常见的精神障碍。HNC的诊断可能会对配偶的心理健康产生强烈影响，在咨询HNC患者时应考虑到这一点。版权所有（C）2007约翰威利父子有限公司
The diagnosis of cancer not only affects the lives of patients but also the lives of their relatives. The aim of this study was to investigate the prevalence of psychiatric disorders and quality of life (QoL) among wives of patients treated for head and neck cancer (HNC). We examined 31 wives of patients treated for HNC from January 1998 to December 2004 (meantime since diagnosis 3.7 years) by questionnaires with regard to quality of life (WHOQOL-BREF), quality of the relationship (Dyadic Adjustment Scale), and affective symptoms (Hospital Anxiety and Depression Scale, HADS). Prevalence of psychiatric morbidity was measured by the Mini International Neuropsychiatric Interview (MINI). Results indicated that QoL and satisfaction with the relationship were comparable to the normal population. HADS mean scores showed no clinically relevant levels of depression and anxiety. A high prevalence of psychiatric disorders (38.7%, particularly agoraphobia) was found in the MINI. Wives diagnosed with an anxiety disorder reported significantly lower QoL compared to those without. The results of this study suggest that agoraphobia is a frequent psychiatric disorder en in wives of HNC patients. Diagnosis of HNC can have, a strong impact on the mental health of the spouse and should be taken in account in counselling of HNC patients. Copyright (C) 2007 John Wiley & Sons, Ltd.