MEASUREABLE EFFECTS IN HEAD AND NECK SURVIVORS

描述：（申请人的描述） 头部和颈部的癌症可能对质量产生深远的影响。 一个人的生活。 该项目将采用客观措施， 吞咽、声音、口腔干燥、口腔健康和肌肉骨骼状况， 将这些指标与主观生活质量和心理健康状况联系起来， 遇险仪器 该项目将评估HNC幸存者五年的生活质量 诊断后，以探讨解决以下问题：1） 生活质量的主观和客观测量之间的关系; 2. 幸存者自我报告的症状与 复发恐惧; 3）这种联系的性质：恐惧是否会导致 对症状的敏感性？ 症状是否会让患者想起癌症？ 4)初期提前与残馀增加的关系 客观和主观的生活质量损害; 5）关系 手术治疗与客观和主观残留量增加之间的关系 生活质量损害; 6）目前烟草使用的流行率， 幸存者 该研究将评估一个约150名五年无病患者的队列， 头颈癌幸存者 幸存者将接受一系列 包括经验证的生活质量工具（UWQOL，FACT， FACT-H & N，PSS-HN），一种人格、态度和抑郁的测量方法（MBHI）， 一些当地准备和试点的问题，以及一些客观的措施 语言、吞咽、肩/颈活动和唾液流动的影响。 结果 的主观和客观的数据将是相关的，寻找领域， 未来干预

DESCRIPTION: (Applicant's Description) Cancer of the head and neck region can have profound effects on the quality of a person's life. This project will utilize objective measures of swallowing, voice, xerostomia, oral health, and musculoskeletal condition, linking these measures with subjective quality of life and psychologic distress instruments. This project will evaluate the quality of life in HNC survivors five years after diagnosis in order to explore address the following issues: 1) The relationship between subjective and objective measures of quality of life; 2. The finding that self-reported symptoms in survivors are linked to recurrence fear; 3) The nature of this linkage: Does the fear lead to a sensitivity to symptoms? Or do symptoms remind patients of their cancer? 4) The relationship between advanced initial stage and increased residual objective and subjective quality-of-life impairments; 5)The relationship between surgical treatment and increased residual objective and subjective quality-of-life impairments; 6) The prevalence of current tobacco use in survivors. The study will evaluate a cohort of approximately 150 five-year disease-free survivors of head and neck cancer. The survivors will undergo a battery of tests including validated quality-of-life instruments (UWQOL, FACT, FACT-H&N, PSS-HN), a measure of personality, attitude and depression (MBHI), some locally prepared and piloted questions, and several objective measures of speech, swallowing, shoulder/neck mobility, and saliva flow. The results of the subjective and objective data will be correlated looking for areas of future intervention.