MEASUREABLE EFFECTS IN HEAD AND NECK SURVIVORS

描述：(申请人描述) 头颈部的癌症会对质量产生深远的影响 一个人的一生。该项目将利用客观措施 吞咽、发声、口干、口腔健康和肌肉骨骼状况， 将这些测量与主观生活质量和心理联系起来 遇险仪器。 该项目将评估HNC幸存者五年内的生活质量 在诊断后，为了探讨解决以下问题：1) 生活质量的主客观测量之间的关系； 2.发现幸存者自我报告的症状与 重现恐惧；3)这种联系的性质：恐惧是否会导致 对症状敏感？或者，症状会让患者想起他们的癌症吗？ 4)前期提前与残余量增加的关系 客观和主观生活质量损害；5)关系 手术治疗与残留主客观增加之间的关系 生活质量损害；6)年当前烟草使用的流行率 幸存者。 这项研究将评估大约150名五年无病患者的队列 头颈部癌症的幸存者。幸存者将经历一系列 测试包括经过验证的生活质量量表(UWQOL、FACT、 事实-H&N，PSS-HN)，人格、态度和抑郁的测量(MBHI)， 一些地方准备和试点的问题，以及几项客观措施 说话、吞咽、肩颈活动和唾液流畅。结果是 的主观和客观数据将相互关联，以寻找 未来的干预。

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.