Characteristics of adjustment disorder with depressive reaction in patients with laryngeal cancer at K Tan Trieu hospital
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Abstract
This cross-sectional descriptive study aimed to characterize the clinical features of adjustment disorder with depressive reaction among inpatients with laryngeal cancer at K Tan Trieu Hospital. A total of 142 patients were enrolled, with a mean age of 60.95 ± 8.64 years old and a predominance of male patients (96.5%). The prevalence of adjustment disorder with depressive reaction was 36.6%. The most common stressors were cancer diagnosis (90.6%) and medical treatment (82.7%). Depressed mood was present in all patients (100%), followed by reduced energy (96.2%), insomnia (98.1%), and suicidal ideation (25.0%). The prevalence of adjustment disorder with depressive reaction was significantly higher in patients with stage III–IV disease compared to stage I–II (OR = 3.0; 95%CI: 1.4 – 6.3; p = 0.003) and in those currently undergoing treatment or experiencing recurrence compared to post-treatment patients (p = 0.007).
Article Details
Keywords
Laryngeal cancer, adjustment disorder, depressive reaction
References
2. Deutsch F, Tran NH, Pham DX, et al. Trends in head and neck cancer incidence in Ho Chi Minh City, Vietnam between 1996 and 2015. Cancer Epidemiol. 2024; 93:102686. doi:10.1016/j.canep.2024.102686.
3. World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. World Health Organization; 1992.
4. Van Beek FE, Wijnhoven LMA, Custers JAE, et al. Adjustment disorder in cancer patients after treatment: prevalence and acceptance of psychological treatment. Support Care Cancer. 2022; 30(2): 1797-1806. doi:10.1007/s00520-021-06530-0.
5. Rohde RL, Adjei Boakye E, Challapalli SD, et al. Prevalence and sociodemographic factors associated with depression among hospitalized patients with head and neck cancer-Results from a national study. Psychooncology. 2018; 27(12): 2809-2814. doi:10.1002/pon.4893.
6. Igissin N, Zatonskikh V, Telmanova Z, Tulebaev R, Moore M. Laryngeal cancer: epidemiology, etiology, and prevention: a narrative review. Iran J Public Health. 2023; 52(11): 2248-2259. doi:10.18502/ijph.v52i11.14025.
7. Sơn NK, Dũng NH, Quang LX. Bước đầu đánh giá kết quả phẫu thuật cắt thanh quản toàn phần điều trị ung thư thanh quản tại Bệnh viện đại học Y Dược Tp.Hồ Chí Minh từ năm 2018 đến năm 2021. Tạp chí Y học Việt Nam. 2023; 526(1A). doi:10.51298/vmj.v526i1A.5299.
8. Dragicevic D, Anđelic B, M Jovic R, Kljajic V, Vlaski L, Savovic S. Clinical stage of laryngeal carcinoma and lost time at the moment of diagnosis with 15-year-long interval. Are there any changes? J BUON Off J Balk Union Oncol. 2019; 24(6): 2499-2505.
9. Casey P. Adjustment disorder: epidemiology, diagnosis and treatment. CNS Drugs. 2009; 23(11): 927-938. doi:10.2165/11311000-000000000-00000.
10. Mitchell AJ, Chan M, Bhatti H, et al. Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. Lancet Oncol. 2011; 12(2): 160-174. doi:10.1016/S1470-2045(11)70002-X.
11. Murariu MO, Boia ER, Horhat DI, et al. Psychological Well-Being and Quality of Life in Laryngeal Cancer Patients across Tumor. J Clin Med. 2024; 13(20): 6138. doi:10.3390/jcm13206138.
12. Braz DSA, Ribas MM, Dedivitis RA, Nishimoto IN, Barros APB. Quality of life and depression in patients undergoing total and partial laryngectomy. Clin Sao Paulo Braz. 2005; 60(2): 135-142. doi:10.1590/s1807-59322005000200010.
13. Yaseen YA. Adjustment disorder: Prevalence, sociodemographic risk factors, and its subtypes in outpatient psychiatric clinic. Asian J Psychiatry. 2017; 28: 82-85. doi:10.1016/j.ajp.2017.03.012.
14. Howren MB, Christensen AJ, Karnell LH, Funk GF. Psychological factors associated with head and neck cancer treatment and survivorship: evidence and opportunities for behavioral medicine. J Consult Clin Psychol. 2013; 81(2): 299-317. doi:10.1037/a0029940.
15. Kam D, Salib A, Gorgy G, et al. Incidence of Suicide in Patients With Head and Neck Cancer. JAMA Otolaryngol-- Head Neck Surg. 2015; 141(12): 1075-1081. doi:10.1001/jamaoto.2015.2480.