- All Journals
- Al-Qadisiyah University
- Basrah University
- Kirkuk University
- Mosul University
- The Iraqi Borad for Medical Specialization
- University of Anbar
- University of Technology
- Al Mustafa University
- Al-Zahraa University for Women
- Alnoor University
- Kunooz University
- Misan University
- Ninevah University
- Tikrit University
- University of Al-Hamdaniya
- University of Kerbala
Effect of Cognitive-Behavioral Therapy on Distress Management Among Head and Neck Cancer Patients Undergoing Surgery at a Tertiary Care Center in Eastern India | ||
| Al- Anbar Medical Journal | ||
| Article 5, Volume 19, Issue 2, December 2023, Pages 104-109 PDF (320.29 K) | ||
| Document Type: Original articles | ||
| DOI: 10.33091/amj.2023.141928.1276 | ||
| Authors | ||
| Debiprasad Mohanty* 1; Puja Bhattacharyya2; Dattatreya Kar3; Twinkle Rout4; Suvendu Mishra5; Sunil Agrawala6 | ||
| 1Department of Surgical Oncology, IMS and SUM Hospital, Siksha O Anusandhan (Deemed to be University), Bhubaneswar- 751003, Odisha, India. | ||
| 2Institute Dental Science. IMS & SUM Hospital, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar-751003, Odisha, India | ||
| 3Department Medical Research, IMS and SUM Hospital, Siksha O Anusandhan (Deemed to be University) | ||
| 4Department of Surgical Oncology, IMS and SUM Hospital, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar-751003, Odisha, India | ||
| 5Department of Psychiatric, IMS and SUM Hospital, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar-751003, Odisha, India. | ||
| 6Department of Surgical Oncology, IMS and SUM Hospital, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar-751003, Odisha, India. | ||
| Abstract | ||
| Background: Cancer patients are more susceptible to psychological issues such as nervousness, traumatic stress, and depression because their vulnerability to stress increases after a cancer diagnosis. Multiple harmful effects of psychological strain on health outcomes are possible. Those who have undergone surgery for cancer are more at risk of cancer-related fatigue and psychological distress. Studies in Western countries have shown a 40–80% reduction in cancer-related distress if the patients are subjected to appropriate psycho-oncological interventions. Objectives: The aims of this study were to: 1) screen head and neck cancer patients for distress using a cancer-specific questionnaire; 2) test the association of cancer-related distress with socio-demographic and clinical characteristics of patients; and 3) evaluate the effect of cognitive behavioral therapy (CBT) on the distress level of head and neck cancer patients about to undergo surgery. Materials and Methods: A pre-tested, semi-structured, self-administered 23-item Questionnaire on Stress in Cancer patients (QSC-R23) was used to measure the level of distress. Three sessions of CBT of one hour duration on every alternate day have been given to elicit the response. Categorical data were analyzed using the Chi-square test. Pre and post-scores were compared using a paired sample t-test. The correlation was done to compare continuous variables using Pearson's correlation test. To determine how other related factors will affect the results, linear regression analysis was used. Results: The mean age of the 94 participants was 54.64 ± 10.97 years. The mean pre-score was 60.06 ± 20.42, and the post-score was 34.63 ± 5.3. There was a significant improvement in the post score (P-value = 0.0001) implying a reduction in stress among the study participants after the 3 sessions of CBT. Participants with middle/high monthly family income (P-value = 0.013, 95% CI= 0.639-17.418), no past medical history (P-value = 0.0001, 95% CI= 0.639-17.418), and no past psychiatric history (P-value = 0.008, 95% CI= 3.621-20.162) were statistically significantly affected by the difference in distress score. Conclusion: This study has successfully reported that CBT can reduce distress levels among cancer patients. However, there is still a need to explore this research and produce more relevant, evidence-based literature. | ||
| Keywords | ||
| Head and neck cancer; Distress; Cognitive Behavioral Therapy | ||
| References | ||
|
[1] H. Sung et al., “Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries,” CA. Cancer J. Clin., 2021.
[2] N. Vigneswaran and M. D. Williams, “Epidemiologic trends in head and neck cancer and aids in diagnosis,” Oral Maxillofac. Surg. Clin., vol. 26, no. 2, pp. 123–141, 2014.
[3] Z. Zhang, M. F. I. Leong Bin Abdullah, N. I. Shari, and P. Lu, “Acceptance and commitment therapy versus mindfulness-based stress reduction for newly diagnosed head and neck cancer patients: a randomized controlled trial assessing efficacy for positive psychology, depression, anxiety, and quality of life,” PLoS One, vol. 17, no. 5, p. e0267887, 2022.
[4] J.-H. Park, M. Chun, Y.-S. Jung, and S. H. Bae, “Predictors of psychological distress trajectories in the first year after a breast cancer diagnosis,” Asian Nurs. Res. (Korean. Soc. Nurs. Sci)., vol. 11, no. 4, pp. 268–275, 2017.
[5] E. Baillès et al., “Screening for psychosocial distress in recently diagnosed cancer patients,” Ann. Oncol., vol. 30, p. v834, 2019.
[6] A. Sender, M. Friedrich, R. Schmidt, and K. Geue, “Cancer-specific distress, supportive care needs and satisfaction with psychosocial care in young adult cancer survivors,” Eur. J. Oncol. Nurs., vol. 44, p. 101708, 2020.
[7] C. G. Ng et al., “Perceived distress and its association with depression and anxiety in breast cancer patients,” PLoS One, vol. 12, no. 3, p. e0172975, 2017.
[8] A.-M. H. Krebber et al., “Stepped care targeting psychological distress in head and neck cancer and lung cancer patients: a randomized, controlled trial,” Ann. Oncol., vol. 27, no. 9, pp. 1754–1760, 2016.
[9] M.-N. Liao et al., “Change and predictors of symptom distress in breast cancer patients following the first 4 months after diagnosis,” J. Formos. Med. Assoc., vol. 114, no. 3, pp. 246–253, 2015.
[10] O. Ronen et al., “Emerging Concepts Impacting Head and Neck Cancer Surgery Morbidity,” Oncol. Ther., vol. 11, no. 1, pp. 1–13, 2023.
[11] B. Thewes, P. Butow, A. Girgis, and S. Pendlebury, “The psychosocial needs of breast cancer survivors; a qualitative study of the shared and unique needs of younger versus older survivors,” Psycho‐Oncology J. Psychol. Soc. Behav. Dimens. Cancer, vol. 13, no. 3, pp. 177–189, 2004.
[12] L. Peters, J. Brederecke, A. Franzke, M. de Zwaan, and T. Zimmermann, “Psychological distress in a sample of inpatients with mixed cancer—a cross-sectional study of routine clinical data,” Front. Psychol., vol. 11, p. 591771, 2020.
[13] P. Herschbach et al., “Psychological distress in cancer patients assessed with an expert rating scale,” Br. J. Cancer, vol. 99, no. 1, pp. 37–43, 2008.
[14] K. Ichikura et al., “Efficacy of stress management program for depressive patients with advanced head and neck cancer: A single-center pilot study,” Int. J. Clin. Heal. Psychol., vol. 20, no. 3, pp. 213–221, 2020.
[15] W. Tao, P. Jiang, Y. Liu, Y. Aungsuroch, and X. Tao, “Psycho‐oncologic interventions to reduce distress in cancer patients: A meta‐analysis of controlled clinical studies published in People’s Republic of China,” Psycho‐Oncology, vol. 24, no. 3, pp. 269–278, 2015.
[16] N. Huda, M. K. Shaw, and H.-J. Chang, “Psychological distress among patients with advanced cancer: a conceptual analysis,” Cancer Nurs., vol. 45, no. 2, pp. E487–E503, 2022.
[17] M. Sheikhzadeh, Z. Zanjani, and A. Baari, “Efficacy of mindfulness-based cognitive therapy and cognitive behavioral therapy for anxiety, depression, and fatigue in cancer patients: A randomized clinical trial,” Iran. J. Psychiatry, vol. 16, no. 3, p. 271, 2021.
[18] M. M. Goedendorp et al., “Is increasing physical activity necessary to diminish fatigue during cancer treatment? Comparing cognitive behavior therapy and a brief nursing intervention with usual care in a multicenter randomized controlled trial,” Oncologist, vol. 15, no. 10, pp. 1122–1132, 2010.
[19] M. Cohen and A. Kuten, “Cognitive–behavior group intervention for relatives of cancer patients: a controlled study,” J. Psychosom. Res., vol. 61, no. 2, pp. 187–196, 2006.
[20] C. Eichler, M. Pia, M. Sibylle, A. Sauerwald, W. Friedrich, and M. Warm, “Cognitive behavioral therapy in breast cancer patients--a feasibility study of an 8 week intervention for tumor associated fatigue treatment,” Asian Pacific J. cancer Prev. APJCP, vol. 16, no. 3, pp. 1063–1067, 2015.
[21] P. Herschbach, B. Marten-Mittag, and G. Henrich, “Revision und psychometrische Prüfung des Fragebogen zur Belastung von Krebskranken (FBK-R23),” Zeitschrift für Medizinische Psychol., vol. 12, no. 2, pp. 69–76, 2003.
[22] M. H. Antoni et al., “Cognitive-behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer.,” Heal. Psychol., vol. 20, no. 1, p. 20, 2001.
[23] M. Fisch, “Treatment of depression in cancer,” JNCI Monogr., vol. 2004, no. 32, pp. 105–111, 2004.
[24] S. Gröpper, E. van der Meer, T. Landes, H. Bucher, A. Stickel, and U. Goerling, “Assessing cancer-related distress in cancer patients and caregivers receiving outpatient psycho-oncological counseling,” Support. Care Cancer, vol. 24, pp. 2351–2357, 2016.
[25] D. Tregnago et al., “Impact of cognitive-behavioral-therapy (CBT) on levels of anxiety, depression and distress in cancer patients (pts),” Ann. Oncol., vol. 30, p. v668, 2019.
[26] G. S. Palapattu et al., “Assessment of perioperative psychological distress in patients undergoing radical cystectomy for bladder cancer,” J. Urol., vol. 172, no. 5 I, pp. 1814–1817, 2004.
[27] H. Sun et al., “The efficacy of cognitive behavioral therapy to treat depression and anxiety and improve quality of life among early-stage breast cancer patients,” Integr. Cancer Ther., vol. 18, p. 1534735419829573, 2019. | ||
|
Statistics Article View: 956 PDF Download: 532 |
||