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Psychosocial distress in patients with thyroid cancer

Otolaryngol Head Neck Surg. 2015 Apr;152(4):644-9. doi: 10.1177/0194599814565761. Epub 2015 Jan 8.

Abstract

Objective: The purpose of this study is to evaluate levels of psychosocial distress in thyroid cancer patients. An analysis of factors contributing to levels of distress is included.

Study design: Individual retrospective cohort study.

Setting: Head and neck cancer clinic at the Huntsman Cancer Institute.

Subjects and methods: A total of 118 newly diagnosed thyroid cancer patients were included in the study. Univariate and multivariate analyses evaluated levels of and factors contributing to distress.

Results: Almost half (43.3%) of patients had significant distress. Those with self-reported psychiatric history, use of antidepressant medication, and history of radiation treatment had higher levels of distress. On multivariate analysis, patient endorsement of emotional issues predicted a higher distress level.

Conclusions: Thyroid cancer patients have high distress levels. Identification of thyroid cancer patients with high distress levels is important to offer additional support during cancer therapy.

Keywords: anxiety; depression; oncology; psychosocial distress; thyroid cancer.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anxiety / epidemiology
  • Comorbidity
  • Depression / epidemiology
  • Female
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Retrospective Studies
  • Stress, Psychological / epidemiology*
  • Thyroid Neoplasms / epidemiology
  • Thyroid Neoplasms / psychology*
  • Young Adult