Changes of symptoms and depression in oral cavity cancer patients receiving radiation therapy

Shu Ching Chen, Yeur Hur Lai, Chun Ta Liao, Chia-Chin Lin, Joseph Tung Chien Chang

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33 引文 斯高帕斯(Scopus)

摘要

The purposes of this study were to (1) examine changes in symptom severity and depression within 3 months of first undergoing radiation therapy (RT) or concurrent chemoradiation therapy (CCRT), and (2) identify factors involved in changes in symptom severity in newly diagnosed oral cavity cancer patients undergoing post-operative RT or CCRT. A prospective panel survey was conducted to assess changes in symptoms, depression, and disease- or treatment-related characteristics within 3 months of beginning RT or CCRT (pre-treatment and 1, 2, and 3 months from first receiving RT). A total of 76 eligible oral cavity cancer patients were recruited from the outpatient radiation department of a medical center in northern Taiwan. The results showed mild-to-moderate overall symptom and depression levels during treatment, with the five most distressing symptoms being swallowing difficulty, poor appetite, oral mucositis, pain, and fatigue. The severity of symptoms and depression peaked at ∼2 months from beginning RT or CCRT (T3). Changes in overall symptom severity were found to be significantly related to patients' radiation dose and depression level. These results can help advance understanding of changes in symptoms and facilitate prevention and management of symptoms associated with RT or CCRT. Psychological distress, particularly, depression, requires careful monitoring and management in oral cavity cancer patients undergoing RT or CCRT.
原文英語
頁(從 - 到)509-513
頁數5
期刊Oral Oncology
46
發行號7
DOIs
出版狀態已發佈 - 7月 2010

ASJC Scopus subject areas

  • 腫瘤科
  • 口腔外科
  • 癌症研究

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