Abstract：
OBJECTIVE: To determine differences in insomnia, depression and anxiety between ENT patients with benign and malignant conditions prior to and after an urgent suspicion of cancer appointment.
METHODS: Out-patients with urgent suspicion of cancer completed three psychometric questionnaires prior to their appointment and at two to four weeks post-diagnosis.
RESULTS: There was no significant difference in questionnaire scores between malignant and benign patients prior to the patients\' appointments (p > 0.05 for all questionnaires). In benign patients, there was significant improvement in scores for all questionnaires (p < 0.01) and in malignant patients there was significant worsening of scores for all questionnaires (p < 0.01) at follow-up appointments.
CONCLUSIONS: Prior to appointments, patients with benign and malignant conditions experienced similar levels of insomnia, depression and anxiety. Following diagnosis, cancer patients had significantly poorer scores, indicating worsening of these symptoms. In patients with benign diagnoses, all questionnaire scores improved, indicating resolution of their symptoms and possible association between the appointment and their baseline scores.
METHODS: Out-patients with urgent suspicion of cancer completed three psychometric questionnaires prior to their appointment and at two to four weeks post-diagnosis.
RESULTS: There was no significant difference in questionnaire scores between malignant and benign patients prior to the patients\' appointments (p > 0.05 for all questionnaires). In benign patients, there was significant improvement in scores for all questionnaires (p < 0.01) and in malignant patients there was significant worsening of scores for all questionnaires (p < 0.01) at follow-up appointments.
CONCLUSIONS: Prior to appointments, patients with benign and malignant conditions experienced similar levels of insomnia, depression and anxiety. Following diagnosis, cancer patients had significantly poorer scores, indicating worsening of these symptoms. In patients with benign diagnoses, all questionnaire scores improved, indicating resolution of their symptoms and possible association between the appointment and their baseline scores.
摘要：
目的：为了确定失眠的差异，在紧急怀疑癌症预约之前和之后，患有良性和恶性疾病的ENT患者之间的抑郁和焦虑。
方法：有癌症紧急嫌疑的门诊患者在预约前和诊断后两到四周完成了三份心理测量问卷。
结果：在患者预约之前，恶性和良性患者的问卷得分没有显着差异（所有问卷的p>0.05）。在良性患者中，所有问卷的评分均有显著改善(p<0.01),在恶性肿瘤患者中,随访时所有问卷的评分均有显著恶化(p<0.01).
结论：在任命之前，良性和恶性疾病的患者经历了相似程度的失眠，抑郁和焦虑。诊断后,癌症患者的评分明显较差，表明这些症状恶化。在良性诊断的患者中，所有问卷得分都有所提高，表明他们的症状的解决以及预约和基线评分之间可能的关联。
方法：有癌症紧急嫌疑的门诊患者在预约前和诊断后两到四周完成了三份心理测量问卷。
结果：在患者预约之前，恶性和良性患者的问卷得分没有显着差异（所有问卷的p>0.05）。在良性患者中，所有问卷的评分均有显著改善(p<0.01),在恶性肿瘤患者中,随访时所有问卷的评分均有显著恶化(p<0.01).
结论：在任命之前，良性和恶性疾病的患者经历了相似程度的失眠，抑郁和焦虑。诊断后,癌症患者的评分明显较差，表明这些症状恶化。在良性诊断的患者中，所有问卷得分都有所提高，表明他们的症状的解决以及预约和基线评分之间可能的关联。
