PDF(Pubmed)
Abstract：
UNASSIGNED: High risk of degraded quality of life and psychological distress is observed in patients diagnosed with sinonasal, nasopharyngeal, and laryngeal cancers, which could be caused by exposure to carcinogens in workplaces. This review aimed to investigate the psychological impact of diagnosis associated with the possible occupational etiology of such neoplasms and to explore the instruments that evaluate the quality of life (QoL), anxiety, and depression in these patients.
UNASSIGNED: Studies were considered for the review only if they described aspects of the psychological impact of the diagnosis of sinonasal, nasopharyngeal, and laryngeal cancers and reported results distinguished by the tumor site. The psychological impact was assessed in terms of health-related QoL, anxiety, and depression using reliable psychometric questionnaires administered at the time of diagnosis and 1 year later.
UNASSIGNED: In more than 5,900 records identified, 442 studies fulfilled the eligibility criteria and 436 were excluded after full-text screening, resulting in six studies to be finally included in the review. The EORTC Core Quality of Life questionnaire (EORTC QLQ-C30), EORTC QLQ-H&N35, and Functional Assessment of Cancer Therapy (FACT) were used to evaluate the QoL, whereas the Hospital Anxiety and Depression Scale (HADS) and Center for Epidemiologic Studies Depression Scale (CES-D) questionnaires were employed to assess anxiety and depression. QoL scores were similar to those of the general population at the time of diagnosis and remained unchanged or slightly improved at 1 year since diagnosis. In contrast, a higher prevalence of anxiety and depression was observed compared with the general population, although the results were inconsistent across the very few studies identified. No study investigating the association between the potential occupational etiology and QoL or distress was found.
UNASSIGNED: Exploring the existing scientific literature on emotional distress in sinonasal, nasopharyngeal, and laryngeal cancer patients was prompted by concerns over the disfiguring nature of treatment and the additional emotional burden resulting from their occupational etiology. Unfortunately, neither a crucial element nor other risk factors (lifestyle, smoking, drinking, etc.) were examined in any study. Patients\' employment history should be considered in order to assess the possible impact of believing they are affected by an occupational exposure disease in the evaluation of their psychological distress. This history would support evidence-based recommendations about dedicated psychological interventions.
UNASSIGNED: Studies were considered for the review only if they described aspects of the psychological impact of the diagnosis of sinonasal, nasopharyngeal, and laryngeal cancers and reported results distinguished by the tumor site. The psychological impact was assessed in terms of health-related QoL, anxiety, and depression using reliable psychometric questionnaires administered at the time of diagnosis and 1 year later.
UNASSIGNED: In more than 5,900 records identified, 442 studies fulfilled the eligibility criteria and 436 were excluded after full-text screening, resulting in six studies to be finally included in the review. The EORTC Core Quality of Life questionnaire (EORTC QLQ-C30), EORTC QLQ-H&N35, and Functional Assessment of Cancer Therapy (FACT) were used to evaluate the QoL, whereas the Hospital Anxiety and Depression Scale (HADS) and Center for Epidemiologic Studies Depression Scale (CES-D) questionnaires were employed to assess anxiety and depression. QoL scores were similar to those of the general population at the time of diagnosis and remained unchanged or slightly improved at 1 year since diagnosis. In contrast, a higher prevalence of anxiety and depression was observed compared with the general population, although the results were inconsistent across the very few studies identified. No study investigating the association between the potential occupational etiology and QoL or distress was found.
UNASSIGNED: Exploring the existing scientific literature on emotional distress in sinonasal, nasopharyngeal, and laryngeal cancer patients was prompted by concerns over the disfiguring nature of treatment and the additional emotional burden resulting from their occupational etiology. Unfortunately, neither a crucial element nor other risk factors (lifestyle, smoking, drinking, etc.) were examined in any study. Patients\' employment history should be considered in order to assess the possible impact of believing they are affected by an occupational exposure disease in the evaluation of their psychological distress. This history would support evidence-based recommendations about dedicated psychological interventions.
摘要：
■在被诊断为鼻窦的患者中观察到生活质量下降和心理困扰的高风险，鼻咽,喉癌，这可能是由工作场所暴露于致癌物引起的。这篇综述旨在调查与此类肿瘤的可能职业病因相关的诊断的心理影响，并探索评估生活质量（QoL）的工具。焦虑,这些患者的抑郁症。
■只有描述了鼻窦诊断的心理影响方面的研究才被考虑进行审查，鼻咽,和喉癌，并报告了根据肿瘤部位区分的结果。根据与健康相关的QoL评估心理影响，焦虑,和抑郁症使用可靠的心理测量问卷在诊断时和1年后进行。
■在确定的5900多条记录中，442项研究符合资格标准，436项在全文筛选后被排除，导致六项研究最终被纳入审查。EORTC核心生活质量问卷（EORTCQLQ-C30），EORTCQLQ-H&N35和癌症治疗功能评估（FACT）用于评估QoL，而医院焦虑和抑郁量表（HADS）和流行病学研究中心抑郁量表（CES-D）问卷用于评估焦虑和抑郁。QoL评分与诊断时的普通人群相似，诊断后1年保持不变或略有改善。相比之下,与普通人群相比，焦虑和抑郁的患病率更高，尽管在确定的极少数研究中结果不一致.没有研究发现潜在的职业病因与QoL或困扰之间的关联。
■探索有关鼻窦情绪困扰的现有科学文献，鼻咽,喉癌患者是由于对治疗的毁容性和职业病因造成的额外情绪负担的担忧。不幸的是,既不是关键因素，也不是其他风险因素(生活方式，吸烟,饮酒,等。)在任何研究中都进行了检查。应考虑患者的就业历史，以评估在评估其心理困扰时认为他们受到职业暴露疾病影响的可能影响。这一历史将支持有关专门心理干预的循证建议。
■只有描述了鼻窦诊断的心理影响方面的研究才被考虑进行审查，鼻咽,和喉癌，并报告了根据肿瘤部位区分的结果。根据与健康相关的QoL评估心理影响，焦虑,和抑郁症使用可靠的心理测量问卷在诊断时和1年后进行。
■在确定的5900多条记录中，442项研究符合资格标准，436项在全文筛选后被排除，导致六项研究最终被纳入审查。EORTC核心生活质量问卷（EORTCQLQ-C30），EORTCQLQ-H&N35和癌症治疗功能评估（FACT）用于评估QoL，而医院焦虑和抑郁量表（HADS）和流行病学研究中心抑郁量表（CES-D）问卷用于评估焦虑和抑郁。QoL评分与诊断时的普通人群相似，诊断后1年保持不变或略有改善。相比之下,与普通人群相比，焦虑和抑郁的患病率更高，尽管在确定的极少数研究中结果不一致.没有研究发现潜在的职业病因与QoL或困扰之间的关联。
■探索有关鼻窦情绪困扰的现有科学文献，鼻咽,喉癌患者是由于对治疗的毁容性和职业病因造成的额外情绪负担的担忧。不幸的是,既不是关键因素，也不是其他风险因素(生活方式，吸烟,饮酒,等。)在任何研究中都进行了检查。应考虑患者的就业历史，以评估在评估其心理困扰时认为他们受到职业暴露疾病影响的可能影响。这一历史将支持有关专门心理干预的循证建议。
