Insomnia, depression and anxiety in patients urgently referred with suspicion of head and neck cancer

Thomas Mullan, Jenny Montgomery, Leanne Fleming

Research output: Contribution to journalArticlepeer-review

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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 (USOC) appointment.

Methods: USOC outpatients completed three psychometric questionnaires prior to their appointment and 2-4 weeks post-diagnosis.

Results: There was no significant difference in questionnaire scores between malignant and benign patients prior to the appointment (p>0.05 for all questionnaires). In benign patients, there was significant improvement in scores for all questionnaires (p
Conclusion: Prior to appointments, patients with benign and malignant conditions experience similar levels of insomnia, depression and anxiety. Following diagnosis, cancer patients have 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.
Original languageEnglish
Pages (from-to)1-30
Number of pages30
JournalJournal of Laryngology and Otology
Early online date22 May 2023
DOIs
Publication statusE-pub ahead of print - 22 May 2023

Keywords

  • depression
  • anxiety
  • head and neck cancer
  • insomnia
  • diagnosis
  • oral patholoby
  • health plan implementation
  • sleep

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