Posttraumatic stress disorder symptoms in newly diagnosed patients with head and neck cancer and their partners

Head Neck. 2015 Sep;37(9):1282-9. doi: 10.1002/hed.23760. Epub 2014 Sep 17.

Abstract

Background: Head and neck cancer is a life-threatening illness requiring aversive treatments. Despite clear potential for posttraumatic stress disorder (PTSD) symptoms in both patients and their partners, research is scant.

Methods: Newly diagnosed patients and partners (number of dyads = 42) completed questionnaires to assess symptoms of PTSD, anxiety, and depression, as well as demographic, medical, and attitudinal variables.

Results: Partners had higher average levels of PTSD symptoms than patients (p = .023). More partners (28.6%) met criteria for estimated PTSD caseness than did patients (11.9%). There were no significant differences in levels of other anxiety or depression symptoms. Perceived threat of disease appeared to be a stronger correlate of PTSD symptom levels than medical variables in patients and partners.

Conclusion: A diagnosis of head and neck cancer elicits significant levels of PTSD symptoms in patients, and even higher levels among partners. Identified correlates of distress, including perceived threat of disease, are potential intervention targets.

Keywords: blame; couples; head and neck cancer; posttraumatic stress disorder (PTSD); stress.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Academic Medical Centers
  • Adult
  • Age Distribution
  • Aged
  • Anxiety / epidemiology
  • Anxiety / physiopathology
  • Cross-Sectional Studies
  • Depression / epidemiology
  • Depression / physiopathology
  • Family Relations
  • Female
  • Follow-Up Studies
  • Head and Neck Neoplasms / diagnosis*
  • Head and Neck Neoplasms / psychology*
  • Humans
  • Incidence
  • Life Change Events
  • Male
  • Middle Aged
  • Risk Assessment
  • Sex Distribution
  • Spouses / psychology*
  • Stress Disorders, Post-Traumatic / epidemiology*
  • Stress Disorders, Post-Traumatic / etiology
  • Stress Disorders, Post-Traumatic / physiopathology
  • Stress, Psychological
  • Surveys and Questionnaires*
  • United States