Factors Associated With Psychological Distress Among Thyroid Cancer Patients
Objective To assess the prevalence of psychological distress (PD) among thyroid cancer patients (TCPs) and identify clinical, demographic, and socioeconomic factors associated with PD. Study Design Retrospective population‐based cohort study. Setting 2016 to 2018 National Health Interview Survey. Me...
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| creator | Lin, Matthew E. Wei, Eric X. Finegersh, Andrey Orloff, Lisa A. Noel, Julia E. Chen, Michelle M. |
| description | Objective
To assess the prevalence of psychological distress (PD) among thyroid cancer patients (TCPs) and identify clinical, demographic, and socioeconomic factors associated with PD.
Study Design
Retrospective population‐based cohort study.
Setting
2016 to 2018 National Health Interview Survey.
Methods
Adults with cancer were included. The primary outcome measure was moderate‐to‐severe psychological distress (MSPD), defined as a respondent score ≥5 on the validated K6 Psychological Distress Scale. χ2 tests were used to assess differences in MSPD by cancer type. Weighted multivariable logistic regression was used to elucidate factors associated with MSPD among TCPs.
Results
The majority of TCPs (n = 684,674) were white (75.4%), female (78.5%), and on average 55.65 years old (SD = 13.2). 28.4% reported MSPD. On weighted analysis, TCPs were more likely to have MSPD than prostate (14.9%, P |
| doi_str_mv | 10.1002/ohn.1051 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3124690260</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3124690260</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2121-f35a1ca332bbf69c3328a9014a420134afd43d85481f43fe76e9d4559be7f29d3</originalsourceid><addsrcrecordid>eNp1kE1PwjAAhhujEUQTf4HZ0cu031uPBEVMiHDAeGy6rmU1Y8V2xOzfOwT15Ol9D0-ewwPANYJ3CEJ876umPwydgCGCIkt5jrJTMIRI0JQJkQ_ARYzvEELOs-wcDIhgEHFGh2A-Vbr1ISbjGL12qjVl8ubaKlnGTle-9munVZ08uNgGE3ts45t1sqq64F2ZTFSjTUiWqnWmaeMlOLOqjubquCPwOn1cTWbpfPH0PBnPU40RRqklTCGtCMFFYbnQ_cmVgIgqiiEiVNmSkjJnNEeWEmsybkRJGROFySwWJRmB24N3G_zHzsRWblzUpq5VY_wuSoIw5QJiDv9QHXyMwVi5DW6jQicRlPt2sm8n9-169OZo3RUbU_6CP7F6ID0An6423b8iuZi9fAu_AEnkd1M</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3124690260</pqid></control><display><type>article</type><title>Factors Associated With Psychological Distress Among Thyroid Cancer Patients</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Lin, Matthew E. ; Wei, Eric X. ; Finegersh, Andrey ; Orloff, Lisa A. ; Noel, Julia E. ; Chen, Michelle M.</creator><creatorcontrib>Lin, Matthew E. ; Wei, Eric X. ; Finegersh, Andrey ; Orloff, Lisa A. ; Noel, Julia E. ; Chen, Michelle M.</creatorcontrib><description>Objective
To assess the prevalence of psychological distress (PD) among thyroid cancer patients (TCPs) and identify clinical, demographic, and socioeconomic factors associated with PD.
Study Design
Retrospective population‐based cohort study.
Setting
2016 to 2018 National Health Interview Survey.
Methods
Adults with cancer were included. The primary outcome measure was moderate‐to‐severe psychological distress (MSPD), defined as a respondent score ≥5 on the validated K6 Psychological Distress Scale. χ2 tests were used to assess differences in MSPD by cancer type. Weighted multivariable logistic regression was used to elucidate factors associated with MSPD among TCPs.
Results
The majority of TCPs (n = 684,674) were white (75.4%), female (78.5%), and on average 55.65 years old (SD = 13.2). 28.4% reported MSPD. On weighted analysis, TCPs were more likely to have MSPD than prostate (14.9%, P < .001), bladder (16.4%, P = .011), and nonmelanoma skin cancer (16.3%, P < .001) patients but less likely than pancreatic cancer (30.0%, P = .030) patients. TCPs who were older when surveyed (odds ratio [OR], 0.93; 95% confidence interval [CI, 0.88‐0.98), previously drank alcohol (OR, 0.23; 95% CI, 0.06‐0.91), and saw a general physician (GP) in the past year (OR, 0.14; 95% CI, 0.03‐0.56) were less likely to have MSPD. Female sex (OR, 8.12; 95% CI, 1.61‐40.89), increased number of medical comorbidities (OR, 1.46; 95% CI, 1.00‐2.14), and functional limitations (OR, 4.55; 95% CI, 1.33‐15.74) were associated with increased likelihood of MSPD.
Conclusion
Nearly 30% of TCPs have MSPD, especially younger patients who do not regularly see GPs. Future work to identify the most at‐risk patients is needed to improve prevention and develop meaningful psychosocial interventions.</description><identifier>ISSN: 0194-5998</identifier><identifier>ISSN: 1097-6817</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1002/ohn.1051</identifier><identifier>PMID: 39501654</identifier><language>eng</language><publisher>England</publisher><subject>Adult ; Aged ; disparities ; Female ; Humans ; Male ; Middle Aged ; Prevalence ; preventative care ; Psychological Distress ; Retrospective Studies ; Risk Factors ; Socioeconomic Factors ; Stress, Psychological - epidemiology ; survivorship ; thyroid cancer ; Thyroid Neoplasms - epidemiology ; Thyroid Neoplasms - psychology ; United States - epidemiology</subject><ispartof>Otolaryngology-head and neck surgery, 2025-01, Vol.172 (1), p.74-81</ispartof><rights>2024 American Academy of Otolaryngology–Head and Neck Surgery Foundation.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2121-f35a1ca332bbf69c3328a9014a420134afd43d85481f43fe76e9d4559be7f29d3</cites><orcidid>0000-0002-6988-5658 ; 0000-0002-2641-9681 ; 0000-0002-2639-2132 ; 0000-0001-9914-9670 ; 0000-0001-9955-3315 ; 0000-0002-2424-227X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fohn.1051$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fohn.1051$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39501654$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, Matthew E.</creatorcontrib><creatorcontrib>Wei, Eric X.</creatorcontrib><creatorcontrib>Finegersh, Andrey</creatorcontrib><creatorcontrib>Orloff, Lisa A.</creatorcontrib><creatorcontrib>Noel, Julia E.</creatorcontrib><creatorcontrib>Chen, Michelle M.</creatorcontrib><title>Factors Associated With Psychological Distress Among Thyroid Cancer Patients</title><title>Otolaryngology-head and neck surgery</title><addtitle>Otolaryngol Head Neck Surg</addtitle><description>Objective
To assess the prevalence of psychological distress (PD) among thyroid cancer patients (TCPs) and identify clinical, demographic, and socioeconomic factors associated with PD.
Study Design
Retrospective population‐based cohort study.
Setting
2016 to 2018 National Health Interview Survey.
Methods
Adults with cancer were included. The primary outcome measure was moderate‐to‐severe psychological distress (MSPD), defined as a respondent score ≥5 on the validated K6 Psychological Distress Scale. χ2 tests were used to assess differences in MSPD by cancer type. Weighted multivariable logistic regression was used to elucidate factors associated with MSPD among TCPs.
Results
The majority of TCPs (n = 684,674) were white (75.4%), female (78.5%), and on average 55.65 years old (SD = 13.2). 28.4% reported MSPD. On weighted analysis, TCPs were more likely to have MSPD than prostate (14.9%, P < .001), bladder (16.4%, P = .011), and nonmelanoma skin cancer (16.3%, P < .001) patients but less likely than pancreatic cancer (30.0%, P = .030) patients. TCPs who were older when surveyed (odds ratio [OR], 0.93; 95% confidence interval [CI, 0.88‐0.98), previously drank alcohol (OR, 0.23; 95% CI, 0.06‐0.91), and saw a general physician (GP) in the past year (OR, 0.14; 95% CI, 0.03‐0.56) were less likely to have MSPD. Female sex (OR, 8.12; 95% CI, 1.61‐40.89), increased number of medical comorbidities (OR, 1.46; 95% CI, 1.00‐2.14), and functional limitations (OR, 4.55; 95% CI, 1.33‐15.74) were associated with increased likelihood of MSPD.
Conclusion
Nearly 30% of TCPs have MSPD, especially younger patients who do not regularly see GPs. Future work to identify the most at‐risk patients is needed to improve prevention and develop meaningful psychosocial interventions.</description><subject>Adult</subject><subject>Aged</subject><subject>disparities</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prevalence</subject><subject>preventative care</subject><subject>Psychological Distress</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Socioeconomic Factors</subject><subject>Stress, Psychological - epidemiology</subject><subject>survivorship</subject><subject>thyroid cancer</subject><subject>Thyroid Neoplasms - epidemiology</subject><subject>Thyroid Neoplasms - psychology</subject><subject>United States - epidemiology</subject><issn>0194-5998</issn><issn>1097-6817</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1PwjAAhhujEUQTf4HZ0cu031uPBEVMiHDAeGy6rmU1Y8V2xOzfOwT15Ol9D0-ewwPANYJ3CEJ876umPwydgCGCIkt5jrJTMIRI0JQJkQ_ARYzvEELOs-wcDIhgEHFGh2A-Vbr1ISbjGL12qjVl8ubaKlnGTle-9munVZ08uNgGE3ts45t1sqq64F2ZTFSjTUiWqnWmaeMlOLOqjubquCPwOn1cTWbpfPH0PBnPU40RRqklTCGtCMFFYbnQ_cmVgIgqiiEiVNmSkjJnNEeWEmsybkRJGROFySwWJRmB24N3G_zHzsRWblzUpq5VY_wuSoIw5QJiDv9QHXyMwVi5DW6jQicRlPt2sm8n9-169OZo3RUbU_6CP7F6ID0An6423b8iuZi9fAu_AEnkd1M</recordid><startdate>202501</startdate><enddate>202501</enddate><creator>Lin, Matthew E.</creator><creator>Wei, Eric X.</creator><creator>Finegersh, Andrey</creator><creator>Orloff, Lisa A.</creator><creator>Noel, Julia E.</creator><creator>Chen, Michelle M.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6988-5658</orcidid><orcidid>https://orcid.org/0000-0002-2641-9681</orcidid><orcidid>https://orcid.org/0000-0002-2639-2132</orcidid><orcidid>https://orcid.org/0000-0001-9914-9670</orcidid><orcidid>https://orcid.org/0000-0001-9955-3315</orcidid><orcidid>https://orcid.org/0000-0002-2424-227X</orcidid></search><sort><creationdate>202501</creationdate><title>Factors Associated With Psychological Distress Among Thyroid Cancer Patients</title><author>Lin, Matthew E. ; Wei, Eric X. ; Finegersh, Andrey ; Orloff, Lisa A. ; Noel, Julia E. ; Chen, Michelle M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2121-f35a1ca332bbf69c3328a9014a420134afd43d85481f43fe76e9d4559be7f29d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Adult</topic><topic>Aged</topic><topic>disparities</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prevalence</topic><topic>preventative care</topic><topic>Psychological Distress</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Socioeconomic Factors</topic><topic>Stress, Psychological - epidemiology</topic><topic>survivorship</topic><topic>thyroid cancer</topic><topic>Thyroid Neoplasms - epidemiology</topic><topic>Thyroid Neoplasms - psychology</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, Matthew E.</creatorcontrib><creatorcontrib>Wei, Eric X.</creatorcontrib><creatorcontrib>Finegersh, Andrey</creatorcontrib><creatorcontrib>Orloff, Lisa A.</creatorcontrib><creatorcontrib>Noel, Julia E.</creatorcontrib><creatorcontrib>Chen, Michelle M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, Matthew E.</au><au>Wei, Eric X.</au><au>Finegersh, Andrey</au><au>Orloff, Lisa A.</au><au>Noel, Julia E.</au><au>Chen, Michelle M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors Associated With Psychological Distress Among Thyroid Cancer Patients</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>2025-01</date><risdate>2025</risdate><volume>172</volume><issue>1</issue><spage>74</spage><epage>81</epage><pages>74-81</pages><issn>0194-5998</issn><issn>1097-6817</issn><eissn>1097-6817</eissn><abstract>Objective
To assess the prevalence of psychological distress (PD) among thyroid cancer patients (TCPs) and identify clinical, demographic, and socioeconomic factors associated with PD.
Study Design
Retrospective population‐based cohort study.
Setting
2016 to 2018 National Health Interview Survey.
Methods
Adults with cancer were included. The primary outcome measure was moderate‐to‐severe psychological distress (MSPD), defined as a respondent score ≥5 on the validated K6 Psychological Distress Scale. χ2 tests were used to assess differences in MSPD by cancer type. Weighted multivariable logistic regression was used to elucidate factors associated with MSPD among TCPs.
Results
The majority of TCPs (n = 684,674) were white (75.4%), female (78.5%), and on average 55.65 years old (SD = 13.2). 28.4% reported MSPD. On weighted analysis, TCPs were more likely to have MSPD than prostate (14.9%, P < .001), bladder (16.4%, P = .011), and nonmelanoma skin cancer (16.3%, P < .001) patients but less likely than pancreatic cancer (30.0%, P = .030) patients. TCPs who were older when surveyed (odds ratio [OR], 0.93; 95% confidence interval [CI, 0.88‐0.98), previously drank alcohol (OR, 0.23; 95% CI, 0.06‐0.91), and saw a general physician (GP) in the past year (OR, 0.14; 95% CI, 0.03‐0.56) were less likely to have MSPD. Female sex (OR, 8.12; 95% CI, 1.61‐40.89), increased number of medical comorbidities (OR, 1.46; 95% CI, 1.00‐2.14), and functional limitations (OR, 4.55; 95% CI, 1.33‐15.74) were associated with increased likelihood of MSPD.
Conclusion
Nearly 30% of TCPs have MSPD, especially younger patients who do not regularly see GPs. Future work to identify the most at‐risk patients is needed to improve prevention and develop meaningful psychosocial interventions.</abstract><cop>England</cop><pmid>39501654</pmid><doi>10.1002/ohn.1051</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6988-5658</orcidid><orcidid>https://orcid.org/0000-0002-2641-9681</orcidid><orcidid>https://orcid.org/0000-0002-2639-2132</orcidid><orcidid>https://orcid.org/0000-0001-9914-9670</orcidid><orcidid>https://orcid.org/0000-0001-9955-3315</orcidid><orcidid>https://orcid.org/0000-0002-2424-227X</orcidid></addata></record> |
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| identifier | ISSN: 0194-5998 |
| ispartof | Otolaryngology-head and neck surgery, 2025-01, Vol.172 (1), p.74-81 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged disparities Female Humans Male Middle Aged Prevalence preventative care Psychological Distress Retrospective Studies Risk Factors Socioeconomic Factors Stress, Psychological - epidemiology survivorship thyroid cancer Thyroid Neoplasms - epidemiology Thyroid Neoplasms - psychology United States - epidemiology |
| title | Factors Associated With Psychological Distress Among Thyroid Cancer Patients |
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