Effects of occupational status on social adjustment after laryngectomy in patients with laryngeal and hypopharyngeal cancer
Purpose This study was performed to examine the relationship of social adjustment with occupation and life changes in patients with laryngeal and hypopharyngeal cancer, from before laryngectomy to 1 year after hospital discharge. Methods The subjects were 27 patients with laryngeal and hypopharyngea...
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| Veröffentlicht in: | European archives of oto-rhino-laryngology 2019-05, Vol.276 (5), p.1439-1446 |
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| creator | Kotake, Kumiko Kai, Ichiro Iwanaga, Kazuyo Suzukamo, Yoshimi Takahashi, Aya |
| description | Purpose
This study was performed to examine the relationship of social adjustment with occupation and life changes in patients with laryngeal and hypopharyngeal cancer, from before laryngectomy to 1 year after hospital discharge.
Methods
The subjects were 27 patients with laryngeal and hypopharyngeal cancer who were admitted to hospital for laryngectomy and provided informed consent for participation in the study. The patients answered questionnaire surveys before surgery, and 3, 6, and 12 months after hospital discharge. Regarding social adjustment, social functioning (SF) and mental health (MH) in SF-36V2 were used as dependent variables, and time, occupation status, age, family structure, and sex as independent variables. Repeated measures analysis of variance was used to examine the main effect, and second- and third-order interactions were also examined.
Results
The age of the subjects was 62.9 ± 6.4 years and about 30% had an occupation. Loss of voice was the reason for 30% leaving work. In an examination of the main effects of the four variables, only age was significant regarding SF, and SF was favorable in subjects aged ≥ 64 years old. Regarding MH, age and family structure were significant, and MH was higher in older subjects who lived alone. The interaction between time and the other 3 variables was not significant. Only time/age/occupation was significant for MH. Regarding SF, a weak interaction was suggested, but it was not significant.
Conclusion
Older subjects showed better social adjustment, and those who lived alone had better MH. These findings may have been due to a reduced environmental influence. MH of subjects with an occupation decreased more at 3 months or later after hospital discharge, compared to those without an occupation. Especially for younger patients, development of new approaches is required to allow families and colleagues of patients to understand the difficulties of patients with laryngeal and hypopharyngeal cancer. |
| doi_str_mv | 10.1007/s00405-019-05378-9 |
| format | Article |
| fullrecord | <record><control><sourceid>pubmed_cross</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6458974</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>30927102</sourcerecordid><originalsourceid>FETCH-LOGICAL-c446t-1af7c830fa8492effc4236d0c3dfee35bc71ffaf8a5f99898ffe1cb97071e1a43</originalsourceid><addsrcrecordid>eNp9UU1LAzEUDKLYWv0DHiR_YPVlk91sLoIUv6DgRc8hzSbtlu1mSbJK8c-bWlv04ikw82by3gxClwSuCQC_CQAMigyIyKCgvMrEERoTRlnGeF4eozEIyjPGOB-hsxBWAFAwQU_RiILIOYF8jD7vrTU6BuwsdloPvYqN61SLQ1RxSHCHg9NNAlS9GkJcmy5iZaPxuFV-0y2S2K03uOnwVprYgD-auNyzW2FX4-Wmd_3yAGnVaePP0YlVbTAXP-8EvT3cv06fstnL4_P0bpZpxsqYEWW5rihYVTGRG2s1y2lZg6a1NYYWc82JtcpWqrBCVKJKFxE9Fxw4MUQxOkG3O99-mK9NrdOSXrWy9806bSSdauRfpmuWcuHeZcmKSvCtQb4z0N6F4I09aAnIbRVyV4VMVcjvKqRIoqvfvx4k--zTAN0NhESlXLxcucGn7MN_tl9v3Zqy</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Effects of occupational status on social adjustment after laryngectomy in patients with laryngeal and hypopharyngeal cancer</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Kotake, Kumiko ; Kai, Ichiro ; Iwanaga, Kazuyo ; Suzukamo, Yoshimi ; Takahashi, Aya</creator><creatorcontrib>Kotake, Kumiko ; Kai, Ichiro ; Iwanaga, Kazuyo ; Suzukamo, Yoshimi ; Takahashi, Aya</creatorcontrib><description>Purpose
This study was performed to examine the relationship of social adjustment with occupation and life changes in patients with laryngeal and hypopharyngeal cancer, from before laryngectomy to 1 year after hospital discharge.
Methods
The subjects were 27 patients with laryngeal and hypopharyngeal cancer who were admitted to hospital for laryngectomy and provided informed consent for participation in the study. The patients answered questionnaire surveys before surgery, and 3, 6, and 12 months after hospital discharge. Regarding social adjustment, social functioning (SF) and mental health (MH) in SF-36V2 were used as dependent variables, and time, occupation status, age, family structure, and sex as independent variables. Repeated measures analysis of variance was used to examine the main effect, and second- and third-order interactions were also examined.
Results
The age of the subjects was 62.9 ± 6.4 years and about 30% had an occupation. Loss of voice was the reason for 30% leaving work. In an examination of the main effects of the four variables, only age was significant regarding SF, and SF was favorable in subjects aged ≥ 64 years old. Regarding MH, age and family structure were significant, and MH was higher in older subjects who lived alone. The interaction between time and the other 3 variables was not significant. Only time/age/occupation was significant for MH. Regarding SF, a weak interaction was suggested, but it was not significant.
Conclusion
Older subjects showed better social adjustment, and those who lived alone had better MH. These findings may have been due to a reduced environmental influence. MH of subjects with an occupation decreased more at 3 months or later after hospital discharge, compared to those without an occupation. Especially for younger patients, development of new approaches is required to allow families and colleagues of patients to understand the difficulties of patients with laryngeal and hypopharyngeal cancer.</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-019-05378-9</identifier><identifier>PMID: 30927102</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Employment ; Female ; Follow-Up Studies ; Head and Neck Surgery ; Humans ; Hypopharyngeal Neoplasms - psychology ; Hypopharyngeal Neoplasms - surgery ; Laryngeal Neoplasms - psychology ; Laryngeal Neoplasms - surgery ; Laryngectomy - psychology ; Laryngology ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neurosurgery ; Otorhinolaryngology ; Postoperative Period ; Quality of Life - psychology ; Social Adjustment ; Surveys and Questionnaires ; Treatment Outcome</subject><ispartof>European archives of oto-rhino-laryngology, 2019-05, Vol.276 (5), p.1439-1446</ispartof><rights>The Author(s) 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c446t-1af7c830fa8492effc4236d0c3dfee35bc71ffaf8a5f99898ffe1cb97071e1a43</citedby><cites>FETCH-LOGICAL-c446t-1af7c830fa8492effc4236d0c3dfee35bc71ffaf8a5f99898ffe1cb97071e1a43</cites><orcidid>0000-0003-0106-9168</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00405-019-05378-9$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00405-019-05378-9$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30927102$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kotake, Kumiko</creatorcontrib><creatorcontrib>Kai, Ichiro</creatorcontrib><creatorcontrib>Iwanaga, Kazuyo</creatorcontrib><creatorcontrib>Suzukamo, Yoshimi</creatorcontrib><creatorcontrib>Takahashi, Aya</creatorcontrib><title>Effects of occupational status on social adjustment after laryngectomy in patients with laryngeal and hypopharyngeal cancer</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><description>Purpose
This study was performed to examine the relationship of social adjustment with occupation and life changes in patients with laryngeal and hypopharyngeal cancer, from before laryngectomy to 1 year after hospital discharge.
Methods
The subjects were 27 patients with laryngeal and hypopharyngeal cancer who were admitted to hospital for laryngectomy and provided informed consent for participation in the study. The patients answered questionnaire surveys before surgery, and 3, 6, and 12 months after hospital discharge. Regarding social adjustment, social functioning (SF) and mental health (MH) in SF-36V2 were used as dependent variables, and time, occupation status, age, family structure, and sex as independent variables. Repeated measures analysis of variance was used to examine the main effect, and second- and third-order interactions were also examined.
Results
The age of the subjects was 62.9 ± 6.4 years and about 30% had an occupation. Loss of voice was the reason for 30% leaving work. In an examination of the main effects of the four variables, only age was significant regarding SF, and SF was favorable in subjects aged ≥ 64 years old. Regarding MH, age and family structure were significant, and MH was higher in older subjects who lived alone. The interaction between time and the other 3 variables was not significant. Only time/age/occupation was significant for MH. Regarding SF, a weak interaction was suggested, but it was not significant.
Conclusion
Older subjects showed better social adjustment, and those who lived alone had better MH. These findings may have been due to a reduced environmental influence. MH of subjects with an occupation decreased more at 3 months or later after hospital discharge, compared to those without an occupation. Especially for younger patients, development of new approaches is required to allow families and colleagues of patients to understand the difficulties of patients with laryngeal and hypopharyngeal cancer.</description><subject>Aged</subject><subject>Employment</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Head and Neck Surgery</subject><subject>Humans</subject><subject>Hypopharyngeal Neoplasms - psychology</subject><subject>Hypopharyngeal Neoplasms - surgery</subject><subject>Laryngeal Neoplasms - psychology</subject><subject>Laryngeal Neoplasms - surgery</subject><subject>Laryngectomy - psychology</subject><subject>Laryngology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Otorhinolaryngology</subject><subject>Postoperative Period</subject><subject>Quality of Life - psychology</subject><subject>Social Adjustment</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9UU1LAzEUDKLYWv0DHiR_YPVlk91sLoIUv6DgRc8hzSbtlu1mSbJK8c-bWlv04ikw82by3gxClwSuCQC_CQAMigyIyKCgvMrEERoTRlnGeF4eozEIyjPGOB-hsxBWAFAwQU_RiILIOYF8jD7vrTU6BuwsdloPvYqN61SLQ1RxSHCHg9NNAlS9GkJcmy5iZaPxuFV-0y2S2K03uOnwVprYgD-auNyzW2FX4-Wmd_3yAGnVaePP0YlVbTAXP-8EvT3cv06fstnL4_P0bpZpxsqYEWW5rihYVTGRG2s1y2lZg6a1NYYWc82JtcpWqrBCVKJKFxE9Fxw4MUQxOkG3O99-mK9NrdOSXrWy9806bSSdauRfpmuWcuHeZcmKSvCtQb4z0N6F4I09aAnIbRVyV4VMVcjvKqRIoqvfvx4k--zTAN0NhESlXLxcucGn7MN_tl9v3Zqy</recordid><startdate>20190501</startdate><enddate>20190501</enddate><creator>Kotake, Kumiko</creator><creator>Kai, Ichiro</creator><creator>Iwanaga, Kazuyo</creator><creator>Suzukamo, Yoshimi</creator><creator>Takahashi, Aya</creator><general>Springer Berlin Heidelberg</general><scope>C6C</scope><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>5PM</scope><orcidid>https://orcid.org/0000-0003-0106-9168</orcidid></search><sort><creationdate>20190501</creationdate><title>Effects of occupational status on social adjustment after laryngectomy in patients with laryngeal and hypopharyngeal cancer</title><author>Kotake, Kumiko ; Kai, Ichiro ; Iwanaga, Kazuyo ; Suzukamo, Yoshimi ; Takahashi, Aya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c446t-1af7c830fa8492effc4236d0c3dfee35bc71ffaf8a5f99898ffe1cb97071e1a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Employment</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Head and Neck Surgery</topic><topic>Humans</topic><topic>Hypopharyngeal Neoplasms - psychology</topic><topic>Hypopharyngeal Neoplasms - surgery</topic><topic>Laryngeal Neoplasms - psychology</topic><topic>Laryngeal Neoplasms - surgery</topic><topic>Laryngectomy - psychology</topic><topic>Laryngology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Otorhinolaryngology</topic><topic>Postoperative Period</topic><topic>Quality of Life - psychology</topic><topic>Social Adjustment</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kotake, Kumiko</creatorcontrib><creatorcontrib>Kai, Ichiro</creatorcontrib><creatorcontrib>Iwanaga, Kazuyo</creatorcontrib><creatorcontrib>Suzukamo, Yoshimi</creatorcontrib><creatorcontrib>Takahashi, Aya</creatorcontrib><collection>Springer Nature OA/Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kotake, Kumiko</au><au>Kai, Ichiro</au><au>Iwanaga, Kazuyo</au><au>Suzukamo, Yoshimi</au><au>Takahashi, Aya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of occupational status on social adjustment after laryngectomy in patients with laryngeal and hypopharyngeal cancer</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><stitle>Eur Arch Otorhinolaryngol</stitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2019-05-01</date><risdate>2019</risdate><volume>276</volume><issue>5</issue><spage>1439</spage><epage>1446</epage><pages>1439-1446</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><abstract>Purpose
This study was performed to examine the relationship of social adjustment with occupation and life changes in patients with laryngeal and hypopharyngeal cancer, from before laryngectomy to 1 year after hospital discharge.
Methods
The subjects were 27 patients with laryngeal and hypopharyngeal cancer who were admitted to hospital for laryngectomy and provided informed consent for participation in the study. The patients answered questionnaire surveys before surgery, and 3, 6, and 12 months after hospital discharge. Regarding social adjustment, social functioning (SF) and mental health (MH) in SF-36V2 were used as dependent variables, and time, occupation status, age, family structure, and sex as independent variables. Repeated measures analysis of variance was used to examine the main effect, and second- and third-order interactions were also examined.
Results
The age of the subjects was 62.9 ± 6.4 years and about 30% had an occupation. Loss of voice was the reason for 30% leaving work. In an examination of the main effects of the four variables, only age was significant regarding SF, and SF was favorable in subjects aged ≥ 64 years old. Regarding MH, age and family structure were significant, and MH was higher in older subjects who lived alone. The interaction between time and the other 3 variables was not significant. Only time/age/occupation was significant for MH. Regarding SF, a weak interaction was suggested, but it was not significant.
Conclusion
Older subjects showed better social adjustment, and those who lived alone had better MH. These findings may have been due to a reduced environmental influence. MH of subjects with an occupation decreased more at 3 months or later after hospital discharge, compared to those without an occupation. Especially for younger patients, development of new approaches is required to allow families and colleagues of patients to understand the difficulties of patients with laryngeal and hypopharyngeal cancer.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30927102</pmid><doi>10.1007/s00405-019-05378-9</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-0106-9168</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0937-4477 |
| ispartof | European archives of oto-rhino-laryngology, 2019-05, Vol.276 (5), p.1439-1446 |
| issn | 0937-4477 1434-4726 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Aged Employment Female Follow-Up Studies Head and Neck Surgery Humans Hypopharyngeal Neoplasms - psychology Hypopharyngeal Neoplasms - surgery Laryngeal Neoplasms - psychology Laryngeal Neoplasms - surgery Laryngectomy - psychology Laryngology Male Medicine Medicine & Public Health Middle Aged Neurosurgery Otorhinolaryngology Postoperative Period Quality of Life - psychology Social Adjustment Surveys and Questionnaires Treatment Outcome |
| title | Effects of occupational status on social adjustment after laryngectomy in patients with laryngeal and hypopharyngeal cancer |
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