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Psychosocial distress and the preferred method of delivery of mind–body interventions among patients with head-and-neck cancer

Authors Budhrani-Shani P, Chau NG, Berry DL

Received 25 August 2017

Accepted for publication 3 January 2018

Published 3 April 2018 Volume 2018:9 Pages 129—136

DOI https://doi.org/10.2147/PROM.S149978

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Liana Bruce (formerly Castel)


Pinky Budhrani-Shani,1,2 Nicole G Chau,3 Donna L Berry2,3

1Nelda C Stark College of Nursing, Texas Woman’s University, Houston, TX, 2Phyllis F Cantor Center for Research in Nursing and Patient Care Services, 3Department of Medical Oncology, Dana–Farber Cancer Institute, Harvard Medical School, Boston, MA, USA

Objective: To describe the psychosocial distress of head-and-neck cancer patients at the completion of therapy and the interest in and the preferred method of delivery of mind–body interventions (MBIs) among head-and-neck cancer patients.
Materials and methods: A descriptive, cross-sectional design was used to measure sleep disturbance, depression, anxiety, and the interest in and the preference for MBIs using anonymous, self-report questionnaires among a convenience sample of 30 males at their 3-month follow-up. Questionnaires included the Pittsburgh Sleep Quality Index, Hospital Anxiety and Depression Scale, and the self-created Survey for Preferred Methods of MBI. Frequency distributions and descriptive statistics were used to describe the sample demographic and clinical characteristics.
Results: The mean age of the sample was 59 years. Oral cancer (63%) was the most common type of cancer. Nineteen participants (63%, 90% CI 47%–78%) had some interest in MBIs. Of interested participants, 8 (42%) preferred participating in MBIs alone, 10 (53%) preferred participating in MBIs at homes, 10 (53%) preferred participating in MBIs using a computer or mobile device, and 8 (42%) preferred participating in MBIs after the diagnosis, but before treatment started. Mean depression, anxiety, and sleep disturbance scores were 8.25 (SD 2.93), 5.41 (SD 3.52), and 6.3 (SD 3.86), respectively. Results from the independent-samples t-test and Mann–Whitney U tests revealed no significant differences in anxiety, depression, and sleep disturbance by MBI interest.
Conclusion: Asking about depression, anxiety, and sleep disturbances may help to identify head-and-neck cancer patients at risk for psychosocial distress. These findings suggest an interest in MBIs, but further research is warranted.

Keywords: depression, sleep, mind–body, intervention, head-and-neck cancer

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