Voice rehabilitation after laryngeal cancer: Associated effects on psychological well-beingReport as inadecuate




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Supportive Care in Cancer

pp 1–8

First Online: 02 April 2017Received: 26 September 2016Accepted: 15 March 2017DOI: 10.1007-s00520-017-3676-x

Cite this article as: Bergström, L., Ward, E.C. & Finizia, C. Support Care Cancer 2017. doi:10.1007-s00520-017-3676-x

Abstract

PurposePsychological distress after laryngeal cancer treatment is prevalent. Although voice rehabilitation has shown to improve functional outcomes and positively affect health-related quality of life, to date, there has been limited study of the associated effect of behavioural voice intervention on psychological well-being-distress post laryngeal cancer.

MethodSixty-three patients with Tis-T4 laryngeal cancer treated with chemoradiotherapy were prospectively recruited and randomised to either a voice rehabilitation VR, n = 31 or control group n = 32. The VR group received 10 speech pathology sessions consisting of both direct and indirect voice intervention post chemoradiotherapy. The control group received general voice education but not specific intervention. As part of a multidisciplinary assessment battery, psychological well-being-distress was measured using the Hospital Anxiety and Depression Scale HADS pre, six and 12 months post VR.

ResultsWithin-group analysis revealed a significant p = 0.03 reduction in the proportion of patients with anxiety in the VR group between baseline and 12 months. No change over time was observed in controls. Between-group analysis revealed a trend for fewer VR cases demonstrating anxiety p = 0.06 or depression p = 0.08 at 6 months and significantly fewer demonstrating anxiety p = 0.04 and depression p = 0.04 at 12 months, compared to controls. Significant correlations were observed between patients’ voice perceptions and reduced anxiety rpb = −0.38 and depression rpb = −0.66 within the VR group at 12 months.

ConclusionsThe positive correlations and between-group analyses indicate a positive effect on psychological well-being associated with completing voice rehabilitation. Results highlight potential additional benefits of behavioural voice intervention beyond achieving direct change to voice function.

KeywordsVoice therapy Speech-language pathology Radiotherapy  Download fulltext PDF



Author: Liza Bergström - Elizabeth C Ward - Caterina Finizia

Source: https://link.springer.com/







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