Course of social support and associations with distress after partial laryngectomy.

Autor:	Roick J; Institute of Medical Sociology, Medical Faculty, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany., Dietz A; Department of Otolaryngology, Head and Neck Surgery, University of Leipzig, Leipzig, Germany., Koscielny S; Department of Otorhinolaryngology, Jena University Hospital, Jena, Germany., Pabst F; Department of Otorhinolaryngology, Clinical Center Dresden-Friedrichstadt, Dresden, Germany., Breitenstein K; Department of Otorhinolaryngology, Helios-Klinikum, Erfurt, Germany., Oeken J; Department of Otorhinolaryngology, Hospital Chemnitz, Chemnitz, Germany., Schock EJ; Department of Otorhinolaryngology, Hospital Martha-Maria, Halle-Dölau, Germany., Boehm A; Department of Otolaryngology, Head and Neck Surgery, St. Georg Hospital, Leipzig, Germany., Winter I; Department of Otolaryngology, Head Neck Surgery, Elbland-Hospital, Riesa, Germany., Büntzel J; Department of Otolaryngology, Head Neck Surgery, Südharz-Hospital, Nordhausen, Germany., Müller A; Department of Otorhinolaryngology/Plastic Surgery, SRH Wald-Klinikum Gera, Gera, Germany., Plontke SK; Department of Otorhinolaryngology, Head & Neck Surgery, University Medicine Halle, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany., Herzog M; Department of Otorhinolaryngology, Head and Neck Surgery, Carl Thiem Klinikum, Cottbus, Germany., Singer S; Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Centre of Johannes Gutenberg University Mainz, Mainz, Germany.
Jazyk:	angličtina
Zdroj:	Journal of psychosocial oncology [J Psychosoc Oncol] 2022; Vol. 40 (3), pp. 366-379. Date of Electronic Publication: 2021 Aug 14.
DOI:	10.1080/07347332.2021.1958122
Abstrakt:	Purpose: Social support has been shown to be positively associated with quality of life and adjustment after a cancer diagnosis. The present study investigates the course of social support up to one year after partial laryngectomy and its association with distress. Design: Longitudinal questionnaire study. Sample: A total of 428 patients after partial laryngectomy (mean age: 64, SD = 11, 91% male). Methods: Patients completed questionnaires before treatment (t1), one week after a partial laryngectomy (t2), 3 months (t3), and one year (t4) thereafter. Social support was evaluated at t2, t3, and t4 using a brief version of the Social Support Questionnaire. Distress was measured at t2, t3, and t4 using the HADS. Descriptive statistics for social support were computed across the three measurement points. Changes were analyzed by Wilcoxon signed-rank tests. Associations with distress were identified using linear regression analyses. Findings: Social support increased between t2 and t3 and decreased to baseline level between t3 and t4. Distress at t2 was associated with social support at t2 (B = -0.15, p < 0.01) and distress at t3 with social support at t3 (B = -0.19, p < 0.01). Distress at t4 was related to social support at t2 (B = -0.10, p = 0.05). Conclusions: Although perceived social support increases after partial laryngectomy, it decreases again during the course of aftercare. Implications for Psychosocial Providers or Policy: Social support resources should be assessed to identify patients at risk for worse psychological well-being.
Databáze:	MEDLINE
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