Social withdrawal after laryngectomy.
作者： Helge Danker , Dorit Wollbrück , Susanne Singer , Michael Fuchs , Elmar Brähler
DOI: 10.1007/S00405-009-1087-4
关键词:
摘要: This investigation focuses on the psychosocial concomitants of a laryngectomy. Semistructured interviews were conducted with 218 laryngectomized patients. Standardised questionnaires used to assess patients’ social activity (FPAL, EORTC QLQ-C30), intelligibility speech (PLTT, FPAL), mental well-being (HADS), and perceived stigmatisation (FPAL). More than 40% patients withdrew from conversation. Only one-third all regularly took part in activities. About 87% because their changed voice more 50% felt embarrassed tracheostoma. Almost had increased anxiety depression scores. Moderate objective was found, though not particularly satisfied voice. Social emerged be independent age, gender, treatment variables, stage disease. Multivariate analysis resulted two factors representing patterns withdrawal. On one hand, there withdrawal conversation accompanied by poor intelligibility. other reduced activities stigmatisation.
springer.com
researchgate.net 
sci-hub.se 参考文章(50)
Gerald M. Devins, Henderikus J. Stam, Janice P. Koopmans, Psychosocial impact of laryngectomy mediated by perceived stigma and illness intrusiveness. The Canadian Journal of Psychiatry. ,vol. 39, pp. 608- 616 ,(1994) , 10.1177/070674379403901005
M. J. Ferrer Ram�rez, F. Guallart Dom�nech, R. L�pez Mart�nez, M. Carrasco Llatas, E. Estell�s Ferriol, S. Brotons Durb�n, Surgical voice restoration after total laryngectomy: long-term results. European Archives of Oto-rhino-laryngology. ,vol. 258, pp. 463- 466 ,(2001) , 10.1007/S004050100371
H. Pfrang, Social and Psychosocial Aspects of Vocal Rehabilitation in Laryngectomized Patients — Preliminary Results Springer, Berlin, Heidelberg. pp. 165- 169 ,(1986) , 10.1007/978-3-642-71415-3_31
P Jassar, R J A England, N D Stafford, Restoration of Voice after Laryngectomy Journal of the Royal Society of Medicine. ,vol. 92, pp. 299- 302 ,(1999) , 10.1177/014107689909200608
E. Birkhaug, H. Aarstad, A. Aarstad, J. Olofsson, Relation between mood, social support and the quality of life in patients with laryngectomies. European Archives of Oto-rhino-laryngology. ,vol. 259, pp. 197- 204 ,(2002) , 10.1007/S00405-001-0444-8
H. Pfrang, H. de Maddalena, R. Schohe, J. Blaha, R. Piroth, H. P. Zenner, Intelligibility and Psycho-Social Adjustment. A Comparison Between Patients with Oesophageal Voice and Patients with a Voice Prosthesis Springer Berlin Heidelberg. pp. 162- 164 ,(1986) , 10.1007/978-3-642-71415-3_30
R. Kazi, A. Singh, J. De Cordova, A. Al-Mutairy, L. O’Leary, C.M. Nutting, P. Clarke, P. Rhys-Evans, K.J. Harrington, Postlaryngectomy vocal rehabilitation: assessment using a validated questionnaire in 51 patients. Operations Research Letters. ,vol. 69, pp. 289- 294 ,(2007) , 10.1159/000103873
Adam B. Smith, Peter J. Selby, Galina Velikova, Dan Stark, E. Penny Wright, Ann Gould, Ann Cull, Factor analysis of the Hospital Anxiety and Depression Scale from a large cancer population Psychology and Psychotherapy-theory Research and Practice. ,vol. 75, pp. 165- 176 ,(2002) , 10.1348/147608302169625
A. H. ACKERSTAFF, F. J. M. HILGERS, N. K. AARONSON, A. J. M. BALM, Communication, functional disorders and lifestyle changes after total laryngectomy Clinical Otolaryngology. ,vol. 19, pp. 295- 300 ,(1994) , 10.1111/J.1365-2273.1994.TB01234.X
Frans J.M. Hilgers, Annemieke H. Ackerstaff, Comprehensive Rehabilitation after Total Laryngectomy Is More than Voice Alone Folia Phoniatrica Et Logopaedica. ,vol. 52, pp. 65- 73 ,(2000) , 10.1159/000021514