Social Anxiety After Treatment for Head and Neck Cancer

头颈癌治疗后的社交焦虑

• 批准号: 6907558
• 负责人: KIRSTEN L HAMAN
• 金额: $ 7.59万
• 依托单位: VANDERBILT UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-04-01 至 2007-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6907558
• 关键词: adult human (21+); anxiety; anxiety disorders; avoidance behavior; behavioral /social science research tag; body image; body physical characteristic; clinical research; depression; disease /disorder proneness /risk; functional ability; head /neck neoplasm; human subject; lung neoplasms; mental disorder diagnosis; mental health epidemiology; neoplasm /cancer chemotherapy; neoplasm /cancer radiation therapy; neoplasm /cancer surgery; postoperative state; psychological aspect of cancer; psychopathology; quality of life; social behavior; substance abuse related disorder

People surviving head and neck cancer (HNC) face many obstacles to good quality of life. One such obstacle is social avoidance. After treatment, people with HNC report avoiding activities like social events, and may have difficulty returning to work or engaging in everyday activities like dining out or seeing friends. However, the reasons for this avoidance are unknown. Because of the location of their tumors, people with HNC commonly receive treatments that alter their appearance and communication ability. One possible reason for social avoidance may be that HNC patients develop symptoms of Social Anxiety Disorder, a debilitating condition marked by disruptive fear and anxiety about being embarrassed or rejected by other people, as a result of their disfiguring treatment. Another possibility is that only those HNC patients with a pre-cancer history of social anxiety actually develop social avoidance post-treatment. A third possibility is that HNC patients avoid social situations for reasons that have little to do with anxiety (perhaps because of fatigue, loss of interest, or need to stay away from germs). We propose to:,1) use well-established diagnostic tools and clinical interviews to investigate the relationship between anxiety and avoidance in a cross-sectional sample of HNC patients, divided into groups based on type of treatment (significantly impairing, like surgery, or less impairing, like chemotherapy/radiation); 2) investigate the relationship between any pre-cancer psychiatric diagnosis and post-treatment anxiety and avoidance; 3) investigate the effect of social anxiety and/or avoidance on quality of life; and 4) examine the specificity of these relationships to HNC by comparing HNC patients to lung cancer patients. We believe that a better understanding of the relation of appearance, social anxiety, avoidance, and quality of life in HNC patients will allow us to develop educational and psychotherapeutic treatment strategies to most effectively help them achieve the best possible quality of life.

头颈癌 (HNC) 幸存者在获得良好生活质量方面面临许多障碍。其中一个障碍就是社交回避。治疗后，HNC 患者报告避免参加社交活动等活动，并且可能难以返回工作岗位或参与外出就餐或见朋友等日常活动。然而，这种回避的原因尚不清楚。由于肿瘤的位置，HNC 患者通常会接受改变其外观和沟通能力的治疗。社交回避的一个可能原因可能是 HNC 患者出现社交焦虑障碍的症状，这是一种使人衰弱的疾病，其特点是由于接受毁容治疗而感到尴尬或被他人拒绝而造成破坏性恐惧和焦虑。另一种可能性是，只有那些有癌前社交焦虑史的 HNC 患者在治疗后实际上会出现社交回避。第三种可能性是 HNC 患者避免社交场合的原因与焦虑无关（可能是因为疲劳、失去兴趣或需要远离细菌）。我们建议：1) 使用完善的诊断工具和临床访谈来调查 HNC 患者横截面样本中焦虑和回避之间的关系，根据治疗类型（显着损害，如手术或损害较小，如化疗/放疗）； 2）调查任何癌前精神病学诊断与治疗后焦虑和回避之间的关系； 3）调查社交焦虑和/或回避对生活质量的影响； 4) 通过比较 HNC 患者与肺癌患者来检查这些与 HNC 关系的特异性。我们相信更好的 了解 HNC 患者的外貌、社交焦虑、回避和生活质量之间的关系将使我们能够制定教育和心理治疗策略，以最有效地帮助他们实现最佳的生活质量。

项目成果

Depression in patients with head and neck cancer and a functional genetic polymorphism of the serotonin transporter gene.

头颈癌患者的抑郁症和血清素转运蛋白基因的功能性遗传多态性。

• 发表时间: 2012-03
• 作者: Gilbert, Jill;Haman, Kirsten L;Dietrich, Mary S;Blakely, Randy D;Shelton, Richard C;Murphy, Barbara A
• 通讯作者: Murphy, Barbara A

Psychologic distress and head and neck cancer: part 1--review of the literature.

心理困扰和头颈癌：第 1 部分——文献综述。

• 发表时间: 2008-04
• 作者: Haman; Kirsten L
• 通讯作者: Kirsten L