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Background: Patients with head and neck cancer present particularly considerable levels of emotional distress. However, the actual rates of clinically relevant mental health symptoms and disorders among this population remain unknown.

Methods: A Preferred Reporting Items for Systematic Review and Meta-Analyses and Meta-analyses of Observational Studies in Epidemiology-compliant systematic review and quantitative random-effects meta-analysis was performed to determine suicide incidence and the prevalence of depression, anxiety, distress, posttraumatic stress, and insomnia in this population. MEDLINE, Web of Science, Cochrane Central Register, KCI Korean Journal database, SciELO, Russian Science Citation Index, and Ovid-PsycINFO databases were searched from database inception to August 1, 2023 (PROSPERO: CRD42023441432). Subgroup analyses and meta-regressions were performed to investigate the effect of clinical, therapeutical, and methodological factors.

Results: A total of 208 studies (n = 654 413; median age = 60.7 years; 25.5% women) were identified. Among the patients, 19.5% reported depressive symptoms (95% confidence interval [CI] = 17% to 21%), 17.8% anxiety symptoms (95% CI = 14% to 21%), 34.3% distress (95% CI = 29% to 39%), 17.7% posttraumatic symptoms (95% CI = 6% to 41%), and 43.8% insomnia symptoms (95% CI = 35% to 52%). Diagnostic criteria assessments revealed lower prevalence of disorders: 10.3% depression (95% CI = 7% to 13%), 5.6% anxiety (95% CI = 2% to 10%), 9.6% insomnia (95% CI = 1% to 40%), and 1% posttraumatic stress (95% CI = 0% to 84.5%). Suicide pooled incidence was 161.16 per 100 000 individuals per year (95% CI = 82 to 239). Meta-regressions found a statistically significant higher prevalence of anxiety in patients undergoing primary chemoradiation compared with surgery and increased distress in smokers and advanced tumor staging. European samples exhibited lower prevalence of distress.

Conclusions: Patients with head and neck cancer presented notable prevalence of mental health concerns in all domains. Suicide remains a highly relevant concern. The prevalence of criteria-meeting disorders is significantly lower than clinically relevant symptoms. Investigating the effectiveness of targeted assessments for disorders in highly symptomatic patients is essential.

Titel:	A comprehensive examination of mental health in patients with head and neck cancer: systematic review and meta-analysis.
Autor/in / Beteiligte Person:	Jimenez-Labaig, P ; Aymerich, C ; Braña, I ; Rullan, A ; Cacicedo, J ; González-Torres, MÁ ; Harrington, KJ ; Catalan, A
Link:	Full Text Finder (Volltext)
Zeitschrift:	JNCI cancer spectrum, Jg. 8 (2024-04-30), Heft 3
Veröffentlichung:	Oxford : Oxford University Press, [2017]-, 2024
Medientyp:	academicJournal
ISSN:	2515-5091 (electronic)
DOI:	10.1093/jncics/pkae031
Schlagwort:	Humans Female Male Prevalence Middle Aged Psychological Distress Incidence Aged Head and Neck Neoplasms psychology Depression epidemiology Depression etiology Anxiety epidemiology Anxiety etiology Stress Disorders, Post-Traumatic epidemiology Mental Health Sleep Initiation and Maintenance Disorders epidemiology Sleep Initiation and Maintenance Disorders etiology Suicide statistics & numerical data Suicide psychology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Systematic Review; Meta-Analysis Language: English [JNCI Cancer Spectr] 2024 Apr 30; Vol. 8 (3). MeSH Terms: Head and Neck Neoplasms* / psychology ; Depression* / epidemiology ; Depression* / etiology ; Anxiety* / epidemiology ; Anxiety* / etiology ; Stress Disorders, Post-Traumatic* / epidemiology ; Mental Health* ; Sleep Initiation and Maintenance Disorders* / epidemiology ; Sleep Initiation and Maintenance Disorders* / etiology ; Suicide* / statistics & numerical data ; Suicide* / psychology ; Humans ; Female ; Male ; Prevalence ; Middle Aged ; Psychological Distress ; Incidence ; Aged References: Int J Epidemiol. 1989 Mar;18(1):269-74. (PMID: 2656561) ; Psychooncology. 2010 Jan;19(1):21-8. (PMID: 19274623) ; Arch Otolaryngol Head Neck Surg. 2004 Jun;130(6):764-9. (PMID: 15210560) ; Psychosomatics. 1971 Nov-Dec;12(6):371-9. (PMID: 5172928) ; BMJ. 1997 Sep 13;315(7109):629-34. 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A comprehensive examination of mental health in patients with head and neck cancer: systematic review and meta-analysis.