Weight loss after head and neck cancer: A dynamic relationship with depressive symptoms

被引：24
|
作者：
Van Liew, Julia R. [1 ]
Brock, Rebecca L. [2 ]
Christensen, Alan J. [1 ,3 ]
Karnell, Lucy Hynds [4 ]
Pagedar, Nitin A. [4 ]
Funk, Gerry F. [5 ]
机构：
[1] Univ Iowa, Dept Psychol, Iowa City, IA 52242 USA
[2] Univ Nebraska, Dept Psychol, Lincoln, NE 68588 USA
[3] Univ Iowa, Coll Med, Dept Internal Med, Iowa City, IA 52242 USA
[4] Univ Iowa, Coll Med, Dept Otolaryngol Head & Neck Surg, Iowa City, IA USA
[5] Grande Ronde Hosp & Clin, Dept Otolaryngol, La Grande, OR USA
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2017年 / 39卷 / 02期
基金：
美国国家卫生研究院;
关键词：
depressive symptoms; weight loss; head and neck cancer; nutrition; QUALITY-OF-LIFE; NUTRITION IMPACT SYMPTOMS; RANDOMIZED CONTROLLED-TRIAL; STAGE RENAL-DISEASE; PSYCHOMETRIC PROPERTIES; RADIATION-THERAPY; KEY DETERMINANTS; ENERGY-INTAKE; MALNUTRITION; RADIOTHERAPY;
D O I：
10.1002/hed.24601
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Background. Weight loss and depressive symptoms are critical head and neck cancer outcomes, yet their relation over the illness course is unclear. Methods. Associations between self-reported depressive symptoms and objective weight loss across the year after head and neck cancer diagnosis were examined using growth curve modeling techniques (n = 564). Results. A reciprocal covariation pattern emerged-changes in depressive symptoms over time were associated with same-month changes in weight loss (t [1148] = 2.05; p = .041), and changes in weight loss were associated with same-month changes in depressive symptoms (t [556] = 2.43; p = .015). To the extent that depressive symptoms increased, patients lost incrementally more weight than was lost due to the passage of time and vice versa. Results also suggested that pain and eating-related quality of life might explain the reciprocal association between depressive symptoms and weight loss. Conclusion. In head and neck cancer, a transactional interplay between depressive symptoms and weight loss unfolds over time. (C) 2016 Wiley Periodicals, Inc.
引用
收藏
页码：370 / 379
页数：10
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