Quality of life and anxiety in adolescents with differentiated thyroid cancer.
نویسندگان
چکیده
CONTEXT Adolescents with differentiated thyroid cancer (DTC) require lifelong monitoring with a high possibility of reoperation or radioactive iodine. Although adult DTC survivors have similar or slightly worse quality of life (QOL), this has not been evaluated in the pediatric population. OBJECTIVE Our objective was to compare QOL and anxiety in adolescents with DTC to patients with acquired autoimmune hypothyroidism. DESIGN, SETTING, AND PATIENTS In this cross-sectional pilot study, three validated questionnaires were administered to 16 adolescents with DTC and 16 controls for assessment of QOL and anxiety levels. These included teen and parent PedsQL, Multidimensional Anxiety Scale for Children, and Coddington Life Events Scales for Adolescents. The contribution of age, time since diagnosis, and biochemical variables were compared with the outcome measures. RESULTS There were 16 DTC patients (seven males); 13 had papillary carcinoma, one had follicular carcinoma, and two had mixed type. At diagnosis, five DTC patients had lymph node involvement and two had lung metastases, although at time of assessment, only one DTC patient had lymph node involvement. DTC patients were older than control subjects (P=0.004) and had lower TSH levels than control subjects at time of assessment (P=0.013). QOL and anxiety levels did not differ between DTC patients compared with control subjects and with previously reported scores in a healthy cohort. QOL and anxiety level parameters were not influenced by age, time since diagnosis, or free T4 levels measured at the time of assessment. CONCLUSIONS Adolescents with DTC have similar QOL and anxiety levels compared with autoimmune hypothyroidism patients and with a healthy normative population.
منابع مشابه
Structural Pattern of Death Attitude Based on Attachment Styles in Adolescents With Cancer: Mediator Role of Repression and Anxiety Sensitivity
Objectives Cancer is the fourth leading cause of death in adolescents. Psychological factors play an important role in the development and sustainability, and treatment outcomes of cancer. One of these factors is the attitude towards death. One of the variables that play a fundamental role in the attitude towards death is the quality of the parent-child relationship, which forms the attachment ...
متن کاملThe Effectiveness of a Transdiagnostic Treatment Program on Anxiety, Depression and Stress in Female Adolescents with Premenstrual Syndrome and Their Mothers\' Quality of Life
Background and Aim: Premenstrual Syndrome (PMS) is experiencing some physical and psychological symptoms in the last days of the menstrual cycle; it interferes with educational, social and family functioning, creating problems for the adolescents. The objective of this study was to determinee the effectiveness of a transdiagnostic treatment program on anxiety, depression and stress in female ad...
متن کاملWhich complaint has the most clinical effect on quality of life of thyroid cancer survivors in long term follow up?
Introduction: Differentiated thyroid cancer (DTC) is the most common endocrine malignancy. This malignancy generally has an excellent prognosis with more than 90% long term survival. Consequently, life quality improvement is the first priority especially in the young DTC survivors. In classic management of a new DTC patient, each therapeutic modality can significantly induce morbidities. In the...
متن کاملRelationships Among Personality Traits, Anxiety, Depression, Hopelessness, and Quality of Life in Patients with Breast Cancer
Introduction: Personality traits, anxiety, depression, and hopelessness negatively affect quality of life in women with breast cancer. However, the contribution of each of these factors is not precisely determined. Therefore, the aim of this study was to investigate the relationships among personality traits, anxiety, depression, hopelessness, and quality of life in patients with breast cancer....
متن کاملPsychological and behavioral intervention improves the quality of life and mental health of patients suffering from differentiated thyroid cancer treated with postoperative radioactive iodine-131
BACKGROUND We examined the effects of psychological and behavioral intervention on health-related quality of life and mental health among patients suffering from differentiated thyroid cancer (DTC) treated with postoperative radioactive iodine-131 (RAI). METHODS Sixty patients with DTC, undergoing RAI, were randomly assigned to receive either conventional nursing (n=30) or a 1-year psychologi...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The Journal of clinical endocrinology and metabolism
دوره 97 10 شماره
صفحات -
تاریخ انتشار 2012