Coping strategies predict post-traumatic stress in patients with head and neck cancer

• Published in: European archives of oto-rhino-laryngology Vol. 273; no. 10; pp. 3385 - 3391
• Main Authors: Richardson, Amy E., Morton, Randall P., Broadbent, Elizabeth
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01-10-2016
• Subjects: Adaptation, Psychological; Adult; Aged; Female; Head and Neck; Head and Neck Neoplasms - diagnosis; Head and Neck Neoplasms - psychology; Head and Neck Surgery; Health Status; Humans; Male; Medicine; Medicine & Public Health; Middle Aged; Neurosurgery; Otorhinolaryngology; Prospective Studies; Quality of Life; Stress Disorders, Post-Traumatic - etiology; Stress Disorders, Post-Traumatic - prevention & control; Health-related quality of life; Head and neck cancer; Coping; Post-traumatic stress
• ISSN: 0937-4477; 1434-4726
• DOI: 10.1007/s00405-016-3960-2

Evidence suggests that patients with head and neck cancer (HNC) are susceptible to post-traumatic stress disorder (PTSD). However, research is yet to examine predictors of PTSD symptoms in this patient group. The objective of this study was to investigate whether coping strategies at HNC diagnosis were related to outcomes of post-traumatic stress and health-related quality of life (HRQL) 6 months later. Sixty-five patients with HNC completed an assessment of coping, distress, and health-related quality of life at diagnosis and again 6 months later, and an assessment of post-traumatic stress at 6 months. Correlations and regression analyses were performed to examine relationships between coping and outcomes over time. Regression analyses showed that denial, behavioural disengagement and self-blame at diagnosis predicted post-traumatic stress symptoms. Self-blame at diagnosis also predicted poor HRQL. Results have implications for the development of psychological interventions that provide alternative coping strategies to potentially reduce PTSD symptoms and improve HRQL.