Voice rehabilitation after laryngeal cancer: associated effects on psychological well-being

Bergstrom, Liza, Ward, Elizabeth C. and Finizia, Caterina (2017) Voice rehabilitation after laryngeal cancer: associated effects on psychological well-being. Supportive Care in Cancer, 1-8. doi:10.1007/s00520-017-3676-x

Author Bergstrom, Liza
Ward, Elizabeth C.
Finizia, Caterina
Title Voice rehabilitation after laryngeal cancer: associated effects on psychological well-being
Journal name Supportive Care in Cancer   Check publisher's open access policy
ISSN 1433-7339
Publication date 2017-04-01
Sub-type Article (original research)
DOI 10.1007/s00520-017-3676-x
Open Access Status Not yet assessed
Start page 1
End page 8
Total pages 8
Place of publication Heidelberg, Germany
Publisher Springer
Language eng
Formatted abstract
Purpose: Psychological distress after laryngeal cancer treatment is prevalent. Although voice rehabilitation has shown to improve functional outcomes and positively affect health-related quality of life, to date, there has been limited study of the associated effect of behavioural voice intervention on psychological well-being/distress post laryngeal cancer.

Method: Sixty-three patients with Tis-T4 laryngeal cancer treated with (chemo)radiotherapy were prospectively recruited and randomised to either a voice rehabilitation (VR, n = 31) or control group (n = 32). The VR group received 10 speech pathology sessions consisting of both direct and indirect voice intervention post (chemo)radiotherapy. The control group received general voice education but not specific intervention. As part of a multidisciplinary assessment battery, psychological well-being/distress was measured using the Hospital Anxiety and Depression Scale (HADS) pre, six and 12 months post VR.

Results: Within-group analysis revealed a significant (p = 0.03) reduction in the proportion of patients with anxiety in the VR group between baseline and 12 months. No change over time was observed in controls. Between-group analysis revealed a trend for fewer VR cases demonstrating anxiety (p = 0.06) or depression (p = 0.08) at 6 months and significantly fewer demonstrating anxiety (p = 0.04) and depression (p = 0.04) at 12 months, compared to controls. Significant correlations were observed between patients’ voice perceptions and reduced anxiety (rpb = −0.38) and depression (rpb = −0.66) within the VR group at 12 months.

Conclusions: The positive correlations and between-group analyses indicate a positive effect on psychological well-being associated with completing voice rehabilitation. Results highlight potential additional benefits of behavioural voice intervention beyond achieving direct change to voice function.
Keyword Radiotherapy
Speech-language pathology
Voice therapy
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Health and Rehabilitation Sciences Publications
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Created: Tue, 11 Apr 2017, 00:25:16 EST by Web Cron on behalf of Learning and Research Services (UQ Library)