Associations of Pain, Anxiety, and Depressive Symptoms With Sleep Outcomes in Patients With Head and Neck Squamous Cell Carcinoma: A Cross-Sectional Observational Study

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorUnimed Hospital of Araçatuba-
Autor(es): dc.contributorNew York University-
Autor(es): dc.creatorKayahara, Giseli Mitsuy-
Autor(es): dc.creatorSarafim-Costa, Bruna Amélia Moreira-
Autor(es): dc.creatorBranco de Oliveira, Marcus Vinícius-
Autor(es): dc.creatorFontanelli, Antônio Mendes-
Autor(es): dc.creatorYe, Yi-
Autor(es): dc.creatorValente, Vitor Bonetti-
Autor(es): dc.creatorBiasoli, Eder Ricardo-
Autor(es): dc.creatorMiyahara, Glauco Issamu-
Autor(es): dc.creatorBernabé, Daniel Galera-
Data de aceite: dc.date.accessioned2025-08-21T17:15:56Z-
Data de disponibilização: dc.date.available2025-08-21T17:15:56Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2024-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1002/hed.28147-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/299947-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/299947-
Descrição: dc.descriptionBackground: This exploratory cross-sectional observational study sought to characterize sleep quality and evaluate its association with sociodemographic, clinicopathological, behavioral, and psychological variables in patients with head and neck squamous cell carcinoma (HNSCC). Patients and Methods: Sleep problems from 132 HNC patients were assessed before starting oncological treatment through the questionnaires Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Epworth Sleepiness Scale (ESS), and STOP-Bang. Anxiety and depression symptoms were evaluated using the Hospital Anxiety and Depression Scale. Univariate analysis and multivariate logistic regression were performed to evaluate factors associated with sleep problems in HNSCC patients. Results: About 50% of the HNSCC patients reported poor overall sleep quality on the PSQI. Insomnia, excessive daytime sleepiness, and high risk of apnea were observed in 19%, 15%, and 54% of HNSCC patients, respectively. Our results showed that pain was associated with overall poor PSQI sleep quality and lower PSQI sleep efficiency, while the presence of regional metastasis was linked to overall PSQI good sleep. No other clinicopathological or behavioral (i.e., alcohol and tobacco use) variables were related to sleep outcomes. Higher occurrence of anxiety symptoms was related to poor overall PSQI sleep quality, decreased PSQI sleep efficiency, PSQI daytime dysfunction, and ISI insomnia. Moreover, higher occurrence of depression symptoms was associated with lower PSQI sleep latency and PSQI duration, and the occurrence of ESS excessive daytime sleepiness. Conclusion: Pain, anxiety, and depressive symptoms were associated with poor sleep quality and sleep problems in HNSCC patients before starting treatment. No sociodemographic or behavioral (i.e., alcohol and tobacco use) variables were related to sleep outcomes. Likewise, tumor location, T classification, and clinical staging were not linked to sleep quality and disorders in HNSCC patients.-
Descrição: dc.descriptionPsychosomatic Research Center Oral Oncology Center São Paulo State University (Unesp) School of Dentistry, São Paulo-
Descrição: dc.descriptionDepartment of Diagnosis and Surgery São Paulo State University (Unesp) School of Dentistry, São Paulo-
Descrição: dc.descriptionUnimed Hospital of Araçatuba, São Paulo-
Descrição: dc.descriptionTranslational Research Center NYU Pain Research Center Department of Molecular Pathobiology College of Dentistry New York University-
Descrição: dc.descriptionPsychosomatic Research Center Oral Oncology Center São Paulo State University (Unesp) School of Dentistry, São Paulo-
Descrição: dc.descriptionDepartment of Diagnosis and Surgery São Paulo State University (Unesp) School of Dentistry, São Paulo-
Idioma: dc.languageen-
Relação: dc.relationHead and Neck-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectanxiety-
Palavras-chave: dc.subjectcancer-
Palavras-chave: dc.subjectdepression-
Palavras-chave: dc.subjecthead and neck cancer-
Palavras-chave: dc.subjecthead and neck squamous cell carcinoma-
Palavras-chave: dc.subjectpsychological symptoms-
Palavras-chave: dc.subjectsleep-
Palavras-chave: dc.subjectsleep disorders-
Palavras-chave: dc.subjectsleep quality-
Título: dc.titleAssociations of Pain, Anxiety, and Depressive Symptoms With Sleep Outcomes in Patients With Head and Neck Squamous Cell Carcinoma: A Cross-Sectional Observational Study-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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