title: Relationship between psychological status and compliance in a sample of patients treated for cancer of the head and neck.
abstract: BACKGROUND
  the psychological status of patients treated for advanced head and neck cancer is an area of patient care that has not received sufficient attention from caregivers and can be influential in terms of patient outcomes.
  
  
  METHODS
  Thirty patients participated in this study designed to evaluate areas of psychological distress associated with treatment of advanced head and neck cancer. Patients completed a set of questionnaires related to various psychosocial variables including anxiety, depression, social support, health locus of control, adjustment to illness, illness-related behaviors, and compliance.
  
  
  RESULTS
  Moderate levels of depression and anxiety, disability, and psychological distress characterize this sample of patients. Additionally, patient self-report of compliance reveals different variable combinations to be related to overall diet and medication compliance, and different levels of each compliance type were observed.
  
  
  CONCLUSIONS
  Head and neck cancer therapy presents a unique set of challenges for patients. Awareness of the impact of the illness and the psychological distress that are experienced should improve patient compliance and medical outcome.
authors.affiliation: Department of Psychiatry and Human Behavior, Saint Louis University Health Sciences Center, MO, USA.
authors.forename: E M
authors.initials: EM
authors.lastname: McDonough
authors.forename: J H
authors.initials: JH
authors.lastname: Boyd
authors.forename: M A
authors.initials: MA
authors.lastname: Varvares
authors.forename: M D
authors.initials: MD
authors.lastname: Maves
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D002277:Carcinoma / Q000188:drug therapy / Q000523:psychology; D005260:Female; D006258:Head and Neck Neoplasms / Q000188:drug therapy* / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D011788:Quality of Life; D012044:Regression Analysis; D012189:Retrospective Studies; D012494:Sampling Studies; D012737:Sex Factors; D011795:Surveys and Questionnaires