title: [Psychological morbidity in spouses of laryngectomized cancer patients: factors related to the probability of its occurrence].
abstract: In a multicenter cross-sectional study of 106 spouses of laryngectomized patients differences between spouses with a mental disorder and spouses without were analyzed. The probability of occurrence was mainly related to relationship factors: Spouses, who reported a better quality of their relationship with the patient (OR=0.77; 95% CI: 0.631-0.939; p=0.010), whose sexual desire was not diminished in response to their partner's disease (OR=0.077; 95% CI: 0.011-0.527; p=0.009) and who had no problems in dealing with the tracheostomy (OR=0.062; 95% CI: 0.006-0.619; p=0.018) presented a mental disorder less frequently. The cross-sectional nature of this study does not allow conclusions regarding causality. The results should be reappraised in a longitudinal study. However, the findings suggest that patients with laryngectomy and their families should be also offered couple interventions besides individual counseling.
authors.affiliation: Department of Educational and Counselling Psychology & Oncology, McGill University, Montreal, Canada. Alexandra.Meyer2@mail.mcgill.ca
authors.forename: Alexandra
authors.initials: A
authors.lastname: Meyer
authors.forename: Dorit
authors.initials: D
authors.lastname: Wollbrück
authors.forename: Andreas
authors.initials: A
authors.lastname: Dietz
authors.forename: Elmar
authors.initials: E
authors.lastname: Brähler
authors.forename: Orlando
authors.initials: O
authors.lastname: Guntinas-Lichius
authors.forename: Hans-Joachim
authors.initials: HJ
authors.lastname: Vogel
authors.forename: Eberhard F
authors.initials: EF
authors.lastname: Meister
authors.forename: Annett
authors.initials: A
authors.lastname: Körner
authors.forename: Susanne
authors.initials: S
authors.lastname: Singer
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003627:Data Interpretation, Statistical; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D007825:Laryngectomy / Q000523:psychology*; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology*; D008875:Middle Aged; D009483:Neuropsychological Tests; D012725:Sexual Behavior; D012959:Socioeconomic Factors; D018454:Spouses / Q000523:psychology*; D014139:Tracheostomy