Social support and substitute voice acquisition on psychological adjustment among patients after laryngectomy.
The objective is to clarify whether social support and acquisition of alternative voice enhance the psychological adjustment of laryngectomized patients and which part of the psychological adjustment structure would be influenced by social support. We contacted 1445 patients enrolled in a patient association using mail surveys and 679 patients agreed to participate in the study. The survey items included age, sex, occupation, post-surgery duration, communication method, psychological adjustment (by the Nottingham Adjustment Scale Japanese Laryngectomy Version: NAS-J-L), and the formal support (by Hospital Patient Satisfaction Questionnaire-25: HPSQ-25). Social support and communication methods were added to the three-tier structural model of psychological adjustment shown in our previous study, and a covariance structure analysis was conducted. Formal/informal supports and acquisition of alternative voice influence only the "recognition of oneself as voluntary agent", the first tier of the three-tier structure of psychological adjustment. The results suggest that social support and acquisition of alternative voice may enhance the recognition of oneself as voluntary agent and promote the psychological adjustment.
Faculty of Nursing, Nara Medical University, 840 Shijou-cho, Kashihara City, Nara, 634-8521, Japan. kkotake@naramed-u.ac.jp.
Kumiko
http://orcid.org/0000-0003-0106-9168
K
Kotake
Physical Medicine and Rehabilitation, Tohoku University School of Medicine, Tohoku, Japan.
Yoshimi
Y
Suzukamo
Faculty of Nursing, Nara Medical University, 840 Shijou-cho, Kashihara City, Nara, 634-8521, Japan.|Graduate School of Medicine and Faculty of Medicine, The University of Tokyo, Tokyo, Japan.
Ichiro
I
Kai
Faculty of Nursing, Nara Medical University, 840 Shijou-cho, Kashihara City, Nara, 634-8521, Japan.|Faculty of Medicine, School of Nursing, Fukuoka University, Fukuoka, Japan.
Kazuyo
K
Iwanaga
Faculty of Nursing, Nara Medical University, 840 Shijou-cho, Kashihara City, Nara, 634-8521, Japan.|Department of Nursing, Saitama Prefectural University, Saitama, Japan.
Aya
A
Takahashi
D000328:Adult; D000359:Aftercare / Q000458:organization & administration / Q000523:psychology; D000368:Aged; D000066498:Emotional Adjustment; D005260:Female; D006801:Humans; D007564:Japan; D007825:Laryngectomy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000523:psychology*; D012944:Social Support; D013071:Speech, Alaryngeal / Q000379:methods / Q000523:psychology; D011795:Surveys and Questionnaires; D014832:Voice Disorders / Q000209:etiology / Q000523:psychology
Laryngectomy; Psychological adjustment; Social support; Substitute voice acquisition
Head Neck. 2001 Jan;23(1):16-24
11150066
Folia Phoniatr Logop. 2009;61(2):83-92
19287177
Psychol Rev. 1977 Mar;84(2):191-215
847061
Jpn J Clin Oncol. 2014 Apr;44(4):388-96
24503029
Acta Otolaryngol. 2011 Mar;131(3):310-5
21142745
Dysphagia. 2009 Sep;24(3):314-21
19290578
Soc Sci Med. 1991;32(6):705-14
2035047
Eur Arch Otorhinolaryngol. 2002 Apr;259(4):197-204
12064508
Eur Arch Otorhinolaryngol. 2002 Jan;259(1):48-52
11954927
Arch Otolaryngol Head Neck Surg. 2009 Jul;135(7):704-11
19620593
Int J Rehabil Res. 1993 Sep;16(3):177-84
8244610
Psychooncology. 2000 Jan-Feb;9(1):20-8
10668056
Mov Disord. 2006 Jun;21(6):761-6
16511869
Laryngoscope. 2008 Feb;118(2):300-6
18030164
J Commun Disord. 1999 Jan-Feb;32(1):51-61; quiz 61-71
9921460
J Speech Hear Disord. 1984 May;49(2):202-10
6716991
J Commun Disord. 1982 Jun;15(3):233-41
7096620
J Commun Disord. 1989 Aug;22(4):291-304
2794110
Folia Phoniatr Logop. 2011;63(5):231-6
21242694
Laryngorhinootologie. 2012 Apr;91(4):240-6
22318463
Eur Arch Otorhinolaryngol. 2010 Feb;267(2):261-6
19756685
Cancer Pract. 1997 Jul-Aug;5(4):241-6
9250081