Smoking, drinking, and depression: comorbidity in head and neck cancer patients undergoing radiotherapy | Zendy

McCarter Kristen | Zendy; Baker Amanda L. | Zendy; Britton Benjamin | Zendy; Wolfenden Luke | Zendy; Wratten Chris | Zendy; Bauer Judith | Zendy; Halpin Sean A. | Zendy; Carter Gregory | Zendy; Beck Alison K. | Zendy; Leigh Lucy | Zendy; Oldmeadow Christopher | Zendy

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Smoking, drinking, and depression: comorbidity in head and neck cancer patients undergoing radiotherapy

Author(s) -

McCarter Kristen,

Baker Amanda L.,

Britton Benjamin,

Wolfenden Luke,

Wratten Chris,

Bauer Judith,

Halpin Sean A.,

Carter Gregory,

Beck Alison K.,

Leigh Lucy,

Oldmeadow Christopher

Publication year - 2018

Publication title -

cancer medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.403

H-Index - 53

ISSN - 2045-7634

DOI - 10.1002/cam4.1497

Subject(s) - medicine , comorbidity , depression (economics) , radiation therapy , head and neck cancer , randomized controlled trial , alcohol consumption , psychological intervention , physical therapy , psychiatry , alcohol , biochemistry , chemistry , economics , macroeconomics

We aimed to determine the prevalence and co‐occurrence of tobacco smoking, alcohol consumption, and depressive symptoms among a sample of head and neck cancer ( HNC ) patients undergoing radiotherapy. A total of 307 HNC patients participated in a multi‐site stepped‐wedge randomized controlled trial ( RCT ) evaluating the effectiveness of a dietitian‐delivered health behavior intervention in patients with HNC undergoing radiotherapy. During week one of radiotherapy patients completed measures of smoking, alcohol consumption, and level of depression. Approximately one‐fifth (21%) of patients had two or more co‐occurring problems: current smoking, hazardous alcohol use, and/or likely presence of a major depressive episode ( MDE ). Approximately one‐third (34%) of the sample were current smokers, one‐third (31%) were drinking hazardously and almost one‐fifth (19%) had likely cases of depression. Comorbidity of smoking, hazardous alcohol use, and MDE is high in HNC patients, and interventions need to address this cluster of cancer risk factors.

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