Head and neck neoplasms
Conditions
Interventions
Stepped care model with 4 evidence based steps:
1. Watchful waiting
2. Internet-based self-help
3. Problem Solving Therapy applied by a nurse
4. Specialised psychological interventions and/or antidepressant medication.
Control group patients receive care as usual.
Sponsors
VUmc
Eligibility
Inclusion criteria
Inclusion criteria: 1. Treatment for UICC stage I-IV lung or head and neck carcinoma: ICD-10 C00-C14 (lip, oral cavity and pharynx), C32 (larynx), C33 (trachea), C34 (lung); 2. Depression (minor or major) or (generalized) anxiety disorder as assessed by the Composite International Diagnostic Interview (CIDI).
Exclusion criteria
Exclusion criteria: 1. Other (neurological) diseases causing cognitive dysfunction; 2. No motivation to undergo psychosocial therapy; 3. Current treatment for a depressive or anxiety disorder; 4. End of treatment for a psychiatric disorder less than two months ago; 5. High suicide risk; 6. Psychotic and/or manic signs; 7. Too little knowledge of the Dutch language to fill out the questionnaires.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome is the Hospital Anxiety and Depression Scale (HADS). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures are quality of life questionnaires (EORTC QLQ-C30, EORTC QLQ-HN35, EORTC QLQ-LC13), patient satisfaction with care (EORTC QLQ-PATSAT), and costs (health care utilization and work loss (TIC-P and PRODISQ modules)). | — |
Contacts
Public ContactI.M. Verdonck-de Leeuw
PO Box 7057
Outcome results
None listed