Influence of anxiety/depression on chemotherapy-induced oral mucositis and related quality of life: A prospective cohort study

  • José Alcides Almeida de Arruda
  • , Fernanda Vieira Heimlich
  • , Sicília Rezende Oliveira
  • , Victor Zanetti Drumond
  • , Denise Vieira Travassos
  • , Lucas Guimarães Abreu
  • , Antonio Lucio Teixeira
  • , Ricardo Alves Mesquita
  • , Tarcília Aparecida Silva

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Objective: The impact of anxiety and depression on chemotherapy-induced oral mucositis has not been extensively explored in the literature. The aim of the present study was to evaluate anxiety/depressive symptoms, health-related quality of life, and oral health-related quality of life and their association with oral mucositis among individuals receiving chemotherapy. Methods: This is a prospective longitudinal study carried out at a Brazilian referral service. The Hospital Anxiety and Depression Scale (HADS), World Health Organization Quality of Life-BREF (WHOQOL-BREF), and Oral Health Impact Profile questionnaire (OHIP-14) were applied at D0 (before chemotherapy) and D15 of chemotherapy. Clinicodemographic data and oral mucositis severity scores were evaluated. Results: A total of 37 individuals (median age: 49 years) were included in the study. Nearly 38% of patients developed chemotherapy-induced oral mucositis and had higher anxiety/depression scores at baseline. Oral mucositis had a negative impact on oral health-related quality of life regarding functional limitation, physical pain, physical disability, and handicap. Conclusion: Anxiety/depressive symptoms are associated with oral mucositis that affects overall health and oral health-related quality of life.

Original languageEnglish (US)
Article number111577
JournalJournal of Psychosomatic Research
Volume177
DOIs
StatePublished - Feb 2024
Externally publishedYes

Keywords

  • Anxiety
  • Chemotherapy
  • Depression
  • Oncology
  • Oral mucositis
  • Quality of life

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

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