Ylenia Longobardi1, Vezio Savoia2, Francesco Bussu3,4, Luciana Morra1, Giorgia Mari1, Domenico A Nesci2, Claudio Parrilla5, Lucia D'Alatri1. 1. Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica del Sacro Cuore, Istituto di Otorinolaringoiatria, L.go F. Vito 1, I-00168, Rome, Italy. 2. Fondazione Policlinico Universitario A. Gemelli IRCCS, Unità di Consultazione Psichiatrica, L.go F. Vito 1, I-00168, Rome, Italy. 3. Otolaryngology Division, AOU Sassari, V.le San Pietro 43/B, I-07100, Sassari, Italy. 4. Università Cattolica del Sacro Cuore, Istituto di Otorinolaringoiatria, L.go F. Vito 1, I-00168, Rome, Italy. 5. Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica del Sacro Cuore, Istituto di Otorinolaringoiatria, L.go F. Vito 1, I-00168, Rome, Italy. claudio.parrilla@policlinicogemelli.it.
Abstract
BACKGROUND:Acquisition and acceptance of the alaryngeal voice, psychological state, and Quality of Life (QoL) of laryngectomized patients. METHODS:Thirty-two patients who underwent total laryngectomy were included in the study; 17 of them were treated by a psychologist and aspeech therapist (experimental group); 15 performed only speech therapy (control group). RESULTS: The experimental group showed a significant improvement in all parameters of the INFVo scale, in the score of the Environment subscale and in the total score of the I-SECEL (Self-Evaluation of Communication Experiences after Laryngeal Cancer); in the Depression, Obsession-Compulsion and Paranoia areas of the SCL-90-R (Symptom Check List-90-Revised); and in the Social area (REL) of the WHOQOL-B (World Health Organization Quality of Life Scale-Brief). CONCLUSIONS: An integrated rehabilitative approach to laryngectomized patients improves emotional state and psychosocial aspects and promotes acceptance and use of the new voice and recovery of a better quality of life.
RCT Entities:
BACKGROUND: Acquisition and acceptance of the alaryngeal voice, psychological state, and Quality of Life (QoL) of laryngectomized patients. METHODS: Thirty-two patients who underwent total laryngectomy were included in the study; 17 of them were treated by a psychologist and a speech therapist (experimental group); 15 performed only speech therapy (control group). RESULTS: The experimental group showed a significant improvement in all parameters of the INFVo scale, in the score of the Environment subscale and in the total score of the I-SECEL (Self-Evaluation of Communication Experiences after Laryngeal Cancer); in the Depression, Obsession-Compulsion and Paranoia areas of the SCL-90-R (Symptom Check List-90-Revised); and in the Social area (REL) of the WHOQOL-B (World Health Organization Quality of Life Scale-Brief). CONCLUSIONS: An integrated rehabilitative approach to laryngectomized patients improves emotional state and psychosocial aspects and promotes acceptance and use of the new voice and recovery of a better quality of life.
Entities:
Keywords:
Esophageal speech; Psycho-oncology; Rehabilitation; Total laryngectomy; Tracheoesophageal speech
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