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<p>Investigate the impact of functional limitations after total or partial laryngectomy on perceived well-being, with a particular emphasis on the psychological construct of anger. This case-control group study was conducted in the Otorhinolaryngology Unit of Modena University Hospital. Questionnaires assessing anger (State-Trait Anger Expression Inventory-2, STAXI-2), fatigue (Fatigue Impact Scale, FIS), quality of life (WHO Quality of Life-Bref, WHOQOL-BREF), anxiety and depression (Hospital Anxiety and Depression Scale, HADS) were administered to 45 consecutive outpatients and 46 subjects matched for age and gender. No differences were observed for FIS, WHOQOL-BREF and HADS. Significant differences (<i>p</i> &lt; 0.05) in the STAXI-2 were observed in the intensity of anger (State Anger), in the expression of feelings of anger towards other persons or objects in the environment (Anger Expression-Out), in restraining or suppressing feelings of anger (Anger Expression-In) and in the total anger expression (Anger Expression Index). No significant differences were detected according to adjuvant therapy or the type of laryngectomy performed. The experience of anger seems related to post-surgical voice disability, in the absence of an individual predisposition to this feeling. To enhance patients’ adaptation to the disabilities resulting from surgical treatment, it is crucial to establish a comprehensive multidimensional and multidisciplinary approach aiming to address the specific needs of each individual.</p>

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Psychopathological Experience in Patients Undergoing Oncological Laryngeal Surgery

  • 期刊论文

  • 发表日期：

    2025年10月11日

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  • Daniele Monzani,
  • Riccardo Nocini,
  • Maria Rosini,
  • Luca Sacchetto,
  • Carlotta Liberale,
  • Chiara Gherpelli,
  • Enrico Apa,
  • Silvia Palma

摘要

Investigate the impact of functional limitations after total or partial laryngectomy on perceived well-being, with a particular emphasis on the psychological construct of anger. This case-control group study was conducted in the Otorhinolaryngology Unit of Modena University Hospital. Questionnaires assessing anger (State-Trait Anger Expression Inventory-2, STAXI-2), fatigue (Fatigue Impact Scale, FIS), quality of life (WHO Quality of Life-Bref, WHOQOL-BREF), anxiety and depression (Hospital Anxiety and Depression Scale, HADS) were administered to 45 consecutive outpatients and 46 subjects matched for age and gender. No differences were observed for FIS, WHOQOL-BREF and HADS. Significant differences (p < 0.05) in the STAXI-2 were observed in the intensity of anger (State Anger), in the expression of feelings of anger towards other persons or objects in the environment (Anger Expression-Out), in restraining or suppressing feelings of anger (Anger Expression-In) and in the total anger expression (Anger Expression Index). No significant differences were detected according to adjuvant therapy or the type of laryngectomy performed. The experience of anger seems related to post-surgical voice disability, in the absence of an individual predisposition to this feeling. To enhance patients’ adaptation to the disabilities resulting from surgical treatment, it is crucial to establish a comprehensive multidimensional and multidisciplinary approach aiming to address the specific needs of each individual.