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

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

doi:10.1002/cam4.1497

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

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

Research output: Contribution to journal › Article › Research › peer-review

24 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	2382-2390
Number of pages	9
Journal	Cancer Medicine
Volume	7
Issue number	6
DOIs	https://doi.org/10.1002/cam4.1497
Publication status	Published - Jun 2018
Externally published	Yes

Keywords

Alcohol
comorbidity
depression
head neck cancer
smoking

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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

abstract = "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.",

keywords = "Alcohol, comorbidity, depression, head neck cancer, smoking",

author = "Kristen McCarter and Baker, {Amanda L.} and Benjamin Britton and Luke Wolfenden and Chris Wratten and Judith Bauer and Halpin, {Sean A.} and Gregory Carter and Beck, {Alison K.} and Lucy Leigh and Christopher Oldmeadow",

note = "Funding Information: This work was supported by the National Health and Medical Research Council (APP1021018; 2011/3654). This funder had no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; and in the decision to submit the article for publication. Funding Information: This work was supported by the National Health and Medical Research Council (APP1021018; 2011/3654). This funder had no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; and in the decision to submit the article for publication. The authors report no proprietary or commercial interest in any product mentioned or concept discussed in this article. Publisher Copyright: {\textcopyright} 2018 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.",

year = "2018",

month = jun,

doi = "10.1002/cam4.1497",

language = "English",

volume = "7",

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AU - McCarter, Kristen

AU - Baker, Amanda L.

AU - Britton, Benjamin

AU - Wolfenden, Luke

AU - Wratten, Chris

AU - Bauer, Judith

AU - Halpin, Sean A.

AU - Carter, Gregory

AU - Beck, Alison K.

AU - Leigh, Lucy

AU - Oldmeadow, Christopher

N1 - Funding Information: This work was supported by the National Health and Medical Research Council (APP1021018; 2011/3654). This funder had no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; and in the decision to submit the article for publication. Funding Information: This work was supported by the National Health and Medical Research Council (APP1021018; 2011/3654). This funder had no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; and in the decision to submit the article for publication. The authors report no proprietary or commercial interest in any product mentioned or concept discussed in this article. Publisher Copyright: © 2018 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.

PY - 2018/6

Y1 - 2018/6

N2 - 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.

AB - 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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KW - depression

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ER -

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

Abstract

Keywords

UN SDGs

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