Evidence map›Paper›PMID 32720008›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021

Impact of illness perception, mental adjustment, and sociodemographic characteristics on return to work in patients with head and neck cancer.

Yen-Ju Chen, Yeur-Hur Lai, Yun-Hsiang Lee, Kuo-Yang Tsai, Mu-Kuan Chen, Ming-Yu Hsieh

Abstract read
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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  3. Effect of group online-based peer support intervention on psychological distress of adolescent and young adult cancer patients: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
  4. Article
  5. "A journey of enrichment" positive experiences for young and middle-aged head and neck cancer survivors after returning to work: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  8. Social functioning of people with head and neck cancer after treatment: A qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Yen-Ju ChenDepartment of Nursing, Da-Yeh University, Changhua, Taiwan. yenru@mail.dyu.edu.tw.ORCID http://orcid.org/0000-0001-6100-3940
Yeur-Hur LaiDepartment of Nursing, College of Medicine, National Taiwan University & Hospital, Taipei, Taiwan.
Yun-Hsiang LeeDepartment of Nursing, College of Medicine, National Taiwan University & Hospital, Taipei, Taiwan.
Kuo-Yang TsaiDepartment of Nursing, Da-Yeh University, Changhua, Taiwan.
Mu-Kuan ChenDepartment of Oral and Maxillofacial Surgery, Changhua Christian Hospital, Changhua, Taiwan.
Ming-Yu HsiehDepartment of Oral and Maxillofacial Surgery, Changhua Christian Hospital, Changhua, Taiwan.
Changhua Christian Hospital · TWDayeh University · TWNational Taiwan University Hospital · TW

Funding

Ministry of Science and Technology, Taiwan MOST106-2314-B-212 -001
6 · The paper itself

Abstract

purposeTo examine the effects of emotional distress, illness perception, and mental adjustment on return to work (RTW) among patients with head and neck cancer (HNC) and identify factors associated with RTW.

methodsA cross-sectional study with convenience sampling was conducted in Taiwan. Structured questionnaires were used to collect data on RTW status and to explore possible factors related to RTW. RTW status was assessed by a single question. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale, illness perception was assessed by the Brief Illness Perception Questionnaire, and mental adjustment was assessed using the Mini-mental Adjustment to Cancer Scale. Sociodemographic and disease background data were also collected and analyzed. Factors related to RTW were identified by multivariate logistic regression.

resultsA total of 150 patients with HNC were recruited into the study. Of them, 58 (38.7%) returned to work after treatment. Compared to those who did not RTW, patients who did RTW had lower levels of emotional distress (anxiety and depression), better illness perception (cognitive illness representations and illness comprehensibility), and better mental adjustment (hopelessness and helplessness, anxious preoccupation, avoidance, and fatalism). Multivariable analysis indicated that anxiety (OR = 0.863, p < 0.05), avoidance (OR = 1.280, p < 0.001), cognitive illness representations (OR = 0.891, p < 0.01), illness comprehensibility (OR = 1.271, p < 0.05), higher education level (OR = 3.048-3.609, p < 0.05), married status (OR = 5.220, p < 0.05), tumor site in oral cavity (OR = 5.057, p < 0.05), and no reconstruction (OR = 3.415, p < 0.05) were significantly associated with RTW.

conclusionThe issue of RTW among patients with HNC is related to multidimensional factors, including sociodemographic, psychological, and disease-related situations. We suggest that programs for emotional rehabilitation and occupational counseling need to be developed to assist patients with HNC to RTW at an early stage.

Indexed as

Cross-Sectional StudiesFemaleHead and Neck NeoplasmsHumansMaleMental HealthMiddle AgedPerceptionReturn to WorkSurveys and QuestionnairesCopingHead and neck cancerIllness perceptionMental adjustmentPsychological distressReturn to work

Identifiers

PMID32720008
OpenAlexW3044041386

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.