Evidence map›Paper›PMID 42744945›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Associations between MoCA screening-positive cognitive impairment, anxiety, depression, and quality of life in patients with oral cancer: a cross-sectional study in China.

Zeya Shi, Hui Wang, Yafen Guo, Lijun Chen, Xueqing Zhang, Jinhua Shen, Li Tong

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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7 authors.

Zeya Shi *Nursing Teaching and Research Office, Hunan Provincial People's Hospital/The First Affiliated Hospital of Hunan Normal University, Changsha, 410000, China.
Hui Wang *Department of Otolaryngology Head and Neck Surgery, Changde Hospital, Xiangya School of Medicine, Central South University (The First People's Hospital of Changde City), Changde, 415000, China.
Yafen Guo *Department of Nursing, Changde Hospital, Xiangya School of Medicine, Central South University (The First People's Hospital of Changde City), 818 Renmin Road, Changde, Hunan Province, 415000, China.
Lijun ChenDepartment of Nursing, Changde Hospital, Xiangya School of Medicine, Central South University (The First People's Hospital of Changde City), 818 Renmin Road, Changde, Hunan Province, 415000, China.
Xueqing ZhangDepartment of Nursing, Changde Hospital, Xiangya School of Medicine, Central South University (The First People's Hospital of Changde City), 818 Renmin Road, Changde, Hunan Province, 415000, China.
Jinhua ShenDepartment of Nursing, Changde Hospital, Xiangya School of Medicine, Central South University (The First People's Hospital of Changde City), 818 Renmin Road, Changde, Hunan Province, 415000, China. 136112649@qq.com.
Li TongDepartment of Nursing, Changde Hospital, Xiangya School of Medicine, Central South University (The First People's Hospital of Changde City), 818 Renmin Road, Changde, Hunan Province, 415000, China. 1751209835@qq.com.

Funding

Health Research Project of Hunan Provincial Health Commission D202314058607Hunan Provincial People's Hospital/The First Affiliated Hospital of Hunan Normal University for Medical Treatment Combination Project 2022YLT015
6 · The paper itself

Abstract

backgroundCognitive impairment identified by screening tools is common among patients with oral cancer and may be associated with psychological distress and reduced quality of life. However, evidence regarding these associations in patients with oral cancer, particularly in Chinese populations, remains limited.

aimTo assess the prevalence of screening-positive cognitive impairment and examine its associations with anxiety, depression, and quality of life among Chinese patients with oral cancer.

methodsA cross-sectional study was conducted at a tertiary hospital in Changde, Hunan Province, China, from June 15 to July 15, 2023. Data were collected using an online questionnaire, including demographic and clinical characteristics and standardized instruments: the Montreal Cognitive Assessment (MoCA), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), and the University of Washington Quality of Life Questionnaire (UW-QoL). Spearman correlation analysis and multivariable logistic regression were performed to explore factors associated with screening-positive cognitive impairment.

resultsA total of 567 participants were included. The mean MoCA score was 19.25 ± 6.49, and the education-adjusted mean score was 19.55 ± 6.37. Using a MoCA cut-off score of < 24, 67.40% of participants were classified as screening-positive for cognitive impairment. UW-QoL scores were negatively correlated with SAS scores (r =  - 0.2009, p < 0.01) and SDS scores (r =  - 0.2055, p < 0.01), and positively correlated with adjusted MoCA scores (r = 0.2027, p < 0.01). Multivariable logistic regression analysis showed that older age, higher anxiety scores, and higher depression scores were positively associated with screening-positive cognitive impairment, whereas higher UW-QoL scores were negatively associated with cognitive impairment (all p < 0.05).

conclusionScreening-positive cognitive impairment was common among patients with oral cancer in China and was associated with psychological distress and quality of life. These findings suggest the potential value of incorporating cognitive and psychological screening into routine clinical care for patients with oral cancer. Longitudinal studies are needed to further clarify the temporal relationships among cognitive impairment, psychological symptoms, and quality of life.

Indexed as

AnxietyCognitive DysfunctionDepressionMouth NeoplasmsQuality of LifeAdultAgedChinaCross-Sectional StudiesFemaleHumansMaleMental Status and Dementia TestsMiddle AgedPrevalenceSurveys and QuestionnairesAnxietyCognitive impairmentDepressionOral cancerQuality of life

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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.