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Factors associated with symptom-specific psychological and functional impact among acoustic neuroma patients

Published online by Cambridge University Press:  19 December 2013

J E Brooker ,
J M Fletcher ,
M J Dally ,
R J S Briggs ,
V C Cousins ,
G M Malham ,
R J Kennedy ,
R I Smee  and
S Burney
J E Brooker*
Affiliation:
School of Psychology and Psychiatry, Monash University, Melbourne, Australia Cabrini Monash Psycho-oncology, Cabrini Institute, Cabrini Health, Melbourne, Australia
J M Fletcher
Affiliation:
School of Psychology and Psychiatry, Monash University, Melbourne, Australia Cabrini Monash Psycho-oncology, Cabrini Institute, Cabrini Health, Melbourne, Australia
M J Dally
Affiliation:
William Buckland Radiotherapy Centre, Alfred Hospital, Melbourne, Australia
R J S Briggs
Affiliation:
Department of Otolaryngology, University of Melbourne, Melbourne, Victoria, Australia
V C Cousins
Affiliation:
ENT-Otoneurology Unit, Alfred Hospital, Melbourne, Australia Department of Surgery, Monash University, Melbourne, Australia
G M Malham
Affiliation:
Cabrini Monash Psycho-oncology, Cabrini Institute, Cabrini Health, Melbourne, Australia Department of Neurosurgery, Alfred Hospital, Melbourne, Australia
R J Kennedy
Affiliation:
Head and Neck/Ear Nose Throat Unit, St Vincent's Hospital, Melbourne, Victoria, Australia
R I Smee
Affiliation:
Department of Radiation Oncology, Prince of Wales Cancer Centre, Sydney, New South Wales, Australia
S Burney
Affiliation:
School of Psychology and Psychiatry, Monash University, Melbourne, Australia Cabrini Monash Psycho-oncology, Cabrini Institute, Cabrini Health, Melbourne, Australia
*
Address for correspondence: Dr Joanne Brooker, Cabrini Monash Psycho-oncology, Cabrini Education and Research Precinct, 154 Wattletree Rd, Malvern, Victoria 3144, Australia Fax: +61 3 9508 3405 E-mail: Joanne.Brooker@monash.edu
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Abstract

Introduction:

The main purpose of this study was to investigate the psychological and functional impact attributed to acoustic neuroma symptoms.

Materials and methods:

A sample of 207 acoustic neuroma patients completed a study-specific questionnaire about the severity, frequency, and psychological and functional impact of 9 acoustic neuroma symptoms.

Results:

The survey response rate was 56.4 per cent. All symptoms had some degree of psychological impact for the majority of participants; hearing loss was the symptom most often reported to have a severe psychological impact. The majority of respondents reported functional impact attributed to hearing loss, balance disturbance, dizziness, eye problems, headache and fatigue; balance disturbance was the symptom most often reported to have a severe functional impact. For most symptoms, psychological and functional impact were related to severity and frequency.

Conclusion:

Of the acoustic neuroma symptoms investigated, hearing loss and balance disturbance were the most likely to have a severe psychological and functional impact, respectively.

Keywords

Acoustic NeuromaSymptomsSide EffectsPsychological Adjustment
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue S2 , July 2014 , pp. S16 - S26
Copyright
Copyright © JLO (1984) Limited 2013 

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