Abstract
To correlate voice-related quality of life, anxiety, and depression symptoms pre- and post-thyroidectomy. Observational, longitudinal, prospective, and quantitative study. Twenty patients participated in the study, with a mean age of 54 years, who underwent thyroidectomy, laryngeal visual examination, and the Voice-Related Quality of Life and Hospital Anxiety and Depression Scale questionnaires at different times: preoperative, 1 week and 3 months post-thyroidectomy, with a higher prevalence of females (85%; n=17) and partial thyroidectomy (70%; n=14). There was no statistical difference in voice quality of life between the moments, but lower preoperative scores were observed, especially in the physical domain. We observed a slight trace of anxiety in the preoperative period, with a reduction after 1 week and an increase after 3 months. There was a moderate negative correlation between the physical domain of QVV and the anxiety subscale and the total HADS score after 1 week and between the total domain of QVV with the total HADS score after 1 week, weak negative correlation between the total domain of QVV and the HADS anxiety subscale after 1 week and the total HADS score after 3 months. The patients evaluated in this study self-perceived their voice-related quality of life as positive. Mild anxiety traits were identified, with a reduction after one week postoperatively and an increase after three months. The self-perception of better voice-related quality of life in the postoperative period is weakly related to the reduction of anxiety levels.
Highlights
To correlate voice-related quality of life, anxiety, and depression symptoms pre- and post-thyroidectomy
Foram incluídos 20 pacientes com doença tireoidiana com maior prevalência do sexo feminino (85%; n=17), tireoidectomia parcial (70%; n=14) e média de idade de 54 anos (± 16,9)
Por meio da HADS, foi observada diferença estatisticamente significante entre as pontuações nos três momentos, em todos os domínios, sendo a maior diferença observada entre o préoperatório e após 1 semana de cirurgia, com valores mais altos no pré-operatório para traços leves de ansiedade, os quais foram mais frequente em relação à depressão em todos os momentos, com redução entre o pré e pós 1 semana e aumento entre o pós 1 semana e o pós três meses de cirurgia, embora categorizada como “traço normal” (Tabela 2)
Summary
To correlate voice-related quality of life, anxiety, and depression symptoms pre- and post-thyroidectomy. Desta forma, o presente estudo teve como objetivo correlacionar a qualidade de vida em voz e os sintomas de ansiedade e depressão em pacientes no pré-operatório, pós-operatório imediato (máximo 1 semana) e 3 meses pós-tireoidectomia.
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