Social support and substitute voice acquisition on psychological adjustment among patients after laryngectomy

Kumiko Kotake, Yoshimi Suzukamo, Ichiro Kai, Kazuyo Iwanaga, Aya Takahashi

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The objective is to clarify whether social support and acquisition of alternative voice enhance the psychological adjustment of laryngectomized patients and which part of the psychological adjustment structure would be influenced by social support. We contacted 1445 patients enrolled in a patient association using mail surveys and 679 patients agreed to participate in the study. The survey items included age, sex, occupation, post-surgery duration, communication method, psychological adjustment (by the Nottingham Adjustment Scale Japanese Laryngectomy Version: NAS-J-L), and the formal support (by Hospital Patient Satisfaction Questionnaire-25: HPSQ-25). Social support and communication methods were added to the three-tier structural model of psychological adjustment shown in our previous study, and a covariance structure analysis was conducted. Formal/informal supports and acquisition of alternative voice influence only the “recognition of oneself as voluntary agent”, the first tier of the three-tier structure of psychological adjustment. The results suggest that social support and acquisition of alternative voice may enhance the recognition of oneself as voluntary agent and promote the psychological adjustment.

Original languageEnglish
Pages (from-to)1557-1565
Number of pages9
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume274
Issue number3
DOIs
Publication statusPublished - 2017 Mar 1

Keywords

  • Laryngectomy
  • Psychological adjustment
  • Social support
  • Substitute voice acquisition

ASJC Scopus subject areas

  • Otorhinolaryngology

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