Several recent studies from the University of Leipzig in Germany explored the role of psychological problems in laryngectomees.
Psychological disorders were diagnosed in about a quarter of patients during the first year after laryngectomee according to a new study by Keszte et al. These were evenly distributed among males and females. However, women suffered more often from PTSD and generalized anxiety disorder. Alcohol dependency developed in 80% of the patients who had acquired no voice 80% following laryngectomy. Only 7% of individuals with any mental disorder received psychotherapy one year after laryngectomy. None of the patients diagnosed with alcohol dependency received psychotherapy or psychiatric treatment.
Another study by Danker et al. found that more
than 40% of larngectomees withdrew from conversation. Only one-third of all
laryngectomees regularly took part in social activities. About 87% perceived stigmatization
because of their changed voice and more than 50% felt embarrassed because of
their tracheostoma. Almost one-third of the patients had increased anxiety and
depression.
These studies illustrates that only one in twelve patients
who suffered from psychological disorders following laryngectomy receive adequate
psychotherapeutic support. Because mental health seems to be
related to successful voice restoration, more effort is needed to promote
speech rehabilitation after laryngectomy. Also more programs are needed to combat alcohol
dependency. The studies also highlights the urgent need for psychological and
social support programs for laryngeal cancer patients.
