Instruments for Quality of Life and Mental Health Assessment

Head and neck cancer patients have an incredibly high rate of depression, reported at approximately 40%, and possess the highest suicide rates in the cancer community (Barber et al., JAMA Otolaryngol Head Neck Surg 142(3):284–8, 2016; Misono et al., J Clin Oncol 26(29):4731–8, 2008). It is thus extremely important to know which tools are available to screen for depression and quality of life (QOL) difficulties in this population in order to identify at-risk and suffering patients. In addition, head and neck cancer patients may struggle with a disfigured appearance, altered speech and swallowing abilities, social isolation, and high stress/anxiety. Accurately assessing QOL metrics can assist us in improving our patients’ well-being and improve treatment outcomes. This chapter will summarize the tools available for assessing quality of life and will provide an organized and concise reference for head and neck surgeons interesting in utilizing these instruments.