Article Text

Download PDFPDF
Psychological Distress and Quality of Life in Cervical Cancer Survivors After Radiotherapy: Do Treatment Modalities, Disease Stage, and Self-esteem Influence Outcomes?
  1. Mika Kobayashi, MD*,,,
  2. Tatsuya Ohno, MD, PhD,§,
  3. Wataru Noguchi, MD, PhD,,
  4. Ayako Matsuda, MD, PhD,,
  5. Eisuke Matsushima, MD, PhD,
  6. Shingo Kato, MD, PhD and
  7. Hirohiko Tsujii, MD, PhD
  1. *Department of Social Psychiatry, National Institute of Mental Health: National Center of Neurology and Psychiatry,
  2. Department of Comprehensive Diagnosis and Therapeutics, Division of Liaison Psychiatry & Palliative Medicine, Graduate School of Tokyo Medical and Dental University, Tokyo,
  3. Research Center for Charged Particle Therapy, National Institute of Radiological Sciences, Chiba, and
  4. §Gunma University Heavy Ion Medical Center, Gunma, Japan.
  1. Address correspondence and reprint requests to Eisuke Matsushima, MD, PhD, Section of Liaison Psychiatry & Palliative Medicine, Department of Comprehensive Diagnosis and Therapeutics, Graduate School of Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan. E-mail: em.lppm{at}


The present study evaluated whether differences in the type of radiotherapy, disease stage, and self-esteem influence psychological distress and quality of life (QOL) among cervical cancer survivors. Sixty survivors, after radiotherapy, chemoradiotherapy, or postoperative radiotherapy for cervical cancer, participated in the study. The participants were asked to complete questionnaires during follow-up visits. The questionnaires included the Japanese version of the Hospital Anxiety and Depression Scale, the Functional Assessment of Cancer Therapy-General, and the Rosenberg Self-esteem Scale. The results indicated that psychological distress and QOL in cervical cancer survivors were not significantly different among treatment modalities and disease stage. Psychological distress and QOL differed significantly in accordance with the survivor's self-esteem. Survivors in the high self-esteem group had lower levels of anxiety and depression and higher QOL scores (emotional and social/family aspects of QOL and total QOL) than those in the low self-esteem group. Psychosocial support with consideration of a patient's self-esteem is necessary throughout and beyond radiotherapy for cervical cancer.

  • Cervical cancer
  • Survivors
  • Quality of life
  • Psychological distress
  • Self-esteem

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.