Salient body image concerns of patients with cancer undergoing head and neck reconstruction

Teo, Irene; Fronczyk, Kassandra; Guindani, Michele; Vannucci, Marina; Ulfers, Sara S; Hanasono, Matthew M.; Fingeret, Michelle Cororve

doi:10.1002/hed.24415

Cited by 24 publications

(33 citation statements)

References 39 publications

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“…Finally, a patient's initial (precancer) facial shape and satisfaction with appearance may have affected the perceptions of attractiveness and concerns about body image after cancer treatment . Future studies should consider patients' initial facial characteristics when examining satisfaction with appearance after cancer treatment.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing body image in posttreatment oral cavity cancer patients

et al. 2019

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Objective: The purpose of this study of posttreatment oral cavity cancer (OCC) patients was to identify factors associated with self-reported overall body image, perceived attractiveness, and dissatisfaction with body appearance. Methods: This cross-sectional study recruited patients with OCC from the outpatient radiation department of a single cancer center in Northern Taiwan. Demographic and clinical characteristics were recorded, and patients were assessed using the Hospital Anxiety and Depression Scale (HADS), the Liebowitz Social Anxiety Scale (LSAS), the University of Washington Quality of Life Scale (UW-QOL), and the Body Image Scale (BIS). Results: A total of 168 patients were included in this current study, 76 females and 92 males. Negative overall body image was associated with greater degree of depression, greater fear of social interactions, poorer social-emotional function, receipt of surgery, female gender, and greater avoidance of social interaction; these factors explained 49.0% of the variance in this outcome measure. Poor perceived attractiveness was associated with greater depression, greater fear of social interaction, and receipt of surgery; these factors explained 25.4% of the variance in this outcome measure. Dissatisfaction with body appearance was associated with poor socialemotional function, greater fear of social interaction, receipt of reconstruction, advanced cancer stage, and female gender; these factors explained 52.2% of the variance in this outcome measure. Conclusions: This study of posttreatment OCC patients indicated that depression and fear of social interaction strongly influenced overall body image, perceived attractiveness, and dissatisfaction with body appearance. KEYWORDS cancer, body image, depression, oncology, quality of life 1 | BACKGROUNDCancer is a leading cause of mortality and morbidity worldwide. Oral cavity cancer (OOC), which refers to cancer anywhere in the mouth (including the lips, tongue, cheeks, mouth floor, and gums) 1 has an annual worldwide incidence 2 of 300 000. In Taiwan, OCC has become the fourth most common cancer among males, and the most common sites for OCC are the buccal mucosa and tongue. The high incidence of OCC in Taiwan reflects the widespread practice of betel quid chewing by males. 3 The cancer itself and its treatment commonly

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Section: Discussionmentioning

confidence: 99%

Factors influencing body image in posttreatment oral cavity cancer patients

et al. 2019

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“…20 Three studies evaluated distress related to functional changes in 392 head and neck cancer patients. 3,18,23 Most patients were concerned with chewing/eating, salivation, speech, swallowing, drooling, droopy smile, numbness, and swelling. These concerns were particularly emphasized by males, whom were also distressed by the potential subsequent effects of functional impairment such as loss of employment, a restriction of hobbies, or reduced social activity.…”

Section: Neuro-oncologymentioning

confidence: 99%

The impact and incidence of altered body image in patients with head and neck tumors: a systematic review

Manier

Rowe

Welsh

et al. 2018

Neuro-Oncology Practice

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Body image dissatisfaction is a common issue among patients with cancer and is associated with difficulty coping, anxiety, and depression. Patients with tumors involving the head and neck are at increased risk of body image dissatisfaction due to the visible disfigurement that can occur from their illness and its treatment. Patients with primary central nervous system (CNS) malignancies often face similar tumor-related and treatment-related effects, yet there is limited research conducted in this population. Our aim was to perform a systematic review of the literature on body image in patients with tumors of the head and neck, and identify factors associated with body image alterations during treatment, with the intention of applying these approaches to those with CNS disease. A systematic search of PubMed and EMBASE was performed using predefined criteria. Nine studies met the inclusion criteria and were selected for review. The literature collected showed a relationship between body image and age, depressive symptoms, and tumor grade or stage. In addition, body image disturbance had an impact on patients’ daily functioning and psychosocial indices including anxiety, coping, and body reintegration. Evaluation of the impact of body image alterations in patients with CNS tumors is needed to direct clinical care, explore research opportunities, and improve patient quality of life.

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“…Dissatisfaction with an altered appearance has been reported in HNC patients . Female HNC survivors report higher levels of appearance‐related distress than male HNC survivors, which may correlated with depression and increased social anxiety . Body image is an important factor affecting daily life during the survival period and might interfere with a patient's ability to cope with the stress of illness and treatment and the adjustment process.…”

Section: Introductionmentioning

confidence: 99%