Biopsychosocial Markers of Body Image Concerns in Patients with Head and Neck Cancer: A Prospective Longitudinal Study

被引:13
作者
Albert, Justine G. [1 ]
Lo, Christopher [2 ,3 ,4 ]
Rosberger, Zeev [5 ,6 ,7 ]
Frenkiel, Saul [8 ,9 ]
Hier, Michael [7 ,8 ,9 ]
Zeitouni, Anthony [8 ,10 ]
Kost, Karen [8 ,10 ]
Mlynarek, Alex [8 ,9 ]
Black, Martin [8 ,9 ]
MacDonald, Christina [11 ]
Richardson, Keith [8 ,10 ]
Mascarella, Marco [8 ,9 ]
Morand, Gregoire B. [8 ]
Chartier, Gabrielle [11 ]
Sadeghi, Nader [8 ,10 ]
Sultanem, Khalil [8 ,12 ]
Shenouda, George [8 ,13 ]
Cury, Fabio L. [5 ,13 ]
Henry, Melissa [5 ,7 ,8 ,9 ,14 ]
机构
[1] McGill Univ, Fac Med, Div Expt Med, Montreal, PQ H3A 0G4, Canada
[2] James Cook Univ, Coll Healthcare Sci, Dept Psychol, Singapore 387380, Singapore
[3] Univ Toronto, Temerty Fac Med, Dept Psychiat, Toronto, ON M5S 1A1, Canada
[4] Univ Toronto, Dalla Lana Sch Publ Hlth, Social & Behav Hlth Sci, Toronto, ON M5S 1A1, Canada
[5] McGill Univ, Fac Med, Gerald Bronfman Dept Oncol, Montreal, PQ H3A 0G4, Canada
[6] McGill Univ, Dept Psychol, Montreal, PQ H3A 0G4, Canada
[7] Jewish Gen Hosp, Lady Davis Inst Med Res, Montreal, PQ H3T 1E2, Canada
[8] McGill Univ, Fac Med, Dept Otolaryngol Head & Neck Surg, Montreal, PQ H3A 0G4, Canada
[9] Jewish Gen Hosp, Dept Otolaryngol Head & Neck Surg, Montreal, PQ H3T 1E2, Canada
[10] McGill Univ Hlth Ctr, Dept Otolaryngol Head & Neck Surg, Montreal, PQ H4A 3J1, Canada
[11] Jewish Gen Hosp, Dept Nursing, Montreal, PQ H3T 1E2, Canada
[12] Jewish Gen Hosp, Dept Radiat Oncol, Montreal, PQ H3T 1E2, Canada
[13] McGill Univ Hlth Ctr, Dept Radiat Oncol, Montreal, PQ H4A 3J1, Canada
[14] Jewish Gen Hosp, Louise Granofsky Psychosocial Oncol Program, Montreal, PQ H3T 1E2, Canada
关键词
body image; cancer oncology; psycho-oncology; head and neck Cancer; longitudinal; QUALITY-OF-LIFE; HOSPITAL ANXIETY; DEPRESSION; SCALE; WOMEN; DISFIGUREMENT; VALIDATION;
D O I
10.3390/curroncol29070353
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
(1) Background: Patients and survivors of head and neck cancer (HNC) are at a high risk of developing body image concerns. Despite the prevalence of body image concerns in patients with HNC, there is a lack of longitudinal research exploring the wide array of its associated determinants. The current longitudinal study examined the determinants and longitudinal course of body image dissatisfaction in patients with HNC. (2) Methods: Patients participated in Structured Clinical Interviews and self-administered questionnaires at four time-points: (T1) upon cancer diagnosis, (T2) at 3 months post-diagnosis, (T3) at 6 months post-diagnosis, and (T4) at 12 months post-diagnosis. They also underwent a disfigurement rating on an objective scale. (3) Results: Two hundred and twenty-four patients participated in our study. Fourteen percent to twenty-eight percent of patients reported at least moderate body image concerns across time points, with the lowest rates at baseline and the highest at 3 months (T1). It was found that patients more predisposed to developing higher levels of body image concerns presented physical markers (i.e., advanced cancer stage, lower physical functioning, higher disfigurement), psychosocial markers (i.e., higher depression, higher anxiety, and higher levels of coping with denial), and health disparities (i.e., younger age, female sex, French language, and marital status, with divorced and widowers most affected). (4) Conclusions: The findings of this study highlight the multifaceted nature of body image concerns in patients with HNC and its biopsychosocial determinants. Clinicians should pay specific attention to these biopsychosocial markers in their clinics to predict high levels of body image concerns and tailor communication/refer for support accordingly.
引用
收藏
页码:4438 / 4454
页数:17
相关论文
共 54 条
[1]   Psychosocial Effects of Head and Neck Cancer [J].
Alias, Ali ;
Henry, Melissa .
ORAL AND MAXILLOFACIAL SURGERY CLINICS OF NORTH AMERICA, 2018, 30 (04) :499-+
[2]   More Than My RA: A Randomized Trial Investigating Body Image Improvement Among Women With Rheumatoid Arthritis Using a Functionality-Focused Intervention Program [J].
Alleva, Jessica M. ;
Diedrichs, Phillippa C. ;
Halliwell, Emma ;
Peters, Madelon L. ;
Dures, Emma ;
Stuijfzand, Bobby G. ;
Rumsey, Nichola .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2018, 86 (08) :666-676
[3]  
[Anonymous], 2019, WHO QUAL RIGHTS SPEC
[4]  
[Anonymous], SCREENING DISTRESS
[5]  
[Anonymous], GUIDELINES RECOVERY
[6]   The Eysenck Personality Questionnaire: an examination of the factorial similarity of P, E, N, and L across 34 countries [J].
Barrett, PT ;
Petrides, KV ;
Eysenck, SBG ;
Eysenck, HJ .
PERSONALITY AND INDIVIDUAL DIFFERENCES, 1998, 25 (05) :805-819
[7]  
Beck A., 1991, Manual for the Beck Scale for Suicide Ideation
[8]   Brief assessment of adult cancer patients' perceived needs: development and validation of the 34-item Supportive Care Needs Survey (SCNS-SF34) [J].
Boyes, Allison ;
Girgis, Afaf ;
Lecathelinais, Christophe .
JOURNAL OF EVALUATION IN CLINICAL PRACTICE, 2009, 15 (04) :602-606
[9]   You want to measure coping but your protocol's too long: Consider the brief COPE [J].
Carver, CS .
INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE, 1997, 4 (01) :92-100
[10]   THE FUNCTIONAL ASSESSMENT OF CANCER-THERAPY SCALE - DEVELOPMENT AND VALIDATION OF THE GENERAL MEASURE [J].
CELLA, DF ;
TULSKY, DS ;
GRAY, G ;
SARAFIAN, B ;
LINN, E ;
BONOMI, A ;
SILBERMAN, M ;
YELLEN, SB ;
WINICOUR, P ;
BRANNON, J ;
ECKBERG, K ;
LLOYD, S ;
PURL, S ;
BLENDOWSKI, C ;
GOODMAN, M ;
BARNICLE, M ;
STEWART, I ;
MCHALE, M ;
BONOMI, P ;
KAPLAN, E ;
TAYLOR, S ;
THOMAS, CR ;
HARRIS, J .
JOURNAL OF CLINICAL ONCOLOGY, 1993, 11 (03) :570-579