Cited by 270Cancer survivorship and careHead and Neck Cancer StudiesChildhood Cancer Survivors' Quality of Life

Psychosocial adjustment in head and neck cancer: The impact of disfigurement, gender and social support

Katz, Mark R., Irish, Jonathan C., Devins, Gerald M., Rodin, Gary M., Gullane, Patrick J.·2003·Head & Neck

Abstract

Background.: The purpose of this study was to examine the psychosocial impact of disfigurement, gender, and social support after surgical treatment of head and neck cancer. Method.: Eighty‐two ambulatory head and neck cancer patients, 6 months or more after treatment and free of active disease were assessed. Ratings of disfigurement were obtained using a valid and reliable 9‐point scale developed for the study. Standardized measures of social support, depressive symptoms, well‐being, and life happiness were used. Results.: The sample as a whole displayed high levels of life happiness, low levels of depression, and positive feelings of well‐being. Women demonstrated higher levels of depression and lower life happiness; subjects with greater disfigurement were more depressed. Social support seemed to buffer the impact of greater levels of disfigurement on well‐being for women but not for men. Conclusion.: These results suggest that women with head and neck cancer who experience low social support and face disfiguring treatment are at greatest risk for psychosocial dysfunction. © 2003 Wiley Periodicals, Inc. Head Neck 25: 103–112, 2003

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Crossref · 10.1002/hed.10174

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  • Research across head and neck cancer patients identifies psychosocial difficulties linked to appearance changes, including anxiety, depression, worsened partner relationships, and social isolation.

    “Research with a broad array of head and neck patients identifies a number of psychosocial difficulties associated with appearance changes including high levels of anxiety and depression, worsened relationships with partners and increased social isolation.(1, 2)”
  • Body image is a critical psychosocial issue for oral cancer patients because the disease and its treatment can cause disfigurement and functional impairment.

    “Body image is recognized as a critical psychosocial issue for individuals with oral cancer, as the disease and its treatment can have devastating consequences involving disfigurement and functional impairment.”

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Authors
Katz, M. R., Irish, J. C., Devins, G. M., Rodin, G. M., & Gullane, P. J.
Affiliations
University Health Network (CA)
Venue
Head & Neck
Publisher
Wiley
Published
2002-09-10
Volume
25
Issue
2
Pages
103-112
ISSN
  • 1043-3074 (ISSN-L)
  • 1097-0347
OpenAlex
W2050059426
Cited by
270
References
54
Citations by year
2026: 2 · 2025: 11 · 2024: 12 · 2023: 13 · 2022: 13 · 2021: 16 · 2020: 10 · 2019: 13 · 2018: 18 · 2017: 19 · 2016: 9 · 2015: 13 · 2014: 11 · 2013: 19 · 2012: 13
FWCI
2.07
Type
journal article
Language
en
Open access
closed
Locations
  • Head & Neck (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Keywords
head and neck cancer, facial disfigurement, psychosocial adjustment, gender differences, social support, depression, well-being, life happiness, postoperative appearance, surgical outcomes
MeSH terms
Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Body Image, Cross-Sectional Studies, Data Interpretation, Statistical, Depression, Female, Head and Neck Neoplasms, Health Status Indicators, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Quality of Life, Regression Analysis, Sampling Studies, Sex Factors, Social Support, Reproducibility of Results

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