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Psychosocial adjustment in head and neck cancer: The impact of disfigurement, gender and social support
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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“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)”
From Multidimensional analysis of body image concerns among newly diagnosed patients with oral cavity cancer (2010) · cites this paper as [2]
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“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.”
From Multidimensional analysis of body image concerns among newly diagnosed patients with oral cavity cancer (2010) · cites this paper as [2]
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Metadata
- Authors
- Katz, M. R., Irish, J. C., Devins, G. M., Rodin, G. M., & Gullane, P. J.
- Affiliations
- University Health Network (CA)
- ORCID
- Rodin, Gary M.
- 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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