The impact of head and neck cancer and facial disfigurement on the quality of life of patients and their partners
Abstract
Background.: Psychological and physical stresses from head and neck cancer can be substantial for patients and partners. There is minimal research exploring treatment impact, particularly facial disfigurement after surgery. Materials and Methods.: Twenty‐eight surgery and radiotherapy/brachytherapy/chemoradiation patients and 25 of their partners were compared with 23 radiotherapy/brachytherapy patients and 19 partners. Participants completed the Hospital Anxiety and Depression Scale, Psychosocial Adaptation to Illness Scale, Dyadic Adjustment Scale, and European Organisation for Research and Treatment of Cancer Quality Of Life Scale, including the Head and Neck Cancer module. The Dropkin Disfigurement and Dysfunction scale classified surgical impairment. Results.: Partners reported greater distress than patients on some scales. Patients did not have a lower quality of life compared with normal populations and other cancer patients. However, on the EORTC they did and were comparable to a normed sample of head and neck cancer patients. Treatment modality was not predictive of psychological vulnerability. Discussion.: Head and neck cancer patients do not necessarily experience poor quality of life. The disease can have a significant impact on partners. © 2003 Wiley Periodicals, Inc. Head Neck 25: 289–296, 2003
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Other studies have found high rates of psychosocial distress related to appearance changes.
“other studies have found high rates of psychosocial distress related to appearance changes.”
From Multidimensional analysis of body image concerns among newly diagnosed patients with oral cavity cancer (2010) · cites this paper as [13]
Some research suggests many head and neck cancer patients adapt well to disfigurement.
“Although some research suggests that many patients with head and neck cancer appear to adapt well to disfigurement,(10, 13)”
From Multidimensional analysis of body image concerns among newly diagnosed patients with oral cavity cancer (2010) · cites this paper as [13]
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- Authors
- Vickery, L. E., Latchford, G., Hewison, J., Bellew, M., & Feber, T.
- Affiliations
- St James's University Hospital (GB)
- University of Leeds (GB)
- Venue
- Head & Neck
- Publisher
- Wiley
- Published
- 2002-12-12
- Volume
- 25
- Issue
- 4
- Pages
- 289-296
- ISSN
- 1043-3074 (ISSN-L)
- 1097-0347
- OpenAlex
- W2003096743
- Cited by
- 201
- References
- 19
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 2 · 2023: 10 · 2022: 10 · 2021: 7 · 2020: 13 · 2019: 11 · 2018: 9 · 2017: 11 · 2016: 8 · 2015: 12 · 2014: 7 · 2013: 8 · 2012: 16
- FWCI
- 1.47
- 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 › Pulmonary and Respiratory Medicine › Oral health in cancer treatment
- Keywords
- head and neck cancer, facial disfigurement, quality of life, partners of cancer patients, anxiety and depression, psychosocial adjustment, dyadic adjustment, radiotherapy, chemoradiotherapy, brachytherapy, treatment options
- MeSH terms
- Congenital Abnormalities, Adaptation, Psychological, Adult, Aged, Face, Female, Head and Neck Neoplasms, Humans, Male, Middle Aged, Neoplasm Staging, Postoperative Complications, Quality of Life, Stress, Psychological, Spouses
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